Carina – the fully implantable hearing solution-eng 2009-09-04
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1. OTOlogics develops middle ear implants (MEI), including the fully implantable Carina hearing system and semi-implantable MET system, which have been implanted in over 800 patients worldwide. 2. The Carina is a fully implantable hearing system consisting of a microphone, battery, signal processor, and transducer. It received CE marks for sensorineural and conductive/mixed hearing loss. 3. The Carina is indicated for patients with ear canal issues, those who work in challenging environments, and conductive or mixed hearing losses. It provides an invisible and reversible option to address various hearing loss profiles.
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Thanks for logging in to this Powerpoint. This is a grand rounds presentation I delivered at Swedish Hospital in Seattle in January, 2011. Enjoy!
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Bone Conduction Hearing Devices(BCHDs)
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This document summarizes research on outcomes for children who receive cochlear implants at a young age. It finds that children implanted under age 2 generally achieve speech intelligibility and integrate into mainstream schools similarly to hearing children. However, older children who are implanted show slower development and may have delayed language skills compared to their peers. The document emphasizes the importance of early intervention and rehabilitation to optimize outcomes for children with cochlear implants.
2004 05-29-ci non miraculum est
The document discusses cochlear implants, including their history and development. It covers improvements in implant technology and speech processors over time. It also discusses failures, categorizing them as either hard failures that require explantation, or soft failures that can be resolved through programming. Survival rates of different implant models are presented. The roles of early screening, appropriate candidacy criteria, rehabilitation approaches like auditory-verbal therapy, and parent participation are addressed. While cochlear implants provide significant benefits, the document suggests they should not be considered miracles.
Methodologies and organization of rehabilitation-eng 2010-04-08
The document discusses methodologies and organization of rehabilitation for cochlear implant recipients in Europe. It provides an overview of 6 key questions about CI rehabilitation processes: 1) Where rehabilitation happens, 2) Responsibility of surgeons, 3) Responsible professionals, 4) Healthcare vs education activity, 5) Educational backgrounds of rehabilitation specialists, 6) Responsibility of hearing vs communication experts. The document aims to analyze differences in CI rehabilitation approaches across European countries.
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- 1. OTOlogics Carina the fully implantable hearing solution Dr. Dr. h.c. Monika Lehnhardt Yerevan , September 4, 2009
- 2. OTOlogics Established in 1996 in Boulder, Colorado Our focus is on middle ear implants (MEI) Products: Carina fully implantable MET semi-implantable hearing system Implanted in more than 80 clinics worldwide + 800 patients benefit from Otologics technology
- 3. The Fully Implantable Hearing System Carina CE mark for SNHL Oct. 2006 CE mark for CMHL in 2007
- 4. Carina The fully implantable hearing system Microphone Communication coil Rechargeable battery Transducer Digital signal-processor
- 5. Carina Accessories Charging station - On / Off - Louder/Softer Remote: - On / Off - Louder/Softer
- 6. Battery Life Battery Service Life profile from accelerated life test data. Assumes complete discharge, 50 mAh battery and an implantable middle ear hearing device
- 7. Location of the microphone Mounting plate Transducer Capsule Microphone
- 8. Sensorineural Hearing Loss Patients with a normal middle ear anatomy And with a mobile ossicular chain Transducer simply placed in contact with the incus
- 9. Audiological Guidelines Hearing loss, preferably not exceeding 70dB HL Pure tone air and bone conductions must be within this range Preserved speech discrimination Experience in using hearing aids is preferable
- 10. Indications For patients with Ear canal complications (size, allergies, reactions ) Hearing aid users with dermatitis, psoriasis, chronic external otitis And those working in challenging environments (water, dust) Removes the stigma of wearing an external device
- 11. Conductive Hearing Loss Flexible placement options of the transducer Delivers clear and powerful acoustic signals to the cochlea Stapes Round Window Oval Window
- 12. Indications Congenital Aural Atresia Healed Cholesteatoma Revised Ossiculoplasties Traumatic Injury Counter indications: - Persistent middle ear infections - Tympanic perforation
- 13. Mixed Hearing Loss Audiological guidelines: SNHL preferably not exceeding 70dB HL Preserved speech discrimination scores Indications: Otosclerosis Healed cholesteatoma with a sensorineural component Stabilized chronic otitis media with a sensorineural component Cases of conductive hearing loss with a growing deterioration of sensorineural hearing
- 14. Conclusions MET and Carina cover a broad range of the hearing loss Safe surgeries - no risk - fully reversible Very stable implanting systems Carina: ü indicated for multiple hearing loss profiles ü many options for middle ear stimulation ü an invisible hearing system ü a unique alternative for severe mixed hearing loss working in challenging conditions
- 15. c