1. Cochlear Implant & Bone Anchored Hearing Aid
How the hearing sense works?
The Cochlear implant, CI.
Who is a candidate for cochlear implant?
Manufacturers of CI.
Compatibility between Comfort Digisystem and the available cochlear implants in the market.
Bone Anchored Hearing Aid
The typical BAHA user.
Manufacturers of BAHA.
Compatibility between Comfort Digisystem and the BAHA

2. The human Hearing sense
The outer ear picks up the sound vibrations
The Sound vibrations are directed to the middle ear by the ear channel

3. The human Hearing sense
Ossicular Chain
The Ear drum sets the Ossicular chain in motion
The Ossicular chain in its turn sets the Perilymph (Fluid in the cochlear) in the cochlear in motion

4. The human Hearing sense
The Mechanical vibrations are converted to the electrical pulses by the hair cells
The electrical pulses are sent to the auditory cortex by the auditory nerves

5. Cochlear Implant Some facts about the Cochlear Implant:
Around 1790 Alessandro Volta experimentally discovered that electrical stimulation in the auditory system can create a perception of sound.
“ It is like a thick boiling soup“, He said.
André Djourno performs the first cochlear implantation in France,
Dr. Michelson's patents and device are thought as the first cochlear implants.
Alessandro Volta
André Djourno

6. Cochlear Implant A cochlear implant consists of two parts:
The sound processor
The implant
A flexible electrode array is inserted into the entire cochlear

7. Cochlear Implant
The sound vibrations are converted to electrical signals and transmitted through the skin into the implant via the coil.
The implant creates electrical pulses from the received signals and sends them to Auditory Cortex via Cochlear and auditory nerves.

8. Cochlear Implant
Brief overview

9. Who is a CI Candidate? For young children: 12 months to 2 years
Have profound sensorineural hearing loss (nerve deafness).
Receive limited benefit from hearing aids.
Children: 2 to 17 years
Have severe-to-profound sensorineural hearing loss (nerve deafness).
Adults: 18 year and over Have moderate-to-profound sensorineural hearing loss (nerve deafness).
Score 50 percent or less on speech recognition tests in the ear to be implanted and 60 percent or less in the non-implanted ear when using hearing aids.

10. Cochlear Implants in the world
Approximately CI wearers globally and their number increases with 33,000 Cis annually
80,000 CI wearers in North America
20,000 CI wearers in Latin America
70,000 CI wearers in Europe
30,000 CI wearers in Asia/ Pacific region

11. Cochlear Implants in our core markets
Norway
Sweden
Norway = 990 users
Sweden = 2,100 users
Denmark = 1,036 users
Germany = 15,000 – 18,000 users
USA = 80,000 users
Denmark
Germany

12. Manufacturers of CI
Advanced Cochlear Systems in Seattle, Washington, Nurobiosys Corporation in Seoul, Korea Nurotron Biotechnology Inc. based in both Irvine,CA and Hangzhou, China

13. Comfort Digisystem & CIs
Advanced Bionics
Cochlear Implant
Recommended Comfort Digisystem Devices
Auria
DH10
Harmony
* The test results are based upon the field tests performed by Comfort Audios staff.

14. Comfort Digisystem & CIs
Cochlear™
Cochlear Implant
Recommended Comfort Digisystem Devices
Cochlear™ Nucleus® CP810 Ver. A & B
DH10
Cochlear™ Nucleus® CP810 Ver. C
DT10 & DH10
Nucleus® Freedom TM BW & BTE
ESPrit 3G
ESPrit / SPrint / Spectra
* The test results are based upon the field tests performed by Comfort Audios staff.

15. Comfort Digisystem & CIs
MED-EL
Cochlear Implant
Recommended Comfort Digisystem Devices
OPUS 2
DT10 & DH10
DUET1 / DUET2 / OPUS1 / TEMPO+
DH10
* The test results are based upon the field tests performed by Comfort Audios staff.

16. Bone Anchored Hearing Aid
Invented and Developed by a Swedish Medical company named Entific in Mölndal Sweden. Founded in 1999.

17. Who is a typical BAHA candidate?
People with Aural atresia
People with Microtia
A Bone Conduction Threshold = dB HL
People with large conductive hearing loss

18. BAHA World Wide About 70,000 users World wide
Increasing by 20% per Year
0.4 percent of the market is penetrated
Two Manufacturers:
Cochlear = 90%
Oticon = 10%

19. Comfort Digisystem & BAHA
Bone Anchored Hearing Aid
Recommended Comfort Digisystem Devices
Cochlear™ Baha 3 Sound Processor (BP100)
DT10 & DH10
Cochlear Baha 3 Power Sound Processor (BP110)
* The test results are based upon the field tests performed by Comfort Audios staff.

20. Comfort Digisystem & BAHA
Bone Anchored Hearing Aid
Recommended Comfort Digisystem Devices
Ponto
*DT10 & DH10
* The test is unfinished.

21. Results of our compatibility tests
CI/ BAHA Model
Comfort Digisystem
DT DH10
Advanced Bionics
Auria 
Harmony
Cochlear CI
Nucleus® CP810 Ver. A & B
Nucleus® CP810 Ver. C
Nucleus® Freedom TM BW & BTE
ESPrit 3G
ESPrit / SPrint / Spectra
Cochlear BAHA
BP100
BP110
MED-EL
OPUS 2 *
DUET1 / DUET2 / OPUS1 / TEMPO+
* All test results are based upon the field tests performed by Comfort Audios staff.