Annual Report 2010/11 - Sonova

Annual Report 2010/11 - Sonova Annual Report 2010/11 - Sonova

02.12.2012 Views

30 COCHLEAR IMPLANT (CI) PATIENT JOURNEY Identification and referral For adults, it is usually an ear, nose and throat doctor or an audiologist who identifies the need for a cochlear implant (CI). In most developed countries, newborns have a hearing screening at the hospital. Potential CI candidates are then referred to specialist CI centers. Counseling At the CI center, a team of experienced multi-disciplinary members undertakes a detailed assessment to determine whether someone really is a candidate for a CI. Candidates or in the case of children their parents are then given detailed information about the surgery, the programming and rehabilitation, and, more generally, about life with a CI. Surgery A surgeon implants the internal component of the CI and inserts the electrode array into the patient’s cochlea during a two to four hour operation. The use of the HiRes 90K is allowed for babies from age twelve months on. In special cases, clinics can perform the surgery before this age. Fitting The first fitting is mostly performed by the CI audiologist only two to four weeks after the surgery, when the system is activated. Afterwards, the postoperative rehabilitation process starts, with the fitting of the different parameters of the sound processor as well as various sessions of auditory and speech training spreading over several months. Service and maintenance In order to improve the patient’s auditory experience, the CI audiologist performs continual mappings as the brain adapts to hearing sound again, or for the first time. The CI user receives a new, improved external processor on average every five years. In this way, he benefits from the latest signal processing strategies. In addition to the best possible care and high reliability, being able to understand speech is extremely important for wearers of cochlear implants. This is the prerequisite that – in combination with early training – accelerates and consolidates language acquisition in children. A cochlear implant allows late-deafened adults to maintain their own speech. As the implant accompanies its wearer round the clock, aspects such as comfort and ease of use, design, and miniaturization of the processor are also high on the list of priorities. With its current cochlear implant, the Harmony HiResolution Bionic Ear System (Harmony System), Advanced Bionics has developed a high-performance system that responds precisely to the needs of the wearer. SYNERGIES FOR TOMORROW’S GROWTH Sonova is working on developing a comprehensive medical product portfolio in the area of hearing implants. Through the integration of Advanced Bionics, the Sonova Group is establishing the basis for sustainable growth in this pioneering segment. To achieve a leading market position in hearing implants, Sonova is pursuing a long-term product development plan that facilitates economies of scale and synergy effects. Advanced Bionics is currently collaborating closely with Phonak in order to realize further innovations for future product generations that facilitate even better hearing for individuals with severe hearing impairment. These innovations include a higher-performance chip, improved algorithms (digital signal processing), more advanced FM and wireless solutions and a new design approach. In its development work, Advanced Bionics benefits from Phonak’s extensive expertise with regard to the mechanical and acoustic design of hearing systems and signal processing. In two to three years’ time, the new product generation will enable even better and more natural hearing, even in noisy environments. What is more, the external processor will facilitate further optimization with regard to miniaturization, design, comfort, and ease of use.

The considerable strategic importance of the hearing implants segment, which includes the Advanced Bionics and Phonak Acoustic Implants businesses, is underlined by the appointment of Hansjürg Emch to the Management Board. He became Group Vice President Medical on March 1, 2011, and has extensive experience in the area of medical implants, including from his previous role at the implant manufacturer Synthes. ADVANCED BIONICS – POSITIONED FOR A SUCCESSFUL FUTURE As part of the integration of Advanced Bionics, Sonova has made targeted investments in R&D as well as the expansion of the distribution structure. The integration of Advanced Bionics into Sonova’s global organizational structure and supply chain will facilitate savings in areas such as administration and purchasing. Innovation plays a key role for cochlear implant systems, particularly in the area of speech intelligibility. With its current cochlear implant system, the Harmony HiResolution Bionic Ear System (Harmony System), Advanced Bionics has developed an innovative system that facilitates significantly improved speech intelligibility, particularly in noisy environments. Thanks to HiResolution Sound, the Harmony System offers five times more sound resolution than conventional cochlear implant systems, providing more accurate representation of sound, which facilitates better speech intelligibility and more natural music perception. It has the largest dynamic input range available in cochlear implant technology, enabling it to capture and process naturally occurring sound levels ranging from soft to very loud. Speech intelligibility is also enhanced by the T-Mic, a microphone that is placed at the opening of the ear and thus captures sound like a normal hearing ear. Advanced Bionics and Phonak are working together in R&D on the next CI generation. Future users will benefit more from the innovative technologies with which Phonak leads the market for hearing systems. Advanced Bionics will, among other things, have access to unique expertise on the mechanical and acoustic design of hearing systems as well as signal processing. In combination with the extensive experience of Advanced Bionics in the treatment of cochlear implant patients and the revolutionary approach to auditory nerve stimulation, innovative solutions are being developed that will enable individuals with severe HEARING IMPLANTS hearing impairment to hear even better. In addition, the fitting process will be simplified further. In future, individuals with cochlear implants will benefit from an even more natural auditory experience and improved speech intelligibility, even in noisy environments. The system will adapt itself automatically to the sound environment, making it more comfortable for the wearer to listen. A central issue for innovation is the continued improvement of the external processor with regard to miniaturization, esthetics, comfort, and ease of use. Further areas of collaboration include the optimization of the leading FM technology as well as the various wireless connection options from Phonak for Advanced Bionics cochlear implants. A further focus is on solutions for children, who represent an important target group and benefit in particular from small, robust, and user-friendly cochlear implants. INGENIA – A NEW CONCEPT WITH POTENTIAL Phonak Acoustic Implants is developing a DACS (direct acoustic cochlear stimulation) middle ear implant named Ingenia. The new device is currently in the development phase. Ingenia does not yet have CE certification or FDA approval, and is not yet commercially available. Ingenia has been designed for adult patients with moderate to severe mixed hearing loss for whom amplification via conventional hearing devices is not sufficient. The system bypasses the outer and middle ear, and mechanically stimulates the cochlea at its entrance, without significantly entering it. As Ingenia replaces the function of the ossicular chain, the system also helps individuals without a functioning middle ear to hear better. 31

The considerable strategic importance of the hearing implants<br />

segment, which includes the Advanced Bionics and<br />

Phonak Acoustic Implants businesses, is underlined by<br />

the appointment of Hansjürg Emch to the Management Board.<br />

He became Group Vice President Medical on March 1, 20<strong>11</strong>,<br />

and has extensive experience in the area of medical implants,<br />

including from his previous role at the implant manufacturer<br />

Synthes.<br />

ADVANCED BIONICS – POSITIONED<br />

FOR A SUCCESSFUL FUTURE<br />

As part of the integration of Advanced Bionics, <strong>Sonova</strong> has<br />

made targeted investments in R&D as well as the expansion<br />

of the distribution structure. The integration of Advanced<br />

Bionics into <strong>Sonova</strong>’s global organizational structure and<br />

supply chain will facilitate savings in areas such as administration<br />

and purchasing.<br />

Innovation plays a key role for cochlear implant systems,<br />

particularly in the area of speech intelligibility. With its<br />

current cochlear implant system, the Harmony HiResolution<br />

Bionic Ear System (Harmony System), Advanced Bionics<br />

has developed an innovative system that facilitates significantly<br />

improved speech intelligibility, particularly in noisy<br />

environments. Thanks to HiResolution Sound, the Harmony<br />

System offers five times more sound resolution than conventional<br />

cochlear implant systems, providing more accurate<br />

representation of sound, which facilitates better speech<br />

intelligibility and more natural music perception. It has the<br />

largest dynamic input range available in cochlear implant<br />

technology, enabling it to capture and process naturally occurring<br />

sound levels ranging from soft to very loud. Speech<br />

intelligibility is also enhanced by the T-Mic, a microphone<br />

that is placed at the opening of the ear and thus captures<br />

sound like a normal hearing ear.<br />

Advanced Bionics and Phonak are working together in R&D<br />

on the next CI generation. Future users will benefit more<br />

from the innovative technologies with which Phonak leads<br />

the market for hearing systems. Advanced Bionics will,<br />

among other things, have access to unique expertise on<br />

the mechanical and acoustic design of hearing systems<br />

as well as signal processing. In combination with the extensive<br />

experience of Advanced Bionics in the treatment of<br />

cochlear implant patients and the revolutionary approach<br />

to auditory nerve stimulation, innovative solutions are<br />

being developed that will enable individuals with severe<br />

HEARING IMPLANTS<br />

hearing impairment to hear even better. In addition, the<br />

fitting process will be simplified further. In future, individuals<br />

with cochlear implants will benefit from an even more<br />

natural auditory experience and improved speech intelligibility,<br />

even in noisy environments. The system will adapt<br />

itself automatically to the sound environment, making<br />

it more comfortable for the wearer to listen. A central issue<br />

for innovation is the continued improvement of the<br />

external processor with regard to miniaturization, esthetics,<br />

comfort, and ease of use. Further areas of collaboration<br />

include the optimization of the leading FM technology as<br />

well as the various wireless connection options from<br />

Phonak for Advanced Bionics cochlear implants. A further<br />

focus is on solutions for children, who represent an important<br />

target group and benefit in particular from small,<br />

robust, and user-friendly cochlear implants.<br />

INGENIA – A NEW CONCEPT WITH POTENTIAL<br />

Phonak Acoustic Implants is developing a DACS (direct<br />

acoustic cochlear stimulation) middle ear implant named<br />

Ingenia. The new device is currently in the development<br />

phase. Ingenia does not yet have CE certification or FDA<br />

approval, and is not yet commercially available.<br />

Ingenia has been designed for adult patients with moderate<br />

to severe mixed hearing loss for whom amplification via<br />

conventional hearing devices is not sufficient. The system<br />

bypasses the outer and middle ear, and mechanically<br />

stimulates the cochlea at its entrance, without significantly<br />

entering it. As Ingenia replaces the function of the ossicular<br />

chain, the system also helps individuals without a<br />

functioning middle ear to hear better.<br />

31

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