carina monika lehnhardt yerevan 2009

Carina – the fully implantable hearing solution

Dr. Dr. h.c. Monika Lehnhardt

OTOlogics

Yerevan , September 4, 2009

• Established in 1996 in Boulder, Colorado

• Our focus is on middle ear implants (MEI)

• Products:

Carina™ – fully implantable

MET™ – semi-implantable hearing system

• Implanted in more than 80 clinics worldwide

• + 800 patients benefit from Otologics technology

OTOlogics

The Fully Implantable Hearing System

CE mark for SNHL Oct. 2006

CE mark for CMHL in 2007

Carina™

Rechargeable battery

Digitalsignal-processor

Microphone

Transducer

Communication coil

Carina™ The fully implantable hearing system

Carina™ Accessories

Remote:- On / Off- Louder/Softer

Charging station- On / Off- Louder/Softer

Battery Life

Battery Service Life profile from accelerated life test data. Assumes complete discharge, 50 mAh battery and an implantable middle ear hearing device

Location of the microphone

Mounting plate Transducer

MicrophoneCapsule

Sensorineural Hearing Loss

• Patients with a normal middle ear anatomy• And with a mobile ossicular chain• Transducer simply placed in contact with the incus…

Audiological Guidelines• Hearing loss, preferably not exceeding 70dB HL• Pure tone air and bone conductions must be within this range• Preserved speech discrimination • Experience in using hearing aids is preferable

Indications

For patients with…

• Ear canal complications (size, allergies, reactions…)• Hearing aid users with dermatitis, psoriasis,

chronic external otitis• And those working in challenging environments (water, dust)

• Removes the stigma of wearing an external device

Conductive Hearing Loss

• Flexible placement options of the transducer• Delivers clear and powerful acoustic signals to the cochlea

Stapes Round Window Oval Window

Indications

• Congenital Aural Atresia

• Healed Cholesteatoma

• Revised Ossiculoplasties

•Traumatic Injury

Counter indications:- Persistent middle ear infections- Tympanic perforation

Mixed Hearing Loss

Indications:• Otosclerosis• Healed cholesteatoma with a sensorineural component• Stabilized chronic otitis media with a sensorineural

component• Cases of conductive hearing loss with a growing

deterioration of sensorineural hearing

Audiological guidelines:

• SNHL preferably not exceeding 70dB HL• Preserved speech discrimination scores

• MET and Carina cover a broad range of the hearing loss• Safe surgeries - no risk - fully reversible• Very stable implanting systems

• Carina: ü indicated for multiple hearing loss profilesü many options for middle ear stimulationü an invisible hearing system ü a unique alternative for

• severe mixed hearing loss• working in challenging conditions

Conclusions

спаcибо