Cochlear Implant Comparison Chart

Cochlear Implant Comparison Chart
COCHLEAR IMPLANT COMPARISON CHART
DISCLAIMER: FTC provisions (16 CFR Part 255) regulate product endorsements, testimonials, and blogs, specifically in the Revised Endorsement
Guides. This chart is maintained by Advanced Bionics implant users, some of whom are volunteer mentors, with no paid relationship to any cochlear
implant manufacturer. Any errors or omissions are our own. Please contact us with any corrections, and please feel free to print or distribute this
chart. The latest version will always be available at: CochlearImplantHELP.com
ADVANCED BIONICS
COCHLEAR
MED-EL
COMMENTS
Cochlear images provided
courtesy of Cochlear™ Americas,
© 2009 Cochlear Americas
Advanced Bionics
CORPORATE
OWNERSHIP
ESTABLISHED,
LOCATION
Owned by:
Sonova Holding AG 1
Traded as: PHBN:GR SONVF:US
SOON1:EB SOON:BQ SOON:TQ
SONVY:US
AB: 1993 California, USA
Sonova: 1947 Switzerland
Traded as: COH:AU CHEOF:US
OC5:GR CHEOY:US
Privately owned & founded by:
Prof. Erwin Hochmair + Dr.
Ingeborg Hochmair
1981 Australia
1977 Austria
US PATENTS
(AS OF 27-JUL-14)
419
340
ESTIMATED
MARKET SHARE
15%
65%
HiRes 90K Advantage
HiRes 90k
CURRENT
IMPLANT
IMAGES NOT
TO SCALE
MED-EL
Cochlear
126
2
CI422 Slim Straight (not shown)
CI24RE Contour Advance (CA)
or Straight (ST)
CI24R Double Array (not shown)
USA patents only to avoid global
duplications: US Patent Office
Quick Search by “Assignee Name”
Google Patent Search
--
CONCERT
SONATA
COMING SOON!
MED-EL’s SYNCHRONY
Cochlear Implant System
PENDING REGULATORY APPROVAL
NOT AVAILABLE IN ALL MARKETS
Factsheet
1
2
Sonova Holding AG owns Phonak.
Advanced Bionics' New Tech Could Take Share From Cochlear
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 1 of 8
ADVANCED BIONICS
MAXIMUM
STIMULATION
RATE
83,000 PPS
COCHLEAR
32,000 PPS
MED-EL
3
51,000 PPS
COMMENTS
PPS rate is the number of
updates per second the implant
is capable of providing.
16
22
12
ELECTRODES
16
22
Up to 24
Electrical contacts between the
implant and the cochlea.
ELECTRODE
DRIVERS
16
1
12
Electrode drivers generally use
paired current sources.
MAXIMUM
SIMULTANEOUS
ELECTRODE
DRIVERS
4
1
1
CHANNELS
RF CARRIER
& DATA RATE
ELECTRODE
ARRAY
LENGTH OF
ELECTRODE
ARRAYS
IMPLANT
HOUSING & COIL
DIMENSIONS
(WITHOUT ARRAY)
IMPLANT
CASE
THICKNESS
(120 virtual)
49 MHz, 1Mb sec
4
5 MHz, 0.5Mb sec
4
12 MHz, 0.6Mb sec 4
FLEX 28
FLEX 24
Standard
Medium
Compressed
HiFocus Mid-Scala
HiFocus 1J
HiFocus Helix
CI422 Slim Straight
CI24RE (CA) 5
CI24RE (ST) 5
CI24R Double Array
HiFocus
Mid-Scala: 18.5/15.0
1J:
25.0/17.0
Helix:
24.5/13.25
CI422:
25.0/20.0
CI24RE (CA): 23.9/15.0
CI24RE (ST): 28.0/16.4
CI24R:
15.0/8.25
FLEX 28:
28.0/23.1
FLEX 24:
24.0/20.9
Standard:
31.5/26.4
Medium:
24.0/20.9
Compressed: 21.1/15.0
Advantage: 56.0 x 28.0
HiRes 90K: 56.0 x 28.0
CI422: 50.5 x 30.6
CI24RE: 51.2 x 30.9
CI24R: 51.2 x 30.9
CONCERT: 45.7 x 25.4
SONATA: 45.7 x 24.8
PULSAR: 33.6 x 26.4
Advantage: 5.5
HiRes 90K: 5.5
CI422: 6.9
CI24RE: 6.9
CI24R: 6.9
CONCERT: 4.5
SONATA: 5.9
PULSAR: 4.0
5
Implant to sound processor
communication frequency & data
rate.
Multiple array types provide
options for unusual physiologies.
New MED-EL FLEX arrays are
smaller in diameter. 6
Measurements in millimeters
(mm).
Electrode arrays in total/active
lengths, if known.
Length (L) x Width (W)
Measurements in millimeters
(mm).
Measurements in millimeters
(mm).
3
CI24R Double Array 14,400 PPS
Zeng FG, Rebscher S, Harrison W, Sun X, Feng H., “ Cochlear Implants: System Design, Integration, and Evaluation” Page 63 Table II
Cochlear CI24RE housing and coil available with two electrode array configurations, Contour Advance (CA) and Full Band Straight (ST). CI24R is configured with a split array for ossification.
6
MED-EL offers four unique electrode array designs in the FLEX Portfolio.
4
5
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 2 of 8
ADVANCED BIONICS
COCHLEAR
MED-EL
Advantage: 3.0
HiRes 90K: 3.0
CI422: 2.3
CI24RE: 2.3
CI24R: 2.3
CONCERT: N/A 7
SONATA: 2.0
PULSAR: Data not available
Advantage: 2.5
HiRes 90K: 2.5
CI422: 4.6
CI24RE: 4.6
CI24R: 4.6
CONCERT: 4.5
SONATA: 3.9
PULSAR: Data not available
IMPLANT
WEIGHT
Advantage: 12.0
HiRes 90K: 12.0
CI422: 9.5
CI24RE: 9.5
CI24R: 9.5
CONCERT: 7.6
SONATA: 8.6
PULSAR: 9.3
IMPLANT
CASING
Advantage: Titanium
HiRes 90K: Titanium
CI422: Titanium
CI24RE: Titanium
CI24R: Titanium
CONCERT: Titanium
SONATA: Titanium
PULSAR: Ceramic
BONE RECESS
DEPTH
ELEVATION
FROM BONE
IMPACT
RESISTANCE
REMOVABLE
MAGNET
6 Joules
1 Joule
Yes
--
0.2 Tesla or less
MRI WITH
MAGNET
REMOVED
0.3 Tesla and 1.5 Tesla
Up to and including 1.5 Tesla
WARRANTY
CURRENT RELIABILITY
10 years
2013 Reliability Report
10 years
2014 Reliability Report
1.5 Tesla
10
Measurements in millimeters
(mm).
Elevation from bone often
referred to as “bump height.”
Weight in grams (g).
Magnet removal instructions are
available from each implant
manufacturer; procedure should
always be coordinated with the
implant center.
No
MRI WITH
MAGNET
Measurements in millimeters
(mm).
See American Academy of Audiology
”To Drill or not to Drill a Well for the
Cochlear Implant’s Internal Device?”
Damage resistance from
accidental impact.
2.5 Joules
Yes
COMMENTS
Indications for MRI safety, with
or without magnets, vary by
country subject to regulatory
approval. 9
8
MRI Safety website
Cochlear Implant Safety
Cochlear Implant List
--
10 years
Reliability Information
All manufacturers claim top
reliability. Search the FDA
database; Product Code: MCM
Reliability overview.
7
Available without or with fixation pins requiring two 1.0mm x 1.4mm recesses.
Has been FDA approved.
Magnet Dislocation: An Increasing and Serious Complication Following MRI in Patients with Cochlear Implants
10
MRI compatibility varies by country and/or regulatory agency. See Global Warnings. MRI at 3.0 Tesla may be available with a compression bandage; instructions and white paper.
8
9
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 3 of 8
ADVANCED BIONICS
Naída CI Q70
User Guide
11
COCHLEAR
MED-EL
Nucleus® 6 12
CP910 & CP920
User Guide
RONDO 13
User Manual
COMMENTS
Latest processor from each
manufacturer may not be
available in all markets.
COMING SOON!
MED-EL’s SONNET
Audio Processor
CURRENT
PROCESSOR
PENDING REGULATORY APPROVAL
NOT AVAILABLE IN ALL MARKETS
IMAGES NOT
TO SCALE
Factsheet
Neptune
User Guide
OPUS 2
User Manual
Each manufacturer offers
multiple wearing options.
FineTuner
User Manual
Remote control discussion.
CURRENT
PROCESSOR
IMAGES NOT
TO SCALE
Naída CI Q70
MyPilot
User Guide
Nucleus® 6 System
CR230 Remote Assistant
User Guide
CR210 Remote Control
User Guide
(pages 9-11)
REMOTE
CONTROL
IMAGES NOT
TO SCALE
11
Naida CI Q70 has received FDA approval; has been approved in Europe, Canada and other markets; other markets are pending.
Nucleus® 6 (CP900 series) has received FDA and the CE Mark approval, and has been approved in Canada. Other markets are pending. If the Nucleus 6 CP910 & Nucleus 6 CP920 features/functions
are the same use of Nucleus 6 will refer to both.
13
RONDO is backward compatible to all implants since 1996.
12
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 4 of 8
ADVANCED BIONICS
PROCESSOR
DIMENSIONS
AS INDICATED IN
MANUFACTURER’S
LITERATURE
PROCESSOR
WEIGHT
Naída with
PowerCel 110: 49 x 9
PowerCel 170: 55 x 9
PowerCel 230: 59 x 9
Zinc-Air Pak: 53 x 9
x
x
x
x
COCHLEAR
19
19
19
19
Neptune: 26 x 18 x 60
Neptune Connect: 17 x 18 x 58
Naída with
PowerCel 110:
PowerCel 170:
PowerCel 230:
Zinc-Air Pak:
11g
13g
13g
13g
Neptune: 32g
Neptune with Connect: 43g
IP57: Naída
14
WATERPROOF
IP68: Naída with AquaCase
with AquaMic & PowerCel 110
battery.
IP68: Neptune sound processor &
AquaMic configuration.
MED-EL
COMMENTS
Dimensions in millimeters
Height (H) x Width (W)
x Depth (D)
Naída depth dimensions are
without an earhook or T-Mic 2.
Neptune dimensions with waterproof configuration & Color
Cover.
Cochlear Nucleus 6 dimensions
are with a medium earhook.
MED-EL OPUS 2 XS & Standard
battery packs use disposable
zinc-air batteries.
Nucleus 6 CP910 with
Compact: 42.3 x 9 x 47.7
Standard: 51.3 x 9 x 47.7
Zinc-air: 51.3 x 9 x 47.7
Nucleus 6 CP920 with
Compact: 39.1 x 9 x 47.7
Standard: 48.1 x 9 x 47.7
Zinc-air: 48.1 x 9 x 47.7
OPUS 2 with
XS:
48.0 x 8.7 x 36.5
DaCapo: 57.8 x 8.7 x 36.5
Standard: 57.8 x 8.7 x 36.5
Nucleus 6 CP910 with
Compact: 10.5g
Standard: 13.0g
Zinc-air: 12.8g
OPUS 2 with
XS:
9.4g
DaCapo: 10.1g
Standard: 12.4g
Nucleus 6 CP920 with
Compact: 9.8g
Standard: 12.4g
Zinc-air: 12.1g
RONDO: 21.5g with magnet &
batteries
IP44: Nucleus 6 processor with
disposable battery module.
IP57: Nucleus 6 processor with
rechargeable battery module.
IP68: Nucleus 6 Aqua+ 14 with
Aqua+ coil & rechargeable
batteries.
OPUS 2: No claims made.
RONDO: No claims made.
Nucleus 6: Two omnidirectional
on top.
OPUS 2: One omnidirectional on
top.
MICROPHONE
Naída: T-Mic2 at ear canal
entrance, two omnidirectional on
top, one located in headpiece.
Neptune: Located in headpiece,
T-Mic with T-Comm
MICROPHONE
AT ENTRANCE
TO EAR CANAL
Naída:
Yes
Neptune: Yes with T-Comm
accessory
No
INPUT DYNAMIC
RANGE (IDR)
Up to 80dB
Up to 45dB
SOUND CODING
STRATEGIES
CIS, MPS, HiRes-P/S, HiRes
F120-P/S 16, ClearVoice 16, HiRes
Optima 16 17
ACE, CIS, SPEAK
\
RONDO:
44.1 x 11.8 x 37.2
Weights are in grams.
Weights of battery packs include
batteries.
IP rating description.
RONDO: One omnidirectional.
15
No
Microphone at the ear canal
instead of above the ear - better
in noise, natural telephone and
headphone placement.
75dB
IDR discussion.
HD-CIS, FSP
18
, FS4
19
, FS4-p
19
These allow the audiologist to
give you a different way to
“hear” sound.
14
Not approved in all markets.
(IIDR) instantaneous input dynamic range
Not approved for pediatric patients in the United States; may be available “off-label.”
17
HiRes Optima processing on the HiRes Fidelity 120 platform increases battery capabilities.
18
Not approved for pediatric patients in the United States; may be available “off-label.”
19
Not approved in United States; subject to regulatory approval in other markets.
15
16
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 5 of 8
ADVANCED BIONICS
20
PROGRAM
SLOTS
Naída:
5
Neptune: 3
USER
CONTROLS
Naída: Button functions for
program changing, volume level,
microphone sensitivity & standby
mode; bilateral users can use one
MyPilot to adjust both processors.
Neptune: Program switch, volume
dial, sensitivity dial
BATTERY
WARNING
Naída:
Yes
Neptune: Yes
LED
STATUS
Naída:
Yes
Neptune: Yes
BATTERY LIFE
MANUFACTURER CLAIMS
OF MAXIMUM
OPERATING TIME
WARRANTY
Naída PowerCel
110:
17 hours
170:
27 hours
230:
36 hours
Zinc-Air: 56 hours
AAA:
183 hours
COCHLEAR
COMMENTS
Nucleus 6: 4
OPUS 2: 4
RONDO: 4
Nucleus 6: Button functions for
on/off, button lock on/off,
program changing, volume level,
microphone sensitivity & telecoil
on/off; bilateral users can use
one Remote Assistant or Remote
Control to adjust both processors.
OPUS 2: Battery pack lock controls on/off, all other functions
available on the FineTuner.
Bilateral users can use one
FineTuner to adjust both
processors.
Audible beeps are
programmable.
OPUS 2: Yes
RONDO: Yes
Nucleus 6: Yes
OPUS 2: Yes
RONDO: Yes (2)
Nucleus 6
Compact: 18 hours
Standard: 31 hours
Zinc-air: 60 hours
OPUS 2
XS:
60 hours
DaCapo: 16 hours
Standard: 90 hours
RONDO
3 zinc-air:
Nucleus 6 Processor: 5 years 22
Coil & Cables:
5 years 22
USA Warranty
User controls are clinician
enabled.
RONDO: Same as OPUS 2
Nucleus 6: Yes
Neptune
Ni-MH AAA: 21 hours
Alkaline AAA: 21 hours
Lithium AAA: 30 hours
Naída processor: 3 years
UHP & Cables: 3 years
T-Mic 2:
3 years
Neptune: 3 years
UHP:
3 years
AquaMic: 2 years
Cables: 1 year
MED-EL
Visual status indicator for
parent, caregiver or teacher.
21
21
21
5 days
OPUS 2 processor: 3 years
Coil & Cables :
3 years
OPUS 2: 5 years (USA only)
RONDO: 5 years (USA only)
Zinc-air batteries (675) are
disposable; others are
rechargeable.
Programming algorithms trade
battery life for hearing
performance.
For BTE processors each
manufacturer may have off the
ear battery options.
Warranty period generally starts
on day of initial activation, may
vary per country. Manufacturers
may offer a one-time replacement for loss or accidental
damage during the initial
warranty period.
Global warranty
20
21
22
Up to 10 programs stored in processor memory for bilateral users; Intellilink automatically recognizes & selects which implant the processor is fitted on.
When used in combination with the D coil headpiece.
USA only. “Three (3) year warranty when purchased as part of an upgrade.” Three (3) year warranty in most global markets.
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 6 of 8
ADVANCED BIONICS
DIRECT
CONNECT
AUXILIARY
INPUT
TELECOIL
FM
BLUETOOTH
WIRELESS
BILATERAL
CONTROLS
WIRELESS
BILATERAL
STREAMING
WIRELESS
BIMODAL
STREAMING
CLINIC FINDER
23
COCHLEAR
Naída: Yes with ComPilot
Neptune: Yes
Nucleus 6 CP910: Yes
Nucleus 6 CP920: No
Naída: Accessory socket on
ComPilot
Neptune: Accessory socket, T-Mic
with T-Comm
Nucleus 6 CP910: Accessory
socket for adapters
Nucleus 6 CP920: None
MED-EL
OPUS 2: Yes with FM Battery
Pack Cover
RONDO: Yes with Mini Battery
Pack
COMMENTS
Audio cable plugged directly into
processor or accessory. Bilateral
implantees can listen in stereo.
OPUS 2: Accessory socket on
bottom of FM Battery Pack Cover
RONDO: Accessory socket on
bottom of Mini Battery Pack
Naída:
Yes
Neptune: Yes with T-Comm
Nucleus 6: Yes
OPUS 2: Yes
RONDO: Yes
Telecoil (mono signal) provides
wireless (magnetic induction)
access to hearing aid compatible
telephones, and induction loop
systems in many public &
private buildings or areas.
Naída: Yes, with Roger digital FM
on the PowerCel 170 battery.
Neptune: Yes, with Euro FM port
Nucleus 6: Under development
wireless to dedicated transmitters
OPUS 2: Yes, using telecoil with
FM Battery Pack Cover
RONDO: Yes, using telecoil with
Mini Battery Pack
FM is a wireless analog or digital
transmission from a microphone or other transmitter
either directly to the processor
or gateway device.
Nucleus 6: Under development
with Wireless Phone Clip
OPUS 2: Yes, using telecoil with a
3rd party system
RONDO: Yes, using telecoil with a
3rd party system
External Bluetooth adapters can
be used on sound processors
with direct connect inputs or via
FM transmitters.
Nucleus 6: Yes
OPUS 2: Yes
RONDO: Yes
Bilateral users can control both
processors from either
processor.
Nucleus 6: No
OPUS 2: No
RONDO: No
Sound from one processor can
be streamed to the other
processor, such as telephone
calls and in situations where the
desired sound is on one side
(e.g. in a car).
Nucleus 6: Under development
with compatible GN ReSound
hearing aid
OPUS 2: With telecoil only
RONDO: With telecoil only
Wireless Bluetooth streaming to
both a hearing aid and an
implant sound processor.
Naída CI: Yes, with ComPilot
Neptune: Yes, with MLxi and
Phonak SmartLink+
Naída: Yes 23
Neptune: No
Naída: Yes
Neptune: No
Naida: With compatible Phonak
Hearing Aid
Neptune: No
Advanced Bionics
Clinic Finder
Cochlear
Clinic Finder
Med-EL
Clinic Finder
Contact clinic to verify that they
offer the implant of your choice.
QuickSync feature allows for simultaneous volume & program setting adjustments on two sound processors; bilateral users have ability to control both sound processors from one without a remote control.
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 7 of 8
ADVANCED BIONICS
MANUFACTURER
SPONSORED
REHABILITATION
MANUFACTURER
FORUMS
MANUFACTURER
FACEBOOK
PRESENCE
MANUFACTURER
SPONSORED
SUPPORT
MANUFACTURER
SOCIAL MEDIA
PRESENCE
VOLUNTEER
PROGRAMS
RUMORS
COCHLEAR
The Listening Room
Rehabilitation resources
Musical Atmospheres
HOPE (Re)habilitation Resources
Listening Tools
MED-EL
Programme for Interactive
Listening Activities
Bridge to Better Communication
Bridge Downloads
COMMENTS
Rehabilitation is critical for
cochlear implant success, with
lots of material on line, apps to
download, etc.
Large spreadsheet of
rehabilitation apps created and
maintained by Tina Childress,
AuD.
USA/CAN: Hearing Journey
Spain: Hearing Journey
Netherlands: Hearing Journey
Germany: Hearing Journey
France: Hearing Journey
Cochlear Community
UK Cochlear Club
Hear Peers
By joining an online forum users
& candidates community can
learn about cochlear implants
from people who use them daily.
English (International)
English (UK)
Spanish (Latin America & Spain)
Dutch (Nederland)
German (Germany)
French (France)
English (USA & Canada)
English (Asia Pacific)
English (EU, ME & Africa)
English (International)
German (Germany)
Spanish (Spain)
Spanish (Latin America)
Italian (Italy)
Vietnamese (Viet Nam)
Manufacturer Facebook pages
are where manufacturers
members share & exchange
information.
Bionic Ear Association
Connect with the Bionic Ear
Association (BEA), a support
network of volunteers & hearing
health professionals.
EU Newsletter
Cochlear country website
Connect with a global team of
volunteers around the world
through the Cochlear Awareness
Network (CAN).
Connect with the MED-EL US
Patient Support Team
YouTube
LinkedIn
Instagram
YouTube
LinkedIn
Instagram
YouTube
LinkedIn
Instagram
Twitter
Pinterest
Twitter
Pinterest
Bionic Ear Association (BEA):
USA, UK, Spain, Germany,
Nederlands
Volunteer Advocates (UK)
Cochlear Community (US)
Cochlear Awareness (AU/NZ)
Upcoming sound processing may
include excitation beyond the end
of the array for extra low bass
response.
Software under development for
the Nucleus 6 sound processor to
provide wireless connectivity.
MED-EL Offices Worldwide
Twitter
Pinterest
Volunteer implantees are often
matched with “candidates” who
are seeking one-on-one support
through in-person contact or by
email.
OPUS 2 and RONDO have been
developed to support upcoming
sound coding strategies.
Search the FDA Premarket
Approval (PMA) database (MCM
code).
All manufacturers invest heavily
in R&D bringing spirited
competition for better
performing implants and smaller
sound processors advancing
technologies.
Cochlear Implant Comparison Chart | Version 3.3b 27-Jul-14 | © 2012-2014 Cochlear Implant HELP | CochlearImplantHELP.com | Page 8 of 8
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