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ImplantationCandidacyElectrodeOutcomesSurgicallyBilateralModiolusSurgeonLateralAuditorySurgicalModerate to profoundNerve cellsCandidatesProcessorAmplificationHealthcareProvideLossClinicalIllustrationCentersResearchersAdultsSuitableConnectEvaluateParticipantsProcessesExperienceSurgeryReliableSpeechAudiologistJournalDevicesHearMakeSystemTechnologyIndustryEvaluationYearsMethodsPeople
Implantation9
  • This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. (lww.com)
  • and (c) early intervention to minimize negative long-term effects on communication and quality of life related to delayed identification of implant candidacy, later age at implantation, and/or limited commitment to an audiologic rehabilitation program. (lww.com)
  • Scalar Translocation in Cochlear Implantation. (cochlear.com)
  • https://journals.ww.com/thehearingjournal/Fulltext/2020/02000/Scalar_Translocation_in_Cochlear_Implantation.3.aspx. (cochlear.com)
  • Although individual responses to cochlear implants are highly variable and depend on a number of physical and psychosocial factors, the trend toward improved performance with increasingly sophisticated electrodes and programming strategies has dramatically expanded indications for cochlear implantation. (medscape.com)
  • Because preoperative expectations affect the patient's postoperative satisfaction and use of the implant, all patients and families require attention and counseling from an implant team before they embark on the life-changing journey of cochlear implantation. (medscape.com)
  • The HINT measures word-recognition abilities to evaluate the patient's candidacy for cochlear implantation, in conjunction with conventional pure-tone and speech audiometry. (medscape.com)
  • 40 % and ≤ 60 %, cochlear implantation may be covered only when the provider is participating in and patients are enrolled in either an FDA-approved category B IDE clinical trial, a trial under the CMS Clinical Trial Policy, or a prospective, controlled comparative trial approved by CMS. (cms.gov)
  • We are proposing that the evidence is sufficient to determine that cochlear implantation may be covered for treatment of bilateral pre- or post-linguistic, sensorineural, moderate-to-profound hearing loss in individuals who demonstrate limited benefit from amplification. (cms.gov)
Candidacy4
  • These evidence-based guidelines for current clinical protocols in determining pediatric cochlear implant candidacy encourage a team-based approach focused on the whole child and the family system. (lww.com)
  • This document aims to provide professionals and consumers with current, evidence-based criteria for determining cochlear implant (CI) candidacy for the pediatric population. (lww.com)
  • In determining cochlear implant candidacy, the HINT is performed without background noise, despite its name. (medscape.com)
  • As noted earlier, when used to assist in the determination of cochlear implant candidacy, the HINT is currently performed in quiet. (medscape.com)
Electrode13
  • The HiRes Ultra implant family offers two electrode designs, the straight HiFocus™ SlimJ electrode and the precurved HiFocus™ Mid-Scala electrode, to offer the surgeon a choice based on their practice preferences and the recipient's anatomy. (advancedbionics.com)
  • HiFocus electrode contacts are encased in a slim flexible tapered silicone carrier to minimize insertion forces and damage to cochlear structures during surgery. (advancedbionics.com)
  • What's more, our cochlear implants are individualized, so that the electrode array fits your individual cochlea. (medel.com)
  • Lone Tree, Colo. (August 17, 2020) - Cochlear Limited (ASX: COH), the global leader in implantable hearing solutions, today announced the U.S. and Canada commercial availability of the Cochlear TM Nucleus® Profile TM Plus with Slim 20 Electrode (CI624). (cochlear.com)
  • The Slim 20 Electrode expands Cochlear's cochlear implant portfolio, which consists of the slimmest electrodes, designed to be atraumatic, on the market. (cochlear.com)
  • The electrode length of 20 mm is optimized for structural preservation of the cochlea. (cochlear.com)
  • 5 The Slim 20 Electrode is indicated for all surgical approaches and has been designed with 22 electrode contacts to maximize cochlear implant hearing performance. (cochlear.com)
  • We are pleased to add the Slim 20 Electrode to our market leading portfolio of electrodes," said Brian Kaplan, MD, Senior Vice President, Clinical Strategy and Innovation, Cochlear Limited. (cochlear.com)
  • Cochlear's electrode portfolio offering includes the thinnest electrodes on the market, as well as perimodiolar arrays shown to maximize performance with focused stimulation. (cochlear.com)
  • Cochlear offers a robust cochlear implant electrode portfolio designed to offer different type of arrays, including the latest technology in perimodiolar and lateral wall electrodes designed for cochlea preservation, patient performance and surgeon preference. (cochlear.com)
  • In addition to having the market leading electrode portfolio, Cochlear Nucleus Implants are the most reliable cochlear implants in the industry both today and over time. (cochlear.com)
  • Reach out to your Cochlear representative for more information on Cochlear's electrode portfolio. (cochlear.com)
  • Slim, Modiolar Cochlear Implant Electrode: Melbourne Experience and Comparison With the Contour Perimodiolar Electrode. (cochlear.com)
Outcomes8
  • Influence of electric mismatches on electric-acoustic stimulation outcomes (Dillon et al. (figshare.com)
  • Cochlear implant (CI) recipients with hearing preservation experience significant improvements in speech recognition with electric-acoustic stimulation (EAS) as compared to with a CI alone, although outcomes across EAS users vary. (figshare.com)
  • Influence of electric frequency-to-place mismatches on the early speech recognition outcomes for electric-acoustic stimulation users. (figshare.com)
  • By minimizing cochlear disruption, HiFocus electrodes offer an increased opportunity for better hearing outcomes. (advancedbionics.com)
  • 1,2 Additionally, Cochlear's Slim Modiolar research outcomes continue to affirm that combining the benefits of consistent scala tympani placement with focused electrical stimulation maximizes outcomes. (cochlear.com)
  • Differences in spectro-temporal degradation may explain some variability in cochlear implant users' speech outcomes. (bvsalud.org)
  • Results from this simulation study on listeners with typical hearing show that channel interaction may impact speech recognition more than masking release, and may have implications for the effects of channel interaction on cochlear implant users' speech recognition outcomes. (bvsalud.org)
  • Predictive Effect of Bone Conduction Pattern on Hearing Outcomes of Stapes Surgery. (uc.edu)
Surgically2
  • The cochlear implant is a surgically placed device that converts sound to an electrical signal. (medscape.com)
  • Guided by these models, Henderson surgically implanted the devices in the five participants. (quicknews.co.za)
Bilateral2
  • An estimated 14.3% of Americans aged 12 years or older (about 38.2 million people) have bilateral hearing loss. (medscape.com)
  • Speech recognition thresholds and spatial release from masking were measured in 16 normal-hearing subjects listening to simulated bilateral cochlear implants. (bvsalud.org)
Modiolus2
Surgeon2
  • Cochlear has the only complete portfolio that meets needs of all surgeon preferences and all hearing losses indicated for cochlear implants. (cochlear.com)
  • A patient with hearing impairment does not simply have a surgical problem that responds only to the intervention of an implant surgeon. (medscape.com)
Lateral3
  • The peripheral segments of the cochlear and vestibular nerves join at the lateral part of the internal auditory canal (IAC) to form the vestibulocochlear nerve. (medscape.com)
  • The researchers hoped that precise electrical stimulation of the central lateral nucleus and its connections could reactivate these pathways, turning the lights back up. (quicknews.co.za)
  • The researchers created a virtual model of each brain that allowed them to pinpoint the location and level of stimulation that would activate the central lateral nucleus. (quicknews.co.za)
Auditory4
  • However, recommendations for a cochlear implant evaluation also should maintain flexibility and consider a child's skill progression (i.e., month-for-month progress in speech, language, and auditory development) and quality of life with appropriately fit hearing aids. (lww.com)
  • The hypothesis that EHF hearing loss is associated with poorer auditory resolution in the standard frequencies was tested. (bvsalud.org)
  • The longer central fibers, also called the primary auditory fibers, form the cochlear nerve, and the shorter, peripheral fibers extend to the bases of the inner and outer hair cells. (medscape.com)
  • Applications include improved cochlear implant development, inner ear regenerative techniques, inner ear surgery, and auditory physiology. (stanford.edu)
Surgical2
  • The HiRes™ Ultra cochlear implant was developed in collaboration with leading cochlear implant surgeons to meet the surgical need and those of the recipient. (advancedbionics.com)
  • By focusing on structural preservation, hearing performance and surgical preference, we are happy to provide cochlear implant surgeons with a range of solutions to meet their patients' needs in hearing. (cochlear.com)
Moderate to profound1
Nerve cells2
  • In this episode, Rene Gifford, director of the Cochlear Implant Research Laboratory at Vanderbilt University, discusses how she and an interdisciplinary team developed methods to improve cochlear implants by fine-tuning how implanted electrodes stimulate nerve cells. (sciencefriday.com)
  • Our research is focused on finding a way to switch the pathway temporarily, in order to promote both regeneration of hair cells and their integration with nerve cells, both of which are critical for hearing. (regenerativemedicine.net)
Candidates1
  • [ 6 ] However, many candidates for cochlear implants do not have access to this procedure, due to failure to recognize appropriate candidates or because of inadequate healthcare resources. (medscape.com)
Processor6
  • Behind every good audio processor is a great implant. (medel.com)
  • An advanced implant works with your audio processor to give you the best sound quality possible-whether you're talking to friends, enjoying your favourite music or just hearing the little sounds in life. (medel.com)
  • Your audio processor can be upgraded every few years, however your implant will be with you for much longer. (medel.com)
  • You also need to choose an audio processor, which will work with your CONCERTO implant to give you great hearing. (medel.com)
  • The RONDO 3 audio processor makes hearing incredibly simple. (medel.com)
  • 10-12 Cochlear also provides the only behind-the-ear, Nucleus 7 Sound Processor, and off-the-ear, Kanso® 2 Sound Processor, cochlear implant sound processors with direct smartphone connectivity* and optimized to support remote care services. (cochlear.com)
Amplification1
  • [ 7 ] Over time, indications have been broadened to include adults with severe hearing loss who may also achieve some benefit from conventional amplification. (medscape.com)
Healthcare1
  • Bennett RJ, Kelsall-Foreman I, Barr C, Campbell E, Coles T, Paton M, Vitkovic J. Utilisation of tele-audiology service delivery during the COVID-19 pandemic: Perspectives of hearing healthcare clinicians. (earscience.org.au)
Provide3
  • To make insertion easy and to provide flexibility for surgeons, the implant is designed for a shallow 1mm ramped recess, requiring minimal drilling to reduce surgery time. (advancedbionics.com)
  • For patients with hearing loss that is not mitigated by hearing aids, a cochlear implant may provide an opportunity for hearing. (medscape.com)
  • CMS is also proposing that we may provide coverage of cochlear implants for beneficiaries not meeting the coverage criteria listed above when performed in the context of FDA-approved category B investigational device exemption clinical trials as defined at 42 CFR 405.201 or as a routine cost in clinical trials under section 310.1 of the National Coverage Determinations Manual titled Routine Costs in Clinical Trials. (cms.gov)
Loss11
Clinical1
  • Current treatments offer little improvement, but results of a clinical trial of a new brain stimulation device, published in Nature Medicine , have shown great promise in at least partially restoring cognitive function. (quicknews.co.za)
Illustration1
Centers1
  • [ 1 ] According to the US Centers for Disease Control and Prevention (CDC), of babies screened in the United States in 2019, 1.7 per 1000 had hearing impairment. (medscape.com)
Researchers3
  • In the new study, which involved researchers from URMC and the Massachusetts Ear and Eye Infirmary, which is part of Harvard Medical School, the team tested the theory that signaling from the EGF family of receptors could play a role in cochlear regeneration in mammals. (regenerativemedicine.net)
  • The researchers focused on a specific receptor called ERBB2 which is found in cochlear support cells. (regenerativemedicine.net)
  • The researchers found that activating the ERBB2 pathway triggered a cascading series of cellular events by which cochlear support cells began to proliferate and start the process of activating other neighboring stem cells to become new sensory hair cells. (regenerativemedicine.net)
Adults2
  • The thin 4.5mm profi le and small footprint offers a discreet solution once implanted, making it suitable for both adults and children. (advancedbionics.com)
  • In the present study, pure-tone frequency thresholds were measured in 19 older (61-74 years) and 20 younger (22-28 years) typically hearing adults. (bvsalud.org)
Suitable1
  • And they'll examine how more people may benefit from these implants than the FDA currently considers suitable. (sciencefriday.com)
Connect1
  • Picture that you're studying to be an audiologist and, ironically, relying on an implant to connect you to the world. (sciencefriday.com)
Evaluate1
  • The present study employs vocoder simulations on listeners with typical hearing to evaluate how differences in degree of channel interaction across ears affects spatial speech recognition. (bvsalud.org)
Participants1
  • After a two-week titration phase to optimise the stimulation, the participants spent 90 days with the device turned on for 12 hours a day. (quicknews.co.za)
Processes1
Experience5
  • They'll also discuss other research that's exploring ways to help people who wear implants enjoy music and experience directional hearing. (sciencefriday.com)
  • This way, you can make the most of your cochlear implant, and experience the best hearing you possibly can. (medel.com)
  • And because of our long and positive experience with MRIs, your CONCERTO cochlear implant even comes with a life-long MRI guarantee . (medel.com)
  • Each implant is handmade at our headquarters in Europe, using decades of experience to ensure it is of the quality you deserve. (medel.com)
  • And experience your best hearing, whatever you're doing. (medel.com)
Surgery1
  • This allows you to use the latest technology without having extra surgery to get a new implant, so that you can always hear your best. (medel.com)
Reliable2
  • All implant components are highly reliable and durable. (advancedbionics.com)
  • It's this dedication that makes MED-EL the reliable choice for your cochlear implant. (medel.com)
Speech2
  • Rene Gifford is an associate professor of hearing and speech sciences at the Vanderbilt University Medical Center in Nashville, Tennessee. (sciencefriday.com)
  • Although a number of speech-recognition tests are currently used for different reasons, one of the most common such tests is the hearing in noise test (HINT), which assesses speech recognition in the context of sentences. (medscape.com)
Audiologist2
  • That was the situation in which Vanderbilt audiologist Ally Sisler-Dinwiddie found herself after a car accident took away her hearing midway through graduate school. (sciencefriday.com)
  • Heffernan E, Maidment D, Ferguson M. A qualitative study of patient and audiologist experiences of implementing the Why Improve My Hearing? (earscience.org.au)
Journal1
Devices2
  • Since 1981, Cochlear has provided more than 600,000 implantable devices, helping people of all ages, in more than 180 countries, to hear. (cochlear.com)
  • About 736,900 registered cochlear implant devices had, as of December 2019, been placed in patients worldwide. (medscape.com)
Hear1
  • That's an approximation of what you might hear if you were trying to listen to a conversation while relying on a cochlear implant to hear. (sciencefriday.com)
Make2
  • With exceptional sound quality and outstanding reliability, CONCERTO uses the latest technology to make the most of your hearing. (medel.com)
  • The vestibular and cochlear (acoustic) ganglia neuroblasts are derived almost exclusively from the otocyst epithelium, in contrast to other cranial sensory ganglia in which both ganglionic and neural crest placodes make extensive contributions to the neuroblast populations. (medscape.com)
System2
  • The deaf community over time has worked to improve the educational system for those who are deaf and hard of hearing. (wikipedia.org)
  • MED-EL cochlear implants use advanced coding strategies, designed to give you the closest to natural hearing of any CI system. (medel.com)
Technology1
  • Just because you are receiving your implant now, that doesn't mean that you won't benefit from future hearing technology. (medel.com)
Industry1
  • The HiRes™ Ultra and 90K Advantage cochlear implants exceed the industry standard for impact resistance 1, 2, 3 and allow recipients to participate in everyday activities and sports without worry. (advancedbionics.com)
Evaluation1
  • Gotowiec S, Bennett RJ, Larsson J, Ferguson M. Development of a self-report measure of empowerment on the hearing health journey: a content evaluation study. (earscience.org.au)
Years3
  • CONCERTO is designed with long-term reliability in mind, providing you with years of exceptional hearing. (medel.com)
  • Your implant will be with you for many years to come, so it needs to be built for future reliability and durability. (medel.com)
  • In 1986, the FDA allowed children at least 2 years of age to be implanted, but the age limit has since been lowered to 9 months. (medscape.com)
Methods1
  • This research demonstrates a signaling pathway that can be activated by different methods and could represent a new approach to cochlear regeneration and, ultimately, restoration of hearing. (regenerativemedicine.net)
People2
  • IRA FLATOW: Also here to talk more about the research that's making implants more useful to people like Ally is Rene Gifford. (sciencefriday.com)
  • See why hundreds of thousands of people have entrusted MED-EL with their hearing. (medel.com)