Because the little moments make a big difference in life - For ...
Because the little moments make a big difference in life - For ...
Because the little moments make a big difference in life - For ...
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Introduc<strong>in</strong>g <strong>the</strong> newest,<br />
most advanced cochlear<br />
implant system<br />
<strong>Because</strong> <strong>the</strong> <strong>little</strong><br />
<strong>moments</strong> <strong>make</strong> a<br />
<strong>big</strong> <strong>difference</strong> <strong>in</strong> <strong>life</strong><br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 1 10/12/09 10:17 AM
Revolution y<br />
a<br />
Designed with your child <strong>in</strong> m<strong>in</strong>d<br />
To a child, <strong>the</strong>re’s no such th<strong>in</strong>g as “<strong>little</strong> <strong>moments</strong>.” Every moment is <strong>big</strong>, new and full<br />
of possibilities — and new sounds. The soft patter of fall<strong>in</strong>g ra<strong>in</strong>. Mom s<strong>in</strong>g<strong>in</strong>g a nursery<br />
rhyme. The sweet chirp of a bird.<br />
As a parent, <strong>the</strong>re’s noth<strong>in</strong>g quite like watch<strong>in</strong>g your child experience <strong>the</strong> world with<br />
each <strong>little</strong> step, where new people, new voices, new environments and new challenges<br />
appear around every bend. Each discovery is a chance for magic, wonder and connection.<br />
And whe<strong>the</strong>r <strong>the</strong>y are play<strong>in</strong>g or learn<strong>in</strong>g, work<strong>in</strong>g or grow<strong>in</strong>g, you want your child to<br />
experience <strong>the</strong> limitless potential of a <strong>life</strong> full of those <strong>moments</strong> — achiev<strong>in</strong>g all <strong>the</strong>y<br />
can without barriers.<br />
That’s why we designed <strong>the</strong> Cochlear Nucleus ® 5 System — to <strong>make</strong> a <strong>big</strong> <strong>difference</strong><br />
<strong>in</strong> <strong>the</strong> lives of thousands of children with hear<strong>in</strong>g loss around <strong>the</strong> world. Toge<strong>the</strong>r, <strong>the</strong><br />
Nucleus 5 System, featur<strong>in</strong>g <strong>the</strong> Cochlear Nucleus CP810 Sound Processor, Cochlear<br />
Nucleus CI512 Cochlear Implant and Cochlear Nucleus CR110 Remote Assistant sets a<br />
new benchmark <strong>in</strong> hear<strong>in</strong>g performance. Every advancement, every detail is developed to<br />
provide unsurpassed hear<strong>in</strong>g performance for your child. Now your child can achieve <strong>the</strong>ir<br />
personal best hear<strong>in</strong>g experience, enjoy<strong>in</strong>g <strong>the</strong> <strong>little</strong> <strong>moments</strong> and everyth<strong>in</strong>g <strong>in</strong> between.<br />
Industry’s<br />
Smallest & Th<strong>in</strong>nest<br />
Industry’s smallest sound processor for children —<br />
up to 43% smaller than any o<strong>the</strong>r. *<br />
Industry’s th<strong>in</strong>nest titanium cochlear implant —<br />
40% th<strong>in</strong>ner than our previous generation.<br />
Industry’s most advanced, fully <strong>in</strong>tegrated dual omni<br />
microphone technology featur<strong>in</strong>g ZOOM designed to<br />
enhance hear<strong>in</strong>g performance <strong>in</strong> noisy environments.<br />
Powerful sound processor system — plus <strong>the</strong><br />
flexibility of <strong>the</strong> <strong>in</strong>dustry's only two-way remote assistant.<br />
* With rechargeable sound processor battery option, currently unavailable,<br />
pend<strong>in</strong>g FDA approval.<br />
Best<br />
Hear<strong>in</strong>g Performance<br />
Only cochlear implant with a curved electrode array design,<br />
22 real electrodes and access to 161 <strong>in</strong>termediate pitches 1, 2 —<br />
more than any o<strong>the</strong>r implant, for precise hear<strong>in</strong>g.<br />
Set it and Go —Exclusive with SmartSound 2,<br />
<strong>in</strong>telligently adapts to any environment for <strong>the</strong> best<br />
hear<strong>in</strong>g performance.<br />
Research shows children implanted with a cochlear implant at<br />
an early age may develop speech and language at <strong>the</strong> same<br />
rate as normal hear<strong>in</strong>g children. 3-6<br />
Cochlear implants are cl<strong>in</strong>ically proven to significantly improve<br />
children’s hear<strong>in</strong>g, speech and language skills compared to a<br />
hear<strong>in</strong>g aid. 7<br />
Complete<br />
Confidence<br />
#1 leader <strong>in</strong> implant reliability 8-13 — built to last a <strong>life</strong>time.<br />
World’s most water resistant sound processor design<br />
allows your child to be a kid.<br />
Industry’s smallest and only sound processor built on a<br />
strong titanium foundation with tamper-proof features.<br />
Simplify phone conversations with AutoPhone —<br />
<strong>in</strong>dustry’s first and only automatic phone detection.<br />
Industry’s only two-way remote assistant — more than<br />
a remote control, it provides guidance and peace of<br />
m<strong>in</strong>d your child is hear<strong>in</strong>g <strong>the</strong>ir best.<br />
Most<br />
Trusted<br />
9 out of 10 hear<strong>in</strong>g healthcare professionals<br />
choose Nucleus. 14<br />
#1 choice of cochlear implant recipients worldwide. 15<br />
Over 25 years of provid<strong>in</strong>g <strong>the</strong> most trusted and<br />
reliable products <strong>in</strong> <strong>the</strong> world.<br />
A promise to be here now and always for your child’s<br />
<strong>life</strong>time with <strong>the</strong> most technological <strong>in</strong>novations and<br />
options as <strong>the</strong>y grow.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 2-3 10/12/09 10:17 AM
I n d u s t r y ’ s s m a l l e s t a n d t h I n n e s t<br />
Industry’s<br />
Smallest<br />
Compact. Comfortable. Stylish.<br />
The Nucleus ® 5 System features <strong>the</strong> <strong>in</strong>dustry’s smallest sound processor ever.<br />
The design <strong>in</strong>corporates countless hours of feedback from recipients and hear<strong>in</strong>g<br />
healthcare professionals, and <strong>the</strong> expertise of ergonomic eng<strong>in</strong>eers. It is designed<br />
to fit even <strong>the</strong> smallest child comfortably and securely. The new Nucleus 5<br />
Sound Processor has modular features and accessories for every age and<br />
<strong>life</strong>style to suit chang<strong>in</strong>g fashions and activities.<br />
But, don’t be fooled by <strong>the</strong> size. Small comes with a whole lot of tough. Your<br />
child can jo<strong>in</strong> <strong>the</strong>ir friends <strong>in</strong> playground games — and you can relax know<strong>in</strong>g<br />
that <strong>the</strong>ir sound processor is built to handle <strong>the</strong> “rough and tumble” <strong>life</strong>.<br />
42 mm<br />
9 mm<br />
19 mm<br />
nucleus cp810 Sound processor<br />
Up to<br />
43%<br />
smaller than o<strong>the</strong>r<br />
sound processors *<br />
aCtual sIZe<br />
* With rechargeable sound processor battery option, currently unavailable,<br />
pend<strong>in</strong>g FDA approval.<br />
Industry’s<br />
Th<strong>in</strong>nest<br />
Parent of RyunoSuke k.<br />
40%<br />
th<strong>in</strong>ner than our previous<br />
generation cochlear implant<br />
nucleus ci512 cochlear implant<br />
Th<strong>in</strong>neST TiTanium<br />
implanT deSiGn —<br />
ideal foR The SmalleST<br />
of childRen<br />
The Nucleus 5 System features <strong>the</strong> th<strong>in</strong>nest<br />
titanium implant <strong>in</strong> <strong>the</strong> <strong>in</strong>dustry. Created <strong>in</strong> close<br />
collaboration with cochlear implant surgeons<br />
all over <strong>the</strong> world, <strong>the</strong> results are a stronger,<br />
th<strong>in</strong>ner implant. 40% th<strong>in</strong>ner than our previous<br />
generation and 30% th<strong>in</strong>ner than any o<strong>the</strong>r<br />
titanium implant available. Our new implant was<br />
designed to be <strong>the</strong> th<strong>in</strong>nest, mak<strong>in</strong>g it <strong>the</strong> ideal<br />
choice for even <strong>the</strong> smallest of children.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 4-5 10/12/09 10:17 AM
B e s t h e a r I n g P e r f o r m a n C e<br />
Best<br />
Hear<strong>in</strong>g<br />
Performance<br />
Your child deserves <strong>the</strong> best possible<br />
hear<strong>in</strong>g experience<br />
From <strong>the</strong>ir first game of patty cake to that future dance at <strong>the</strong> prom,<br />
you’ll recognize <strong>the</strong> purest, most true-to-<strong>life</strong> hear<strong>in</strong>g experience by <strong>the</strong><br />
smile on your child’s face and <strong>the</strong> daily joy of connection.<br />
The Nucleus® 5 System is designed to help your child’s auditory system work to its<br />
greatest capacity for <strong>the</strong> best possible speech and language development. Published<br />
research shows, Nucleus users have achieved <strong>the</strong> highest speech recognition scores ever<br />
recorded compared to those reported for o<strong>the</strong>r cochlear implant manufacturers. 16-20<br />
Research also shows that children implanted at an early age have a greater potential to<br />
develop speech and language skills at <strong>the</strong> same rate as children with normal hear<strong>in</strong>g. 3-6<br />
Give your child every chance to succeed with <strong>the</strong> newest, most advanced cochlear<br />
implant system available.<br />
Implant earlier for best hear<strong>in</strong>g<br />
GReaTeR poTenTial To develop Spoken lanGuaGe SkillS<br />
In a recent study, children who were implanted before <strong>the</strong> age of 18 months and<br />
received appropriate habilitation had a greater potential to develop spoken language<br />
skills equal to or close to those of children of <strong>the</strong> same age with normal hear<strong>in</strong>g by <strong>the</strong><br />
time <strong>the</strong>y enter k<strong>in</strong>dergarten. 4<br />
Develop<strong>in</strong>g spoken language <strong>make</strong>s a <strong>big</strong> <strong>difference</strong> <strong>in</strong> your child’s <strong>life</strong>. Attend<strong>in</strong>g a<br />
neighborhood school. Communicat<strong>in</strong>g clearly with <strong>the</strong>ir friends and teachers. Achiev<strong>in</strong>g<br />
academic success. Experienc<strong>in</strong>g all <strong>the</strong> world has to offer. Embrac<strong>in</strong>g every challenge.<br />
Best <strong>in</strong> class hear<strong>in</strong>g<br />
nucleuS conT<strong>in</strong>ueS To ouTpeRfoRm all oTheR<br />
cochleaR implanT SySTemS 16-20<br />
Each new generation of Nucleus is better than <strong>the</strong> last. Our previous<br />
generation Nucleus System (Freedom ) set a new <strong>in</strong>dustry benchmark with<br />
<strong>the</strong> highest speech recognition levels ever recorded — higher than reported<br />
<strong>in</strong> studies of o<strong>the</strong>r company's systems (See figure 1a). 16-19<br />
Interim results ga<strong>the</strong>red dur<strong>in</strong>g multi center cl<strong>in</strong>ical validation evaluat<strong>in</strong>g<br />
<strong>the</strong> Nucleus 5 Sound Processor and Remote Assistant (See figure 1b) set a new<br />
<strong>in</strong>dustry benchmark with even higher speech performance — higher than<br />
reported for o<strong>the</strong>r systems. 16-20<br />
figure 1a<br />
Percent Correct<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
Recent Outcome Data<br />
Advanced Bionics<br />
6 Months<br />
CNC words at 70 dBA<br />
Med - El<br />
6 Months 6 Months Initial Fit<br />
Adult<br />
Recipients<br />
Cochlear Nucleus Freedom<br />
Average Scores<br />
figure 1b<br />
Percent Correct<br />
Nucleus 5 Multi Center<br />
Validation Data<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
CNC words<br />
at 60 dBA<br />
Cochlear Nucleus 5<br />
Adult and<br />
Pediatric Recipients<br />
Better than hear<strong>in</strong>g aids<br />
nucleuS SiGnificanTly ouTpeRfoRmS heaR<strong>in</strong>G aidS 7<br />
A cochlear implant can help deliver crucial improvements <strong>in</strong> your child’s<br />
hear<strong>in</strong>g when compared to hear<strong>in</strong>g aids. In a recent Nucleus study, children<br />
tested showed a significant improvement <strong>in</strong> just three months after receiv<strong>in</strong>g<br />
<strong>the</strong>ir cochlear implant (See figure 2). 7<br />
The tests conducted were structured parent <strong>in</strong>terview questionnaires, called<br />
IT-MAIS (Infant Toddler Mean<strong>in</strong>gful Auditory Integration Scale) and MAIS<br />
(Mean<strong>in</strong>gful Auditory Integration Scale). These tests allowed <strong>the</strong> parents to<br />
answer questions on <strong>the</strong>ir child's auditory skill development.<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
Pre-Op<br />
Hear<strong>in</strong>g Aids<br />
Parent Auditory Skill Questionnaire<br />
FDA post-market surveillance study of Nucleus Freedom pediatric recipients. 7<br />
Better with ZOOM <br />
nucleuS SiGnificanTly ouTpeRfoRmS wiTh ZOOM<br />
Nucleus 5 is designed to enhance hear<strong>in</strong>g performance <strong>in</strong> noisy<br />
environments. A new signal process<strong>in</strong>g path with dual omni<br />
microphones has created a new platform for better hear<strong>in</strong>g<br />
performance. Dual microphone technology has been proven to<br />
improve speech performance <strong>in</strong> noise. Recent research also shows<br />
that <strong>the</strong> Nucleus 5 Sound Processor ZOOM Power Option results <strong>in</strong><br />
even better performance <strong>in</strong> noise (See figure 3). 21<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 6-7 10/12/09 10:17 AM<br />
figure 2<br />
Percent Correct<br />
3 Months 12 Months<br />
Cochlear Implant Cochlear Implant<br />
IT-MAIS, N=34<br />
12 months - 2.11 years<br />
Age of Implantation<br />
Percent Correct<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
Average Scores<br />
Pre-Op<br />
Hear<strong>in</strong>g Aids<br />
3 Months 12 Months<br />
Cochlear Implant Cochlear Implant<br />
MAIS, N=6<br />
3 years - 4.11 years<br />
Age of Implantation<br />
figure 3<br />
CUNY % (65 dBSPL)<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
Speech Performance<br />
In Noise<br />
Mean Average<br />
No Zoom ZOOM
B e s t h e a r I n g P e r f o r m a n C e Best<br />
Hear<strong>in</strong>g<br />
Performance<br />
Twenty-five years of experience, extensive collaboration with lead<strong>in</strong>g audiologists and surgeons<br />
from around <strong>the</strong> world, and <strong>the</strong> greatest <strong>in</strong>vestment <strong>in</strong> research and technological <strong>in</strong>novations,<br />
means that <strong>the</strong> Nucleus ® 5 System is designed to deliver <strong>the</strong> best sound possible for your child.<br />
No o<strong>the</strong>r company matches this commitment to <strong>the</strong> recipients and <strong>the</strong> healthcare professionals<br />
it serves. We believe that <strong>the</strong> result is <strong>the</strong> <strong>in</strong>dustry’s most superior system ever.<br />
The poweR To GRow wiTh youR child<br />
The Nucleus 5 Cochlear Implant is built with <strong>the</strong> most advanced chip<br />
technology available today. Excess chip capacity is built <strong>in</strong> so your child can<br />
easily upgrade without additional surgery to newer technology and take<br />
advantage of future <strong>in</strong>novations that are constantly be<strong>in</strong>g researched.<br />
moRe TRue-To-<strong>life</strong> Sound<br />
The most electrodes – up to 83% more real electrodes * – and <strong>the</strong> <strong>in</strong>dustry’s<br />
only custom chip. Research shows that with a 22 electrode array, listeners<br />
1, 2<br />
could dist<strong>in</strong>guish an average of 161 <strong>in</strong>termediate pitches.<br />
moST naTuRal fiT<br />
Only Nucleus 5 has an advanced self-curl<strong>in</strong>g electrode array designed<br />
to naturally conform to <strong>the</strong> curve of <strong>the</strong> cochlea provid<strong>in</strong>g more precise<br />
stimulation of <strong>the</strong> hear<strong>in</strong>g nerve for richer, more natural sound. 22-25<br />
deSiGned foR mRi<br />
The Nucleus 5 Cochlear Implant is designed to be safe for MRI scans up to<br />
1.5 Tesla with <strong>the</strong> magnet removed.<br />
moST Reliable<br />
Proven #1 <strong>in</strong> long-term implant reliability. 8-13<br />
<strong>in</strong>duSTRy’S Th<strong>in</strong>neST<br />
The <strong>in</strong>dustry’s th<strong>in</strong>nest titanium implant – 40% th<strong>in</strong>ner than our previous<br />
generation and 30% th<strong>in</strong>ner than any o<strong>the</strong>r titanium cochlear implant.<br />
* When compared to a 12 electrode array.<br />
Industry’s best electrode array for richer, more true-to-<strong>life</strong> sound<br />
2 3 CloSEST To THE HEARINg NERvE<br />
Benefit: Pure and rich sound<br />
Our proven design allows for better position<strong>in</strong>g of <strong>the</strong> electrode array <strong>in</strong><br />
very close proximity to <strong>the</strong> hear<strong>in</strong>g nerve, for more focused and accurate<br />
stimulation of <strong>the</strong> hear<strong>in</strong>g nerve. 22-25<br />
1 2 3 CuRvEd To FIT NATuRAllY<br />
Benefit: optimal coverage for best hear<strong>in</strong>g experience<br />
The placement of <strong>the</strong> electrode array close to <strong>the</strong> hear<strong>in</strong>g nerve is<br />
optimal for successful hear<strong>in</strong>g outcomes. The Nucleus 5 pre-curved<br />
electrode array is <strong>the</strong> <strong>in</strong>dustry’s only electrode array designed to curve<br />
naturally with<strong>in</strong> <strong>the</strong> cochlea and places 22 electrode contacts next to <strong>the</strong><br />
22, 23, 25<br />
hear<strong>in</strong>g nerve for more focused stimulation.<br />
1 RIgHT lENgTH<br />
Benefit: Maximum protection of <strong>the</strong> delicate structures<br />
with<strong>in</strong> <strong>the</strong> cochlea<br />
The length of <strong>the</strong> electrode array is crucial for position<strong>in</strong>g <strong>the</strong> electrodes<br />
<strong>in</strong> <strong>the</strong> best location <strong>in</strong> <strong>the</strong> cochlea24 and for protect<strong>in</strong>g <strong>the</strong> delicate<br />
structures with<strong>in</strong> <strong>the</strong> cochlea. 26 Our exclusive patented electrode array<br />
design27 offers <strong>the</strong> full range of sound23 and is designed to be <strong>the</strong> most<br />
23, 28, 29<br />
appropriate length.<br />
1 22 REAl ElECTRodES FoR gREATER ClARITY<br />
Benefit: Sound quality is more true-to-<strong>life</strong><br />
The unique plat<strong>in</strong>um 22 electrode array is designed to deliver a f<strong>in</strong>er<br />
representation of sound when stimulat<strong>in</strong>g <strong>the</strong> hear<strong>in</strong>g nerve, which is<br />
important for optimiz<strong>in</strong>g sound clarity.<br />
opTimal ReGion<br />
of cochlea<br />
SpiRal GanGlion<br />
cellS<br />
audiToRy neRve<br />
1<br />
Illustration adapted from Gray’s Anatomy Textbook<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 8-9 10/12/09 10:18 AM<br />
2<br />
3<br />
1
B e s t h e a r I n g P e r f o r m a n C e<br />
Set It and Go<br />
Exclusive with SmartSound 2 technology<br />
SmartSound 2 –<br />
confidence <strong>in</strong> every situation<br />
The Nucleus® 5 System with SmartSound 2, features <strong>the</strong> new<br />
Set It and Go Program that <strong>in</strong>telligently adjusts to fit your child’s<br />
listen<strong>in</strong>g environment automatically — <strong>the</strong> same way natural<br />
hear<strong>in</strong>g does. It ref<strong>in</strong>es and clarifies sound <strong>in</strong> different environments<br />
for a richer, clearer listen<strong>in</strong>g experience. only <strong>the</strong> Nucleus 5 System<br />
<strong>in</strong>cludes <strong>the</strong> exclusive SmartSound 2 technology.<br />
So, whe<strong>the</strong>r your child is <strong>in</strong> <strong>the</strong> classroom, play<strong>in</strong>g basketball or enjoy<strong>in</strong>g<br />
pizza with friends at a busy restaurant, you can be confident your child is<br />
hear<strong>in</strong>g <strong>the</strong>ir best.<br />
Set it and Go - EVERYDAY program<br />
The EVERYDAY Program is likely to be used as your child’s primary program<br />
to enable <strong>the</strong> best hear<strong>in</strong>g possibilities <strong>in</strong> <strong>the</strong>ir typical environments. When <strong>the</strong>y<br />
are ready to ref<strong>in</strong>e and optimize hear<strong>in</strong>g <strong>in</strong> o<strong>the</strong>r environments, it is nice to know<br />
<strong>the</strong>re are more options — just a button push away.<br />
power programs<br />
Automatic. Adaptable. Customizable.<br />
deSiGned To GRow wiTh youR child<br />
The Nucleus 5 System is also designed to grow with<br />
your child by featur<strong>in</strong>g three additional Power Programs.<br />
smartsound 2 MuSIc opens up <strong>the</strong><br />
world of music. Used along with practice,<br />
SmartSound 2 Music is designed to give<br />
greater enjoyment from music whe<strong>the</strong>r your<br />
child plays an <strong>in</strong>strument, attends a live<br />
concert or simply listens to <strong>the</strong>ir iPod ® .<br />
noiSe<br />
muSic focuS<br />
excluSive feaTuReS To booST heaR<strong>in</strong>G<br />
peRfoRmance <strong>in</strong> challenG<strong>in</strong>G SiTuaTionS<br />
Have confidence know<strong>in</strong>g that your child's Nucleus 5 Sound Processor<br />
is uniquely designed with two microphones and a ZOOM Power<br />
Option for enhanced directional hear<strong>in</strong>g <strong>in</strong> noisy environments.<br />
Our exclusive dual microphone technology is designed to<br />
automatically capture sound from all around, while also<br />
allow<strong>in</strong>g your child to hear what’s most important. And,<br />
if <strong>the</strong>y need an extra boost, ZOOM, a superior, unique<br />
option provides extra directionality through <strong>the</strong>ir<br />
microphones for even greater clarity <strong>in</strong> noise.<br />
smartsound 2 NoISE is designed to provide<br />
<strong>the</strong> best possible hear<strong>in</strong>g <strong>in</strong> excessively noisy<br />
situations. At a football game, for example,<br />
your child can experience <strong>the</strong> thrill of <strong>the</strong><br />
crowd yet still comfortably enjoy <strong>the</strong> moment<br />
with family or friends.<br />
CUNY % (65 dBSPL)<br />
100<br />
80<br />
60<br />
40<br />
20<br />
smartsound 2 FocuS is designed to<br />
<strong>make</strong> it easy for your child to understand a<br />
person <strong>in</strong> front of <strong>the</strong>m even when <strong>the</strong>re is<br />
a significant amount of surround<strong>in</strong>g noise.<br />
Th<strong>in</strong>k of a lively party or a busy restaurant.<br />
Focus reduces <strong>the</strong> surround<strong>in</strong>g sounds for<br />
more enjoyable conversations.<br />
Speech Performance<br />
In Noise<br />
Mean Average<br />
impRoved Speech<br />
peRfoRmance<br />
<strong>in</strong> noiSe 21<br />
Dual microphone technology has<br />
been proven to improve speech<br />
performance <strong>in</strong> noise. Recent research<br />
also shows that <strong>the</strong> Nucleus 5 Sound<br />
Processor ZOOM Power Option<br />
results <strong>in</strong> even better performance<br />
<strong>in</strong> noise. 21<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 10-11 10/12/09 10:18 AM<br />
No Zoom ZOOM
C o m P l e t e C o n f I d e n C e<br />
The exclusive Nucleus ® Added<br />
Peace of M<strong>in</strong>d5<br />
two-way remote assistant is<br />
an added bonus to your system<br />
It gives you confidence know<strong>in</strong>g that your child is hear<strong>in</strong>g <strong>the</strong>ir<br />
best. designed with a full-color display and simple, easy-to-use<br />
navigation, you will be able to wirelessly monitor and manage<br />
your child’s hear<strong>in</strong>g. Whe<strong>the</strong>r your child is watch<strong>in</strong>g Tv with <strong>the</strong>ir<br />
friends, or play<strong>in</strong>g <strong>in</strong> <strong>the</strong> backyard, you have complete confidence<br />
at your f<strong>in</strong>gertips. Plus, it is <strong>the</strong> world’s only system that gives you<br />
<strong>the</strong> added flexibility of adjust<strong>in</strong>g your child’s sound processor easily<br />
from <strong>the</strong> remote assistant or directly on <strong>the</strong> sound processor beh<strong>in</strong>d<br />
your child’s ear. No o<strong>the</strong>r system comes close.<br />
Complete confidence.<br />
The oNlY two-wAY remote assistant that <strong>make</strong>s it easy for you to know your child’s equipment is work<strong>in</strong>g properly.<br />
Simple buTTonS<br />
If your child’s remote assistant is out of reach,<br />
you will still be able to easily manage your<br />
child’s hear<strong>in</strong>g with a simple two-button<br />
<strong>in</strong>terface on <strong>the</strong> sound processor.<br />
TampeR-ReSiSTanT feaTuReS<br />
Ensures sett<strong>in</strong>gs can only be changed<br />
when <strong>in</strong>tended.<br />
Battery lock<strong>in</strong>g switch prevents<br />
accidental disconnection and<br />
ensures safety.<br />
Tamper-resistant earhooks available.<br />
LiteWear case provides additional<br />
tamper resistance for children.<br />
Two-coloR led<br />
<strong>in</strong>dicaToR liGhT<br />
Know your child’s sound processor<br />
status at all times.<br />
The multi-colored LED lights on <strong>the</strong><br />
sound processor will flash to notify you<br />
when <strong>the</strong> batteries need to be changed,<br />
coil is off, and o<strong>the</strong>r status alerts.<br />
Battery<br />
lock<strong>in</strong>g<br />
switch<br />
Battery<br />
cover lock<br />
110 mm<br />
Nucleus CR110 Remote Assistant *<br />
45 mm<br />
*Remote Assistant battery <strong>life</strong> typically<br />
lasts 1 week with average use, recharges<br />
quickly <strong>in</strong> 2 to 4 hours.<br />
aleRTS<br />
Built-<strong>in</strong> diagnostics <strong>in</strong> <strong>the</strong> remote assistant are <strong>the</strong>re to<br />
notify you of a variety of situations, such as a disconnected<br />
coil or if <strong>the</strong> processor is not work<strong>in</strong>g properly. In addition,<br />
a three-color LED <strong>in</strong> <strong>the</strong> remote assistant will let you know<br />
<strong>the</strong> system is function<strong>in</strong>g properly — with just a glance.<br />
There is also a built-<strong>in</strong> audible alarm.<br />
baTTeRy <strong>life</strong> aleRT<br />
Clearly shows how much battery power is available on<br />
<strong>the</strong> sound processor so you’ll know when you need to<br />
change <strong>the</strong>m.<br />
only Two-way SeTT<strong>in</strong>G conTRol<br />
The only system allow<strong>in</strong>g you to <strong>make</strong> and confirm<br />
changes to your child’s processor through <strong>the</strong> processor<br />
or <strong>the</strong> remote assistant.<br />
TRoubleShooT<strong>in</strong>G<br />
To keep your child hear<strong>in</strong>g – <strong>the</strong> Nucleus 5 Remote<br />
Assistant provides simple, <strong>in</strong>tuitive and <strong>in</strong>teractive<br />
troubleshoot<strong>in</strong>g at a glance.<br />
Simple naviGaTion<br />
Icons and step-by-step directions to guide you through<br />
<strong>the</strong> available options.<br />
one buTTon check<br />
Simply press <strong>the</strong> “Cochlear” button to quickly check<br />
<strong>the</strong> status of <strong>the</strong> system.<br />
ZOOM poweR opTion<br />
Exclusive bonus- ZOOM Power Option is accessible<br />
from your remote assistant for an extra boost <strong>in</strong> hear<strong>in</strong>g<br />
performance <strong>in</strong> challeng<strong>in</strong>g situations.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 12-13 10/12/09 10:18 AM
C o m P l e t e C o n f I d e n C e<br />
Nucleus ® Most<br />
Reliable System Cochlear<br />
5 — built to last a <strong>life</strong>time<br />
The Nucleus 5 System represents a new design that is built to last a<br />
<strong>life</strong>time. The new sound processor is constructed with state-of-<strong>the</strong>-art<br />
robust and durable materials. The new implant is built on a track record<br />
of <strong>the</strong> best reliability <strong>in</strong> <strong>the</strong> <strong>in</strong>dustry. Extensive reliability test<strong>in</strong>g has been<br />
carried out to ensure a highly reliable device. of course, <strong>the</strong> true test is<br />
how well Nucleus 5 stands up to <strong>the</strong> “rough and tumble” <strong>life</strong> of a child.<br />
Sweat and grime or mud, ra<strong>in</strong> and snow. We’ve anticipated every move —<br />
and wea<strong>the</strong>r condition. When your child is runn<strong>in</strong>g down <strong>the</strong> soccer field,<br />
<strong>the</strong> only th<strong>in</strong>g on <strong>the</strong>ir m<strong>in</strong>d will be scor<strong>in</strong>g a goal. A titanium foundation,<br />
Teflon®-coated connectors and ultra-robust plastic ensure durability and<br />
carefree play. No worries for your child — and no worries for you because<br />
you’ll know that your child can always count on a world of sound.<br />
teflon coated titanium<br />
bayonet connectors for<br />
enhanced durability.<br />
Industry’s only<br />
GoRE-tEX ® microphone<br />
protectors for superior<br />
moisture protection.<br />
robust and durable plastic to<br />
withstand accidental drops.<br />
separate coil and coil cable<br />
for improved reliability.<br />
Built on <strong>the</strong><br />
world’s first and<br />
oNlY titanium<br />
foundation<br />
Built to last<br />
Built on an exclusive titanium foundation with<br />
new durable plastic that stands up to active play,<br />
as confirmed by extensive reliability test<strong>in</strong>g.<br />
Only Cochlear offers GORE-TEX microphone<br />
protection covers designed to protect <strong>the</strong><br />
microphones from <strong>the</strong> sweat, dirt and grime<br />
of a normal and active <strong>life</strong>style.<br />
The world’s most reliable<br />
cochlear implant system ever!<br />
understands why implant reliability is so important. We know that<br />
receiv<strong>in</strong>g a cochlear implant is a <strong>big</strong> decision for you and your child. Your child<br />
depends on <strong>the</strong>ir cochlear implant to serve <strong>the</strong>m well for a <strong>life</strong>time. That’s why our<br />
cochlear implants have been eng<strong>in</strong>eered and tested to <strong>the</strong> most str<strong>in</strong>gent <strong>in</strong>dustry<br />
standards — <strong>the</strong> same ones used to measure <strong>the</strong> reliability of cardiac pace<strong>make</strong>rs.<br />
The result: Nucleus Cochlear Implants are <strong>the</strong> most reliable on <strong>the</strong> market today. 8-13<br />
Nucleus Cochlear Implants<br />
proven #1 reliability <strong>in</strong><br />
11-13,30<br />
<strong>in</strong>dependent cl<strong>in</strong>ical studies<br />
While all companies claim <strong>the</strong>y manufacture highly reliable cochlear implants,<br />
Cochlear recommends read<strong>in</strong>g <strong>the</strong> published research <strong>in</strong> reputable medical journals<br />
regard<strong>in</strong>g <strong>the</strong>ir long-term reliability. This way you can be confident know<strong>in</strong>g <strong>the</strong><br />
<strong>in</strong>formation is cl<strong>in</strong>ically accurate and from <strong>in</strong>dependent resources who are unbiased<br />
<strong>in</strong> <strong>the</strong>ir report<strong>in</strong>g.<br />
<strong>in</strong> three recent <strong>in</strong>dependent cl<strong>in</strong>ical studies, review<strong>in</strong>g <strong>the</strong> records of over<br />
17,000 patients at 30 lead<strong>in</strong>g cochlear implant centers, <strong>the</strong> results published<br />
<strong>in</strong> reputable medical journals conclude that Nucleus Implants are <strong>the</strong> <strong>in</strong>dustry’s<br />
most reliable on <strong>the</strong> market (See figure 4). The <strong>in</strong>dependent research demonstrates that<br />
Nucleus delivers superior reliability results for your child’s <strong>life</strong>time. 11-13,30<br />
<strong>For</strong> more than 25 years,<br />
Nucleus has set <strong>the</strong> <strong>in</strong>dustry<br />
standard for reliability<br />
At Cochlear, we believe that you and your hear<strong>in</strong>g healthcare professional deserve<br />
to know <strong>the</strong> reliability of our cochlear implants so that you can <strong>make</strong> an <strong>in</strong>formed<br />
decision. <strong>For</strong> that reason, we offer <strong>the</strong> <strong>in</strong>dustry’s most comprehensive reports on<br />
our cochlear implant reliability us<strong>in</strong>g <strong>the</strong> str<strong>in</strong>gent standards set by <strong>the</strong> International<br />
Standard ISO 5841-2. 31 You can be certa<strong>in</strong> that <strong>the</strong> <strong>in</strong>formation we <strong>make</strong> available is<br />
complete and accurate based on highly regarded <strong>in</strong>dustry standards.<br />
<strong>in</strong>dependenT cl<strong>in</strong>ical STudy ReSulTS — ReliabiliTy f<strong>in</strong>d<strong>in</strong>GS<br />
Publication<br />
Ear and Hear<strong>in</strong>g, 2007<br />
Otology &<br />
Neurotology, 2008<br />
Otology &<br />
Neurotology, 2009<br />
figure 4<br />
9 out of<br />
Nucleus compared to<br />
Advanced Bionics is…<br />
3.5 times better 11,30<br />
3.8 times better 12,30<br />
5.3 times better 13,30<br />
10<br />
Nucleus compared to<br />
Med-El is…<br />
4.6 times better 11,30<br />
5.8 times better 12,30<br />
Not available<br />
hear<strong>in</strong>g healthcare<br />
professionals choose Nucleus 14<br />
Number<br />
of Patients<br />
12,856<br />
946<br />
3,417<br />
To f<strong>in</strong>d out more about our latest reliability data visit<br />
www.cochlearamericas.com<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 14-15 10/12/09 10:18 AM
C o m P l e t e C o n f I d e n C e<br />
World’s most<br />
Water Resistant<br />
Relax around water. Play by <strong>the</strong> pool.<br />
only Nucleus® 5 allows your child to be a kid and enjoy some of <strong>life</strong>’s<br />
favorite <strong>moments</strong> — runn<strong>in</strong>g through spr<strong>in</strong>klers, play<strong>in</strong>g by <strong>the</strong> pool,<br />
jump<strong>in</strong>g <strong>in</strong>to ra<strong>in</strong> puddles dur<strong>in</strong>g a ra<strong>in</strong>shower — and provides you<br />
with <strong>the</strong> assurance that comes from know<strong>in</strong>g that your child’s sound<br />
processor has been thoroughly tested and rated to <strong>the</strong> highest <strong>in</strong>dustry<br />
standards as be<strong>in</strong>g water resistant. 32<br />
With International Protection Rat<strong>in</strong>gs of IP44 32 and IP57 *,32 for water<br />
resistance, <strong>the</strong> Nucleus 5 Sound Processor gives your child <strong>the</strong> freedom<br />
to play and you peace of m<strong>in</strong>d. only <strong>the</strong> Nucleus 5 Sound Processor has<br />
received <strong>the</strong>se rat<strong>in</strong>gs.<br />
The remote assistant is also water resistant, and tested and rated<br />
to IP44 so your child doesn’t have to leave it at home when <strong>the</strong>y go<br />
out to <strong>the</strong> beach or plan to enjoy fun around water.<br />
Nucleus 5 System — The oNlY sound processor that<br />
has IP44 and IP57 * rat<strong>in</strong>gs for water resistance. * Also<br />
featur<strong>in</strong>g our exclusive two-way remote assistant<br />
with an IP44 water resistant rat<strong>in</strong>g.<br />
* With rechargeable sound processor battery option, currently unavailable, pend<strong>in</strong>g FDA approval.<br />
foR <strong>life</strong>’S liTTle miShapS<br />
The world’s only system with both IP44 and IP57 *<br />
rat<strong>in</strong>gs. IP57 rat<strong>in</strong>g means that <strong>the</strong> sound processor<br />
is not only water resistant, but it can be submerged<br />
<strong>in</strong>to three feet of water for up to 30 m<strong>in</strong>utes<br />
without any worries. *<br />
Not <strong>in</strong>tended for swimm<strong>in</strong>g.<br />
* With rechargeable sound processor battery option,<br />
currently unavailable, pend<strong>in</strong>g FDA approval.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 16-17 10/12/09 10:18 AM
C o m P l e t e C o n f I d e n C e<br />
Nucleus ® Most<br />
Flexible Options for every age and <strong>life</strong>style<br />
5 features <strong>the</strong> most flexible options<br />
to anticipate your child’s needs.<br />
Kids just care about hav<strong>in</strong>g fun and liv<strong>in</strong>g <strong>the</strong>ir <strong>life</strong> every day with <strong>the</strong>ir friends. That’s why we built <strong>the</strong> Nucleus 5 System<br />
to let <strong>the</strong>m do just that — and so that you don’t have to worry. <strong>For</strong> every kid's <strong>life</strong>style, <strong>the</strong>re’s a Nucleus 5 option.<br />
Toddlers<br />
woRn moRe wayS<br />
Different ways to wear <strong>the</strong> processor<br />
will help to <strong>make</strong> your child more<br />
comfortable <strong>in</strong> different situations.<br />
liTeweaR foR The<br />
liTTle oneS<br />
Designed for very young<br />
children, LiteWear enables<br />
<strong>the</strong> battery module to<br />
be worn on <strong>the</strong> body<br />
over clo<strong>the</strong>s, mak<strong>in</strong>g <strong>the</strong><br />
processor even lighter.<br />
SnuGfiT foR<br />
acTive <strong>life</strong>STyleS<br />
Ideal for “rough and tumble”<br />
activities on <strong>the</strong> playground and<br />
for those with an active <strong>life</strong>style,<br />
<strong>the</strong> Snugfit holds <strong>the</strong> processor<br />
comfortably and securely on <strong>the</strong> ear.<br />
Preschoolers to Teenagers<br />
mix and maTch wiTh The moST opTionS<br />
A dazzl<strong>in</strong>g range of sound processors and coil colors and patterns<br />
for your child to personalize <strong>the</strong>ir look — so <strong>the</strong>y can ei<strong>the</strong>r<br />
hide it or style it.<br />
CharCoal sand WhIte BroWn BlaCK<br />
excluSive Sound pRoceSSoR coveRS<br />
STandaRd<br />
Up to 4 DAYS battery <strong>life</strong><br />
with disposable batteries.<br />
Fewer batteries — only 2<br />
disposable are needed with<br />
<strong>the</strong> standard battery option.<br />
eaSy To uSe<br />
* Rechargeable battery options for sound processor, currently unavailable, pend<strong>in</strong>g FDA approval.<br />
All essential functions are<br />
accessible directly through<br />
<strong>the</strong> buttons on <strong>the</strong> sound<br />
processor or by us<strong>in</strong>g <strong>the</strong><br />
remote assistant.<br />
Powerful battery choices<br />
flexible baTTeRy opTionS: The Nucleus 5 System lets you switch easily between disposable and rechargeable batteries.<br />
STandaRd<br />
RechaRGeable *<br />
Up to 2 days battery<br />
<strong>life</strong> with <strong>the</strong> standard<br />
rechargeable battery option.<br />
Rechargeable batteries will completely charge <strong>in</strong> 2 to 4 hours.<br />
compacT<br />
RechaRGeable *<br />
Up to 18 hours battery<br />
<strong>life</strong> with <strong>the</strong> compact<br />
rechargeable battery option.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 18-19 10/12/09 10:18 AM
C o m P l e t e C o n f I d e n C e<br />
Easiest<br />
Bilateral Use<br />
With <strong>the</strong> Nucleus® 5 System, your child's two<br />
sound processors can be easily and simultaneously<br />
controlled for easy bilateral use.<br />
"The best th<strong>in</strong>g about <strong>the</strong> cochlear<br />
implant is that I can see<br />
<strong>in</strong> his eyes that he is<br />
hear<strong>in</strong>g me, and this is<br />
what it is all about"<br />
Parent of Julian M. — Bilateral recipient<br />
Bilateral<br />
Sound<br />
Physicians, audiologists, teachers and cochlear<br />
implant recipients cont<strong>in</strong>ue to recommend bilateral<br />
cochlear implantation<br />
Hear<strong>in</strong>g with two ears — whe<strong>the</strong>r it be with two cochlear<br />
implants or a cochlear implant and a hear<strong>in</strong>g aid — provides<br />
an experience that hear<strong>in</strong>g with one ear cannot. 33<br />
implanT opTionS<br />
Some bilateral cochlear implant recipients receive two cochlear<br />
implants at <strong>the</strong> same time (simultaneous bilateral implantation).<br />
O<strong>the</strong>r bilateral cochlear implant recipients start with one<br />
cochlear implant, and <strong>the</strong>n follow-up with a second cochlear<br />
implant on <strong>the</strong> opposite ear (sequential bilateral implantation).<br />
There are a variety of reasons recipients may consider ei<strong>the</strong>r<br />
option. Whe<strong>the</strong>r consider<strong>in</strong>g simultaneous or sequential<br />
bilateral implantation, it is important for you to discuss this<br />
option with your hear<strong>in</strong>g healthcare provider to determ<strong>in</strong>e<br />
<strong>the</strong> best approach for your child.<br />
<strong>in</strong>SuRance coveRaGe<br />
Bilateral cochlear implantation is covered by many health<br />
<strong>in</strong>surance providers. <strong>For</strong> example - United Healthcare, one of<br />
<strong>the</strong> largest health <strong>in</strong>surers <strong>in</strong> <strong>the</strong> United States, allows for <strong>the</strong><br />
coverage of bilateral cochlear implants for adults and children.<br />
<strong>For</strong> additional <strong>in</strong>formation regard<strong>in</strong>g <strong>in</strong>surance coverage for<br />
bilateral implants, contact your audiologist or Cochlear OMS<br />
Insurance Support at:<br />
1 800 633 4667 or visit<br />
www.CochlearAmericas.com/InsuranceSupport<br />
To determ<strong>in</strong>e if bilateral implantation is an option for your child,<br />
Cochlear always recommends that you discuss this with your<br />
hear<strong>in</strong>g healthcare provider.<br />
Bilateral<br />
Control<br />
The Nucleus 5 System was designed with<br />
bilateral cochlear implant recipients <strong>in</strong> m<strong>in</strong>d<br />
RemoTe aSSiSTanT<br />
Bilateral recipients need only one remote<br />
assistant to adjust and manage two sound<br />
processors simultaneously.<br />
bilaTeRal acceSSoRieS<br />
Now featur<strong>in</strong>g our first Bilateral Personal Audio<br />
Cable for connect<strong>in</strong>g both of your child’s cochlear<br />
implants with just one cable. Connect <strong>the</strong>ir sound<br />
processors directly to <strong>the</strong>ir iPod ® , television or<br />
gam<strong>in</strong>g device so that <strong>the</strong>y can enjoy <strong>the</strong>ir<br />
favorite activities <strong>in</strong> surround sound.<br />
implanT id<br />
Our implant ID detects when <strong>the</strong> correct sound<br />
processor has been placed on <strong>the</strong> correct ear and<br />
ensures your child is hear<strong>in</strong>g optimally. An ideal<br />
solution for children with bilateral cochlear implants.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 20-21 10/12/09 10:18 AM
C o m P l e t e C o n f I d e n C e<br />
Easiest<br />
Connection<br />
AutoPhone — <strong>in</strong>dustry's first and<br />
only automatic phone detection<br />
connecT<strong>in</strong>G oveR The phone juST GoT a whole loT eaSieR<br />
Talk<strong>in</strong>g on <strong>the</strong> phone is an important part of everyday <strong>life</strong> — and if<br />
you are <strong>the</strong> parents of a teenager, our unique patented AutoPhone<br />
technology may prove an especially popular feature. Available<br />
only on <strong>the</strong> Nucleus® 5 System, <strong>the</strong> exclusive AutoPhone telecoil<br />
will work with most mobile or landl<strong>in</strong>e phones by automatically<br />
activat<strong>in</strong>g when hold<strong>in</strong>g <strong>the</strong> phone next to <strong>the</strong> processor.<br />
Connect<strong>in</strong>g to music and<br />
enterta<strong>in</strong>ment is quick and easy<br />
<strong>in</strong>duSTRy’S only auTophone TechnoloGy<br />
Easy, automatic phone connection and communication<br />
optimizes phone use.<br />
acceSSoRieS foR eaSy connecTion<br />
To muSic and GameS<br />
We’ve got <strong>the</strong> connections covered. Options are available to<br />
connect to any music and gam<strong>in</strong>g sound source with a<br />
headphone jack, <strong>in</strong>clud<strong>in</strong>g:<br />
• MP3 players and stereos<br />
• Computers and televisions<br />
• Gam<strong>in</strong>g systems<br />
(Wii®, XBox 360®, PS3® and more!)<br />
• Compatible with many FM systems<br />
Go wiReleSS<br />
Cochlear’s lead<strong>in</strong>g technology offers <strong>the</strong> best connection to cutt<strong>in</strong>gedge<br />
communication. It’s Bluetooth® friendly for wireless devices.<br />
Two Telecoil opTionS foR GReaTeR flexibiliTy<br />
• AutoPhone — activated automatically.<br />
• Manual telecoil — may be activated by us<strong>in</strong>g <strong>the</strong> sound<br />
processor or remote assistant.<br />
peRSonal audio cable (pac)<br />
<strong>For</strong> battery operated audio devices that<br />
have a headphone jack.<br />
T-l<strong>in</strong>k<br />
Designed for use with cellular/<br />
cordless phones.<br />
blueTooTh® fRiendly<br />
<strong>For</strong> safe hands-free connectivity. The <strong>in</strong>telligent design of <strong>the</strong> auto<br />
telecoil allows it to automatically detect sound from a Bluetooth<br />
headset when it’s naturally worn on <strong>the</strong> ear.<br />
connecT<strong>in</strong>G <strong>in</strong> The claSSRoom<br />
In <strong>the</strong> classroom, your child and <strong>the</strong>ir teacher can easily connect<br />
us<strong>in</strong>g a variety of FM solutions with <strong>the</strong> Nucleus 5 System. An FM<br />
solution will directly l<strong>in</strong>k <strong>the</strong> voice of <strong>the</strong> teacher to your child’s<br />
system without <strong>the</strong> distraction of o<strong>the</strong>r classroom noise. That<br />
<strong>make</strong>s a <strong>big</strong> <strong>difference</strong> <strong>in</strong> your child’s educational experience.<br />
Attend<strong>in</strong>g ma<strong>in</strong>stream school. Communicat<strong>in</strong>g clearly with a<br />
teacher. Achiev<strong>in</strong>g academic success.<br />
The same technology that powers AutoPhone also<br />
enables our recipients to automatically l<strong>in</strong>k to FM<br />
neckloops, room loops and o<strong>the</strong>r telecoil compatible<br />
devices. These solutions provide o<strong>the</strong>r options for<br />
keep<strong>in</strong>g your child connected <strong>in</strong> <strong>the</strong> classroom.<br />
In addition, a plug-<strong>in</strong> FM option is available.*<br />
These are important options to discuss with<br />
your child’s audiologist and classroom teachers.<br />
* When used with <strong>the</strong> euro adapter that will be available soon.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 22-23 10/12/09 10:19 AM
C o m P l e t e C o n f I d e n C e<br />
World of Music Let Nucleus 5 Turn <strong>the</strong> Music On<br />
Nucleus ® 5 — <strong>the</strong> music<br />
possibilities are endless<br />
Whe<strong>the</strong>r it’s a n<strong>in</strong>e-year-old perform<strong>in</strong>g her first-ever<br />
air guitar solo or a 13-year-old go<strong>in</strong>g to <strong>the</strong>ir first<br />
concert, <strong>the</strong> Nucleus 5 System helps <strong>make</strong> it possible.<br />
We designed our Nucleus 5 System so that music<br />
enjoyment can be maximized for <strong>the</strong> <strong>in</strong>dividual.<br />
diRecT connecTion To<br />
TheiR favoRiTe muSic<br />
Kids love keep<strong>in</strong>g up with <strong>the</strong> latest enterta<strong>in</strong>ment.<br />
Our Nucleus 5 Sound Processor lets your child tune<br />
<strong>in</strong>to music easily, with direct cable connection to a<br />
music device like an iPod®.<br />
Imag<strong>in</strong>e music be<strong>in</strong>g “enhanced”<br />
before enter<strong>in</strong>g your ear.<br />
When we eng<strong>in</strong>eered <strong>the</strong> Nucleus 5 System, our concept<br />
was to “clean up” <strong>the</strong> sound quality so that <strong>the</strong>re would<br />
be less to <strong>in</strong>terfere with your musical enjoyment. Our<br />
unique SmartSound 2 Music Program is designed to<br />
automatically filter out unwanted noise — <strong>the</strong> same<br />
way natural hear<strong>in</strong>g works. Th<strong>in</strong>k of it as switch<strong>in</strong>g<br />
from a fa<strong>in</strong>t, staticky AM radio broadcast to satellite<br />
radio reception. There’s no comparison — and no o<strong>the</strong>r<br />
cochlear implant company has anyth<strong>in</strong>g like it.<br />
for Your Child<br />
The only cochleaR implanT wiTh a muSic pRoGRam<br />
With <strong>the</strong> simple push of a button, <strong>the</strong> Music Program is automatically<br />
powered up. This program is designed to enhance your child’s musical<br />
experience while m<strong>in</strong>imiz<strong>in</strong>g distract<strong>in</strong>g noise.<br />
hope muSic SeRieS – help youR child achieve TheiR<br />
ulTimaTe muSic expeRience<br />
Enjoy<strong>in</strong>g music is like rid<strong>in</strong>g a bike — once your child learns, <strong>the</strong>y never<br />
forget. But if your child has never been on a bike before, it takes practice<br />
before <strong>the</strong>y can zip down <strong>the</strong> road. Cochlear is <strong>the</strong> only company to<br />
offer <strong>the</strong> HOPE Music Series — a rehabilitation and educational support<br />
program devoted to help<strong>in</strong>g cochlear implant recipients realize <strong>the</strong>ir full<br />
musical potential. Our unmatched expertise and dedicated experts can<br />
help your child to achieve <strong>the</strong>ir ultimate musical experience.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 24-25 10/12/09 10:19 AM
m o s t t r u s t e d<br />
Lifetime<br />
Commitment<br />
Our commitment to you<br />
and your child beg<strong>in</strong>s now<br />
When you choose <strong>the</strong> Nucleus® 5 System, you are not just<br />
gett<strong>in</strong>g <strong>the</strong> best technology available, you’re <strong>in</strong>vest<strong>in</strong>g <strong>in</strong><br />
a <strong>life</strong>long promise that Cochlear will be <strong>the</strong>re to help your<br />
child achieve <strong>the</strong>ir personal best hear<strong>in</strong>g experience. Just<br />
ask any one of <strong>the</strong> over 120,000 Nucleus Cochlear Implant<br />
recipients out <strong>the</strong>re. We’re committed to help<strong>in</strong>g your<br />
child achieve <strong>the</strong>ir personal best through a comprehensive<br />
program of educational, social and technological support.<br />
We call it <strong>the</strong> Cochlear Care Cont<strong>in</strong>uum. And it beg<strong>in</strong>s now.<br />
Leader <strong>in</strong> cochlear implant <strong>in</strong>novations and <strong>in</strong>dustry firsts<br />
hiGhliGhTS oveR The paST 25 yeaRS<br />
First FDA approved<br />
multichannel implant<br />
for use <strong>in</strong> adults<br />
First directional<br />
microphone<br />
First FDA approved<br />
multichannel implant<br />
for use <strong>in</strong> children<br />
First SPEAK speech<br />
cod<strong>in</strong>g strategy<br />
First Neural Response<br />
Telemetry (NRT)<br />
First MRI-compatible<br />
implant (standard MRI<br />
mach<strong>in</strong>e) with magnet<br />
removed<br />
First beh<strong>in</strong>d <strong>the</strong> ear<br />
(BTE) sound processor<br />
First to deliver<br />
<strong>in</strong>termediate pitch<br />
perception<br />
Discover<br />
Connect<br />
First and only FDA<br />
approved multichannel<br />
auditory bra<strong>in</strong>stem<br />
implant (ABI)<br />
First and only<br />
pre-curved<br />
electrode array<br />
Believe<br />
First built-<strong>in</strong><br />
telecoil<br />
First wireless<br />
FM option<br />
“The cochlear implant<br />
has been noth<strong>in</strong>g<br />
short of a miracle for<br />
Sam. Currently he is<br />
above his peers<br />
academically,<br />
which is a pretty<br />
neat th<strong>in</strong>g."<br />
First and only IP44<br />
rated water, sweat<br />
resistant processor<br />
First and only<br />
SmartSound <br />
<strong>in</strong>put process<strong>in</strong>g<br />
First FOCUS program<br />
First to offer<br />
disposable and<br />
rechargeable<br />
batteries for both<br />
beh<strong>in</strong>d <strong>the</strong> ear (BTE)<br />
and bodyworn<br />
processors<br />
Parent of Sam b.<br />
Cochlear’s 25th<br />
Anniversary<br />
First electro-acoustic<br />
implant, CE Mark <strong>in</strong><br />
Europe with Hybrid <br />
1985 1990 1994 1997 1998 2000 2002 2003 2005 2006 2007 2008 2009<br />
<strong>in</strong>TRoducTion of nucleuS 5 SySTem<br />
First to dramatically advance <strong>in</strong>dustry standards<br />
for smaller implant size (3.9mm – <strong>in</strong>dustry’s th<strong>in</strong>nest)<br />
Industry’s smallest sound processor<br />
First and only remote assistant with two-way<br />
control capability<br />
World’s only fully <strong>in</strong>tegrated dual directional<br />
microphone technology<br />
First and only AutoPhone (sound processor with an<br />
automatic telecoil)<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 26-27 10/12/09 10:19 AM
m o s t t r u s t e d<br />
Then<br />
1987<br />
1988<br />
1989<br />
1994<br />
1999<br />
2000<br />
2004<br />
2007<br />
now<br />
fuTuRe<br />
Committed<br />
to you for a <strong>life</strong>time<br />
Holly received her cochlear implant at four years old. Twenty-two years, one<br />
implant and five sound processor upgrades later, 26-year old Holly cont<strong>in</strong>ues<br />
to enjoy <strong>the</strong> benefits from new technological advancements.<br />
Holly lived <strong>in</strong> a world of silence as a result of contract<strong>in</strong>g<br />
men<strong>in</strong>gitis at <strong>the</strong> age of four. Her mo<strong>the</strong>r wanted to give<br />
her every opportunity <strong>in</strong> <strong>life</strong>.<br />
At age four, Holly became one of <strong>the</strong> first pediatric<br />
recipients of a commercial Nucleus ® Cochlear Implant<br />
System. Her first sound processor was <strong>the</strong> WSP.<br />
Holly started school — and attended ma<strong>in</strong>stream<br />
schools for 13 years, from k<strong>in</strong>dergarten to 12th grade.<br />
Holly upgraded to <strong>the</strong> MSP processor.<br />
Holly upgraded to <strong>the</strong> Spectra processor.<br />
Holly upgraded to <strong>the</strong> ESPrit 22 processor.<br />
Holly graduated from high school <strong>in</strong> <strong>the</strong> top<br />
2% of students <strong>in</strong> <strong>the</strong> state.<br />
Holly upgraded to an ESPrit 3G processor.<br />
Holly graduated from university with first class<br />
honors <strong>in</strong> Law. Holly upgraded to a Nucleus ®<br />
Freedom Sound Processor.<br />
Happily work<strong>in</strong>g as a lawyer and liv<strong>in</strong>g <strong>life</strong> to <strong>the</strong> fullest.<br />
As new technologies become available, Holly will be<br />
able to take advantage of <strong>the</strong>m with confidence.<br />
One implant, five sound processor upgrades…<br />
unlimited possibilities!<br />
A <strong>life</strong>long solution –<br />
it’s just <strong>the</strong> beg<strong>in</strong>n<strong>in</strong>g<br />
When new technologies come along, Nucleus recipients have a<br />
dist<strong>in</strong>ct advantage. Whe<strong>the</strong>r implanted 25 years ago or yesterday,<br />
our committed team works passionately to develop new<br />
technologies, so that your child has <strong>the</strong> best hear<strong>in</strong>g opportunities<br />
possible throughout <strong>the</strong>ir <strong>life</strong>time.<br />
Our commitment to backwards compatibility means your child does not get<br />
left beh<strong>in</strong>d as science progresses. It’s a commitment from <strong>the</strong> global leader and<br />
is backed by <strong>the</strong> <strong>in</strong>dustry’s largest <strong>in</strong>vestment <strong>in</strong> research and development,<br />
<strong>the</strong> largest collaboration program with lead<strong>in</strong>g specialists around <strong>the</strong> world<br />
and access to <strong>the</strong> world’s largest cochlear implant support organization.<br />
That is how Cochlear can cont<strong>in</strong>ue to <strong>in</strong>novate and br<strong>in</strong>g <strong>the</strong> latest advances <strong>in</strong><br />
technology to our recipients, no matter when your child received <strong>the</strong>ir cochlear<br />
implant. As upgrades and <strong>in</strong>novations occur, we are committed to br<strong>in</strong>g<strong>in</strong>g<br />
<strong>the</strong>m to your children – so <strong>the</strong>y can keep improv<strong>in</strong>g <strong>the</strong>ir hear<strong>in</strong>g and live<br />
active and connected lives.<br />
"With my cochlear implant, I was<br />
able to happily attend ma<strong>in</strong>stream<br />
schools and successfully achieve my<br />
own personal and career goals."<br />
holly m.<br />
7out<br />
of<br />
10<br />
people who choose<br />
a cochlear implant<br />
pick Cochlear 15<br />
Cochlear has delivered <strong>the</strong><br />
miracle of sound to more<br />
than 120,000 cochlear<br />
implant recipients worldwide.<br />
Now, it’s your turn!<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 28-29 10/12/09 10:19 AM
m o s t t r u s t e d<br />
Education and<br />
habilitation resources<br />
Discover<br />
Your child has just received <strong>the</strong>ir Nucleus® 5 Cochlear Implant. You now wonder.<br />
What will my voice sound like to my child? Will my child learn to speak? Will<br />
my child succeed? While a cochlear implant represents a world of opportunities,<br />
it’s important to remember that everyone is unique and results can differ from<br />
one person to <strong>the</strong> next. learn<strong>in</strong>g to listen and speak aga<strong>in</strong> (or for <strong>the</strong> first time)<br />
<strong>in</strong>volves a process of <strong>the</strong>rapy and tra<strong>in</strong><strong>in</strong>g called habilitation, which is important<br />
to <strong>the</strong> hear<strong>in</strong>g experience.<br />
habiliTaTion foR childRen<br />
Children who have never experienced sound prior to implantation need habilitation <strong>in</strong> order to<br />
understand environmental sounds and speech. Just like a newborn, your child needs tra<strong>in</strong><strong>in</strong>g and<br />
experience to learn to listen. Educational environments that emphasize auditory skills development<br />
typically have a positive effect on a child’s speech and language progress. Family, friends, speech<br />
language pathologists, listen<strong>in</strong>g and spoken language specialists and o<strong>the</strong>r hear<strong>in</strong>g health<br />
professionals and educators all play crucial roles <strong>in</strong> help<strong>in</strong>g kids achieve <strong>the</strong> best outcomes possible.<br />
leaRn moRe about Cochlear’s unique HOPE education and habilitation program<br />
resources at www.CochlearAmericas.com/Support<br />
As part of our <strong>life</strong>time commitment to Nucleus recipients,<br />
Cochlear provides a comprehensive series of habilitation resources<br />
called HOPE, designed to help children, families and educators<br />
work toge<strong>the</strong>r to achieve a child's greatest hear<strong>in</strong>g potential.<br />
HOPE resources<br />
meeT<strong>in</strong>G childRen’S needS aT School<br />
A compendium of <strong>in</strong>formation on major issues faced by<br />
educators <strong>in</strong> support<strong>in</strong>g children with cochlear implants.<br />
liSTen, leaRn and Talk<br />
An <strong>in</strong>formational kit for parents and educators work<strong>in</strong>g with<br />
preschool-age children.<br />
STRive and ThRive<br />
H<strong>in</strong>ts and tips to help parents prepare <strong>the</strong>ir children for school.<br />
educaToRS’ Guide<br />
A guide with <strong>in</strong>formation on cochlear implantation and how to<br />
help children with cochlear implants reach <strong>the</strong>ir full potential.<br />
Speech SoundS<br />
A guide for parents and professionals on how to daily <strong>in</strong>tegrate<br />
spoken language <strong>in</strong> a mean<strong>in</strong>gful and enjoyable manner.<br />
Sound and way beyond<br />
A unique <strong>in</strong>teractive listen<strong>in</strong>g rehabilitation program for<br />
teens and adults.<br />
nucleuS heaR we Go!<br />
Easy-to-use software that helps cl<strong>in</strong>icians and <strong>the</strong>rapists<br />
develop habilitation exercises for teenagers.<br />
Community, awareness and<br />
social network<strong>in</strong>g<br />
Connect cochleaR<br />
When you select a Nucleus 5 System, you immediately become part of <strong>the</strong><br />
Cochlear Community, a grow<strong>in</strong>g family dedicated to your child’s success. Every<br />
cl<strong>in</strong>ician, scientist, recipient and friend <strong>in</strong> <strong>the</strong> Cochlear Community shares a<br />
special dedication to provid<strong>in</strong>g <strong>in</strong>formation and ongo<strong>in</strong>g support throughout your<br />
journey. "Connect with <strong>the</strong> Community" to meet o<strong>the</strong>rs who may share a similar<br />
experience to yours or your child’s. or help ano<strong>the</strong>r parent navigate <strong>the</strong> journey to<br />
a world of sound. It’s all part of <strong>the</strong> Cochlear experience.<br />
Today, over 120,000 people around <strong>the</strong> world are experienc<strong>in</strong>g a <strong>life</strong> of sound with <strong>the</strong>ir Nucleus<br />
System. S<strong>in</strong>g<strong>in</strong>g along with <strong>the</strong>ir parents <strong>in</strong> <strong>the</strong> back seat. Chatt<strong>in</strong>g with friends at school.<br />
Talk<strong>in</strong>g on <strong>the</strong> phone with a favorite cous<strong>in</strong>. But <strong>the</strong>se successes are <strong>the</strong> result of more than just<br />
technology. Recipients — especially children — can benefit from hav<strong>in</strong>g a network of supporters<br />
to help <strong>the</strong>m <strong>make</strong> <strong>the</strong> most out of <strong>the</strong>ir cochlear implant system.<br />
leaRn moRe about Cochlear’s community, awareness and social<br />
network<strong>in</strong>g programs at www.CochlearAmericas.com/Community<br />
Largest community with more than<br />
120,000 cochlear implant recipients<br />
celebRaTion<br />
An exclusive retreat where Nucleus families come toge<strong>the</strong>r to<br />
celebrate <strong>the</strong>ir experiences and learn how to maximize <strong>the</strong>ir<br />
technology. It is a great opportunity for your child to meet<br />
o<strong>the</strong>r children with a cochlear implant and for you to meet<br />
o<strong>the</strong>r parents.<br />
cochleaR communiTy<br />
An onl<strong>in</strong>e neighborhood and network<strong>in</strong>g opportunity filled<br />
with neighbors who can provide <strong>the</strong> benefit of <strong>the</strong>ir years of<br />
experience with <strong>the</strong>ir child’s cochlear implant.<br />
cochleaR awaReneSS neTwoRk<br />
Advocacy programs and opportunities for recipients and<br />
parents who want to help o<strong>the</strong>rs learn about hear<strong>in</strong>g loss<br />
and cochlear implantation.<br />
cochleaR awaReneSS pRoGRamS<br />
Raise Your Hand and o<strong>the</strong>r public awareness <strong>in</strong>itiatives<br />
sponsored by Cochlear.<br />
RecipienT newS and updaTeS<br />
Pr<strong>in</strong>t and onl<strong>in</strong>e newsletters for Nucleus recipients.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 30-31 10/12/09 10:19 AM
m o s t t r u s t e d<br />
Believe<br />
Full-spectrum customer care<br />
support programs from Cochlear <br />
Throughout our 25 years of market leadership, <strong>the</strong> Cochlear name has<br />
come to represent a passionate dedication to ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g and improv<strong>in</strong>g<br />
<strong>the</strong> Nucleus ® System so recipients can enjoy a <strong>life</strong>time of miraculous,<br />
un<strong>in</strong>terrupted sound. We will always work to ensure <strong>the</strong> best hear<strong>in</strong>g<br />
experience for your child. And that’s a promise you can believe <strong>in</strong>.<br />
Your cochlear implant system should be designed to work around your child’s <strong>life</strong>,<br />
not <strong>the</strong> o<strong>the</strong>r way around.<br />
That’s why every Nucleus recipient is covered by a comprehensive warranty, and<br />
world-class technical and f<strong>in</strong>ancial support.<br />
<strong>in</strong>SuRance and ReimbuRSemenT SuppoRT<br />
Cochlear’s OMS Insurance Support is here to help you<br />
understand and manage <strong>in</strong>surance reimbursment coverage<br />
before and after your child receives <strong>the</strong>ir Nucleus 5 System.<br />
1 800 633 4667 or visit:<br />
www.CochlearAmericas.com/InsuranceSupport<br />
heaR alwayS<br />
Live, toll-free phone and onl<strong>in</strong>e technical support staffed by<br />
audiologists for Nucleus recipients.<br />
1 800 483 3123 or visit:<br />
www.CochlearAmericas.com/HearAlways<br />
RecipienT SeRviceS<br />
Cochlear supports your child with a comprehensive warranty,<br />
ma<strong>in</strong>tenance support and our commitment to br<strong>in</strong>g your child<br />
<strong>the</strong> latest <strong>in</strong> technology.<br />
1 800 523 5798 or visit:<br />
www.CochlearAmericas.com/Support<br />
Committed to your child’s best care —<br />
today, tomorrow and always<br />
Cochlear is committed to <strong>the</strong> latest science and technologies so that<br />
your child will always enjoy <strong>the</strong> best hear<strong>in</strong>g experience throughout<br />
<strong>the</strong>ir <strong>life</strong>. To rema<strong>in</strong> on <strong>the</strong> lead<strong>in</strong>g edge of hear<strong>in</strong>g performance, we<br />
have <strong>in</strong>vested more <strong>in</strong> <strong>the</strong> research of new <strong>in</strong>novations <strong>in</strong> <strong>the</strong> last five<br />
years than <strong>in</strong> <strong>the</strong> previous 25 years comb<strong>in</strong>ed. We want your child to<br />
benefit from <strong>the</strong> best of technology today with <strong>the</strong> ability to easily<br />
upgrade without additional surgery as we discover breakthrough<br />
technologies <strong>in</strong> <strong>the</strong> future.<br />
We’re committed to support<strong>in</strong>g your child for a <strong>life</strong>time. It’s a true commitment<br />
from <strong>the</strong> global leader, backed by <strong>the</strong> <strong>in</strong>dustry’s largest <strong>in</strong>vestment <strong>in</strong> research and<br />
development and access to <strong>the</strong> largest cl<strong>in</strong>ical and support network <strong>in</strong> <strong>the</strong> world.<br />
Today, tomorrow and always — your child deserves <strong>the</strong> best access to sound.<br />
9 out of<br />
10<br />
hear<strong>in</strong>g healthcare<br />
professionals choose Nucleus 14<br />
NuMBER oNE CHoICE oF SuRgEoNS 14<br />
When you choose a Nucleus 5 System for your child, you can<br />
be confident know<strong>in</strong>g that you have support from Cochlear and<br />
audiologists, cl<strong>in</strong>ics and surgeons worldwide. And only Cochlear has<br />
<strong>the</strong> proven track record <strong>in</strong> be<strong>in</strong>g #1 <strong>in</strong> deliver<strong>in</strong>g long-term implant<br />
reliability. 8-13 Maybe this is why, <strong>in</strong> a survey of 300 cochlear implant<br />
surgeons, 90% of <strong>the</strong> respondents preferred a Nucleus Implant. 14<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 32-33 10/12/09 10:19 AM
m o s t t r u s t e d<br />
Cochlear Most<br />
Trusted<br />
— <strong>the</strong> most trusted cochlear implant company<br />
our commitment has led to a strong, proven record<br />
of success and has earned <strong>the</strong> loyalty and support<br />
of cl<strong>in</strong>icians and recipients worldwide — mak<strong>in</strong>g<br />
Nucleus ® <strong>the</strong> #1 choice. 15<br />
• Over 25 years of deliver<strong>in</strong>g trusted and reliable products.<br />
• #1 leader <strong>in</strong> implant reliability 8-13 — built to last your<br />
child’s <strong>life</strong>time.<br />
• More people choose Nucleus than any o<strong>the</strong>r cochlear<br />
implant <strong>in</strong> <strong>the</strong> world. 15<br />
• More <strong>in</strong>novative product firsts than any o<strong>the</strong>r cochlear<br />
implant company.<br />
• Most comprehensive customer care support and service.<br />
#1 choice of cochlear implant recipients worldwide 15<br />
References and Technical Notes<br />
1. Cochlear update March 2006 (White Paper). Pitch<br />
steer<strong>in</strong>g with sequential stimulation of <strong>in</strong>tracochlear<br />
electrodes. (Cochlear 2006)<br />
2. Kwon J et al. Dual-electrode pitch discrim<strong>in</strong>ation with<br />
sequential <strong>in</strong>terleaved stimulation by cochlear implant<br />
users. J Acoust Soc Am 2006 Jul;120(1):EL1-6<br />
3. Novak MA et al. Cochlear implants <strong>in</strong> <strong>in</strong>fants and<br />
toddlers. Ann Otol Rh<strong>in</strong>o Laryngol Suppl<br />
2000;185:46-49<br />
4. Nicholas JG et al. Will <strong>the</strong>y catch up? The role of<br />
age at cochlear implantation <strong>in</strong> <strong>the</strong> spoken language<br />
development of children with severe to profound<br />
hear<strong>in</strong>g loss. J Speech Lang Hear Res 2007;50:1048-1062<br />
5. Nicholas JG et al. Expected test scores for preschoolers<br />
with a cochlear implant who use spoken language. Am J<br />
Speech Lang Pathol 2008;17:121-138.<br />
6. Robb<strong>in</strong>s AM et al. Language development <strong>in</strong> young<br />
children with cochlear implants. Adv Otorh<strong>in</strong>olaryngol<br />
1995;50:160-166<br />
7. Post market surveillance, P970051/5028; Poster<br />
presented at 12th Symposium on Cochlear Implants <strong>in</strong><br />
Children, June 2009<br />
8. Nucleus reliability report, Vol. 5, June 2008. Four years<br />
of data, launched <strong>in</strong> 2005<br />
9. Advanced Bionics - Auditory Reliability Report, Summer<br />
2009. 2.5 years of data, launched <strong>in</strong> 2005<br />
10. MED-El Website [Onl<strong>in</strong>e]. 2009 [Cited June 2009];[1<br />
screen]. Available from: URL:http://www.medel.com/<br />
english/img/animations/SONATA_CSR.swf<br />
11. Battmer RD et al. A multi-centre study of device failure<br />
<strong>in</strong> European cochlear implant centres. Ear Hear 2007<br />
Apr;28(2 Suppl):95S-99S<br />
12. Cullen RD et al. Revision cochlear implant surgery <strong>in</strong><br />
children. Otol Neurotol 2008;29(2):214-20<br />
13. Battmer RD et al. A review of device failure <strong>in</strong> more than<br />
23 years of cl<strong>in</strong>ical experience of a cochlear implant<br />
program with more than 3,400 implantees. Otol<br />
Neurotol 2009 Jun;30(4):455-63<br />
14. Based on cochlear surgeons' preference survey: Internal<br />
reliability preferences. Data on file. June 2009.<br />
15. Internal data on file, November 2008<br />
16. Balkany T et al. Nucleus Freedom North American<br />
cl<strong>in</strong>ical trial. Otolaryngol Head Neck Surg<br />
2007;136(5):757-762<br />
17. Pijil S et al. (2006) North American Freedom trial:<br />
Prelim<strong>in</strong>ary results adults. Cochlear Limited White Paper<br />
18. Bassim MK et al. Med-EL Combi40+ Cochlear<br />
implantation <strong>in</strong> adults. Laryngoscope 2005;<br />
115:1568-1573<br />
19. Segu<strong>in</strong> C et al. (2005). Patient performance with<br />
<strong>the</strong> Advanced Bionics HiRes 90K Helix 1 device with<br />
HiFocus perimodiolar (Helix) electrode. Advanced<br />
Bionics White Paper<br />
20. Multi Center Validation Data of <strong>the</strong> Nucleus 5 Sound<br />
Processor and Remote Assistant prelim<strong>in</strong>ary speech<br />
perception from <strong>the</strong> <strong>in</strong>itial Fit (N=38)<br />
21. Multi center Australian validation data of <strong>the</strong> Nucleus 5<br />
Sound Processor us<strong>in</strong>g <strong>the</strong> Zoom microphone sett<strong>in</strong>g.<br />
Interim speech performance <strong>in</strong> noise (N=15).<br />
22. Aschendorff A et al. Quality control after <strong>in</strong>sertion of<br />
<strong>the</strong> Nucleus contour and contour advance electrode <strong>in</strong><br />
adults. Ear Hear 2007 Apr;28(2 Suppl):75S-79S<br />
23. Sridhar D et al. A frequency-position function for<br />
<strong>the</strong> human cochlear spiral ganglion. Audiol Neurotol<br />
2006;11(Suppl 1):16-20<br />
24. Stakhovskaya O et al. Frequency map for <strong>the</strong> human<br />
cochlear spiral ganglion: Implications for cochlear<br />
implants. J Assoc Res Otolaryngol 2007 Jun;8(2):220-33<br />
25. Wright, CG et al. Temporal bone microdissection<br />
for anatomic study of cochlear implant electrodes.<br />
Cochlear Implants International 2005;6(4) 159-168<br />
26. Roland, JT Jr. A model for cochlear implant electrode<br />
<strong>in</strong>sertion and force evaluation: Results with a new<br />
electrode design and <strong>in</strong>sertion technique. Laryngoscope<br />
2005;115(8):1325-39<br />
27. US patent 7, 184, 843. [On file] 2007 Feb 27<br />
28. Adunka O et al. Preservation of basal <strong>in</strong>ner<br />
ear structures <strong>in</strong> cochlear implantation. ORL J<br />
Otorh<strong>in</strong>olaryngol Relat Spec 2004;66(6):306-12<br />
29. Gani M et al. Implications of deep electrode <strong>in</strong>sertion<br />
on cochlear implant fitt<strong>in</strong>g. J Assoc Res Otolaryngol<br />
2007;8:69-83<br />
30. The Cochlear implants produced by Advanced Bionics<br />
and Med-El referenced <strong>in</strong> <strong>the</strong> reliability studies were<br />
found to be ‘X’ times more likely to fail than <strong>the</strong><br />
Nucleus Implants produced by Cochlear<br />
31. ISO 5841-2: 2000, Implants for surgery -<br />
Cardiac pace<strong>make</strong>rs -- Part 2: Report<strong>in</strong>g of<br />
cl<strong>in</strong>ical performance of populations of pulse<br />
generators or leads<br />
32. IEC 60529 Ed. 2.1 b Cor.1:2003 Corrigendum<br />
1 - Degrees of protection provided by<br />
enclosures (IP Code)<br />
33. Ch<strong>in</strong>g TY et al. B<strong>in</strong>aural-bimodal fitt<strong>in</strong>g or bilateral<br />
implantation for manag<strong>in</strong>g severe to profound deafness:<br />
A review. Trends Amplif 2007 Sep;11(3):161-92<br />
Learn how <strong>the</strong> Nucleus System<br />
has helped o<strong>the</strong>rs achieve <strong>the</strong>ir<br />
personal best hear<strong>in</strong>g experience<br />
and allowed <strong>the</strong>m to enjoy <strong>the</strong><br />
<strong>little</strong> <strong>moments</strong> <strong>in</strong> <strong>life</strong>.<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 34-35 10/12/09 10:19 AM
only fRom cochleaR – thE NEw SYStEM<br />
Industry’s smallest & th<strong>in</strong>nest<br />
Industry’s smallest and most advanced sound processor and th<strong>in</strong>nest<br />
cochlear implant.<br />
greatest flexibility with full-functionality on <strong>the</strong> sound processor<br />
and remote assistant.<br />
Best hear<strong>in</strong>g<br />
Cl<strong>in</strong>ically proven to improve children’s hear<strong>in</strong>g performance. 20<br />
Complete Confidence<br />
#1 leader <strong>in</strong> implant reliability8-13 — built to last a <strong>life</strong>time.<br />
Industry’s only sound processor built on a strong titanium foundation<br />
for <strong>the</strong> active child.<br />
World's most water resistant sound processor design allows<br />
your child to be a kid.<br />
most trusted<br />
9 out of 10 hear<strong>in</strong>g health professionals choose nucleus. 14<br />
#1 choice of cochlear implant recipients. 15<br />
<strong>For</strong> fur<strong>the</strong>r <strong>in</strong>formation please contact your local Cochlear representative or visit us<br />
on <strong>the</strong> web at: www.cochlear.com<br />
Cochlear Americas<br />
13059 East Peakview Avenue<br />
Centennial, CO 80111 USA<br />
fun1034 Iss2 oCt09<br />
Tel: 1 303 790 9010<br />
Fax: 1 303 792 9025<br />
Toll Free: 1 800 523 5798<br />
Cochlear, <strong>the</strong> elliptical logo, nucleus, freedom, sound and Way Beyond, smartsound, snugfit, set It and go, autoPhone, listen learn and talk, neural response telemetry, hybrid<br />
and nucleus hear We go are trademarks of Cochlear limited. Baha is a registered trademark of Cochlear Bone anchored solutions aB, a Cochlear group Company. <strong>the</strong> names of<br />
actual companies and products mentioned here<strong>in</strong> may be <strong>the</strong> trademarks of <strong>the</strong>ir respective owners.<br />
© Cochlear limited 2009<br />
This is cochlear’s promise to you. as <strong>the</strong> global leader <strong>in</strong> hear<strong>in</strong>g solutions,<br />
Cochlear is dedicated to br<strong>in</strong>g<strong>in</strong>g <strong>the</strong> gift of sound to people all over <strong>the</strong> world.<br />
With our hear<strong>in</strong>g solutions, Cochlear has reconnected over 180,000 cochlear<br />
implant and Baha ® recipients to <strong>the</strong>ir families, friends and communities <strong>in</strong> more<br />
than 100 countries.<br />
along with <strong>the</strong> <strong>in</strong>dustry’s largest <strong>in</strong>vestment <strong>in</strong> research and development,<br />
we cont<strong>in</strong>ue to partner with lead<strong>in</strong>g <strong>in</strong>ternational researchers and hear<strong>in</strong>g<br />
professionals, ensur<strong>in</strong>g that we are at <strong>the</strong> forefront <strong>in</strong> <strong>the</strong> science of hear<strong>in</strong>g.<br />
for <strong>the</strong> person with hear<strong>in</strong>g loss receiv<strong>in</strong>g any one of Cochlear’s hear<strong>in</strong>g solutions,<br />
our commitment is that for <strong>the</strong> rest of your <strong>life</strong> you will hear now. and always<br />
As your partner <strong>in</strong> hear<strong>in</strong>g for <strong>life</strong>, Cochlear believes it is important that you understand not only<br />
<strong>the</strong> benefits, but also <strong>the</strong> potential risks associated with any cochlear implant.<br />
You should talk to your hear<strong>in</strong>g healthcare provider about who is a candidate for cochlear implantation.<br />
Before any cochlear implant surgery, it is important to talk to your doctor about CDC guidel<strong>in</strong>es for<br />
pre-surgical vacc<strong>in</strong>ations. Cochlear implants are contra<strong>in</strong>dicated for patients with lesions of <strong>the</strong> auditory<br />
nerve, active ear <strong>in</strong>fections or active disease of <strong>the</strong> middle ear.<br />
Cochlear implantation is a surgical procedure, and carries with it <strong>the</strong> risks typical for surgery. You<br />
may lose residual hear<strong>in</strong>g <strong>in</strong> <strong>the</strong> implanted ear. Electrical stimulation may result <strong>in</strong> some side effects,<br />
<strong>in</strong>clud<strong>in</strong>g r<strong>in</strong>g<strong>in</strong>g <strong>in</strong> <strong>the</strong> ear, stimulation of <strong>the</strong> facial nerve; <strong>in</strong> rare cases this may cause pa<strong>in</strong>. Though<br />
rare, it is possible that additional surgery may be required at some po<strong>in</strong>t to resolve complications with<br />
a cochlear implant.<br />
<strong>For</strong> complete <strong>in</strong>formation about risks and benefits of cochlear implantation, please refer to <strong>the</strong><br />
Nucleus Package Insert (available at www.cochlearamericas.com/NucleusIndications).<br />
FUN1034 ISS2 OCT09 Ped BRO 8.<strong>in</strong>dd 36 10/12/09 10:19 AM