Cochlear Implant - Med-El

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THE MED-EL COMBI 40+ IMPLANT With a research heritage spanning over 25 years, MED-EL is pioneering cochlear implant technology and research worldwide. This expertise has led to the development of the COMBI 40+ family of cochlear implants, specially designed to be atraumatic and minimally invasive while providing users unparalleled performance. GENTLE TECHNOLOGY Soft electrode The biocompatible silicone array features recessed electrode contacts to avoid injury to the delicate cochlear structures. Specially designed flexible electrode The tip and oval cross-section of the electrode array gently follow the curvature of the cochlea during insertion. Thinnest implant package available At approx. 4mm thick, the COMBI 40+ is ideal for use with even very small children. Small volume electrode The electrode array is designed such that it does not fill or obstruct the cochlea. Small cochleostomy required The small diameter, thin singlebranch electrode array requires the smallest cochleostomy of all implants available. The conical shape of the electrode shaft and the marker ring facilitate a tight cochleostomy seal. Output capacitors, telemetry, self-check integrity, and other features ensure the highest level of safety. Engineered for Excellence A decisive factor in cochlear implantation is to minimise trauma to the delicate structures of the cochlea. Due to its unique design features, we believe that the MED-EL COMBI 40+ represents the current Gold Standard. Safety features T. Balkany, Miami DESIGNED FOR PERFORMANCE The COMBI 40+ is uniquely designed for deep electrode insertion (approx. 31mm) for stimulation of the complete frequency range. w. Gstöttner Optimised electrode spacing for distinct pitch perception Electrode contact spacing reduces neural interaction and provides enhanced speech cues and more natural sound. Deep electrode insertion Deep insertion targets the apical area of the cochlea where there is often better neuronal survival. Representation of low pitch information at the correct place in the cochlea may enhance important speech cues such as intonation, vowel discrimination and some binaural cues. Ceramic housing, the modern material of choice The compact, robust ceramic case is similar in hardness to the surrounding bone and allows the transmission of a large amount of information with low energy requirements. All components including the receiver coil are located in and protected by the housing. Optimised stimulation rate for best performance The COMBI 40+ features an infinitely variable stimulation rate that can be adjusted according to individual needs.
READY FOR THE FUTURE Outstanding Results Technology means nothing without outcomes. MED-EL COMBI 40+ patients demonstrate outstanding results which range from mean monosyllable scores of 70% 1 to telephone use 2 and even music enjoyment. 3,4 Additionally, MED-EL COMBI 40+ users reach high performance levels quickly, reaching mean scores of 84% sentence understanding as early as 6 months. 1 Given today’s rapid advances in technology, MED-EL is committed to ensuring that cochlear implant recipients are able to take advantage of future developments and upgrades. MED-EL demonstrates this commitment with the TEMPO+ BTE Speech processor, the only BTE speech processor which can be used by recipients of both the MED-EL COMBI 40+ and the previous generation implant, the COMBI 40. Compatible with future technologies The flexible design platform and ability to stimulate at high rates allow the COMBI 40+ to be compatible with future technological upgrades. MRI safe, no additional surgery necessary The COMBI 40+ is the only implant available that is MRI safe (0.2, 1.0 and 1.5 Tesla) 5,6,7 without the need for surgical removal of the magnet, and thus no additional period of deafness MED-EL's Focus on Electrode Development Cochlear implantation is not only performed on one of the body's smallest structures, but also on one of the most delicate. For this reason, it is both a surgical and technical challenge. Since the foundation of MED-EL, the company's philosophy has been to develop atraumatic electrodes designed for highest performance and maximum protection of the cochlea. This is of critical importance because trauma to the cochlea may increase the potential for post-operative problems and restrict access to future technological upgrades. Important considerations include minimisation of mechanical forces applied to the delicate structures of the cochlea, as well as promotion of a tight cochleostomy seal to prevent post-operative infection. MED-EL is committed to focusing research efforts to achieve further improvements in this area to ensure that our electrodes are not only high performing, but structure and function preserving. C. Gary Wright, Ph.D. University of Texas Southwestern Medical Center, Dallas, Texas
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Cochlear Implant - Med-El

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