carina monika lehnhardt yerevan 2009
DESCRIPTION
Presentation by Dr. Dr. h.c. Monika Lehnhardt on Carina fully implantable hearing system by Otologics, Yerevan September 2009TRANSCRIPT
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