Cochlear Implant Brand Comparison Latest Models Only

COCHLEAR
IMPLANT
BRAND
COCHLEAR (NUCLEUS)

Current Model:
Nucleus System
includes CI24RE
(Released September
2005) and CI422
(Released March 2012)

ADVANCED BIONICS

Current Model
HiRes 90K Implant
Family:
HiRes 90K Released
(July 2003)
HiRes 90K Advantage
(Released Sept 2012)
COMPANY
INFORMATION
Website http://www.cochlear.co
m

Location of Main Headquarters:
Headquarters 14 Mars Road
PO Box 629
Lane Cove NSW 2066
AUSTRALIA

North America:
13059 E. Peakview Ave.
Centennial, CO 80111

European Region
(including Saudia Arabia
and the Middle East)
Cochlear AG
Peter Merian-Weg 4
4052 Basel
Switzerland

See
http://www.cochleara
mericas.com/Support/4
05.asp for complete list
http://www.advancedbi
onics.com

North American
Headquarters
Advanced Bionics LLC
28515 Westinghouse
Place, Valencia, CA
91355, United StatesT:
+1.877.829.0026 T:
+1.661.362.1400 F:
+1.661.362.1500
info.us@AdvancedBioni
cs.com

Global Headquarters
Advanced Bionics AG
Laubisrtistrasse 28,
8712 Stfa, Switzerland
T: +41.58.928.78.00 F:
+41.58.928.78.90
info.switzerland@Adva
ncedBionics.com

Advanced Bionics Asia
Pacific Ltd Room 4103,
41/F, Hopewell Centre
183 Queen's Road East
Wanchai, Hong Kong T:
+852.2526.7668 F:
+852.2526.7628info.ho
ngkong@AdvancedBion
ics.com

Advanced Bionics
Sucursal Colombia
MED-EL

Current Model
MAESTRO System -
includes PULSARci100
(Released August 2005),
SONATAti100 (Released
June 2007) and
CONCERT (September
2011) implants

http://www.medel.com
/

Main Headquarters:
Frstenweg 77a
A-6020 Innsbruck
Austria

USA:
2511 Old Cornwallis Rd.
Suite 100
Durham, North Carolina
27713

See
/us/show2/index/id/29
4/titel/MED-
EL+Offices+Worldwide
for complete list
Year Started 1981 (Global

in Business Headquarters)
1984 (Cochlear
Americas)
PERFORMANCE

Number of 22 intracochlear
Electrodes electrodes +2
grounding
Internal Implant Titanium and silicone

Materials
Processing Hi-Ace (CI24RE, CI422,

Strategies CI500)
Ace (N24, CI24RE,
CI422, CI500)
SPEAK (N22, N24,
CI24RE, CI422, CI500)

Stimulation type(s) Sequential stimulation
and Rate 32,000 hertz

Carrera 7 No. 83-29

Ofinica 902
Bogota, Colombia
+571.691.59.00/05/14
+571.621.84.42. Fax
LA@AdvancedBionics.c
om

See:
onics.com/com/en/syst
em/topnav/contact.htm
l
1993
1989
16 + 2 grounding
24 contacts + 2
grounding for
traditional electrodes
19 contacts + 2
grounding for Flex
electrodes

Titanium and silicone
PULSAR: Ceramic and
silicone
SONATA: Titanium and
silicone

CONCERT: Titanium and
silicone
CIS, MPS, HiRes, HiRes FSP (Fine Structure
Fidelity 120,
Processing) and HDCIS
ClearVoice (120 &
(High Definition
ClearVoice not FDA
Continuous Interleaved
approved for pediatric Sampling. FSP is not
users in the U.S.), HiRes indicated for use in
Optima
prelingual children.
*Up to 83,000 Pulses
Per Second (PPS)
*Up to 120 Spectral
Bands of Information

HiRes-P (Paired)
HiRes-S (Sequential)
Sequential stimulation
at a maximum rate of
50,704 pps.
Independent Current Single

Sources
Possible Number of Average
Pitch Percepts aggregate #
discriminable pitches
across the entire array:
1611 2
When intensity was
roved to eliminate
loudness cues: 127
discriminable pitches
across the entire array.3
HiRes Fidelity 120-P

(Paired)
HiRes Fidelity 120-S
(Sequential)
CIS and MPS
SAS (C1-Harmony)
16 independent
HiRes 120 is intended to
allow implant users to
take
advantage of their
residual place-pitch
perception
capabilities. Using
current steering, up to
120 spectral bands are
delivered to the
cochlea. This increased
spectral resolution, in
combination with the
fine temporal
resolution already
implemented in HiRes,
provides better speech
perception in noise and
improved music
appreciation.4
Multiple
Scientific studies have

demonstrated that
FineHearing enables
hearing implant
recipients to detect
small differences in
pitch for example,
between two
neighboring piano
notes.
Fine Structure
Processing allows
better pitch perception,
especially in the low
frequencies. MED-EL
coding strategies can
deliver up to 250
distinct pitches. Fine
Structure Processing
allows better pitch
perception, especially in
the low frequencies.5
Speech Perception 87%, Nucleus 5, CNC
79%, (Harmony Sound

Scores words at 60dBA6
Processors Previous

Generation), CNC words
69%, AB Words at 70 dB at 60dBA9
71%, AB Words at 70 dB
SPL (Freedom Sound

SPL13
Processors Previous
59%, AB Words at 70 dB
7
Generation)
SPL10
98%, CUNY Sentences

at 70 dB SPL14
96%, CUNY Sentences
87%, CUNY Sentences

11
at 70 dB SPL (Freedom at 70 dB SPL
Sound Processors
88.3% AzBio Sentences
8
Previous Generation)
in quiet with

ClearVoice12
Everyday Hearing SmartSound iQ
Autosound- technology Switch-free design
SmartSound iQ includes that adapts dynamically prevents inadvertent
a fully automated
and continuously to
changes to program or
sound management
every environment,
volume settings.
system, which is also
making it easier for you Because of the
known as SCAN. This

means that the sound
processor will
automatically switch
the programs based on
different listening
situations.15

Adaptive Dynamic
Range Optimization
(ADRO) ADRO is like
an equalizer on stereo,
using incredibly fast
signal rates to
automatically adjust
sound levels across
each of internal
cochlear implants 22
channels individually.
The individual channels
representing quiet
sounds are turned up,
while loud sounds are
softened.16

Auto-sensitivity (ASC) -
Auto-sensitivity
automatically adjusts
the microphone
sensitivity setting in
response to the level of
incoming noise; it
dampens down the
level of background
noise, allowing you to
better understand
speech.17
Hearing in Noise SmartSound iQ

SmartSound iQ includes
a fully automated
sound management
to hear your best no

matter where you are.
So when sound levels
change, such as from a
quiet conference room
to a loud crowded
restaurant, AutoSound
the sound level just like
a normal-hearing ear.18

ClearVoice-
Additionally, ClearVoice
a processing strategy
which is built on ABs
proprietary HiRes
Fidelity 120
technology, has been
designed to
automatically analyze
and adapt to each
listening situation that
you encounter
throughout the day, as
an every day program,
separating the
distracting noises from
what you want to hear
mostspeech.19

QuickSync QuickSync
is a one-touch control
of two sound
processors. It allows for
easy, instant,
simultaneous
adjustments to volume
and program settings
on both sound
processors.20
ClearVoice- Improved
speech clarity in noisy
settings. Easier more
effortless listening in
Automatic Sound
Management feature,
most users do not need
to change settings
during the day and
therefore do not need
to carry the FineTuner
remote control with
them. This feature is
especially useful for
small children who
cant be responsible for
manually adjusting their
processor based on the
environment.

Fine Structure
Processing is a coding
strategy that processes
quiet, noise, and music
very well. Users do not
have to push any
buttons or change
programs to switch
from music listening to
speech or from quiet
environment to noise.

The Fine Tuner remote
control can manage
settings for two audio
processors, so bilateral
implant users can
adjust volume,
sensitivity or program
on both processors
simultaneously if
desired.

The telecoil feature can
be used on any
program, no special
settings are required.

FineHearing provides
benefits to users for
hearing in noise.
Automatic Sound
system, which is also

known as SCAN. This
means that the sound
processor will
automatically switch
the programs based on
different listening
situations.21

Noise SmartSound iQ
recognizes annoying
constant background
noise and suppresses it,
allowing speech to pass
through. 22

Zoom/Speech in noise
A dual microphone
technology with
intelligent processing
that is designed to
lessen competing noise,
making the sounds you
want to hear clearer
similar to natural
hearing. This feature is
designed to make it
easier than ever to hear
in noisy listening
situations. 23
real-world settings.
Outstanding hearing
from morning to
evening with no
adjustments needed.28

HiRes Fidelity 120:
Designed to provide
hearing that closely
resembles how a
normal ear hears, ABs
HiRes Fidelity 120
sound processing
captures and delivers
the three dimensions of
sound for a more
complete hearing
experience.29

AutoSound- a
combination of AB's
Wide IDR (Input
Dynamic Range) of
80dB and dual-loop
Automatic Gain Control
(AGC), adjusts acoustic
input for comfort and
audibility without
requiring processor
adjustments.30

Auto-sensitivity (ASC) - T-Mic- a microphone
Auto-sensitivity
placed optimally at the
opening of the ear to
the microphone
take advantage of the
sensitivity setting in
outer ear's natural
response to the level of sound-collecting
incoming noise; it
abilities to gather life's
dampens down the
vivid sounds. T-mic
level of background
provides help for
noise, allowing you to
hearing in noise- the T-
better understand
mic is designed to help
speech.24
you or your child hear

better in common noisy
Wind With
environments, such as
SmartSound iQ and the classrooms,
help of two
restaurants, and
microphones, the wind- sporting events.31
related noise is

Management adjusts
the processor based on
the listening
environment of the
user. This means that
listeners do not
typically have to make
manual adjustments to
their processor
throughout the day.34
suppressed. 25

Adaptive Dynamic
Range Optimization
(ADRO) ADRO is like
an equalizer on stereo,
using incredibly fast
signal rates to
automatically adjust
sound levels across
each of internal
cochlear implants 22
channels individually.
The individual channels
representing quiet
sounds are turned up,
while loud sounds are
softened.26

Beam With the dual
microphone technology
and SmartSound iQ,
Beam enhances the
sounds in front of the
recipient and softens
those coming from
other directions.27
Music SmartSound iQ
Appreciation recognizes the music
and balances the
recipients need to
understand lyrics with
the broader music
experience. 35

Music setting pairs
Whisper, a wide
dynamic range
compression system,
and ADRO, to help
make the softer musical
passages easier to hear
and the overall music
sound level more
balanced.
UltraZoom - This dual

pioneered by Phonak is
designed to focus on
sound from a speaker
located in front of the
listener for improved
speech understanding
in noisy settings.32

ZoomControl A dual
for improved speech
understanding. This
technology provides the
ability to focus on the
speaker located on
either side of the
listening for improved
hearing in places such
as restaurants or the
car.33
AB's HiRes Fidelity 120

has multiple current
sources, enabling two
or more electrodes to
be stimulated at the
same time. This
simultaneous
stimulation allows
current to be "steered"
between electrodes,
resulting in 120 spectral
bands of sounds, thus a
higher fidelity of sound.

ClearVoice provides
enhanced lyric
understanding for
music enjoyment.36

AutoSound makes
listening to music
effortless by
FineHearing provides
users with specific cues
for the fine timing
details of sounds, which
are especially important
for the enjoyment of
music. 92% of MED-EL
users report that music
is pleasant to listen to,
and 84% report
listening to music every
week if not every day.38

automatically capturing
and delivering the
softest and loudest
sounds. AutoSound's
programmable wide
Input Dynamic Range
(IDR) and automatic
volume control adjust
automatically so that
you don't miss a note.37
Microphone Two microphones for
T-mic, an
better quality sound
omnidirectional
and direction - A front
microphone placed at
and rear microphone,
the entrance of the ear,
both omni directional
provides added
to capture sound from a convenience when
both in front and in
using telephones or
back of the user.
headphones. Easy
Designed to capture
connectivity to
sound from all around. consumer electronic

products, improved
hearing in noise, and
enhanced directional
hearing. In addition to
the T-mic, Naida Q70
has two microphones, a
front and rear
microphone designed
to provide better
quality sound and
direction.

Neptune has a
microphone built into
the headpiece and is
offered in two options:
a dry configuration
called the Universal
Head Piece (UHP) and a
swimming configuration
called the AquaMic.
Neptune and PSP also
have access to AB's T-
mic and T-Coil
technology via the T-
Comm ear level
accessory.39
MED-ELs processors
feature an omni-
directional microphone,
which captures sound
from all directions.
Telemetry AutoNRT (Automated

Neural Response
Telemetry) enables
your specialist to
confirm the precise
placement of the
stimulation contacts by
measuring your hearing
nerve response.
Electrode Contour Advance

Arrays Electrode with self
Available curling array (CI24RE)40

Double electrode array

for ossified cochlea41

Straight Slim electrode
array (CI422)42
Input Dynamic Range44 Up to 45 db

RELIABILITY
Neural Response
Imaging (NRI)-
Measures the
electrically evoked
compound action
potential (ECAP) of the
hearing nerve. It is
designed to optimize
and aid the implant
fitting process.
Impedance and Field

Telemetry (IFT)
provides an objective
measure of implant
function while Auditory
Nerve Response
Telemetry (ART)
measures the
electrically evoked
compound action
potential (ECAP)
generated by the
auditory nerve.
HiFocus 1J
Standard electrode

array
HiFocus Helix

Medium electrode
HiFocus Electrode
array
features 16 platinum-

iridium contacts that
Compressed electrode
focus stimulation on the array
hearing nerve fibers.43

Split electrode array

FLEX 24 electrode array

FLEX 28 electrode array

Although all MED-EL
electrodes are designed
to be altramatic, the
FLEX electrodes are
specially designed to
preserve residual
hearing and delicate
cochlear structures.
The variety of lengths of
MED-EL electrodes
ensure complete
cochlear coverage for
every patient.
45
Up to 80 db
55 db Adaptive sound
window moves within a
75 db IDR.46

Reliability Cumulative
failures
(Company
Reported)
Freedom at 7 years out

all failures: 0.8%47

Nucleus 24 at 12 years
out all failures: 2.6%48

Nucleus 22 at 25 years
out all failures: 6.8%49

Nucleus 5 at 3 years out
all failures: 4.5%50

HiRes 90K at 6 years out

post recall Vendor A
all failures: 1.9%

HiRes 90K at 8 years out
Vendor B all failures:
37.7%

Clarion II at 10 years
out all failures: 4%

Clarion 1.2 at 15 years
out all failures:
20.1%51

Concerto at 2 years out:

0.03% (device issues
only)
0.15% (device +
accident)
1.19% (device +
medical, surgical &
accident)52

Sonata at 5 years out:
only)
1.28% (device +
accident)
3.07% (device +

medical, surgical &
accident)53

Pulsar at 8 years out:
only)
3.66% (device +
accident)
7.74% (device +
medical, surgical &
accident)54

Relevant Cochlear manufactures AB takes a conservative MED-EL reports on all
Reliability all of its own parts and approach and
devices, including both
Information does not rely on an
automatically counts all hard and "soft" failures,
outside vendor.
non-functioning devices according to the
Reports on all of its
against CSR including
relevant ISO standard
devices, Nucleus 22 and those which are not
and the international
55
beyond.
explanted.
consensus committees
Reports on hard and
recommendations.
soft failures.
MED-EL also offers
transparent information
about the type of
failure (device failure,
surgical or medical
complication, or
accident-related failure)
with that data available
to be viewed by anyone
on medel.com.
Past Recalls with 2011: "In December

Year Recall 2011 and February
Announced 2012, we reported the
failure mechanism as a
loss of hermeticity
which results in the
malfunction of specific
electronic components
(typically one of four
diodes). Failure of these
electronic components
results in the implant
shutting down. No
other failure
mechanism associated
with the loss of
hermeticity has been
identified. This recall
pertains only to CI500
series internal cochlear
implant, which is not
available on the
market.56

1995: Power supply
inside the implanted
part of the cochlear
implant malfunctioned
causing some devices to
fail. This recall
pertained only to
Nucleus 22, an older
internal cochlear
implant, which is no
longer available on the
market.57
Processor Reliability No Data Available

2010: The HR90K

implant was voluntarily
recalled due to 2
instances out of 28,000
devices where the
internal device was
explanted due to
malfunction.

2009: Metal case
surrounding internal
magnet may be not
welded properly leading
to decrease in magnet
strength over time for
some magnets
manufactured in
2005.58

2006: The HR90K
implant was voluntarily
recalled due to elevated
internal moisture
associated with a
feedthru component
from an approved
supplier (Vendor B).

2004: Recall due to
moisture trapped inside
the titanium receiver-
stimulator leading to
failure.59

2002: Recall due to
positioner increasing
risk of meningitis. This
recall pertained only to
Clarion, an older
internal cochlear
implant, which is no
longer available on the
market.60
Naida Q70: No
RONDO: No data yet

information yet.
Opus 2: Average
PSP return rate is 0.46% monthly service rate =
0.54%

Neptune - no data yet
PROCESSOR EASE OF
USE
Opus 1: 0.97%
*Return rate reflect

average monthly return
rates over a 90-day
period for confirmed
failures to May 1,
201261

Processors Nucleus 6 System

(Most recent models CP910 and CP920
only)
Neptune swimmable
freestyle sound
processor

Naida Q70 BTE (Not yet
FDA approved.
Tentative Release Date:
Summer 2013)
RONDO Single-Unit
Processor

Opus 2 BTE + various
configurations for
wearing processor

Processor Photo

Processor Remote Yes (Bidirectional
Control Communication
between Processor and
Wireless
remote assistant)
Yes (Bidirectional
Communication
between Processor and
Wireless remote
assistant)
Yes (Unidirectional
Remote to processor
only)
Wireless Yes Cochlear licensed

Communication GN ReSounds 2.4 GHz
Accessories wireless technology.
This wireless
technology is
implemented in the
Nucleus 6 Sound
Processor. This system
will allow recipients
connect to cellphones,
TV and electronics
wirelessly. 62

Yes63
Phonak ComPilot: The
accessory links to
Bluetooth, mobile
phones, computers,
multimedia players,
TVs, navigation
systems, and FM.

Telephone: There is a
clip that will link the
phone to the sound
processor wirelessly.

Phonak RemoteMic:
Wireless microphone
for one-on-one
TV: There is an adapter conversations in noisy
places. Streams into
to attach to the TV to
both ears.
wirelessly link to the
sound processor. There
is no additional
accessory to link
between the adapter
and the sound
processor.
Micrphone/FM: No
accessory is needed to
connect to the
All MED-EL processors

are compatible with all
commercially available
assistive listening
devices, as well as most
cellular phones and
similar technologies.
Wireless connections
can be made using
either telecoil, or
Bluetooth using a 3rd
party Bluetooth
receiver.

Phonak TVLink: The
microphone.

All of the wireless
communication
accessories can be
streamed into both
Nuclues 6 sound
processor and
ReSounds hearing aid.

Wireless technology
range: 7 meters
Number of Programs 4
Processor Can Hold
Battery Type(s) CP910 and CP920:
Standard Rechargeable
Compact Rechargeable
2 HP 675 Disposable
1 HP 675 Disposable
Battery Life - Standard

rechargeable: up to 31
hours
- Compact
rechargeable: up to 18
accessory streams high-

quality audio directly
into the sound
processor.

All of the wireless
communication
accessories can be
streamed into both AB
cochlear implants and
Phonak hearing aids.

Wireless technology
range: 30 meters
Naida Q70 564

Neptune, PSP 3
Neptune: AAA
Disposable or
Rechargeable battery

Naida Q70: Disposable
and rechargeable
battery
RONDO: 3 675
disposable batteries or
mini battery pack. With
the mini battery pack,
you can use
rechargeables.

OPUS 2: Options
include DaCapo
rechargeable ear-level
battery, 3 675
disposable batteries if
standard battery pack is
used, 2 675 disposable
batteries of XS battery
pack is used, or one AA
rechargeable,
disposable battery
Naida Q70:
RONDO: Up to 5 days of
No information yet
use with a set of 3 high-

power zinc air
Neptune:
batteries.67
NiMH AAA = range 8-21
hours
- Disposable zinc air
batteries: Up to 60
hours65
Low Battery Indicator - Flashing Light on

Processor (Can be
deactivated)
- Private tone in
Processor
- Audible tone from
Wireless remote
assistant
- Visual display on
Remote wireless
assistant
hrs
Lithium AAA = range 11-
30 hrs
Alkaline AAA = 6-
21hrs66
Naida Q70:
programmable tri-color
LED, total of 8 status
indications, battery
status, microphone
status, and error status
categories.

Neptune:
programmable tri-color
LED, total of 8 status
indications, battery
status, microphone
status, and error status
categories and external
audible alerts.
Baby/Child LiteWear option
Naida Q70: No
Processor Options Snugfit (3 sizes)
information yet
These can be chosen

for any age and lifestyle Neptune: freestyle
(see
processor with a variety
of wearing options
mericas.com/nucleus5/ (armband, clip, lanyard,
accessories_popup.html swim cap, headband- all
for photos)
available in standard
and small sizes)69
How Magnet Strength Different strength

is Adjusted magnets can be
screwed in or out to
further tighten or
loosen. Magnet
strength can be easily
adjusted by the parent
OPUS 2: DaCapo
average = 10-12 hours
With D-Coil, Standard
battery pack with 3
disposable batteries: 90
hours40
With D-Coil, XS battery
pack with 2 disposable
batteries: 60 hours68
Status Light-
The Status Light is a
small LED integrated in
the all audio
processors. It flashes
different patterns for
different errors or low
battery. Private audible
alert is an option in all
processors.
BabyBTE
Childrens Battery Pack
Remote Battery Pack
FM Extension Battery
Pack for connecting
assistive listening
devices or FM systems
at ear-level
(see
http://www.medel.at/e
nglish/30_Products/01_
MAESTRO/opus2/02_w
earing_options.php for
photos)

Mini battery pack
The UHP is AB's current Magnets can be
headpiece and is
adjusted by exchanging
compatible with all AB the magnet insert.71
processors offering a
wide range of
customization for
magnet configurations.
or CI user without an
audiologist
appointment. This is
convenient especially
for girls whose hair
thickness changes
depending upon
whether they wear
their hair down or up in
a ponytail.
FM Connection - Nucleus 6 Sound
Processor comes with a
microphone that is
connected wirelessly to
the sound processor.
- CP920 has an
accessory port that
allows recipients
connect to any FM
system.
- Any FM is also
accessible through T-
coil.
If additional magnets
are needed, it's
recommended they
should be only inserted
under the direction of a
cochlear implant
professional. Info on
the UHP can be found
on AB's website.70
Water Resistance IP44 (Protected against

water spray from any
direction) with
disposable batteries.

IP57 with Rechargeable
battery72

IP68 with Aqua
Accessory (Approved
for use in Canada.
Under FDA review in
the US). Approved for
use in pools, ocean,
lakes and river.73
Neptune: Neptune has

an IP68 rating which
means it's both dust
tight and waterproof.
Capable of repeated
and continuous
submersion when
controls are removed
and used with the
AquaMic headpiece.
Neptune can be used in
all terrains and is suited
for treated water
environments (i.e. bath
or pool), ocean and
lakes.

Naida Q70: IP5774
Neptune: FM
technology is
compatible via Phonak
MLxi boot plugging
directly into the
Neptune controls:
Neptune Connect.

Naida Q70: The
wireless streaming
accessory, Phonak
ComPilot, links to FM.

Any FM is also
accessible through T-
coil.
FM Battery Pack for

easy plug and play
wireless access at ear
level. Allows connection
to any battery-operated
assistive listening
device or accessory
(such as an mp3 player
or Bluetooth receiver)
using the standard Euro
connection. FM/ALD
input is available on any
program without the
need for special
settings. A stereo cable
connection is also
available for bilaterally
implanted users to have
a stereo listening
experience from an
mp3 player or similar.
Advertised as water
tolerant but not to
formal IP standards.
Telephone Use AutoPhone

technology in
conjunction with built-
in telecoil. Recipients
can automatically
connect to a variety of
signal sources with no
manual switching.
Built-in telecoil is
available on any
listening program.75

There is a clip that will
link the cellphone to
the sound processor
wirelessly.
Naida Q70: The

wireless streaming
accessory, Phonak
ComPilot, links to
phones.
Built-in Telecoil is
available on any
listening program.
DuoPhone, a Binaural
VoiceStream
Technology, provides
automatic streaming of
phone calls to both
ears, cochlear implants
and/or Phonak hearing
aids.
T-Mic - provides added
convenience when
using telephones and
consumer electronic
products.
Additionally both the T-
mic and T-coil are
available to
Neptune/PSP recipients
via the T-Comm ear
level accessory.76
COMPANY
COMMITTMENT
Customer http://www.cochleara
Support mericas.com/Support/3
3.asp

(Re)habilitation -Sound and Way
Software/Programs Beyond DVD
All of these http://www.cochleara
products/programs are mericas.com/support/2
available, either for free 427.asp
or for purchase, by any
CI user. The auditory ($99 online for Nucleus
rehabilitation exercises recipients. Others need
in these programs apply to call Cochlear to
to anyone seeking aural purchase.)
rehabilitation,
regardless of the brand - Telephone With
of implant use. Confidence - (Accessible
through
www.cochlearcommuni
onics.com/com/en/sup
port.html

The Listening Room
/us/show4/index/id/4/t
itle/USER-SUPPORT.
Bridge - to Better
Communication
http://www.hearingjour http://www.medel.com
ney.com/listening_roo
/US/img/download/BRI
m
DGE_Catalog.pdf

(Available online to all
(Multiple products
for FREE)
available for purchase
online. Costs range
from Free to $910.)

ty.com)

(Free)

Hope Notes - a program
uniquely developed for
cochlear implant and
hearing aid users
designed to help
improve music
perception and
appreciation using
original songs,
traditional Folk, Blues &
Country styles and
some familiar tunes
played in unexpected
ways.
(https://webstore.cochl
ear.com/OA_HTML/ibe
CCtpItmDspRte.jsp?sect
ion=10194&item=6466
47

(Available for $19.99
online)

Backward CP910 and CP920 will
Compatibility History be made backward
of Processors compatible to CI24RE,
CI422, and CI500 as
soon as it becomes
available commercially.

CP910 and CP920 will
be made backward
compatible to N24
cochlear implant in
2014. It will also be
made backward
compatible to N22
cochlear implant in
2014 or 2015.

CP810 currently
backward compatible to
Freedom Implant and
N24 implants.

Naida Q70 CII,

HR90K, Hi-Focus
Harmony all internal
cochlear implant
models
Neptune CII, HR90K,
Hi-Focus
PSP - all internal
cochlear implant
models
Auria - CII & HR90K
S-Series - C1 and C1.2
All Processors are

backward and forward
compatible to all
internal implant
models.

Initial Warranty
Extended
Warranty
Options
Facilitation of
Community
CP810 will not be made

backward compatible to
N22 implants, but N22
recipients will get a new
sound processor that
will be the successor of
CP810 that will be
released in a year or
two.77

Freedom - all internal
cochlear implant
models

3G - all internal
cochlear implant
models

ESPrint - all internal
cochlear implant
models

Sprint Nucleus 24

Spectra Nucleus 22

MSP Nucleus 22
WSP Nucleus 22
Internal: 10 years
Processor: 3 years
repair and one time
replacement for theft
or loss78
ESCO policy also
available for theft and
loss.
1 year service plan, 3
options, plus Advance
Processor Purchase
Plan providing 5 years
of protection
See
mericas.com/Support/2
166.asp for all details

Cochlear Community
www.CochlearCommun
Internal: 10 years80
Processor: 5 years
Processor: 3 years
including one free-of-
ESCO available for theft charge replacement for
a stolen, lost or
and loss79
damaged processor81
Internal: 10 years
1 year service plan82
A variety of service
plans are available. A
very low cost ESCO
policy is also available.
Hearing Journey -
Hear Peers
www.hearingjourney.co www.HearPeers.com
SAFETY
Connections ity.com

www.facebook.com/Co
chlear

www.twitter.com/Cochl
earUS

www.youtube.com/Coc
hlearAmericas

http://www.linkedin.co
m/company/cochlear

Cochlear Awareness
Volunteer Network
www.CochlearAmericas
.com/Volunteer

Nucleus Forum
mericas.com/Communit
y/220.asp

Semi-Annual Cochlear
Celebration
www.cochlearamericas.
com/Celebration

Cochlear Implant
Education Events

Graeme Clark
Scholarship -
http://products.cochlea
ramericas.com/support
/scholarships/nucleus

MRI Compatibility U.S.

Yes, 1.5 tesla with
internal magnet
removed

Europe:
medium strength MRI
up to 1.5 Tesla with
magnet in place

MED-EL Patient Support
www.facebook.com/ad Team
vancedbionics

www.twitter.com/adva www.facebook.com/me
del.hearlife
ncedbionics

www.youtube.com/adv www.twitter.com/med
el
ancedbionics

www.linkedin.com/com www.youtube.com/ME
pany/advanced-bionics DELnetwork

Connect to Mentor
MED-EL Community
program
Cochlear Implant Expo
Events
Bionic Ear Association

Direct access to
Facebook, Twitter, and
YouTube through MED-
ELs Smartphone App.
U.S. & Europe:
U.S.
Yes, FDA approved for
1.5 Tesla with magnet
in place

Europe
1.5 Tesla with magnet
in place
Yes, .3 & 1.5 tesla with

internal magnet
removed

high-powered MRI up
to 3 Tesla with magnet
removed in a simple
outpatient procedure.

Internal Implant Surgical Drilling Depth:
Dimensions 2 mm
WxL 28mm, 56mm

Coil Diameter: 20mm
Surgical drilling depth:
3mm
Concert:
Housing Design
Length: 45.7mm
Length at stimulator:
17.3mm
Width at stimulator:
25.4mm
Width at coil: 29.0mm
Thickness at stimulator:
4.5mm
Thickness at coil:
3.3mm
Pin length 1.4mm
Pin diameter 1.0mm
Weight: 7.6 g83

Sonata:
Stimulator Housing
Length: 17.3 mm
Width: 24.8 mm
Thickness: 5.9 mm
Overall Implant
Dimensions
Length: 45.7 mm
Width at coil: 29.0 mm
Width at stimulator:
24.8 mm
Thickness at coil: 3.7
mm
Thickness at stimulator:
5.9 mm
Weight: 8.6 g84

Surgical Drilling Depth:
2 mm

Association of yes
Processor with Specific
Implant
Features of Electrode
Array to Minimize
Cochlear Damage
Case Impact Resistance
IRIS implant
identification

MED-ELs unique
implant identification
feature, IRIS
(Individual Recognition
of the Implant System),
prevents stimulation
from occurring if the
incorrect speech
processor is worn. This
is particularly important
for children with
Intellilink is also
bilateral implants and
program specific with
for school and group
AB's latest
programming software situations with
numerous children
SoundWave 2.0 &
using implants.
newer, allowing for a
single processor to be a
backup for a bilateral
recipient.
Softip
The HiFocus family of
Specially designed
A patented Softip at the electrodes is available
electrode array with
end of electrode array with the HiRes 90K
wave-shaped wiring
allows for gentle
and recessed contacts
implant. With two
insertion in order to
for an atraumatic
options,
t
he
H
iFocus
1
j
minimize the risk of
electrode insertion.
damage to the delicate and HiFocus Helix
These soft, flexible
85
placed on either the
cochlea structures
electrodes are designed

to provide the
inner or outer wall of
Slim Straight Array It the cochlea, your
capability for Complete
is the thinnest round
surgeon can choose the Cochlear Coverage
window electrode
(maximal use of the
most appropriate type
designed for
entire cochlea).
of
e
lectrode
f
or
y
our
preservation. It has
hearing.87
patented tampered
basal stiffener for a
smooth, single motion
insertion.86
1 joule
6 joules
2.5 joules
Pediatric Friendly
Features Tamper resistant
battery lock

Intellilink Safety
Feature Important for
young children and
bilateral recipients. The
Intellilink feature locks
customized programs to
the recipients specific
implant so that the
implant cannot be
activated with a
different processor.
AB programming
software suite,
SoundWave 2.0 and
newer, allows for
programmable volume
Tamper resistant
battery lock.

SoundGuard: All
processors self-monitor
and sensitivity in
addition to having the
option to disable setting
manipulation in case
processor controls are
bumped.
The Neptune processor
has removable controls
for waterproof and
childproof wearing
configurations.
Additionally, the
controls have a built in
"sync" light for
situations where
processor settings (i.e.
volume, sensitivity,
program) dials/switch
are changed and
therefore different to
current processor
settings.
ACCESSIBILITY
Location of Implant
Centers in Major
Geographic Areas

See
http://cochlear.com/wp
s/wcm/connect/intl/ho
me/connect/find-a-
clinic
to find a clinic near
you.

Number of 200,000+
Recipients
Worldwide
all programmed data

continuously to protect
against inconsistencies,
for example as a result
of static electricity. If a
problem is detected
SoundGuard
automatically stops
stimulation and the
Status Light flashes. By
turning the processor
off and on, all map
information is restored,
and no further action is
required by the user.

One FineTuner can
control two processors,
allowing bilaterally
implanted patients the
freedom from keeping
track of extra
accessories. Its battery
lasts more than one
year and is easily and
inexpensively replaced.

http://www.advancedbi http://www.medel.com
onics.com/com/en/your /us/clinic-finder/
_journey/find_a_clinic.
html
38,000+

*DISCLAIMER This brand comparison chart is NOT affiliated with Cochlear, MED-EL, and Advanced Bionics.
Please use it at your own discretion, and we still recommend consulting with the CI manufacturing companies,
surgeons, and audiologists to get more information.

2013 Cochlear Implant Online Last Updated 7/20/2013 Rachel Chaikof, Melissa Chaikof, Elizabeth Boschini
Special thanks to employees at cochlear implant manufacturing companies for providing information and
checking facts.

http://cochlearimplantonline.com/site/wp-content/uploads/2012/09/FUN656_Pitch-Steering_WhitePaper.pdf
http://cochlearimplantonline.com/site/wp-content/uploads/2012/09/Dual-electrode-pitch-discrimination-.pdf
3 Pitch Percepts
4 http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/professional/AB_HiRes_Fidelity_120_clinical_results.pdf
5 http://www.medel.com/US/img/download/20869_FineHearing.pdf
6 http://cochlearimplantonline.com/site/wp-content/uploads/2012/09/JaceWolfe2010.pdf
7 Ibid.
8 Brough et al. (2010) Speech discrimination scores using the latest generation of speech processors
9 http://cochlearimplantonline.com/site/wp-content/uploads/2012/09/JaceWolfe2010.pdf
10 Ibid.
11 Ibid.
12 http://cochlearimplantonline.com/site/wp-content/uploads/2012/07/ClearVoice-Clinical-Results.pdf
13 Ibid.
14 Ibid.
15
http://www.cochlear.com/wps/wcm/connect/intl/home/discover/cochlear-implants/the-nucleus-6-system-/nucleus-6-for-adults/nucleus-6-sound-
processor/smartsound-iq/smart-sound-iq-read-more-
16
http://www.cochlearamericas.com/Products/384.asp
17 http://www.cochlearamericas.com/Products/2180.asp
18 http://www.advancedbionics.com/com/en/products/sound_processing/autosound.html
19 http://www.advancedbionics.com/com/en/products/sound_processing/clearvoice.html
20
http://cochlearimplantonline.com/site/wp-content/uploads/2013/01/ab-brochure.pdf
21
22
23
24 http://www.cochlearamericas.com/Products/2180.asp
25
26
http://www.cochlearamericas.com/Products/384.asp
27
http://www.cochlear.com/files/assets/N34422F_ISS5_EN_Breaking-barrier-brochure_lr.pdf
28 http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/professional/AB_ClearVoice_White_Paper.pdf
29 http://www.advancedbionics.com/com/en/products/sound_processing/hires_fidelity_120.html
31 http://www.advancedbionics.com/com/en/products/accessories/t-mic.html
32
33
34 Sabine Haumann Thomas Lenarz Andreas Bchner. Speech Perception with Cochlear Implants as Measured Using a Roving-Level Adaptive Test Method.
ORL 2010;72:312318
35
36 http://www.advancedbionics.com/com/en/products/sound_processing/clearvoice.html
38 MED-EL FSP Clinical Trial, 2008. Data on file at MED-EL.
39 http://www.advancedbionics.com/com/en/products/accessories/t-mic.html
40 http://www.cochlear.com/files/assets/corporate/pdf/COH-AR_2011_ED_110831.pdf
43 http://www.advancedbionics.com/com/en/products/hires_90k_implant.html
44 IDR Range of sound heard from softest to loudest. Normal hearing dynamic range = 120 db.
45 http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/candidate/AB_Cochlear_Implant_Technology_Comparison_Chart.pdf
46 http://www.medel.com/us/show/index/id/119?PHPSESSID=ujg1u9b5m466kn1h7luh5j6vp0
47 http://professionals.cochlearamericas.com/sites/default/files/resources/FUN2012%20ISS4%20APR12%20Implant%20Reliability%20Report_4.pdf
48 Ibid.
49 Ibid.
50
http://www.theaustralian.com.au/business/wall-street-journal/failure-rate-of-cochlears-nucleus-5-implant-rises/story-fnay3vxj-1226492387210
51
http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/candidate/AB_Historical_Implant_Reliability%20Report_2012.pdf
52 http://www.medel.com/int/show/index/id/280/titel/Outstanding+Reliability+Data?PHPSESSID=rubav9jvcaatv7litob81si756
53 Ibid.
54 Ibid.
55 http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/candidate/AB_Technology_Reliability_Report_2012.pdf
56 http://www.cochlearamericas.com/newsletters/surgeon-letter-080312.html
57 http://www.theaustralian.com.au/business/companies/product-recall-wipes-835m-off-cochlears-value/story-fn91v9q3-1226135221282
58 http://cochlearimplantonline.com/site/wp-content/uploads/2011/01/2267-09_Download_en.pdf
59 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRES/res.cfm?id=35401
60 http://www.accessdata.fda.gov/psn/printer-full.cfm?id=11
61 http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/candidate/AB_Technology_Reliability_Report_2012.pdf
62
processor/connect-today-and-be-wireless-ready/connect-today-and-be-wireless-ready
63
64
http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/recipient/AB_Naida_CI_Q70_User_Guide.pdf
65 http://nucleus5.cochlear.com/uk/safe-powerful-battery-choices
66 http://www.advancedbionics.com/com/en/products/accessories/power.html
1
2

67
http://cochlearimplantonline.com/site/wp-content/uploads/2013/04/RONDO.pdf
http://www.medel.com/us/show2/index/id/790?versioncode=25b32e8c0f
69 http://www.advancedbionics.com/com/en/Neptune/freestyle_design.html
70 http://www.advancedbionics.com/com/en/professionals/training_library.html
71 http://cochlearimplantonline.com/site/wp-content/uploads/2012/05/22754.pdf
72 http://products.cochlearamericas.com/products/introducing-nucleus-system/2-nucleus-system/water
73 http://products.cochlearamericas.com/products/introducing-nucleus-system/2-nucleus-system/water
74
http://www.advancedbionics.com/content/dam/ab/Global/en_ce/documents/recipient/AB_Naida_CI_Q70_User_Guide.pdf
75 http://products.cochlearamericas.com/cochlear-implants/nucleus-system/getting-connected
76 http://www.advancedbionics.com/us/en/products/accessories/t-mic.html
77 http://cochlearimplantonline.com/site/wp-content/uploads/2012/05/Southern-Sounds-March-2012.pdf
78 http://products.cochlearamericas.com/support/cochlear-implants/warranty-information and http://www.cochlear.com/au/warranty
79 http://www.advancedbionics.com/com/en/support/warranty_exchangepolicy.html
80 http://www.medel.com/US/img/download/maestro3.0_faq.pdf
81 http://www.medel.com/data/editor/file/press_releases_US/5-Year-Warranty.pdf
82 http://www.advancedbionics.com/com/en/support/warranty_exchangepolicy.html
83 http://www.medel.com/data/downloads/MAESTRO/22676_CONCERTO_Factsheet_English.pdf
84 http://www.medel.com/data/pdf/20404.pdf?PHPSESSID=ujg1u9b5m466kn1h7luh5j6vp0
85 http://www.cochlear.com/uk/delivering-choice
86
http://www.cochlear.com/wps/wcm/connect/us/for-professionals/cochlear-implants/Products/implants-and-instrumentation/CI422-slim-straight
87 http://www.advancedbionics.com/com/en/products/hires_90k_implant.html
68

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COCHLEAR

Year Started 1981 (Global

Internal Implant Titanium and silicone

Processing Hi-Ace (CI24RE, CI422,

Carrera 7 No. 83-29

Independent Current Single

HiRes Fidelity 120-P

Scientific studies have

known as SCAN. This

Hearing in Noise SmartSound iQ

to hear your best no

system, which is also

UltraZoom - This dual

AB's HiRes Fidelity 120

Telemetry AutoNRT (Automated

Electrode Contour Advance

Double electrode array

Input Dynamic Range44 Up to 45 db

Impedance and Field

Freedom at 7 years out

HiRes 90K at 6 years out

Concerto at 2 years out:

Past Recalls with 2011: "In December

Processor Reliability No Data Available

2010: The HR90K

Neptune - no data yet

*Return rate reflect

Processors Nucleus 6 System

Wireless Yes Cochlear licensed

All MED-EL processors

Battery Life - Standard

accessory streams high-

Low Battery Indicator - Flashing Light on

How Magnet Strength Different strength

Water Resistance IP44 (Protected against

Neptune: Neptune has

FM Battery Pack for

Telephone Use AutoPhone

Naida Q70: The

Naida Q70 CII,

All Processors are

CP810 will not be made

1 year service plan82

MRI Compatibility U.S.

U.S. & Europe:

Yes, .3 & 1.5 tesla with

WxL 28mm, 56mm

Case Impact Resistance

all programmed data

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