Because the little moments make a big difference in life

Introducing the newest,
most advanced cochlear
implant system
Because the little
moments make a
big difference in life
FUN1034 ISS2 OCT09 Ped BRO 8.indd 1 10/12/09 10:17 AM

Revolution y
a
Designed with your child in mind
To a child, there’s no such thing as “little moments.” Every moment is big, new and full
of possibilities — and new sounds. The soft patter of falling rain. Mom singing a nursery
rhyme. The sweet chirp of a bird.
As a parent, there’s nothing quite like watching your child experience the world with
each little step, where new people, new voices, new environments and new challenges
appear around every bend. Each discovery is a chance for magic, wonder and connection.
And whether they are playing or learning, working or growing, you want your child to
experience the limitless potential of a life full of those moments — achieving all they
can without barriers.
That’s why we designed the Cochlear Nucleus ® 5 System — to make a big difference
in the lives of thousands of children with hearing loss around the world. Together, the
Nucleus 5 System, featuring the Cochlear Nucleus CP810 Sound Processor, Cochlear
Nucleus CI512 Cochlear Implant and Cochlear Nucleus CR110 Remote Assistant sets a
new benchmark in hearing performance. Every advancement, every detail is developed to
provide unsurpassed hearing performance for your child. Now your child can achieve their
personal best hearing experience, enjoying the little moments and everything in between.
Industry’s
Smallest & Thinnest
Industry’s smallest sound processor for children —
up to 43% smaller than any other. *
Industry’s thinnest titanium cochlear implant —
40% thinner than our previous generation.
Industry’s most advanced, fully integrated dual omni
microphone technology featuring ZOOM designed to
enhance hearing performance in noisy environments.
Powerful sound processor system — plus the
flexibility of the industry's only two-way remote assistant.
* With rechargeable sound processor battery option, currently unavailable,
pending FDA approval.
Best
Hearing Performance
Only cochlear implant with a curved electrode array design,
22 real electrodes and access to 161 intermediate pitches 1, 2 —
more than any other implant, for precise hearing.
Set it and Go —Exclusive with SmartSound 2,
intelligently adapts to any environment for the best
hearing performance.
Research shows children implanted with a cochlear implant at
an early age may develop speech and language at the same
rate as normal hearing children. 3-6
Cochlear implants are clinically proven to significantly improve
children’s hearing, speech and language skills compared to a
hearing aid. 7
Complete
Confidence
#1 leader in implant reliability 8-13 — built to last a lifetime.
World’s most water resistant sound processor design
allows your child to be a kid.
Industry’s smallest and only sound processor built on a
strong titanium foundation with tamper-proof features.
Simplify phone conversations with AutoPhone —
industry’s first and only automatic phone detection.
Industry’s only two-way remote assistant — more than
a remote control, it provides guidance and peace of
mind your child is hearing their best.
Most
Trusted
9 out of 10 hearing healthcare professionals
choose Nucleus. 14
#1 choice of cochlear implant recipients worldwide. 15
Over 25 years of providing the most trusted and
reliable products in the world.
A promise to be here now and always for your child’s
lifetime with the most technological innovations and
options as they grow.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
Industry’s
Smallest
Compact. Comfortable. Stylish.
The Nucleus ® 5 System features the industry’s smallest sound processor ever.
The design incorporates countless hours of feedback from recipients and hearing
healthcare professionals, and the expertise of ergonomic engineers. It is designed
to fit even the smallest child comfortably and securely. The new Nucleus 5
Sound Processor has modular features and accessories for every age and
lifestyle to suit changing fashions and activities.
But, don’t be fooled by the size. Small comes with a whole lot of tough. Your
child can join their friends in playground games — and you can relax knowing
that their sound processor is built to handle the “rough and tumble” life.
42 mm
9 mm
19 mm
nucleus cp810 Sound processor
Up to
43%
smaller than other
sound processors *
aCtual sIZe
* With rechargeable sound processor battery option, currently unavailable,
pending FDA approval.
Industry’s
Thinnest
Parent of RyunoSuke k.
40%
thinner than our previous
generation cochlear implant
nucleus ci512 cochlear implant
ThinneST TiTanium
implanT deSiGn —
ideal foR The SmalleST
of childRen
The Nucleus 5 System features the thinnest
titanium implant in the industry. Created in close
collaboration with cochlear implant surgeons
all over the world, the results are a stronger,
thinner implant. 40% thinner than our previous
generation and 30% thinner than any other
titanium implant available. Our new implant was
designed to be the thinnest, making it the ideal
choice for even the smallest of children.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
Best
Hearing
Performance
Your child deserves the best possible
hearing experience
From their first game of patty cake to that future dance at the prom,
you’ll recognize the purest, most true-to-life hearing experience by the
smile on your child’s face and the daily joy of connection.
The Nucleus® 5 System is designed to help your child’s auditory system work to its
greatest capacity for the best possible speech and language development. Published
research shows, Nucleus users have achieved the highest speech recognition scores ever
recorded compared to those reported for other cochlear implant manufacturers. 16-20
Research also shows that children implanted at an early age have a greater potential to
develop speech and language skills at the same rate as children with normal hearing. 3-6
Give your child every chance to succeed with the newest, most advanced cochlear
implant system available.
Implant earlier for best hearing
GReaTeR poTenTial To develop Spoken lanGuaGe SkillS
In a recent study, children who were implanted before the age of 18 months and
received appropriate habilitation had a greater potential to develop spoken language
skills equal to or close to those of children of the same age with normal hearing by the
time they enter kindergarten. 4
Developing spoken language makes a big difference in your child’s life. Attending a
neighborhood school. Communicating clearly with their friends and teachers. Achieving
academic success. Experiencing all the world has to offer. Embracing every challenge.
Best in class hearing
nucleuS conTinueS To ouTpeRfoRm all oTheR
cochleaR implanT SySTemS 16-20
Each new generation of Nucleus is better than the last. Our previous
generation Nucleus System (Freedom ) set a new industry benchmark with
the highest speech recognition levels ever recorded — higher than reported
in studies of other company's systems (See figure 1a). 16-19
Interim results gathered during multi center clinical validation evaluating
the Nucleus 5 Sound Processor and Remote Assistant (See figure 1b) set a new
industry benchmark with even higher speech performance — higher than
reported for other systems. 16-20
figure 1a
Percent Correct
100
90
80
70
60
50
40
30
20
10
Recent Outcome Data
Advanced Bionics
6 Months
CNC words at 70 dBA
Med - El
6 Months 6 Months Initial Fit
Adult
Recipients
Cochlear Nucleus Freedom
Average Scores
figure 1b
Percent Correct
Nucleus 5 Multi Center
Validation Data
100
90
80
70
60
50
40
30
20
10
CNC words
at 60 dBA
Cochlear Nucleus 5
Adult and
Pediatric Recipients
Better than hearing aids
nucleuS SiGnificanTly ouTpeRfoRmS heaRinG aidS 7
A cochlear implant can help deliver crucial improvements in your child’s
hearing when compared to hearing aids. In a recent Nucleus study, children
tested showed a significant improvement in just three months after receiving
their cochlear implant (See figure 2). 7
The tests conducted were structured parent interview questionnaires, called
IT-MAIS (Infant Toddler Meaningful Auditory Integration Scale) and MAIS
(Meaningful Auditory Integration Scale). These tests allowed the parents to
answer questions on their child's auditory skill development.
100
90
80
70
60
50
40
30
20
10
Pre-Op
Hearing Aids
Parent Auditory Skill Questionnaire
FDA post-market surveillance study of Nucleus Freedom pediatric recipients. 7
Better with ZOOM
nucleuS SiGnificanTly ouTpeRfoRmS wiTh ZOOM
Nucleus 5 is designed to enhance hearing performance in noisy
environments. A new signal processing path with dual omni
microphones has created a new platform for better hearing
performance. Dual microphone technology has been proven to
improve speech performance in noise. Recent research also shows
that the Nucleus 5 Sound Processor ZOOM Power Option results in
even better performance in noise (See figure 3). 21
FUN1034 ISS2 OCT09 Ped BRO 8.indd 6-7 10/12/09 10:17 AM
figure 2
Percent Correct
3 Months 12 Months
Cochlear Implant Cochlear Implant
IT-MAIS, N=34
12 months - 2.11 years
Age of Implantation
Percent Correct
100
90
80
70
60
50
40
30
20
10
Average Scores
Pre-Op
Hearing Aids
3 Months 12 Months
Cochlear Implant Cochlear Implant
MAIS, N=6
3 years - 4.11 years
Age of Implantation
figure 3
CUNY % (65 dBSPL)
100
90
80
70
60
50
40
30
20
10
Speech Performance
In Noise
Mean Average
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
Hearing
Performance
Twenty-five years of experience, extensive collaboration with leading audiologists and surgeons
from around the world, and the greatest investment in research and technological innovations,
means that the Nucleus ® 5 System is designed to deliver the best sound possible for your child.
No other company matches this commitment to the recipients and the healthcare professionals
it serves. We believe that the result is the industry’s most superior system ever.
The poweR To GRow wiTh youR child
The Nucleus 5 Cochlear Implant is built with the most advanced chip
technology available today. Excess chip capacity is built in so your child can
easily upgrade without additional surgery to newer technology and take
advantage of future innovations that are constantly being researched.
moRe TRue-To-life Sound
The most electrodes – up to 83% more real electrodes * – and the industry’s
only custom chip. Research shows that with a 22 electrode array, listeners
1, 2
could distinguish an average of 161 intermediate pitches.
moST naTuRal fiT
Only Nucleus 5 has an advanced self-curling electrode array designed
to naturally conform to the curve of the cochlea providing more precise
stimulation of the hearing nerve for richer, more natural sound. 22-25
deSiGned foR mRi
The Nucleus 5 Cochlear Implant is designed to be safe for MRI scans up to
1.5 Tesla with the magnet removed.
moST Reliable
Proven #1 in long-term implant reliability. 8-13
induSTRy’S ThinneST
The industry’s thinnest titanium implant – 40% thinner than our previous
generation and 30% thinner than any other titanium cochlear implant.
* When compared to a 12 electrode array.
Industry’s best electrode array for richer, more true-to-life sound
2 3 CloSEST To THE HEARINg NERvE
Benefit: Pure and rich sound
Our proven design allows for better positioning of the electrode array in
very close proximity to the hearing nerve, for more focused and accurate
stimulation of the hearing nerve. 22-25
1 2 3 CuRvEd To FIT NATuRAllY
Benefit: optimal coverage for best hearing experience
The placement of the electrode array close to the hearing nerve is
optimal for successful hearing outcomes. The Nucleus 5 pre-curved
electrode array is the industry’s only electrode array designed to curve
naturally within the cochlea and places 22 electrode contacts next to the
22, 23, 25
hearing nerve for more focused stimulation.
1 RIgHT lENgTH
Benefit: Maximum protection of the delicate structures
within the cochlea
The length of the electrode array is crucial for positioning the electrodes
in the best location in the cochlea24 and for protecting the delicate
structures within the cochlea. 26 Our exclusive patented electrode array
design27 offers the full range of sound23 and is designed to be the most
23, 28, 29
appropriate length.
1 22 REAl ElECTRodES FoR gREATER ClARITY
Benefit: Sound quality is more true-to-life
The unique platinum 22 electrode array is designed to deliver a finer
representation of sound when stimulating the hearing nerve, which is
important for optimizing sound clarity.
opTimal ReGion
of cochlea
SpiRal GanGlion
cellS
audiToRy neRve
1
Illustration adapted from Gray’s Anatomy Textbook
FUN1034 ISS2 OCT09 Ped BRO 8.indd 8-9 10/12/09 10:18 AM
2
3
1

B e s t h e a r I n g P e r f o r m a n C e
Set It and Go
Exclusive with SmartSound 2 technology
SmartSound 2 –
confidence in every situation
The Nucleus® 5 System with SmartSound 2, features the new
Set It and Go Program that intelligently adjusts to fit your child’s
listening environment automatically — the same way natural
hearing does. It refines and clarifies sound in different environments
for a richer, clearer listening experience. only the Nucleus 5 System
includes the exclusive SmartSound 2 technology.
So, whether your child is in the classroom, playing basketball or enjoying
pizza with friends at a busy restaurant, you can be confident your child is
hearing their best.
Set it and Go - EVERYDAY program
The EVERYDAY Program is likely to be used as your child’s primary program
to enable the best hearing possibilities in their typical environments. When they
are ready to refine and optimize hearing in other environments, it is nice to know
there are more options — just a button push away.
power programs
Automatic. Adaptable. Customizable.
deSiGned To GRow wiTh youR child
The Nucleus 5 System is also designed to grow with
your child by featuring three additional Power Programs.
smartsound 2 MuSIc opens up the
world of music. Used along with practice,
SmartSound 2 Music is designed to give
greater enjoyment from music whether your
child plays an instrument, attends a live
concert or simply listens to their iPod ® .
noiSe
muSic focuS
excluSive feaTuReS To booST heaRinG
peRfoRmance in challenGinG SiTuaTionS
Have confidence knowing that your child's Nucleus 5 Sound Processor
is uniquely designed with two microphones and a ZOOM Power
Option for enhanced directional hearing in noisy environments.
Our exclusive dual microphone technology is designed to
automatically capture sound from all around, while also
allowing your child to hear what’s most important. And,
if they need an extra boost, ZOOM, a superior, unique
option provides extra directionality through their
microphones for even greater clarity in noise.
smartsound 2 NoISE is designed to provide
the best possible hearing in excessively noisy
situations. At a football game, for example,
your child can experience the thrill of the
crowd yet still comfortably enjoy the moment
with family or friends.
CUNY % (65 dBSPL)
100
80
60
40
20
smartsound 2 FocuS is designed to
make it easy for your child to understand a
person in front of them even when there is
a significant amount of surrounding noise.
Think of a lively party or a busy restaurant.
Focus reduces the surrounding sounds for
more enjoyable conversations.
Speech Performance
In Noise
Mean Average
impRoved Speech
peRfoRmance
in noiSe 21
Dual microphone technology has
been proven to improve speech
performance in noise. Recent research
also shows that the Nucleus 5 Sound
Processor ZOOM Power Option
results in even better performance
in noise. 21
FUN1034 ISS2 OCT09 Ped BRO 8.indd 10-11 10/12/09 10:18 AM
No Zoom ZOOM

C o m P l e t e C o n f I d e n C e
The exclusive Nucleus ® Added
Peace of Mind5
two-way remote assistant is
an added bonus to your system
It gives you confidence knowing that your child is hearing their
best. designed with a full-color display and simple, easy-to-use
navigation, you will be able to wirelessly monitor and manage
your child’s hearing. Whether your child is watching Tv with their
friends, or playing in the backyard, you have complete confidence
at your fingertips. Plus, it is the world’s only system that gives you
the added flexibility of adjusting your child’s sound processor easily
from the remote assistant or directly on the sound processor behind
your child’s ear. No other system comes close.
Complete confidence.
The oNlY two-wAY remote assistant that makes it easy for you to know your child’s equipment is working properly.
Simple buTTonS
If your child’s remote assistant is out of reach,
you will still be able to easily manage your
child’s hearing with a simple two-button
interface on the sound processor.
TampeR-ReSiSTanT feaTuReS
Ensures settings can only be changed
when intended.
Battery locking switch prevents
accidental disconnection and
ensures safety.
Tamper-resistant earhooks available.
LiteWear case provides additional
tamper resistance for children.
Two-coloR led
indicaToR liGhT
Know your child’s sound processor
status at all times.
The multi-colored LED lights on the
sound processor will flash to notify you
when the batteries need to be changed,
coil is off, and other status alerts.
Battery
locking
switch
Battery
cover lock
110 mm
Nucleus CR110 Remote Assistant *
45 mm
*Remote Assistant battery life typically
lasts 1 week with average use, recharges
quickly in 2 to 4 hours.
aleRTS
Built-in diagnostics in the remote assistant are there to
notify you of a variety of situations, such as a disconnected
coil or if the processor is not working properly. In addition,
a three-color LED in the remote assistant will let you know
the system is functioning properly — with just a glance.
There is also a built-in audible alarm.
baTTeRy life aleRT
Clearly shows how much battery power is available on
the sound processor so you’ll know when you need to
change them.
only Two-way SeTTinG conTRol
The only system allowing you to make and confirm
changes to your child’s processor through the processor
or the remote assistant.
TRoubleShooTinG
To keep your child hearing – the Nucleus 5 Remote
Assistant provides simple, intuitive and interactive
troubleshooting at a glance.
Simple naviGaTion
Icons and step-by-step directions to guide you through
the available options.
one buTTon check
Simply press the “Cochlear” button to quickly check
the status of the system.
ZOOM poweR opTion
Exclusive bonus- ZOOM Power Option is accessible
from your remote assistant for an extra boost in hearing
performance in challenging situations.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
Nucleus ® Most
Reliable System Cochlear
5 — built to last a lifetime
The Nucleus 5 System represents a new design that is built to last a
lifetime. The new sound processor is constructed with state-of-the-art
robust and durable materials. The new implant is built on a track record
of the best reliability in the industry. Extensive reliability testing has been
carried out to ensure a highly reliable device. of course, the true test is
how well Nucleus 5 stands up to the “rough and tumble” life of a child.
Sweat and grime or mud, rain and snow. We’ve anticipated every move —
and weather condition. When your child is running down the soccer field,
the only thing on their mind will be scoring a goal. A titanium foundation,
Teflon®-coated connectors and ultra-robust plastic ensure durability and
carefree play. No worries for your child — and no worries for you because
you’ll know that your child can always count on a world of sound.
teflon coated titanium
bayonet connectors for
enhanced durability.
Industry’s only
GoRE-tEX ® microphone
protectors for superior
moisture protection.
robust and durable plastic to
withstand accidental drops.
separate coil and coil cable
for improved reliability.
Built on the
world’s first and
oNlY titanium
foundation
Built to last
Built on an exclusive titanium foundation with
new durable plastic that stands up to active play,
as confirmed by extensive reliability testing.
Only Cochlear offers GORE-TEX microphone
protection covers designed to protect the
microphones from the sweat, dirt and grime
of a normal and active lifestyle.
The world’s most reliable
cochlear implant system ever!
understands why implant reliability is so important. We know that
receiving a cochlear implant is a big decision for you and your child. Your child
depends on their cochlear implant to serve them well for a lifetime. That’s why our
cochlear implants have been engineered and tested to the most stringent industry
standards — the same ones used to measure the reliability of cardiac pacemakers.
The result: Nucleus Cochlear Implants are the most reliable on the market today. 8-13
Nucleus Cochlear Implants
proven #1 reliability in
11-13,30
independent clinical studies
While all companies claim they manufacture highly reliable cochlear implants,
Cochlear recommends reading the published research in reputable medical journals
regarding their long-term reliability. This way you can be confident knowing the
information is clinically accurate and from independent resources who are unbiased
in their reporting.
in three recent independent clinical studies, reviewing the records of over
17,000 patients at 30 leading cochlear implant centers, the results published
in reputable medical journals conclude that Nucleus Implants are the industry’s
most reliable on the market (See figure 4). The independent research demonstrates that
Nucleus delivers superior reliability results for your child’s lifetime. 11-13,30
For more than 25 years,
Nucleus has set the industry
standard for reliability
At Cochlear, we believe that you and your hearing healthcare professional deserve
to know the reliability of our cochlear implants so that you can make an informed
decision. For that reason, we offer the industry’s most comprehensive reports on
our cochlear implant reliability using the stringent standards set by the International
Standard ISO 5841-2. 31 You can be certain that the information we make available is
complete and accurate based on highly regarded industry standards.
independenT clinical STudy ReSulTS — ReliabiliTy findinGS
Publication
Ear and Hearing, 2007
Otology &
Neurotology, 2008
Otology &
Neurotology, 2009
figure 4
9 out of
Nucleus compared to
Advanced Bionics is…
3.5 times better 11,30
3.8 times better 12,30
5.3 times better 13,30
10
Nucleus compared to
Med-El is…
4.6 times better 11,30
5.8 times better 12,30
Not available
hearing healthcare
professionals choose Nucleus 14
Number
of Patients
12,856
946
3,417
To find out more about our latest reliability data visit
www.cochlearamericas.com
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
World’s most
Water Resistant
Relax around water. Play by the pool.
only Nucleus® 5 allows your child to be a kid and enjoy some of life’s
favorite moments — running through sprinklers, playing by the pool,
jumping into rain puddles during a rainshower — and provides you
with the assurance that comes from knowing that your child’s sound
processor has been thoroughly tested and rated to the highest industry
standards as being water resistant. 32
With International Protection Ratings of IP44 32 and IP57 *,32 for water
resistance, the Nucleus 5 Sound Processor gives your child the freedom
to play and you peace of mind. only the Nucleus 5 Sound Processor has
received these ratings.
The remote assistant is also water resistant, and tested and rated
to IP44 so your child doesn’t have to leave it at home when they go
out to the beach or plan to enjoy fun around water.
Nucleus 5 System — The oNlY sound processor that
has IP44 and IP57 * ratings for water resistance. * Also
featuring our exclusive two-way remote assistant
with an IP44 water resistant rating.
* With rechargeable sound processor battery option, currently unavailable, pending FDA approval.
foR life’S liTTle miShapS
The world’s only system with both IP44 and IP57 *
ratings. IP57 rating means that the sound processor
is not only water resistant, but it can be submerged
into three feet of water for up to 30 minutes
without any worries. *
Not intended for swimming.
* With rechargeable sound processor battery option,
currently unavailable, pending FDA approval.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
Nucleus ® Most
Flexible Options for every age and lifestyle
5 features the most flexible options
to anticipate your child’s needs.
Kids just care about having fun and living their life every day with their friends. That’s why we built the Nucleus 5 System
to let them do just that — and so that you don’t have to worry. For every kid's lifestyle, there’s a Nucleus 5 option.
Toddlers
woRn moRe wayS
Different ways to wear the processor
will help to make your child more
comfortable in different situations.
liTeweaR foR The
liTTle oneS
Designed for very young
children, LiteWear enables
the battery module to
be worn on the body
over clothes, making the
processor even lighter.
SnuGfiT foR
acTive lifeSTyleS
Ideal for “rough and tumble”
activities on the playground and
for those with an active lifestyle,
the Snugfit holds the processor
comfortably and securely on the ear.
Preschoolers to Teenagers
mix and maTch wiTh The moST opTionS
A dazzling range of sound processors and coil colors and patterns
for your child to personalize their look — so they can either
hide it or style it.
CharCoal sand WhIte BroWn BlaCK
excluSive Sound pRoceSSoR coveRS
STandaRd
Up to 4 DAYS battery life
with disposable batteries.
Fewer batteries — only 2
disposable are needed with
the standard battery option.
eaSy To uSe
* Rechargeable battery options for sound processor, currently unavailable, pending FDA approval.
All essential functions are
accessible directly through
the buttons on the sound
processor or by using the
remote assistant.
Powerful battery choices
flexible baTTeRy opTionS: The Nucleus 5 System lets you switch easily between disposable and rechargeable batteries.
STandaRd
RechaRGeable *
Up to 2 days battery
life with the standard
rechargeable battery option.
Rechargeable batteries will completely charge in 2 to 4 hours.
compacT
RechaRGeable *
Up to 18 hours battery
life with the compact
rechargeable battery option.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
Easiest
Bilateral Use
With the Nucleus® 5 System, your child's two
sound processors can be easily and simultaneously
controlled for easy bilateral use.
"The best thing about the cochlear
implant is that I can see
in his eyes that he is
hearing me, and this is
what it is all about"
Parent of Julian M. — Bilateral recipient
Bilateral
Sound
Physicians, audiologists, teachers and cochlear
implant recipients continue to recommend bilateral
cochlear implantation
Hearing with two ears — whether it be with two cochlear
implants or a cochlear implant and a hearing aid — provides
an experience that hearing with one ear cannot. 33
implanT opTionS
Some bilateral cochlear implant recipients receive two cochlear
implants at the same time (simultaneous bilateral implantation).
Other bilateral cochlear implant recipients start with one
cochlear implant, and then follow-up with a second cochlear
implant on the opposite ear (sequential bilateral implantation).
There are a variety of reasons recipients may consider either
option. Whether considering simultaneous or sequential
bilateral implantation, it is important for you to discuss this
option with your hearing healthcare provider to determine
the best approach for your child.
inSuRance coveRaGe
Bilateral cochlear implantation is covered by many health
insurance providers. For example - United Healthcare, one of
the largest health insurers in the United States, allows for the
coverage of bilateral cochlear implants for adults and children.
For additional information regarding insurance coverage for
bilateral implants, contact your audiologist or Cochlear OMS
Insurance Support at:
1 800 633 4667 or visit
www.CochlearAmericas.com/InsuranceSupport
To determine if bilateral implantation is an option for your child,
Cochlear always recommends that you discuss this with your
hearing healthcare provider.
Bilateral
Control
The Nucleus 5 System was designed with
bilateral cochlear implant recipients in mind
RemoTe aSSiSTanT
Bilateral recipients need only one remote
assistant to adjust and manage two sound
processors simultaneously.
bilaTeRal acceSSoRieS
Now featuring our first Bilateral Personal Audio
Cable for connecting both of your child’s cochlear
implants with just one cable. Connect their sound
processors directly to their iPod ® , television or
gaming device so that they can enjoy their
favorite activities in surround sound.
implanT id
Our implant ID detects when the correct sound
processor has been placed on the correct ear and
ensures your child is hearing optimally. An ideal
solution for children with bilateral cochlear implants.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
Easiest
Connection
AutoPhone — industry's first and
only automatic phone detection
connecTinG oveR The phone juST GoT a whole loT eaSieR
Talking on the phone is an important part of everyday life — and if
you are the parents of a teenager, our unique patented AutoPhone
technology may prove an especially popular feature. Available
only on the Nucleus® 5 System, the exclusive AutoPhone telecoil
will work with most mobile or landline phones by automatically
activating when holding the phone next to the processor.
Connecting to music and
entertainment is quick and easy
induSTRy’S only auTophone TechnoloGy
Easy, automatic phone connection and communication
optimizes phone use.
acceSSoRieS foR eaSy connecTion
To muSic and GameS
We’ve got the connections covered. Options are available to
connect to any music and gaming sound source with a
headphone jack, including:
• MP3 players and stereos
• Computers and televisions
• Gaming systems
(Wii®, XBox 360®, PS3® and more!)
• Compatible with many FM systems
Go wiReleSS
Cochlear’s leading technology offers the best connection to cuttingedge
communication. It’s Bluetooth® friendly for wireless devices.
Two Telecoil opTionS foR GReaTeR flexibiliTy
• AutoPhone — activated automatically.
• Manual telecoil — may be activated by using the sound
processor or remote assistant.
peRSonal audio cable (pac)
For battery operated audio devices that
have a headphone jack.
T-link
Designed for use with cellular/
cordless phones.
blueTooTh® fRiendly
For safe hands-free connectivity. The intelligent design of the auto
telecoil allows it to automatically detect sound from a Bluetooth
headset when it’s naturally worn on the ear.
connecTinG in The claSSRoom
In the classroom, your child and their teacher can easily connect
using a variety of FM solutions with the Nucleus 5 System. An FM
solution will directly link the voice of the teacher to your child’s
system without the distraction of other classroom noise. That
makes a big difference in your child’s educational experience.
Attending mainstream school. Communicating clearly with a
teacher. Achieving academic success.
The same technology that powers AutoPhone also
enables our recipients to automatically link to FM
neckloops, room loops and other telecoil compatible
devices. These solutions provide other options for
keeping your child connected in the classroom.
In addition, a plug-in FM option is available.*
These are important options to discuss with
your child’s audiologist and classroom teachers.
* When used with the euro adapter that will be available soon.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 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
World of Music Let Nucleus 5 Turn the Music On
Nucleus ® 5 — the music
possibilities are endless
Whether it’s a nine-year-old performing her first-ever
air guitar solo or a 13-year-old going to their first
concert, the Nucleus 5 System helps make it possible.
We designed our Nucleus 5 System so that music
enjoyment can be maximized for the individual.
diRecT connecTion To
TheiR favoRiTe muSic
Kids love keeping up with the latest entertainment.
Our Nucleus 5 Sound Processor lets your child tune
into music easily, with direct cable connection to a
music device like an iPod®.
Imagine music being “enhanced”
before entering your ear.
When we engineered the Nucleus 5 System, our concept
was to “clean up” the sound quality so that there would
be less to interfere with your musical enjoyment. Our
unique SmartSound 2 Music Program is designed to
automatically filter out unwanted noise — the same
way natural hearing works. Think of it as switching
from a faint, staticky AM radio broadcast to satellite
radio reception. There’s no comparison — and no other
cochlear implant company has anything like it.
for Your Child
The only cochleaR implanT wiTh a muSic pRoGRam
With the simple push of a button, the Music Program is automatically
powered up. This program is designed to enhance your child’s musical
experience while minimizing distracting noise.
hope muSic SeRieS – help youR child achieve TheiR
ulTimaTe muSic expeRience
Enjoying music is like riding a bike — once your child learns, they never
forget. But if your child has never been on a bike before, it takes practice
before they can zip down the road. Cochlear is the only company to
offer the HOPE Music Series — a rehabilitation and educational support
program devoted to helping cochlear implant recipients realize their full
musical potential. Our unmatched expertise and dedicated experts can
help your child to achieve their ultimate musical experience.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 24-25 10/12/09 10:19 AM

m o s t t r u s t e d
Lifetime
Commitment
Our commitment to you
and your child begins now
When you choose the Nucleus® 5 System, you are not just
getting the best technology available, you’re investing in
a lifelong promise that Cochlear will be there to help your
child achieve their personal best hearing experience. Just
ask any one of the over 120,000 Nucleus Cochlear Implant
recipients out there. We’re committed to helping your
child achieve their personal best through a comprehensive
program of educational, social and technological support.
We call it the Cochlear Care Continuum. And it begins now.
Leader in cochlear implant innovations and industry firsts
hiGhliGhTS oveR The paST 25 yeaRS
First FDA approved
multichannel implant
for use in adults
First directional
microphone
First FDA approved
multichannel implant
for use in children
First SPEAK speech
coding strategy
First Neural Response
Telemetry (NRT)
First MRI-compatible
implant (standard MRI
machine) with magnet
removed
First behind the ear
(BTE) sound processor
First to deliver
intermediate pitch
perception
Discover
Connect
First and only FDA
approved multichannel
auditory brainstem
implant (ABI)
First and only
pre-curved
electrode array
Believe
First built-in
telecoil
First wireless
FM option
“The cochlear implant
has been nothing
short of a miracle for
Sam. Currently he is
above his peers
academically,
which is a pretty
neat thing."
First and only IP44
rated water, sweat
resistant processor
First and only
SmartSound
input processing
First FOCUS program
First to offer
disposable and
rechargeable
batteries for both
behind the ear (BTE)
and bodyworn
processors
Parent of Sam b.
Cochlear’s 25th
Anniversary
First electro-acoustic
implant, CE Mark in
Europe with Hybrid
1985 1990 1994 1997 1998 2000 2002 2003 2005 2006 2007 2008 2009
inTRoducTion of nucleuS 5 SySTem
First to dramatically advance industry standards
for smaller implant size (3.9mm – industry’s thinnest)
Industry’s smallest sound processor
First and only remote assistant with two-way
control capability
World’s only fully integrated dual directional
microphone technology
First and only AutoPhone (sound processor with an
automatic telecoil)
FUN1034 ISS2 OCT09 Ped BRO 8.indd 26-27 10/12/09 10:19 AM

m o s t t r u s t e d
Then
1987
1988
1989
1994
1999
2000
2004
2007
now
fuTuRe
Committed
to you for a lifetime
Holly received her cochlear implant at four years old. Twenty-two years, one
implant and five sound processor upgrades later, 26-year old Holly continues
to enjoy the benefits from new technological advancements.
Holly lived in a world of silence as a result of contracting
meningitis at the age of four. Her mother wanted to give
her every opportunity in life.
At age four, Holly became one of the first pediatric
recipients of a commercial Nucleus ® Cochlear Implant
System. Her first sound processor was the WSP.
Holly started school — and attended mainstream
schools for 13 years, from kindergarten to 12th grade.
Holly upgraded to the MSP processor.
Holly upgraded to the Spectra processor.
Holly upgraded to the ESPrit 22 processor.
Holly graduated from high school in the top
2% of students in the state.
Holly upgraded to an ESPrit 3G processor.
Holly graduated from university with first class
honors in Law. Holly upgraded to a Nucleus ®
Freedom Sound Processor.
Happily working as a lawyer and living life to the fullest.
As new technologies become available, Holly will be
able to take advantage of them with confidence.
One implant, five sound processor upgrades…
unlimited possibilities!
A lifelong solution –
it’s just the beginning
When new technologies come along, Nucleus recipients have a
distinct advantage. Whether implanted 25 years ago or yesterday,
our committed team works passionately to develop new
technologies, so that your child has the best hearing opportunities
possible throughout their lifetime.
Our commitment to backwards compatibility means your child does not get
left behind as science progresses. It’s a commitment from the global leader and
is backed by the industry’s largest investment in research and development,
the largest collaboration program with leading specialists around the world
and access to the world’s largest cochlear implant support organization.
That is how Cochlear can continue to innovate and bring the latest advances in
technology to our recipients, no matter when your child received their cochlear
implant. As upgrades and innovations occur, we are committed to bringing
them to your children – so they can keep improving their hearing and live
active and connected lives.
"With my cochlear implant, I was
able to happily attend mainstream
schools and successfully achieve my
own personal and career goals."
holly m.
7out
of
10
people who choose
a cochlear implant
pick Cochlear 15
Cochlear has delivered the
miracle of sound to more
than 120,000 cochlear
implant recipients worldwide.
Now, it’s your turn!
FUN1034 ISS2 OCT09 Ped BRO 8.indd 28-29 10/12/09 10:19 AM

m o s t t r u s t e d
Education and
habilitation resources
Discover
Your child has just received their Nucleus® 5 Cochlear Implant. You now wonder.
What will my voice sound like to my child? Will my child learn to speak? Will
my child succeed? While a cochlear implant represents a world of opportunities,
it’s important to remember that everyone is unique and results can differ from
one person to the next. learning to listen and speak again (or for the first time)
involves a process of therapy and training called habilitation, which is important
to the hearing experience.
habiliTaTion foR childRen
Children who have never experienced sound prior to implantation need habilitation in order to
understand environmental sounds and speech. Just like a newborn, your child needs training and
experience to learn to listen. Educational environments that emphasize auditory skills development
typically have a positive effect on a child’s speech and language progress. Family, friends, speech
language pathologists, listening and spoken language specialists and other hearing health
professionals and educators all play crucial roles in helping kids achieve the best outcomes possible.
leaRn moRe about Cochlear’s unique HOPE education and habilitation program
resources at www.CochlearAmericas.com/Support
As part of our lifetime commitment to Nucleus recipients,
Cochlear provides a comprehensive series of habilitation resources
called HOPE, designed to help children, families and educators
work together to achieve a child's greatest hearing potential.
HOPE resources
meeTinG childRen’S needS aT School
A compendium of information on major issues faced by
educators in supporting children with cochlear implants.
liSTen, leaRn and Talk
An informational kit for parents and educators working with
preschool-age children.
STRive and ThRive
Hints and tips to help parents prepare their children for school.
educaToRS’ Guide
A guide with information on cochlear implantation and how to
help children with cochlear implants reach their full potential.
Speech SoundS
A guide for parents and professionals on how to daily integrate
spoken language in a meaningful and enjoyable manner.
Sound and way beyond
A unique interactive listening rehabilitation program for
teens and adults.
nucleuS heaR we Go!
Easy-to-use software that helps clinicians and therapists
develop habilitation exercises for teenagers.
Community, awareness and
social networking
Connect cochleaR
When you select a Nucleus 5 System, you immediately become part of the
Cochlear Community, a growing family dedicated to your child’s success. Every
clinician, scientist, recipient and friend in the Cochlear Community shares a
special dedication to providing information and ongoing support throughout your
journey. "Connect with the Community" to meet others who may share a similar
experience to yours or your child’s. or help another parent navigate the journey to
a world of sound. It’s all part of the Cochlear experience.
Today, over 120,000 people around the world are experiencing a life of sound with their Nucleus
System. Singing along with their parents in the back seat. Chatting with friends at school.
Talking on the phone with a favorite cousin. But these successes are the result of more than just
technology. Recipients — especially children — can benefit from having a network of supporters
to help them make the most out of their cochlear implant system.
leaRn moRe about Cochlear’s community, awareness and social
networking programs at www.CochlearAmericas.com/Community
Largest community with more than
120,000 cochlear implant recipients
celebRaTion
An exclusive retreat where Nucleus families come together to
celebrate their experiences and learn how to maximize their
technology. It is a great opportunity for your child to meet
other children with a cochlear implant and for you to meet
other parents.
cochleaR communiTy
An online neighborhood and networking opportunity filled
with neighbors who can provide the benefit of their years of
experience with their child’s cochlear implant.
cochleaR awaReneSS neTwoRk
Advocacy programs and opportunities for recipients and
parents who want to help others learn about hearing loss
and cochlear implantation.
cochleaR awaReneSS pRoGRamS
Raise Your Hand and other public awareness initiatives
sponsored by Cochlear.
RecipienT newS and updaTeS
Print and online newsletters for Nucleus recipients.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 30-31 10/12/09 10:19 AM

m o s t t r u s t e d
Believe
Full-spectrum customer care
support programs from Cochlear
Throughout our 25 years of market leadership, the Cochlear name has
come to represent a passionate dedication to maintaining and improving
the Nucleus ® System so recipients can enjoy a lifetime of miraculous,
uninterrupted sound. We will always work to ensure the best hearing
experience for your child. And that’s a promise you can believe in.
Your cochlear implant system should be designed to work around your child’s life,
not the other way around.
That’s why every Nucleus recipient is covered by a comprehensive warranty, and
world-class technical and financial support.
inSuRance and ReimbuRSemenT SuppoRT
Cochlear’s OMS Insurance Support is here to help you
understand and manage insurance reimbursment coverage
before and after your child receives their Nucleus 5 System.
1 800 633 4667 or visit:
www.CochlearAmericas.com/InsuranceSupport
heaR alwayS
Live, toll-free phone and online technical support staffed by
audiologists for Nucleus recipients.
1 800 483 3123 or visit:
www.CochlearAmericas.com/HearAlways
RecipienT SeRviceS
Cochlear supports your child with a comprehensive warranty,
maintenance support and our commitment to bring your child
the latest in technology.
1 800 523 5798 or visit:
www.CochlearAmericas.com/Support
Committed to your child’s best care —
today, tomorrow and always
Cochlear is committed to the latest science and technologies so that
your child will always enjoy the best hearing experience throughout
their life. To remain on the leading edge of hearing performance, we
have invested more in the research of new innovations in the last five
years than in the previous 25 years combined. We want your child to
benefit from the best of technology today with the ability to easily
upgrade without additional surgery as we discover breakthrough
technologies in the future.
We’re committed to supporting your child for a lifetime. It’s a true commitment
from the global leader, backed by the industry’s largest investment in research and
development and access to the largest clinical and support network in the world.
Today, tomorrow and always — your child deserves the best access to sound.
9 out of
10
hearing healthcare
professionals choose Nucleus 14
NuMBER oNE CHoICE oF SuRgEoNS 14
When you choose a Nucleus 5 System for your child, you can
be confident knowing that you have support from Cochlear and
audiologists, clinics and surgeons worldwide. And only Cochlear has
the proven track record in being #1 in delivering long-term implant
reliability. 8-13 Maybe this is why, in a survey of 300 cochlear implant
surgeons, 90% of the respondents preferred a Nucleus Implant. 14
FUN1034 ISS2 OCT09 Ped BRO 8.indd 32-33 10/12/09 10:19 AM

m o s t t r u s t e d
Cochlear Most
Trusted
— the most trusted cochlear implant company
our commitment has led to a strong, proven record
of success and has earned the loyalty and support
of clinicians and recipients worldwide — making
Nucleus ® the #1 choice. 15
• Over 25 years of delivering trusted and reliable products.
• #1 leader in implant reliability 8-13 — built to last your
child’s lifetime.
• More people choose Nucleus than any other cochlear
implant in the world. 15
• More innovative product firsts than any other cochlear
implant company.
• Most comprehensive customer care support and service.
#1 choice of cochlear implant recipients worldwide 15
References and Technical Notes
1. Cochlear update March 2006 (White Paper). Pitch
steering with sequential stimulation of intracochlear
electrodes. (Cochlear 2006)
2. Kwon J et al. Dual-electrode pitch discrimination with
sequential interleaved stimulation by cochlear implant
users. J Acoust Soc Am 2006 Jul;120(1):EL1-6
3. Novak MA et al. Cochlear implants in infants and
toddlers. Ann Otol Rhino Laryngol Suppl
2000;185:46-49
4. Nicholas JG et al. Will they catch up? The role of
age at cochlear implantation in the spoken language
development of children with severe to profound
hearing loss. J Speech Lang Hear Res 2007;50:1048-1062
5. Nicholas JG et al. Expected test scores for preschoolers
with a cochlear implant who use spoken language. Am J
Speech Lang Pathol 2008;17:121-138.
6. Robbins AM et al. Language development in young
children with cochlear implants. Adv Otorhinolaryngol
1995;50:160-166
7. Post market surveillance, P970051/5028; Poster
presented at 12th Symposium on Cochlear Implants in
Children, June 2009
8. Nucleus reliability report, Vol. 5, June 2008. Four years
of data, launched in 2005
9. Advanced Bionics - Auditory Reliability Report, Summer
2009. 2.5 years of data, launched in 2005
10. MED-El Website [Online]. 2009 [Cited June 2009];[1
screen]. Available from: URL:http://www.medel.com/
english/img/animations/SONATA_CSR.swf
11. Battmer RD et al. A multi-centre study of device failure
in European cochlear implant centres. Ear Hear 2007
Apr;28(2 Suppl):95S-99S
12. Cullen RD et al. Revision cochlear implant surgery in
children. Otol Neurotol 2008;29(2):214-20
13. Battmer RD et al. A review of device failure in more than
23 years of clinical experience of a cochlear implant
program with more than 3,400 implantees. Otol
Neurotol 2009 Jun;30(4):455-63
14. Based on cochlear surgeons' preference survey: Internal
reliability preferences. Data on file. June 2009.
15. Internal data on file, November 2008
16. Balkany T et al. Nucleus Freedom North American
clinical trial. Otolaryngol Head Neck Surg
2007;136(5):757-762
17. Pijil S et al. (2006) North American Freedom trial:
Preliminary results adults. Cochlear Limited White Paper
18. Bassim MK et al. Med-EL Combi40+ Cochlear
implantation in adults. Laryngoscope 2005;
115:1568-1573
19. Seguin C et al. (2005). Patient performance with
the Advanced Bionics HiRes 90K Helix 1 device with
HiFocus perimodiolar (Helix) electrode. Advanced
Bionics White Paper
20. Multi Center Validation Data of the Nucleus 5 Sound
Processor and Remote Assistant preliminary speech
perception from the initial Fit (N=38)
21. Multi center Australian validation data of the Nucleus 5
Sound Processor using the Zoom microphone setting.
Interim speech performance in noise (N=15).
22. Aschendorff A et al. Quality control after insertion of
the Nucleus contour and contour advance electrode in
adults. Ear Hear 2007 Apr;28(2 Suppl):75S-79S
23. Sridhar D et al. A frequency-position function for
the human cochlear spiral ganglion. Audiol Neurotol
2006;11(Suppl 1):16-20
24. Stakhovskaya O et al. Frequency map for the human
cochlear spiral ganglion: Implications for cochlear
implants. J Assoc Res Otolaryngol 2007 Jun;8(2):220-33
25. Wright, CG et al. Temporal bone microdissection
for anatomic study of cochlear implant electrodes.
Cochlear Implants International 2005;6(4) 159-168
26. Roland, JT Jr. A model for cochlear implant electrode
insertion and force evaluation: Results with a new
electrode design and insertion technique. Laryngoscope
2005;115(8):1325-39
27. US patent 7, 184, 843. [On file] 2007 Feb 27
28. Adunka O et al. Preservation of basal inner
ear structures in cochlear implantation. ORL J
Otorhinolaryngol Relat Spec 2004;66(6):306-12
29. Gani M et al. Implications of deep electrode insertion
on cochlear implant fitting. J Assoc Res Otolaryngol
2007;8:69-83
30. The Cochlear implants produced by Advanced Bionics
and Med-El referenced in the reliability studies were
found to be ‘X’ times more likely to fail than the
Nucleus Implants produced by Cochlear
31. ISO 5841-2: 2000, Implants for surgery -
Cardiac pacemakers -- Part 2: Reporting of
clinical performance of populations of pulse
generators or leads
32. IEC 60529 Ed. 2.1 b Cor.1:2003 Corrigendum
1 - Degrees of protection provided by
enclosures (IP Code)
33. Ching TY et al. Binaural-bimodal fitting or bilateral
implantation for managing severe to profound deafness:
A review. Trends Amplif 2007 Sep;11(3):161-92
Learn how the Nucleus System
has helped others achieve their
personal best hearing experience
and allowed them to enjoy the
little moments in life.
FUN1034 ISS2 OCT09 Ped BRO 8.indd 34-35 10/12/09 10:19 AM

only fRom cochleaR – thE NEw SYStEM
Industry’s smallest & thinnest
Industry’s smallest and most advanced sound processor and thinnest
cochlear implant.
greatest flexibility with full-functionality on the sound processor
and remote assistant.
Best hearing
Clinically proven to improve children’s hearing performance. 20
Complete Confidence
#1 leader in implant reliability8-13 — built to last a lifetime.
Industry’s only sound processor built on a strong titanium foundation
for the active child.
World's most water resistant sound processor design allows
your child to be a kid.
most trusted
9 out of 10 hearing health professionals choose nucleus. 14
#1 choice of cochlear implant recipients. 15
For further information please contact your local Cochlear representative or visit us
on the web at: www.cochlear.com
Cochlear Americas
13059 East Peakview Avenue
Centennial, CO 80111 USA
fun1034 Iss2 oCt09
Tel: 1 303 790 9010
Fax: 1 303 792 9025
Toll Free: 1 800 523 5798
Cochlear, the elliptical logo, nucleus, freedom, sound and Way Beyond, smartsound, snugfit, set It and go, autoPhone, listen learn and talk, neural response telemetry, hybrid
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. the names of
actual companies and products mentioned herein may be the trademarks of their respective owners.
© Cochlear limited 2009
This is cochlear’s promise to you. as the global leader in hearing solutions,
Cochlear is dedicated to bringing the gift of sound to people all over the world.
With our hearing solutions, Cochlear has reconnected over 180,000 cochlear
implant and Baha ® recipients to their families, friends and communities in more
than 100 countries.
along with the industry’s largest investment in research and development,
we continue to partner with leading international researchers and hearing
professionals, ensuring that we are at the forefront in the science of hearing.
for the person with hearing loss receiving any one of Cochlear’s hearing solutions,
our commitment is that for the rest of your life you will hear now. and always
As your partner in hearing for life, Cochlear believes it is important that you understand not only
the benefits, but also the potential risks associated with any cochlear implant.
You should talk to your hearing healthcare provider about who is a candidate for cochlear implantation.
Before any cochlear implant surgery, it is important to talk to your doctor about CDC guidelines for
pre-surgical vaccinations. Cochlear implants are contraindicated for patients with lesions of the auditory
nerve, active ear infections or active disease of the middle ear.
Cochlear implantation is a surgical procedure, and carries with it the risks typical for surgery. You
may lose residual hearing in the implanted ear. Electrical stimulation may result in some side effects,
including ringing in the ear, stimulation of the facial nerve; in rare cases this may cause pain. Though
rare, it is possible that additional surgery may be required at some point to resolve complications with
a cochlear implant.
For complete information about risks and benefits of cochlear implantation, please refer to the
Nucleus Package Insert (available at www.cochlearamericas.com/NucleusIndications).
FUN1034 ISS2 OCT09 Ped BRO 8.indd 36 10/12/09 10:19 AM