Cochlear Implants
Who is a candidate
What is an implant
When should an implant be considered
Where do you start
How can it be successful
June 8, 2024
Cathryn Luckoski, Audiologist
Let’s start with two stories.
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Cathryn Luckoski, MS, MBA, CCC/A
Ascension St. Vincent Audiology Services
Carmel IN
Template Guide
A reminder for content slides: Do not allow your text to descend below the line and overlap the Ascension logo. ��If you need more room for text, use Title and Content Option 2 in the template.
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Questions that I am asked most often!
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WHO is a candidate?
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Over 28 million adults could benefit from a hearing device, but many choose not to pursue treatment. 1
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Who has a cochlear implant?
“As of July 2022, more than 1 million cochlear implants have been implanted worldwide. In the United States, roughly 118,100 devices have been implanted in adults and 65,000 in children. “ 1
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Why is there a reluctance to pursue effective treatment for hearing loss?
Cost | Access to Services |
Trust / Fear | Aesthetics |
Support | Benefit |
Lack of understanding / information | Not sure where to start |
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Neurologic effects of hearing loss. 3
Short term - loss of connections, isolation, fatigue
Long term - loss of connections, isolation, memory, executive function, earlier onset of cognitive deficits
*Variables: cause, age at onset, age of initial treatment, time since onset of significant hearing loss
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Are you a candidate?
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What you need to hear. 4
Normal
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What does an audiogram look like for an adult that might be a candidate for a cochlear implant?
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Moderate to Profound Hearing Loss 5
Mild
Moderate
Severe
Profound
Normal
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Moderate to Profound Hearing Loss 6
Mild
Moderate
Severe
Profound
Normal
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Moderate to Profound Hearing Loss 6
Mild
Moderate
Severe
Profound
Normal
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Single Sided Deafness 6
Bone Conduction Implant
12 years of age or older, can consider a bone conduction implant
Normal hearing in one ear, and profound hearing loss in the opposite ear
Have tried a hearing aid without success
Cochlear Implant
5 years of age or older, can consider a cochlear implant
No worse than a mild hearing loss in one ear, and severe to profound hearing loss in the opposite ear
Have tried a hearing aid without success
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When to ask for a referral to a specialist for a cochlear implant candidacy evaluation:
The 60 / 60 Rule 7
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60 / 60 Rule for Speech Understanding
Speech Understanding:
90%+
80%
70%
60%
less than 60%
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WHAT is an implant?
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Surgical Hearing Treatment Solutions:
Cochlear Implants
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How the ear works. 8
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How the cochlear implant works. 5, 6
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Sound 5
-Sound happens as a physical change in the environment
-Sound enters the ear as waves of pressure changes
-Low frequencies, or bass sounds, are introduced as slower pressure changes
-High frequencies, or treble sounds, are introduced as faster pressure changes
-Loudness is dependent on the power or amplitude of the pressure waves
-Pressure waves are instantaneous and complex
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Hearing occurs in the brain! 9
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Replicating sound with a cochlear implant
Thoughtco.com
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Replicating sound with a cochlear implant
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Implant Companies in the US 5, 6, 10
MEDEL - medel.com: First multi-channel cochlear implant implanted in December 1977 at the ENT University Clinic in Vienna, Austria. FDA approved in the US in August of 2001.
Cochlear - cochlear.com: Founded in Sydney, Australia in 1981. FDA approved in adults in 1985 and in children in 1990 (24 months and older)
Advanced Bionics - advancedbionics.com: Founded in 1993 and based in Valencia, CA. FDA approved in adults in 1996-1997, and in children in 2001.
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How does the implant give the sense of hearing? 5, 6, 10
You start with a microphone, a battery and small computer chip. A Sound Processor.
Features | Cochlear | MEDEL | Advanced Bionics |
Over The Ear | Nucleus 8 | Sonnet 2 | Naida CI M 90 |
Off The Ear | Kanso 2 | Rondo 3 | None |
Rechargeable | Yes | Yes | Yes |
Disposable Battery | Yes - Nucleus 8 | Yes - Sonnet 2 | Yes - Naida CI M 90 |
Dynamic Microphone | Yes | Yes | Yes |
Automatic Sound Sensor | Yes - SCAN | Yes - Automatic Sound Management | Yes - AutoSense OS |
Smart Phone Compatible | Yes | Yes- for APP *need adapter for calls | Yes |
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How do they compare 5, 6, 10
Sound Features | Cochlear | MEDEL | Advanced Bionics |
Electrodes | 22 | 12 | 16 |
Sound Coding Technology | ACE | Fine Hearing | HiRes Fidelity 120, ClearVoice |
Full Day Battery Use | Yes | Yes | Yes |
Accessories to enhance listening in challenging situations | Mini Mmic 2+, TV Streamer, | AudioLink, Remote Mic | Roger On iN V2, personal mic, TV Link |
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Advancements in Audio Technology is driving the usability of all hearing devices.
Template Guide
A reminder for content slides: Do not allow your text to descend below the line and overlap the Ascension logo. ��If you need more room for text, use Title and Content Option 2 in the template.
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Millennials have normalized technology!
“Changing how people think is like getting them to change a habit” , Rebecca Knill, How technology has changed what it’s like to be deaf. TED Health, July 26, 2022
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Implant company technology and partnerships that enhance accessibility. 5, 6, 10
Cochlear Smart
AB Remote
MEDEL Audio2Ear , AudioKey
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WHEN should an implant be considered?
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Simple: when hearing and enjoying life is no longer fully possible with a standard hearing aid.
Speech Understanding:
90%+
80%
70%
60%
less than 60%
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WHERE do you start?
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Clinic Finder
MEDEL - https://www.medel.com/en-us/clinic-finder
Cochlear - https://www.cochlear.com/us/en/connect/find-a-clinic
AdvancedBionics - https://www.advancedbionics.com/us/en/home/contact-us/2/find-a-clinic
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Ask a professional for a referral.
-Primary Physician
-Otolaryngologist
-Audiologist
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Ask a trusted friend for a contact.
-HLAA
-Cochlear Implant User
-Connect with a specialist within one of the implant companies.
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HOW can it be successful?
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Each individual has a unique set of expectations, needs and health history.
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Don’t do it alone, look to the broader community.
-Community Support
-Implant Company Support
-Professional Support
-Social media, Blogs
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Implant Company Led
Cochlear: Recipient Solutions Managers
Advanced Bionics: AB Success Team
MEDEL: Consumer Engagement Managers - Shana Lucius
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Leverage Technology
–Captel, InnoCaption
-Loop / T-Coil Systems
-Implant Accessories
-FM Systems
-Ask the Expert Articles
InnoCaption Q&A With Tina Childress - Audiologist, Late-Deafened Adult, Bilateral Cochlear Implant Recipient, ASL User and Travel Warrior
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Know your technology! Show Someone!
-Model of hearing aid
-Model of Implant
-Warranty
-Otolaryngologist Name and contact information
-Audiologist Name and contact information
Write this down and put in a shared space for easy access.
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Ascension St. Vincent Audiology
The team at Ascension St. Vincent Audiology is pleased to offer diagnostic and treatment services. Referrals are accepted by fax at 317-582-9037 or by phone at 317-582-9029.
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Bibliography
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