Monsana Conference, St. Petersburg :
Cochlear Presentation
Richard Brook
President
Cochlear Europe, Middle East & Africa

Welcome & Thank You
Dr. Dr. Monika Lehnhardt
Professor Nakatis
Professor George Tavartkiladze
Professor Yanov
Professor Daikhes

Cochlear : Background
Leader in implant able devices for hearing impaired:
1. Cochlear implants (CI)
2. Baha ®
3. Electro-Acoustic Stimulation (HybridTM)
4. Direct Acoustic Cochlear Stimulator (DACS)
Global company with focus on innovat ion
~ 2,000 employees & produc ts sold in 100+ countries
~ 13% of sales spent on R&D, (es t) CI market share of 70%
120,000 CI recipients

gf
The Portable Speech Processor PSP-2 - 1980

Nucleus/Cochlear Clinical Trial 1982-85

1991

Cochlear s Focus Areas
1. Continue to improve hearing performance
2. Smaller, better, easier processors
3. Simplify for professionals
4. Make sure pat ients can use new technology
5. Set new standards in product reliability

Mean Open-Set Scores
(Adults, electrical stimulation alone at 3 months. Tests in English)
100
Words
Key words in Sentences
n = 77
80
n = 148
n = 32
Correct (%)
60
n = 45
40
n = 16
20
0
Strategy: F0/F2 F0/F1/F2 Multispeak SPEAK ACE
Year: 1978 1979-80 1989 1991 1998

Freedom for Adults:- outstanding
performance in quiet and noise
Significant increase in scores post-operatively
Continuing improvement shown over 12
months

Very Young Language Outcomes:
3
Equivalent Language Age
2
(years)
1
0
0 1 2 3 4
Chronologic al Age (years)
Dettman, et al., 2006, in press

Very Young Language Outcomes:
Group A, CI 12 months (N=11)
Individual growth rates for children with 2 or more administrations of
receptive language subscale of RI-TLS
3
Equivalent Language Age
2
(years)
1
0
0 1 2 3 4
Chronologic al Age (years)
Dettman, et al., 2006, in press

Cochlear s Focus Areas
1. Continue to improve hearing performance
2. Smaller, better, easier processors!
3. Simplify for professionals
4. Make sure pat ients can use new technology
5. Set new standards in product reliability

Sound Processors
Smaller Sound Processors

Helping people stay connected
Wireless Connectivity

Future = no sound processors!
Tiki - Totally Invisible Hearing
Implantable
Research CI
Integrated
Implantable
Microphone
Integrated Integrated
Rechargeable Digital Signal
Battery Processor

Cochlear s Focus Areas
1. Continue to improve hearing performance
2. Smaller, better, easier processors!
3. Simplify for professionals
4. Make sure pat ients can use new technology
5. Set new standards in product reliability

Simplification for clinicians
Simple fitting methods for
routine fitting

Addressing daily life in Russia
Remote Recipient Fitting &
Follow-up
Clinic /
Fitting Centre
Internet
Cochlear

Cochlear s Focus Areas
1. Continue to improve hearing performance
2. Smaller, better, easier processors!
3. Simplify for professionals
4. Make sure pat ients can use new technology
5. Set new standards in product reliability

Recipient access to l atest technol ogy
CI24RE CI24R CI24M CI22
Freedom

Cochlear s Focus Areas
1. Continue to improve hearing performance
2. Smaller, better, easier processors!
3. Simplify for professionals
4. Make sure pat ients can use new technology
5. Set new standards in product reliability

Set benchmarks in product reliability

Reliability is important !
Competitor A Public data
Worse
3
from company
Competitor A
websites
Competitor B
2 Old
Competitor Competitor A
1
B New
Better
Nucleus Freedom
0
0 1 2 3 4 5 6 7 8
Years
Cochlear:
Competitor A
Competitor B
1 Publication: Nucleus Reliability Report, Vol. 5, June 2008.
2 Publication: Advanced Bionics - Auditory Reliability Report, Summer 2008.
3 MED-EL Website: http://www.medel.at/english/30_Products/01_MAESTRO/pulsar/Pulsar.htm (October 2008)

Reliability does not happen by chance!!

Key Points Summary
Cochlear s Commitment to helping the hearing impaired
Leader in Implantable Hearing Solutions
R&D for Russia Today
1. Continue to improve heari ng performanc e
2. Smaller, better, easier processors!
3. Simplify for profes sionals
4. Make sure patients can use new technology
5. Set new standards in product reliability

!!