Cochlear announces the release of the Baha® SoundArc

News from Cochlear

The latest non-implantable bone conduction innovation from Cochlear is here! The Baha SoundArc is a new hearing solution for people who live with conductive hearing loss, mixed hearing loss or single-sided sensorineural deafness (SSD). It is the world’s first non-surgical, behind-the-head bone conduction hearing device, specially designed for children who are not ready for a bone conduction implant and adults who want to trial bone conduction in everyday situations.

Picture: Baha SoundArc. Available in sizes S, M, L, and XL. The color tips are not available until CE marked.

“All previous non-surgical devices have used the head or ears to aid in retention. With the Baha SoundArc we needed to find a way to deliver excellent sound quality, power performance and fit all different head shapes and sizes – without compromising on comfort”, says Mats Dotevall, Director of Design & Development at Cochlear Bone Anchored Solutions AB (CBAS).

With the introduction of the Baha SoundArc, Cochlear adds another unique device to its broad portfolio of bone conduction hearing options. The aesthetically appealing and easy-to-wear Baha SoundArc works together with all of Cochlear’s Baha 5 sound processors.

Picture: The Baha SoundArc is an excellent option for children who are not ready for a bone conduction implant

The Baha SoundArc is expected to become a popular choice for both adults and children. User satisfaction was tested during a first experience program in a number of selected clinics in the UK from April to June 2017. The reported results were excellent, with an overall satisfaction rating of more than 85% in take-home trials.

“For us it’s not about a one-size fits all approach, it’s about innovating and making sure our customers have options that fit both their lifestyle and their stage in life”, says Rom Mendel, President of Acoustics at CBAS.

The availability of the Baha SoundArc will differ from country to country. Please check the availability in your country with your local Cochlear office.

Read the press release here.

Meet the Team

The Baha® 5 and Baha® 5 Power sound processors are developed, designed and shipped from Sweden worldwide, but did you know they are also manufactured and assembled here too? The concept, design, development, testing, manufacturing, packing and logistics are all done under one roof!

Meet some of the great people who work together to design, test and manufacture the Baha System at Cochlear Bone Anchored Solutions.

The Production Team

These are the people who make sure that all details are perfectly put in place so that the sound processors meet all requirements. It takes less than thirty minutes to produce one sound processor, and every fourth minute a new unit is packed and ready to be shipped!

The Research and Applications Team

Our team of audiologists and acoustical engineers are the ones who make sure that the Baha 5 sound processors and accessories are adapted to the specific needs of the recipients.

How do they do this?

By meeting hundreds of people every year to evaluate the hearing performance and benefits of the implant systems. They also manage sponsored clinical trials of the Baha system at clinics all around the world, including the largest ever clinical investigation undertaken for bone conduction hearing implants – an ongoing project that involves seven countries across Europe!

The Design & Development Team

Our Implant Engineers and Acoustic System Engineers are a small part of the team who design, develop and test our implants and sound processors, making sure that each individual component is fine tuned and works together as an entire Baha System.

The Product Management Team

Have you ever wondered how the features of your sound processor and implant have been developed to meet your needs?

Our Product Managers have a fundamental role in ensuring the voice of the customer is at the centre of all sound processor and the implant system development. From meeting with users, audiologists, ENT surgeons and educating professionals, to establishing close collaborations with research teams all around the world, they help drive product innovation that makes a difference to the lives of the people who rely on a Baha System to hear each day.

Happy 40 years anniversary from our entire team at Cochlear Bone Anchored Solutions in Sweden!

Final Countdown: 10 Days to Go

… until we reveal the latest innovation from Cochlear! It’s expected to become a very popular choice for people who need a non-implantable bone conduction solution or those interested in trialling bone conduction before surgery. Why? It’s comfortable, sleek and you can experience all the benefits of bone conduction hearing.

The product has been designed and developed by the Cochlear team in Sweden, who share a few words about the latest bone conduction solution.

Left to right: Linnea Agostino, Gunilla Landin, Jenny Andersson, Henrik Frylund, Stefan Magnander, Fredrik Boivie

The “Aha” Moment

“We had an “Aha” moment when we realised we should take the learnings from projects like Baha Attract and Baha Softband, and combine them into a new, fully customisable and discreet product”, says Henrik Fyrlund, Senior Project Engineer.

Simple, yet well thought-out

“What we were passionate about was finding the right design that was going to make the product perfect from an engineering perspective – the finesse of the small details! What we have today is a simple, yet well thought-out product, that can easily adapt to suit different individuals”, says Fredrik Boivie, Project Leader.

That’s when we understood how big the interest was

“In May this year we attended the Osseo 2017 Congress – the most prestigious event for osseointegrated hearing solutions – where we publicly presented our innovation for the first time. When people started storming in to our presentation booth, we understood how big the interest was. Around 90% of the participants tested the product at the congress”, reveals Jenny Andersson, Clinical Research Audiologist.

Interested to find out more about what’s coming soon? Stay tuned for updates!

What You Need to Know: 10 FAQs on the Bone Conduction Procedure

Have you tried the Baha® 5 sound processor on a Baha Softband and decided to move on with a bone conduction implant? Has your child been scheduled for the implant procedure and you need to know how to prepare?

Jennifer Brown, Clinical Product Manager at Cochlear and audiologist, answers the ten most frequently asked questions about the bone conduction procedure.

Jennifer has more than six years of clinical experience in the United States with both pediatric and adult cochlear implant recipients, and she has worked for Cochlear in a variety of roles for the past four years.

(Picture: an audiologist fits a Baha Softband on a toddler’s head. A Baha 5 sound processor is attached to the Softband)

FAQ

1. How do I prepare for the implant procedure?

The good news is that no special preparations are needed before the procedure. The procedure is fast and minimally invasive. Your physician will give you all the details to plan for a successful procedure.

2. Will the procedure be painful?

The procedure is performed under anesthesia. The type of anaesthesia – local or general – is determined by a number of factors, like age, or pre-existing conditions. Ultimately, which anesthesia is right for you is determined by you and your surgeon. Post-operatively, you may experience swelling or skin sensitivity at the implant site. Should it be necessary, your doctor can prescribe pain reliever. Always discuss the procedure and any concerns you may have with your surgeon.

3. Will I be able to go home from the hospital the same day?

In the vast  majority of cases, patients go home the same day. While rare, sometimes in the case of small children or individuals with multiple involvements, the physician may take a precaution and keep the patient over night, but this seldom happens.

4. Can I shower after the procedure?

Usually, patients are allowed to shower the day after procedure. Avoid rubbing the area when drying as this may knock off the healing cap. Cover the cap area by holding a dry towel over it. Here’s what Dr. Pete Weber said in an earlier post.

“The site will still get wet. Since the incision is now very small for Baha Connect surgery, getting the site wet is usually not an issue. Full shower when cap and packing off. The best shampoos to use are the hypoallergenic ones, such as baby shampoos. I also let my Baha Attract patients shower the next day after removing the dressing. Again telling them to pat dry the area and not rub.”

5. If I choose an abutment or a magnet system, how long after surgery until I can wear the sound processor?

Different countries have different regulations.

  • If you choose the abutment system – Baha Connect: depending on where you live it can be anywhere from two weeks to three months before receiving the sound processor.
  • If you choose the magnet system – Baha Attract: depending on where you live it can be anywhere from two weeks to five weeks before receiving the sound processor.

Your doctor will examine the implant site before fitting the sound processor.

6. Are post-operative skin infections common and how are they treated?

As discussed in question 2, there could be swelling or sensitivity at the implant site after the procedure. Post-operative skin infections might occur, although the probability is low. Most skin-related issues happen in the abutment system, because it is skin protruding. In most cases, issues are mild, and can be resolved medically after consultation with your physician. Usually, the skin issues do not affect your ability to wear the sound processor. In the rare incident of persistent skin issues, it may be beneficial to transition to the magnet system.

7. How do I know if an abutment system or a magnet system is appropriate for me?

Both of the Cochlear Baha systems are indicated for individuals with hearing loss in one ear (single-sided deafness, or SSD), or for individuals with conductive/mixed hearing loss.  Whether to choose a Baha Connect or a Baha Attract depends upon a variety of factors, including the degree of hearing loss.

The magnetic system – Baha Attract – is a transcutaneous, or an under-the-skin implant system.  It is comprised of the internal fixture, with a magnet attached to it.  Individuals with the hearing losses noted above are candidates for this system, but it is important to remember that because the sound must pass through the skin, it may be necessary to use a more powerful sound processor, like the Baha 5 Power or the Baha 5 SuperPower.

The abutment system – Baha Connect – is a percutaneous, or through-the-skin implant system.  It too, uses the internal fixture but has an abutment attached to it.  It is appropriate for individuals with SSD or conductive/mixed hearing loss, but unlike the Baha Attract system, there is no skin attenuation of the sound.   This is a great option for individuals needing more power.

In some instances, it may be possible or necessary to transition from one system to another.  For instance, if a recipient chooses the Baha Attract system, and notices a change in his/her hearing, it is possible to remove the magnet and attach an abutment to eliminate dampening of the sound through the skin and to offer more direct bone conduction. Conversely, if a recipient needs to transition to a completely under-the-skin system because of lifestyle or soft tissue concerns, the abutment can be removed and the magnet can be attached.  In both instances, the recipient can likely continue to use the same sound processor.  Cochlear is the only manufacturer that allows for this flexibility based on the patient’s needs.

8. Why do I have to wait so long before I get fitted with a sound processor?

Bone bonds well to titanium, which is what the internal fixture is comprised of. To allow for osseointegration, it is recommended that appropriate healing time be allotted. In an abutment system, the surrounding skin also needs time to adhere to the abutment, to minimize skin issues. In a magnet system, it is important to wait the allotted time to give a chance for the swelling to reduce so that the patient can wear the weakest external magnet possible and still have adequate retention.

9. Will my child need a new implant as she or he grows?

No, an implant is designed for life. There are no pediatric-specific implants, abutments, or magnets. In the event that the child’s hearing changes, non-surgical options – such as a more powerful sound processor – should be tried first. Only in the event of a transition would a procedure be required, but keep in mind the same internal implant is used.

10. Will the Baha® System affect my child’s choices in sports or other activities?

A bone conduction implant is designed to allow your child a world of sound in every activity. While hearing loss is the most important factor to consider when choosing an abutment or a magnet system, lifestyle plays an important role. Some sports may be more conducive to having an under-the-skin magnet system.  It is important to choose a manufacturer that offers your child choices in hearing solutions – whether an abutment, or a magnet.

Remember, communication is key. Always discuss your options and thoughts with your audiologist and surgeon. Your hearing professional will be able to provide timely, accurate, and documented information.

Applications Open for Graeme Clark and Anders Tjellström Scholarships

It’s finally time to apply for the prestigious scholarships offered by Cochlear Americas! The 2018 Graeme Clark and Anders Tjellström scholarships recognize values like leadership, humanity and academic achievement in students who are Cochlear™ Nucleus® Implant and Baha® System recipients. The awarded students will receive $2,000 per year for up to four years at an accredited college or university, for a total of $8,000 per student.2017scholarshipwinners_400

Picture: Scholarship winners 2017

Since 2002, Cochlear has awarded $568,000 to 80 college students. The scholarships are named after Graeme Clark, the pioneer of the multichannel cochlea implant, and Anders Tjellström, surgeon and the founding father of the Baha treatment. The Graeme Clark scholarship is an award open to Nucleus Cochlear Implant recipients around the world. The Anders Tjellström Scholarship is an award open to Baha system recipients in the United States and Canada.

For more details regarding eligibility and the submission process, check out the Application page.

The application period runs through September 30, 2017. Apply today!

Second Decade of Baha Technology

1987 – 1997:  more innovation, new countries and the first five thousand patients

Thirty years ago, bone conduction technology was emerging as the treatment of choice for people suffering from conductive hearing loss. Thanks to the excellent results observed from the fitting of the first patients starting in 1977, the development of the bone conduction implant system continued to grow. The interest and awareness of the intervention spread across Europe throughout the 1980’s, with increasing numbers of clinical reports revealing positive outcomes in implant recipients. In the UK, the Netherlands and Sweden in particular, the treatment became more common and part of a choice of options available to people with hearing loss.

The world’s first bone conduction sound processor, the HC-100, which became commercially available in 1985, was followed up by an improved version in 1988 – the HC-200. Within a few years another new processor was launched, the Classic 300, followed closely by the Baha 360 model. Both new processors took considerable steps toward increasing the ease of use of the system.

The Classic 300 Sound Processor was launched in 1993

The Baha 360 sound processor, launched in 1995, was a smaller version of the Classic 300 (pictured). It was the industry’s first miniaturised sound processor and took a big step toward offering a more discreet design that would help users feel more confident when wearing the device. Patients who were fitted with a bone conduction hearing system in the 1990’s reported increased comfort as compared to conventional hearing aids. ¹

A very important milestone was reached in 1996, when the FDA approved the use of the Baha System in the USA. The result of opening such a big, new market was simply amazing – by 1997, five thousand people were hearing better with the help the Baha System!

The year of 1997 was also marked by another crucial event – the launch of the Baha Cordelle. It was the world’s first super power device, designed for people with more severe hearing loss, and was suitable for people with up to 65 dB SNHL. This meant that people who had struggled to hear, despite attempts with hearing aids, would now have access to power levels high enough to compensate for their hearing loss. The Baha Cordelle was also equipped with the first generation of snap coupling that improved the connection between sound processor and implant.

The Baha Cordelle (right), launched in 1995, is the predecessor of the Baha 5 SuperPower Sound Processor (left), launched in 2016.

In the next article, read about the third decade of bone conduction hearing.

 

Sources:

  1. “Baha – A Third Option for Otosclerosis”. Nobel Biocare International Updates 2/96. Volume 5, No.2, 1996, pp. 3

The world’s first recipient of a bone conduction implant celebrates 40 years of hearing

News from Cochlear Bone Anchored Solutions

Mona Andersson had suffered from hearing loss for more than 30 years before she could hear again. In 1977, thanks to a medical innovation developed in Gothenburg, her hearing capacity was dramatically improved. Today, forty years later, 150, 000 people have regained their hearing with a bone conduction implant.

img_3561(Photo: Anders Tjellström and Mona Andersson)

Hearing loss is a major public health issue and its impact is set to increase. More than 360 million people live with disabling hearing loss and this figure is set to increase significantly. According to the World Health Organization (WHO) there will be 1.2 billion people living with disabling hearing loss in 2050. Every year on March 3, WHO celebrates the World Hearing Day, an advocacy event that calls for international action to address hearing loss. This year’s event campaign “Make a sound investment” reveals that unaddressed hearing loss costs the global economy a staggering $750 billion annually.

In Sweden alone, about 1.4 million people suffer from hearing impairment, of which 700, 000 need to use hearing aids, according to Hörselskadades Riksförbund, the National Association for Hearing Impairment in Sweden.

Forty years ago, an innovation from Gothenburg created a new industry that was set to restore hearing in many people affected by hearing impairment. Gothenburg resident Mona Andersson was one of those people.

The innovation is based on the concept of osseointegration, a process discovered and coined by Professor Per-Ingvar Brånemark, when in Gothenburg in the 1960s, he serendipitously discovered that titanium completely fused with bone. The discovery of osseointegration led to the development of the bone conduction hearing implant, pioneered by Anders Tjellström, surgeon and Senior Lecturer at Gothenburg University and member of Brånemark’s research team, in collaboration with Bo Håkansson, Professor at Chalmers Institute.

Already in early childhood, Mona was suffering from bilateral chronic ear infections, caused by scarlet fever. Her natural capacity to hear had dropped dramatically and it was not long before she had serious problems with her hearing. At the age of 15, Mona received her first hearing aid, which improved her hearing slightly, at the cost of constant headaches and embarrassment. When she started working at a plastic factory, she realised that exposure to warm temperatures affected her hearing even more.

She reached a turning point in 1965 when she became a mother.

“I struggled to communicate with my daughter in the first years of her life. I had nothing to lose when I accepted Dr. Tjellström’s proposal to receive a bone conduction implant”, says Mona.

In 1977, Mona underwent the world’s first bone conduction implant surgery, performed by Dr Anders Tjellström at Sahlgrenska University Hospital. The implant was specifically designed for patients affected by conductive hearing loss, like Mona. Today its application has increased to treat other types of hearing loss.

“For the first time since childhood I could hear birds singing”, she told Dr. Tjellström when she received her implant. Sounds like the buzz of a fly or ice cubes clinking in a glass, suddenly became new experiences for her.

Forty years after the surgery, Mona celebrates not only functional hearing, but hearing capacity that has gone beyond what most “normal hearing” people can experience. The latest technology, developed in Gothenburg by Cochlear Bone Anchored Solutions, allows the recipients of a bone conduction implant to stream sound from their phones directly to their ears.

“Bone conduction technology has come a long way. Today, Mona is using a sound processor that has the capacity to adapt to different noise environments, something we had never imagined possible all those years ago”, explains Dr. Tjellström.

More than 150, 000 people worldwide benefit from Gothenburg invention

The bone conduction implant system was approved in Sweden ten years after Mona received her implant. In 1993, the Gothenburg-based Nobel Pharma, whose bone conduction business later became Entific, started commercializing the product. In 2005, international hearing implant manufacturer Cochlear Ltd bought Entific and named it Cochlear Bone Anchored Solutions, based in Mölnlycke. Today, more than 150, 000 people hear thanks to a bone conduction implant.

“We created the world’s smallest sound processor that is also the first ever to connect wirelessly to electronic devices, allowing users to stream sound directly to the ear. Gothenburg is a unique centre of innovation, where we can benefit from all the expertise, technology, and research of the region, helping us to constantly evolve our industry”, says Rom Mendel, President Acoustics & Managing Director at Cochlear Bone Anchored Solutions.

Most hearing specialists agree that bone conduction hearing systems are an effective solution for patients with conductive hearing loss, mixed hearing loss or single-sided deafness.