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The Proven Natural Pathway to Better Hearing for Your ... - Cochlear

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<strong>The</strong> <strong>Proven</strong> <strong>Natural</strong><br />

<strong>Pathway</strong> <strong>to</strong> <strong>Better</strong> <strong>Hearing</strong><br />

<strong>for</strong> <strong>Your</strong> Child<br />

A BONE CONDUCTION HEARING SOLUTION<br />

Joshua, bilateral Baha user<br />

FOR PARENTS


2 |<br />

Joshua, bilateral Baha user<br />

Rerouting Sound–<br />

<strong>Natural</strong>ly<br />

Everyone deserves a fulfilling, active lifestyle and your child is no different. For<br />

a child with hearing loss, life's journey starts with the right hearing solution.<br />

This guide gives you in<strong>for</strong>mation about the <strong>Cochlear</strong> Baha ® System — a unique<br />

hearing solution that reroutes sound — naturally. <strong>The</strong> <strong>Cochlear</strong> Baha System<br />

helps children hear <strong>to</strong> the best of their abilities, interact with the world around<br />

them, learn and grow.<br />

<strong>Cochlear</strong> has been a leader in bone conduction hearing<br />

solutions <strong>for</strong> over 30 years. More than 77,000 people of<br />

all ages across the world enjoy better hearing and a richer<br />

life, thanks <strong>to</strong> our innovative products. <strong>The</strong> <strong>Cochlear</strong> Baha ®<br />

System is a proven, clinically tested and documented hearing<br />

system. With a Baha Sound Processor and the support of<br />

loving parents and caring specialists, children can learn more<br />

about the world around them.<br />

<strong>Cochlear</strong> Baha 3 Sound<br />

Processor (BP100)<br />

— actual size<br />

<strong>Cochlear</strong> Baha 3 Power<br />

Sound Processor (BP110)<br />

— actual size<br />

In cases where there are complications with the outer or<br />

middle ear, or when one ear does not function, hearing care<br />

professionals agree that a Baha bone conduction system is<br />

a more effective solution than conventional air conduction<br />

hearing aids. 1 Instead of trying <strong>to</strong> send sound through the<br />

damaged area, the Baha System reroutes it directly through the<br />

skull bone, naturally stimulating the inner ear.<br />

<strong>The</strong> process involved in getting a Baha <strong>for</strong> your child has been<br />

created <strong>to</strong> be as simple and non-intrusive as possible. And the<br />

outcome? <strong>The</strong> gift of a richer childhood — naturally.


4 |<br />

Baha® – Simply a<br />

<strong>Better</strong> <strong>Hearing</strong><br />

Solution <strong>for</strong> Children<br />

We have five senses, all of which help us <strong>to</strong> experience the world around us.<br />

We are born ready <strong>to</strong> receive in<strong>for</strong>mation through these senses. <strong>The</strong> more<br />

in<strong>for</strong>mation the brain receives, the better we can understand and participate<br />

in the surrounding world.<br />

We experience hearing naturally in two ways: via air<br />

conduction and bone conduction.<br />

Air Conduction hearing devices amplify sound waves<br />

and direct them from the outer ear through the middle ear<br />

<strong>to</strong> the inner ear.<br />

Bone Conduction devices send the sound vibrations directly<br />

<strong>to</strong> the inner ear through your child’s skull bone.<br />

Baha enables your child <strong>to</strong> hear sound through bone<br />

conduction directly <strong>to</strong> the inner ear, bypassing any hearing<br />

problems your child may have in their outer or middle ear.<br />

With a Baha, your child may:<br />

• Hear, understand and participate more at school.<br />

• Feel more in <strong>to</strong>uch with their surroundings, friends,<br />

teachers and family.<br />

• Feel more safe, confident and aware.<br />

• Enjoy easier personal and academic development.<br />

• Interact with other kids more easily.<br />

• Avoid soreness and discom<strong>for</strong>t from large earmolds.<br />

• Be active without having <strong>to</strong> worry about<br />

excessive feedback.<br />

Julian, Baha Softband user


0–6 Months<br />

Newborns move or widen their<br />

eyes as a reaction <strong>to</strong> loud sounds.<br />

<strong>The</strong>y also vocalize pleasure and<br />

displeasure through laughing,<br />

giggling and crying.<br />

Scientific research shows that<br />

the first six months are critical<br />

in language development – long<br />

be<strong>for</strong>e babies can talk, they are<br />

listening <strong>to</strong> spoken language. 2<br />

6 |<br />

6–12 Months<br />

Babies refine listening skills and<br />

should look <strong>for</strong> the sources of<br />

common sounds around the<br />

home. <strong>The</strong> first “speech like”<br />

babbling starts and they will<br />

understand simple words like<br />

"Mommy", "Daddy", or "no".<br />

1 Year<br />

At the age of 1 year they try <strong>to</strong><br />

imitate simple words and point<br />

<strong>to</strong> objects, pictures, and family<br />

members, trying <strong>to</strong> pronounce<br />

their first words.<br />

Annie, Baha user<br />

1½ Years<br />

At this age children should<br />

understand simple verbs<br />

such as “eat”, “sleep” and<br />

have a spoken vocabulary of<br />

between 20 and 50 words.<br />

2 Years<br />

How a Child’s<br />

<strong>Hearing</strong> Develops<br />

<strong>The</strong>se communication miles<strong>to</strong>nes outline the behaviors that may be expected of a<br />

child at various stages of development. Learning processes are, however, individual<br />

and can vary several months from one child <strong>to</strong> another. Children with a hearing<br />

loss need the best possible access <strong>to</strong> speech at all times; adequate audibility is vital<br />

<strong>for</strong> efficient language development and speech acquisition. <strong>The</strong> Baha ® System can<br />

deliver excellent audibility and sound clarity.<br />

Children will use everyday<br />

words heard at home and<br />

pronounce simple two word<br />

sentences. Most speech<br />

becomes understandable <strong>to</strong><br />

other adults. At this age many<br />

children learn their first songs<br />

and enjoy listening <strong>to</strong> music.<br />

3 Years<br />

This is the age of use and<br />

understanding of simple verbs,<br />

prepositions, adjectives and<br />

pronouns. Children should begin<br />

using complete sentences and<br />

also be able <strong>to</strong> accurately locate<br />

the source of a sound.<br />

If you have any concern about your child’s development, we suggest you<br />

turn <strong>to</strong> your family doc<strong>to</strong>r <strong>for</strong> advice or more in<strong>for</strong>mation.<br />

4–5 Years<br />

<strong>The</strong> child’s speech is now<br />

understandable but longer<br />

or more complex words will<br />

frequently be mispronounced.<br />

Vocabulary increases rapidly<br />

and most children of this age can<br />

carry on a conversation. Most<br />

speech sounds should be clear<br />

and understandable by the end<br />

of the preschool period.<br />

Hannah, Baha user


8 |<br />

1<br />

2<br />

3<br />

Baha Softband — gently<br />

introducing a new world<br />

For children who are not yet ready <strong>for</strong> an implant * , the Baha ® Softband is the ideal<br />

alternative. Easy <strong>to</strong> use and com<strong>for</strong>table, providing infants and <strong>to</strong>ddlers with the<br />

amplification they need <strong>to</strong> facilitate language development. *<br />

• Consists of a soft, elastic headband and a plastic snap connec<strong>to</strong>r.<br />

• Adjustable fastening ensures easy pressure adjustment.<br />

• Easy <strong>to</strong> shift position <strong>to</strong> increase com<strong>for</strong>t. Useful when child is in a car seat or stroller.<br />

• Holds the processor firmly but gently in place.<br />

* In the US and Canada, the Baha Implant is indicated <strong>for</strong> children 5 years and older.<br />

Baha® –<br />

the <strong>Proven</strong> Solution<br />

Baha is the world’s first implantable bone conduction hearing system. Clinically<br />

proven <strong>for</strong> more than 30 years, it offers a natural pathway <strong>to</strong> hearing <strong>for</strong> children<br />

who cannot sufficiently benefit from air conduction hearing aids, or who find<br />

other bone conduction and CROS (Contralateral Routing Of Signals) hearing aids<br />

uncom<strong>for</strong>table or ineffective.<br />

After a straight<strong>for</strong>ward surgical procedure, the bone integrates with the titanium implant in a process known as osseointegration.<br />

This same process has been used in dental implants as well as Baha with great success <strong>for</strong> more than 30 years. When used as an<br />

integral part of a Baha System, the osseointegrated implant enables sound <strong>to</strong> be conducted directly <strong>to</strong> the cochlea.<br />

<strong>The</strong>re are three components <strong>to</strong> the Baha System:<br />

1<br />

Sound Processor<br />

<strong>The</strong> processor detects sound and<br />

trans<strong>for</strong>ms it in<strong>to</strong> vibrations.<br />

2 3<br />

Connecting Abutment<br />

Titanium Implant<br />

<strong>The</strong> connecting abutment receives<br />

the amplified vibrations and transfers<br />

them <strong>to</strong> the osseointegrated<br />

titanium implant.<br />

Using bone conduction, the titanium<br />

implant transfers sound vibrations<br />

directly <strong>to</strong> the hearing nerve via<br />

the cochlea.


10 |<br />

More than 77,000<br />

Success S<strong>to</strong>ries<br />

Over 77,000 people across the<br />

world enjoy improved quality<br />

of life thanks <strong>to</strong> their Baha ® .<br />

No one has more experience<br />

with bone conduction hearing<br />

solutions than us.<br />

<strong>Cochlear</strong> is the number one choice <strong>for</strong><br />

patients and health care professionals <strong>for</strong> bone<br />

conduction hearing solutions. For over 30 years<br />

we have dedicated ourselves <strong>to</strong> researching,<br />

developing and applying solutions that can<br />

offer the gift of better hearing – and we’ll<br />

continue <strong>to</strong> do so with the same level of<br />

commitment in the future.<br />

“It’s been life<br />

changing <strong>for</strong> us.<br />

Joshua’s speech is the absolute<br />

biggest difference. Without his<br />

two Bahas he wouldn’t be where<br />

he is <strong>to</strong>day. He is very good at<br />

concentrating in class and he follows<br />

the exact learning curve as the rest<br />

of his classmates.”<br />

Joshua's mother<br />

"Quim would not<br />

be the same<br />

without his Baha.<br />

<strong>Hearing</strong> is so important that we<br />

wanted him <strong>to</strong> have the surgery as<br />

soon as possible. We did not want<br />

Quim <strong>to</strong> lose his language learning."<br />

Quim's mother<br />

“It’s amazing!<br />

...it was nice <strong>to</strong> hear like everyone else.<br />

I could hear the little sounds again, like<br />

footsteps. My Baha has helped with<br />

school because I am able <strong>to</strong> hear the<br />

teacher and others in my class."<br />

Hannah


Baha® – Designed <strong>for</strong><br />

<strong>Your</strong> Child<br />

As one of the largest researchers of hearing technology<br />

worldwide, <strong>Cochlear</strong> is committed <strong>to</strong> ensuring that there will<br />

always be a Baha Sound Processor <strong>to</strong> meet your child's needs.<br />

<strong>Cochlear</strong> Baha 3<br />

Sound Processor (BP100)<br />

Premium Per<strong>for</strong>mance<br />

• Superior amplification all day long -<br />

even in challenging environments.<br />

• Tamper-proof features and easy <strong>to</strong><br />

moni<strong>to</strong>r LED indica<strong>to</strong>rs, ideal <strong>for</strong><br />

parents and caregivers.<br />

• GORE-TEX ® membranes over the<br />

microphone ports, a silicon seal<br />

and rubber lining, all designed <strong>to</strong><br />

provide improved protection from<br />

moisture and dust.<br />

<strong>Cochlear</strong> Baha 3 Power<br />

Processor (BP110)<br />

Most Powerful<br />

Head-Worn Baha<br />

• Ideal <strong>for</strong> greater hearing losses.<br />

•<br />

Thinnest programmable<br />

power processor.<br />

• Same advanced digital signal<br />

processing as Baha 3 Sound Processor,<br />

provides the best hearing across a<br />

variety of sound environments.<br />

<strong>Cochlear</strong> Baha<br />

Cordelle II<br />

Body Worn Super Power<br />

• <strong>The</strong> body worn Baha Cordelle II is the<br />

strongest member of the Baha family.<br />

• Designed <strong>for</strong> more substantial<br />

hearing losses.<br />

• In-built telecoil <strong>for</strong> convieniece.<br />

Accessories Designed <strong>for</strong> kids...<br />

softband options<br />

Audio Adapter<br />

• Provides direct input from personal<br />

sound equipment, connecting easily<br />

<strong>to</strong> stereos, TVs and MP3 players.<br />

FM-Receiver<br />

• May further improve speech<br />

understanding in noisy environments.<br />

• Connects <strong>to</strong> most FM systems.<br />

• Ideal <strong>for</strong> classrooms with commonly<br />

used FM systems.<br />

CoLors aVaiLabLe<br />

*Not available with Cordelle II sound processor.<br />

12 | NOTE: Not all processors are available in all colors. All processors are not available in all markets. Contact your local <strong>Cochlear</strong> office <strong>for</strong> more in<strong>for</strong>mation. Images not <strong>to</strong> scale.<br />

* *Available <strong>for</strong> the headworn devices only. <strong>The</strong> body-worn Cordelle II has a built-in telecoil <strong>for</strong> convenience.<br />

NEW Baha Softband<br />

• Ideal until a child is ready <strong>for</strong> an implant.<br />

• Transmits sound <strong>to</strong> functioning inner ear.<br />

• Latex-free.<br />

• Velrco ®-free, easily adjustable <strong>for</strong><br />

maximum com<strong>for</strong>t.<br />

• Built-in safety release feature.<br />

• Available in eight design styles: peony pink,<br />

sky blue, navy blue, hazelnut brown, black,<br />

beige, ruby red and jungle.<br />

Colored Battery Doors *<br />

battery doors<br />

tamperproof battery doors<br />

Telecoil **<br />

• Designed <strong>to</strong> improve telephone listening<br />

and listening in buildings supplied with a<br />

loop facility e.g. schools, cinemas.<br />

• Sends the signal directly <strong>to</strong> the Baha.


Getting a<br />

Baha® Is<br />

As Simple<br />

As the Joy<br />

It Brings<br />

One or two Baha?<br />

If your child has a hearing loss in both ears, placing a Baha on both sides<br />

should be considered. This will enhance the listening experience and help<br />

your child locate where a sound is coming from — a crucial skill both in<br />

social activites with friends and family and <strong>to</strong> assist personal safety in<br />

noisy active environments such as traffic.<br />

14 | * In the US and Canada, the Baha implant is indicated <strong>for</strong> children 5 years and older.<br />

Now that you know what a Baha ® can do, how do you<br />

get one <strong>for</strong> your child? <strong>The</strong> answer is — it's easy.<br />

<strong>The</strong> entire process, from initial contact <strong>to</strong> aftercare advice and guidance is<br />

devised <strong>to</strong> be as simple as possible.<br />

Take a Test<br />

Ask your hearing care professional <strong>for</strong> a<br />

demonstration of a Baha, so your child<br />

can hear the difference.<br />

Recommendation<br />

If your child is a good candidate <strong>for</strong> a<br />

Baha implant, you will be put in <strong>to</strong>uch<br />

with a qualified surgeon. In cases where<br />

a child is <strong>to</strong>o young <strong>for</strong> surgery, a<br />

Baha ® Softband can be used.*<br />

Implant<br />

Because Baha implant surgery is a<br />

straight<strong>for</strong>ward procedure, your child<br />

can resume his or her normal routine<br />

within just a few days. And unlike other<br />

types of ear surgery, there is no damage<br />

<strong>to</strong> their hearing.<br />

Fitting<br />

After the bone has had time <strong>to</strong> merge with<br />

the implant, your hearing care professional<br />

will fit the Baha Sound Processor and<br />

adjust its settings <strong>to</strong> suit your child’s<br />

individual hearing needs.<br />

Aftercare<br />

Aside from follow-up appointments and<br />

routine checkups, the only aftercare<br />

needed is <strong>to</strong> keep the abutment clean and<br />

the sound processor dry.


this is the <strong>Cochlear</strong> promise <strong>to</strong> you. As the global leader in hearing<br />

solutions, <strong>Cochlear</strong> is dedicated <strong>to</strong> bringing the gift of sound <strong>to</strong> people all<br />

over the world. With our hearing solutions, <strong>Cochlear</strong> has reconnected over<br />

250,000 cochlear implant and Baha ® users <strong>to</strong> their families, friends and<br />

communities in more than 100 countries.<br />

Along with the industry’s largest investment in research and development,<br />

we continue <strong>to</strong> partner with leading international researchers and hearing<br />

professionals, ensuring that we are at the <strong>for</strong>efront in the science of hearing.<br />

For patients receiving any <strong>Cochlear</strong> hearing system, our commitment is that<br />

<strong>for</strong> the rest of your life we will be here <strong>to</strong> support you.<br />

Act now !<br />

Take your child <strong>to</strong> a hearing professional near<br />

you and ask if your child is a Baha candidate.<br />

As your patient’s partner in hearing <strong>for</strong> life, <strong>Cochlear</strong> believes it is important <strong>to</strong> convey not<br />

only the benefits, but also the potential risks associated with a Baha procedure.<br />

Not everyone with hearing loss is a candidate <strong>for</strong> a Baha. Baha is contraindicated in<br />

patients with inadequate bone quality or quantity <strong>to</strong> provide stability and support <strong>for</strong> the<br />

implant, or in patients who will be unable <strong>to</strong> 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 <strong>to</strong> guarantee success.<br />

<strong>The</strong> device may fail <strong>to</strong> osseointegrate <strong>for</strong> a number of reasons, including physiological<br />

and surgical issues as well as traumatic impact <strong>to</strong> the implant site. On rare occasions the<br />

skin around the abutment may become inflamed from a mild infection or the skin may<br />

grow back <strong>to</strong>wards its original thickness. For complete in<strong>for</strong>mation regarding the risks and<br />

benefits of a Baha procedure, please refer <strong>to</strong> the instructions <strong>for</strong> use <strong>for</strong> the Baha implant<br />

available at www.<strong>Cochlear</strong>americas.com/bahaindications<br />

www.<strong>Cochlear</strong>Americas.com<br />

<strong>Cochlear</strong> Americas<br />

13059 East Peakview Avenue<br />

Centennial CO 80111<br />

USA<br />

Tel: 1 303 790 9010<br />

Fax: 1 303 792 9025<br />

Baha and Baha Divino are trademarks of <strong>Cochlear</strong> Bone Anchored Solutions. <strong>Cochlear</strong> and the elliptical logo are<br />

trademarks of <strong>Cochlear</strong> Limited. © <strong>Cochlear</strong> Bone Anchored Solutions 2011.<br />

BUN017 ISS2 JUL11<br />

<strong>Cochlear</strong> Canada Inc<br />

2500-120 Adelaide Street West<br />

Toron<strong>to</strong>, ON M5H 1T1<br />

Canada<br />

Tel: 1 416 972 5082<br />

Fax: 1 416 972 5083<br />

referenCes<br />

1 Snik AF, Mylannus EA, Proops DW, et al. Consensus<br />

statements on the BAHA system: Where do we<br />

stand at present? <strong>The</strong> Annals of O<strong>to</strong>logy, Rhinology<br />

& Laryngology 2005; 195:2-12.<br />

2 Yoshinaga-Itano, C., Sedey, A.L., Coulter, D.K.<br />

and Mehl, A.L.: Language of Early- and LateridentifiedChildren<br />

With <strong>Hearing</strong> Loss. Pediatrics<br />

1998;102(5):1161-71.

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