Richard Brook: Nucleus Cochlear Implants - Presentation St. Petersburg May 2009

Monsana Conference, St. Petersburg :

Cochlear Presentation

Richard BrookPresidentCochlear Europe, Middle East & Africa

Welcome & Thank You

•Dr. Dr. Monika Lehnhardt•Professor Nakatis

•Professor George Tavartkiladze•Professor Yanov•Professor Daikhes

• Leader in implantable devices for hearing impaired:1. Cochlear implants (CI)2. Baha®

3. Electro-Acoustic Stimulation (HybridTM)4. Direct Acoustic Cochlear Stimulator (DACS)

• Global company with focus on innovat ion– ~ 2,000 employees & products sold in 100+ countries– ~ 13% of sales spent on R&D, (est) CI market share of 70%

• 120,000 CI recipients

Cochlear : Background

• gf

The Portable Speech Processor – PSP-2 - 1980

Nucleus/Cochlear Clinical Trial 1982-85

1991

Cochlear’s Focus Areas

1. Continue to improve hearing performance

2. “Smaller, better, easier” processors

3. Simplify for professionals

4. Make sure pat ients can use new technology

5. Set new standards in product reliability

Cor

rect

(%)

0

20

40

60

80

100WordsKey words in Sentences

n = 16

n = 45

n = 32

n = 148

n = 77

Strategy:Year:

F0/F21978

F0/F1/F21979-80

Multispeak1989

SPEAK1991

ACE1998

Mean Open-Set Scores(Adults, electrical stimulation alone at 3 months. Tests in English)

Freedom for Adults:- outstanding performance in quiet and noise

• Significant increase in scores post-operatively• Continuing improvement shown over 12

months

Very Young Language Outcomes:

0

1

2

3

0 1 2 3 4

Chronological Age (years)

Equi

vale

nt L

angu

age

Age

(yea

rs)

Dettman, et al., 2006, in press

Very Young Language Outcomes:Group A, CI ≤12 months (N=11)Individual growth rates for children with 2 or more administrations of receptive language subscale of RI-TLS

0

1

2

3

0 1 2 3 4

Chronological Age (years)

Equi

vale

nt L

angu

age

Age

(yea

rs)

Dettman, et al., 2006, in press

Cochlear’s Focus Areas

1. Continue to improve hearing performance

2. “Smaller, better, easier” processors!

3. Simplify for professionals

4. Make sure pat ients can use new technology

5. Set new standards in product reliability

Sound Processors

Smaller Sound Processors

Helping people stay connected

Wireless Connectivity

Future = no sound processors!

Invisible HearingTiki - Totally ImplantableResearch CI

IntegratedImplantableMicrophone

IntegratedDigital Signal

Processor

IntegratedRechargeable

Battery

Cochlear’s Focus Areas

1. Continue to improve hearing performance

2. “Smaller, better, easier” processors!

3. Simplify for professionals

4. Make sure pat ients can use new technology

5. Set new standards in product reliability

Simplification for clinicians

Simple fitting methods for routine fitting

Addressing daily life in Russia

Remote Recipient Fitting & Follow-up

Internet

Cochlear

Clinic / Fitting Centre

Cochlear’s Focus Areas

1. Continue to improve hearing performance

2. “Smaller, better, easier” processors!

3. Simplify for professionals

4. Make sure pat ients can use new technology

5. Set new standards in product reliability

Recipient access to latest technology

CI24REFreedom

CI24M CI22CI24R

Cochlear’s Focus Areas

1. Continue to improve hearing performance

2. “Smaller, better, easier” processors!

3. Simplify for professionals

4. Make sure pat ients can use new technology

5. Set new standards in product reliability

Set benchmarks in product reliability

Years

0 1 2 3 4 5 6 7 80

1

2

3

Nucleus Freedom

Reliability is important !

Cochlear: Competitor ACompetitor B

1 Publication: Nucleus Reliability Report, Vol. 5, June 2008. 2 Publication: Advanced Bionics - Auditory Reliability Report, Summer 2008.3 MED-EL Website: http://www.medel.at/english/30_Products/01_MAESTRO/pulsar/Pulsar.htm (October 2008)

Worse Better

•Public data from company websites

Competitor A

Competitor A

Competitor B Old

B NewCompetitor Competitor A

Reliability does not happen by chance!!

Key Points Summary

• Cochlear’s Commitment to helping the hearing impaired• Leader in Implantable Hearing Solutions• R&D for Russia Today

1. Continue to improve hearing performance

2. “Smaller, better, easier” processors!

3. Simplify for professionals

4. Make sure patients can use new technology

5. Set new standards in product reliability

Спасибо !!