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