Cochlear™ Nucleus® 5

The gift of hearing.

Smaller. Stronger. Smarter.
A life worth
hearing
For those with hearing difficulties, participating in everyday
activities presents many challenges. Attending school
or university, pursuing a successful career, talking on the
phone or simply taking part in normal conversations –
these are the activities that others may take for granted.
That’s why the ability to hear properly is more than just
about listening to sounds. It’s about connecting to those
around you so that you can lead a happy and fulfilled life.
At Cochlear™, we understand the importance of this need
to connect, which is why we’re excited to offer you the
latest breakthrough in hearing implant technology –
Cochlear™ Nucleus® 5.

YOU ARE NOT ALONE

Globally, hundreds of millions of people
experience some form of hearing loss.
While the majority can be helped with
hearing aids, for many even the most
powerful hearing aids are inadequate.
Cochlear has helped reconnect more than
200,000 people to the world of sound.
How natural Hearing with
hearing works Cochlear Nucleus 5
B C

A
2
3
1

1 Sound waves move through the ear canal
and strike the eardrum.
2 These sound waves cause the eardrum,
and the three bones (ossicles) within the
middle ear, to vibrate.
3 The vibrations move through the fluid
in the spiral shaped inner ear – known
as the cochlea – and cause the tiny hair
cells in the cochlea to move. The hair
cells detect the movement and change
it into the chemical signals for the
hearing nerve.
4 The hearing nerve then sends the
information to the brain with electrical
impulses, where they are interpreted
as sound.
The Cochlear Nucleus implant system is designed to help people with a moderate-to-profound hearing loss.
It is an alternative intervention when traditional attempts to improve hearing ability with powerful hearing
aids no longer provide enough assistance. Unlike hearing aids, which amplify sound, a cochlear implant
bypasses the damaged part of the ear and stimulates the spiral ganglion cells within the cochlea directly.
The Cochlear Nucleus 5 System has both external and internal parts.

The
 Sound Processor (A) with coil (B) is worn behind the ear
The
 implant (C) is placed just under the skin, behind the ear, and into the cochlea.
1 An external sound processor captures sound 3 The internal implant converts signals into
and converts it into digital signals. electrical energy and delivers this directly to
the spiral ganglion cells bypassing the damaged
2 The processor sends digital signals to the hair cells within the cochlea.
internal implant.
4 The hearing nerve delivers the signal to the
brain. Sound is heard.

LOW RISK ESTABLISHED

Receiving a cochlear implant is considered to be a low
risk surgical procedure. The materials used in the internal
implant - titanium, silicone and platinum - have been used
by Cochlear for more than 25 years and Cochlear sets the
benchmark in cochlear implant reliability. 1
More than 140,000 people worldwide have chosen
Cochlear Nucleus as their trusted hearing solution for
more than 25 year. Of these 140,000 people using
Cochlear Nucleus, more than 80,000 received their
cochlear implant as a child or infant.
Revolutiona y
For over 25 years, Cochlear has brought
the gift of hearing to more than 200,000
people worldwide with moderate to
profound hearing loss. And Nucleus 5 is
the next generation in our world-leading
range of hearing solutions, giving you
access to a world of hearing.
Nucleus 5 is a slim-line, robust and
technically-sophisticated cochlear
implant system, developed to deliver
unrivalled hearing performance to you
or your child.

INCREDIBLY BEST HEARING COMPLETE MOST

SLIM & POWERFUL PERFORMANCE CONFIDENCE TRUSTED
T he world’s thinnest cochlear implant, E xpect the best – clinical research continues #1 leader in implant reliability – built to last  1 choice of cochlear implant recipients
#
40% thinner than our previous generation to confirm that Nucleus cochlear implant a lifetime. 11-16 worldwide.
implant, Nucleus Freedom™. recipients enjoy the highest speech recognition Relax around the water with the world’s most  ear the difference – Cochlear has been providing
H
2
 ½ times more impact resistant* than our in the industry. 6-10 splash and water resistant sound processor. ** the most trusted and reliable products in the
previous generation implant. S implify phone use with AutoPhone – the Customise your hearing with the ultimate in world for more than 25 years.
P
 recise sound delivery to the most responsive industry’s first and only sound processor personal control with the flexibility of the  ount on a lifetime commitment with access
C
part of the cochlea. 2-5 designed with automatic phone detection industry’s only two-way remote assistant. to the latest technological innovations and a
through auto telecoil. continuum of ongoing service and care.
T he tiny Nucleus 5 Sound Processor has been Connect easily with direct and wireless access
designed with comfort in mind.  nrivaled hearing performance in all
U to entertainment, music and phone.
environments thanks to Cochlear’s unique
A
 feature-packed remote assistant for ultimate ** W ith rechargeable sound processor battery option. Not suitable for
sound optimisation technology, SmartSound™. swimming or showering.
control over your hearing.
* A s measured by impact testing and compared to previous generation
T he only cochlear implant system with a
Nucleus implant – Nucleus Freedom™ dedicated music program.
 World-leading SIGNIFICANT IMPROVEMENT
OF 30% WITH
SMARTSOUND ACTIVATED Unique dual
technology and microphone
Understanding speech in noisy
environments is often challenge for UNIQUE DUAL MICROPHONE
the hearing impaired, with Cochlear’s TECHNOLOGY

performance technology
unique SmartSound technology,
studies show a 30% improvement
in speech understanding in noise. 17 FRONT OMNI
MICROPHONE

You deserve to experience Unique to Cochlear, the Nucleus 5 Sound

Processor uses two omni-directional
REAR OMNI
MICROPHONE

your best hearing microphones which allow the system to

support a suite of listening programs.
COCHLEAR CONTINUES TO OUTPERFORM ALL OTHER ADULTS This ultimately results in you being able to
COCHLEAR IMPLANT SYSTEMS 6-8 A cochlear implant can help deliver
Each new generation of implant system from Cochlear delivers superior significant improvements in your
hear better in a range of noisy environments.
hearing performance along with cosmetic and usability improvements. hearing when compared with hearing
Our previous generation system (Freedom™) set a new industry aids. In a multi center clinical study,
benchmark with the highest speech recognition levels ever recorded. adults tested demonstrated a
Since the first generation sound processor from STANDARD DIRECTIONALITY
Now Cochlear Nucleus 5 delivers a 30% performance improvement significantly better hearing performance
Cochlear, standard fixed directional microphones have This setting is ideal for quiet and moderately noisy
in noise, one of the most challenging listening environments (Figure 1). in both quiet and noise after receiving
been used to enhance recipients’ ability to hear in environments and when there is no specific or single
their Nucleus Cochlear Implant
noisy environments. Research throughout the hearing sound source – a real life example would be in office
(See figure 2). When tested in quiet,
healthcare industry has repeatedly demonstrated the environments, in the school playground or in general
Nucleus cochlear implant recipients
30% AVERAGE IMPROVEMENT WITH NEW SMARTSOUND™ ZOOM TECHNOLOGY benefits of directional microphones when listening day-to-day family life.
demonstrated a 62% improvement at
in noise 20,21. Only Cochlear provides more than one
(% correct)

100 Nucleus 5
three months and 71% at 12 months
correct)

– No Zoom type of directional capability in its cochlear implant

80 Nucleus 5
when compared to hearing aids. 18
systems. With the Cochlear Nucleus 5 System, a FIXED SUPER DIRECTIONALITY
noise (%

– With Zoom
further technological advancement has been This setting is great in situations when the interfering
presentedininnoise

60
CHILDREN introduced – Dual Omni-Microphone Technology. noise source is relatively stationary or constant – a real
life example would be a noisy party or restaurant
A cochlear implant can help deliver The implementation of dual microphone technology
presented

40
where you are trying to carry on a conversation with
crucial improvements in your child’s in the Cochlear Nucleus CP810 Sound Processor
20 a single person at a time and you would like to block
hearing when compared to hearing incorporates two omni-directional (all directional)
Sentences

the background noise. In this mode sound from behind

Sentences

aids. In a recent Cochlear study, microphones. They are precisely calibrated or aligned
0
and to your sides are constantly blocked allowing you to
Average children tested showed a significant to ensure accuracy and consistency for the best hearing
listen closely to sounds coming from the front.
improvement in just three months performance.
FIGURE 1
Note: This study was conducted using experienced users. This may not be typical of all users. after receiving their cochlear implant. 19
The dual microphone technology allows us to provide
ADAPTIVE DIRECTIONALITY
you with the best hearing performance possible. 22
This setting is perfect in situations where the interfering
COCHLEAR IMPLANTS SIGNIFICANTLY OUTPERFORMS HEARING AIDS
noise source is moving – a real life example would
HINT at 60 db Parent Auditory Skill Questionnaire
100 100 Hearing Aids
be when you are listening to television and a child
Quiet Noise
90 90 Cochlear Implant is playing in the background. In this mode the noise
80 80 cancellation technology adjusts to block the loudest
70 70 noise source to your side or back, allowing you to focus
Percent Correct

Percent Correct

60 60 on conversations or sounds from your front.

50 50

40 40

30 30

20 20

10 10

Pre-Op 3 Months 12 Months Pre-Op 3 Months 12 Months Pre-Op 3 Months 12 Months Pre-Op 3 Months 12 Months
Average Scores 12 months – 2.11 years Average Scores 3 years – 4.11 years
Age of implantation Age of implantation

ADULTS CHILDREN
FDA post-market
FIGURE 2 surveillance study of Nucleus Freedom recipients FDA post-market surveillance study of Nucleus Freedom pediatric recipients
Cochlear Nucleus 5 Implant
Thin. Strong. Safe.
40%THINNER THAN OUR
PREVIOUS GENERATION
IMPLANT, NUCLEUS
FREEDOM.

3.9 mm

PRECISE SOUND MOST MRI COMPATIBLE

DELIVERY TO IMPLANT
THE COCHLEA It is estimated that most people will need
at least one MRI scan in their lifetime.
FOR THE BEST Only implants from Cochlear are compatible
HEARING with high strength MRI scans.

OUTCOME

2½ TIMES WORLD’S THINNEST

STRONGER* COCHLEAR IMPLANT,
MAKING THIS PERFECT FOR LITTLE
THE INDUSTRIES HEADS.
MOST RELIABLE At an amazingly small 3.9mm deep, Nucleus 5
is the world’s thinnest cochlear implant, whilst
IMPLANT still remaining a strong, high performance
micro-device. The Nucleus 5 implant has been
Your Nucleus 5 implant has been developed in close collaboration with surgeons
built to last a lifetime. 2½ times around the world to simplify the implant
more impact resistant than our surgery – a low risk procedure that’s been
previous generation implant, performed on thousands of people worldwide.

Looking to the future

the Nucleus 5 is titanium-based
and developed to withstand the
most active lifestyle.
The Nucleus 5 system has been designed to accommodate future developments in
cochlear implant technology, which means that you’re choosing a hearing solution for life.

*As measured by impact testing and compared to previous generation Nucleus® implant – Nucleus Freedom™
Human engineering
like no other
The human cochlea is a powerful, yet very delicate structure. Research
shows that only a certain area of the cochlea is receptive to electric
Unique design
impulses generated from a hearing implant. We refer to this area as One of the reasons why Cochlear implants are so unique is because of their
‘The Hearing Zone’.
curled design. This design enables them to contour to the natural shape of
In a fully functioning cochlea, sound is picked up by tiny hair cells that
the human cochlea.
cover its entire length. The sound is transferred from these hair cells
via the dendrites to the spiral ganglion cells (located in ‘The Hearing Additionally, the Nucleus 5’s electrode array features 22 platinum electrodes,
Zone’), and then transmitted to the brain via the hearing nerve. implants from Cochlear have more electrodes than any other company’s
For people with a moderate-to-profound sensorineural hearing loss implant, which all sit within ‘The Hearing Zone’ of the cochlea. This array has
who are considered to be a candidate for a cochlear implant, the tiny
been developed to a precise length to ensure that it protects the cochlea’s
hair cells inside the cochlea have been damaged or are absent. The
electrode array on the Nucleus 5 implant takes the place of the hair delicate structures.
cells and sits within the Hearing Zone of the cochlea and stimulates
the spiral ganglion cells directly so sound can be transferred to the
brain via the auditory nerve.
The most natural fit
CURLED TO FIT NATURALLY GENTLE DESIGN – SOFTIP™
The electrode is the part of the implant The electrode also features a patented
that is placed inside the human cochlea. Softip™ at the end to allow for gentle
Its design is crucial for your successful insertion and is designed to minimise
hearing outcomes. Cochlear builds on the risk of damage to the delicate
more than 10 years of experience in cochlea structures.
developing patented thin electrodes
that curl around the cochlea to match
its natural shape.

RIGHT LENGTH
The electrode features a delicate
HUMAN COCHLEA
design with the appropriate length
for your hearing loss profile1 and the
natural location of the hearing nerve.
This exclusive electrode design gives
HEARING NERVE
you access to all the important sounds
in the real world, while aiming to
avoid damage to the cochlea from
inserting the electrode too deeply.

SCALE APPROXIMATELY 1:10

AutoPhone
Industry’s first and only automatic
phone detection through auto telecoil BLUETOOTH® FRIENDLY
FOR SAFE HANDSFREE
CONNECTIVITY

Connecting over the phone just got easier with
the Nucleus 5 system you have two options for
connecting to the phone
AUTO TELECOIL
 Nucleus 5 Sound Processor will automatically
The
recognise the signal from the phone and switch on
the telecoil to optimise your hearing during phone
conversations.
No pressing of buttons required.

Works across a variety of phone types, including
landline and mobile phones.
MANUAL TELECOIL
Manual telecoil operation recommended
for children.
Available option to manually control when
you want the telecoil turned on or off.
Activate with remote assistant or on the
sound processor.
FM NECKLOOP
The auto telecoil automatically links to FM
neckloops like the MyLink to provide a clear
signal with no manual switching.

“ The intelligent design of the auto

telecoil allows it to automatically
detect sound from a Bluetooth®
headset when it’s naturally worn
on the ear. That’s a really big deal
for our patients.
Jace Wolfe, Ph.D., Audiologist
Hearts for Hearing Foundation
”
SmartSound ™ NATURAL SELECTIVITY
COCHLEAR’S UNIQUE SOUND OPTIMISATION
TECHNOLOGY GIVES YOU THE BEST HEARING
IN ALL ENVIRONMENTS.
Cochlear SmartSound replicates the characteristics
of natural hearing as closely as possible through the
algorithms which have been shown to significantly
increase speech understanding and perception.
Sounds are optimised to
Hearing is much more than simple receiving sound,
ensure the most important
it is a complicated process of separating and selecting
sounds that are needed for good sound quality and
understanding. So any successful cochlear implant
system must be able to model this behaviour to
provide the best hearing experience in a wide
range of listening situations.
Natural hearing exhibits three fundamental
characteristics that a successful hearing solution
should offer: audibility, selectivity and adaptability.
If these elements are not replicated, the system
will only be a basic imitation of the natural
hearing process.
With natural hearing, the listener can focus their
attention on sounds of interest, essentially 'tuning
out' background noise. This is achieved through a
Cochlear's unique
dual microphone combination of hearing sound from both ears and central
technology auditory processing (or sound pathway to the brain).
SmartSound is uniquely designed to model this selective
capacity. It is the only system that uses two microphones to
capture and process sound, favouring those that arrive from
in front of the listener while reducing sounds coming from
SmartSound
behind or the sides. The intelligent technology in SmartSound with smartsound
Optimised sound
can even block out interrupting voices, rather than just
delivered to the
information is heard internal implant ambient background noise.
WHAT DOES THIS MEAN TO YOU
SmartSound’s ability to ‘focus’ helps you listen to and enjoy conversations, even in very noisy and crowded situations.
It allows you to take part in everyday social situations without being distracted or overwhelmed by interrupting and
background noises.
w

NATURAL AUDIBILITY WITHOUT

SMARTSOUND
WITH
SMARTSOUND

Natural hearing has an amazing ability to adjust its

audibility or sound clarity as the listening environment
changes. What's more, sound clarity can be adjusted
across all pitches and for specific pitches, ensuring that
sounds are heard, comfortably, and clearly.
SmartSound models this natural hearing behaviour. While
standard systems have a single master control to adjust
overall clarity, SmartSound uses 22 individual controls for
different pitches. These are automatically controlled without
the user even needing to think about their hearing.
Corrected by SmartSound
WITHOUT SMARTSOUND SMARTSOUND MANAGES EACH PART
OF THE SOUND INDEPENDENTLY
WHAT DOES THIS MEAN TO YOU
SmartSound models natural hearing by adjusting
sound clarity and pitch. Louder sounds can be reduced
for comfort while softer sounds can be increased.
This helps ensure that you will hear complex sounds like
speech and music easily, completely and comfortably.
Smartsound delivers an average hearing improvement
of 30%. 17
SmartSound in Progress
FINAL SMARTSOUND RESULT
NATURAL ADAPTABILITY WHAT DOES THIS MEAN TO YOU
Above all, natural hearing is adaptable – automatically
SmartSound models the adaptability of natural hearing
adjusting its clarity and focus to each listening so that you can ‘forget’ about your system but still control
environment. Many changes are made subconsciously, the processor when you need to. This unique blend of
however you can also actively focus on a specific sound, autonomy and control is essential to providing optimal
hearing outcomes with a cochlear implant.
such as a person speaking.
This unique combination of automatic and conscious control
is an essential aspect of natural listening that SmartSound
imitates. Its unique automatic mode constantly responds to
changes in the listening environment to ensure sounds remain
audible, clear and comfortable. Meanwhile you can also select
from a number of override options, to tailor your hearing to
specific environments.
SmartSound brings you closer to a natural hearing experience
every day. We collaborate with the world's leading researchers
and scientists to make sure SmartSound continues to include
the very latest innovations in hearing and sound processing
science.
Most Flexible Preschoolers, Teenagers
and Adults
Options for every YOUR STYLE EASY TO USE

age and lifestyle

The Nucleus 5 sound processor features a All essential functions are accessible
sophisticated and stylish design, with a chrome directly through the buttons on the sound
trim that allows it to blend in with popular processor or by using the remote assistant.
personal electronic devices. The processor itself
is available in a range of discreet skin and hair
tones, whilst our exclusive covers offer additional
colours and patterns to match your own unique
Nucleus 5 features the most flexible options to suit infants
style or allow your child to express themselves.
through to adults so you can enjoy an active life with a
minimum of fuss.

CHARCOAL SAND WHITE BROWN BLACK

Toddlers
WORN MORE WAYS
Different ways to wear the processor
will help to make your child more
comfortable in different situations.
LITEWEAR FOR
THE LITTLE ONES
Designed for very young
children, LiteWear enables the
battery module to be worn on
the body over clothes, making
the processor even lighter.
SNUGFIT ™ FOR
ACTIVE LIFE STYLES
Ideal for “rough and tumble” activities
on the playground and for those
with an active lifestyle, the Snugfit
holds the processor comfortably
and securely on the ear. SEAMLESS CONNECTION
We all like to switch off from the world
occasionally to enjoy things such as music, which
is why Nucleus 5 allows you to seamlessly connect
to devices via wired or wireless technology.
BATTERY OPTIONS
Experience the convenience of being able to
switch between rechargeable and disposable
batteries with the Nucleus 5 processor.
Rechargeable
The standard rechargeable module provides
up to 31 hours battery life, whilst the compact
module provides up to 18 hours.
Disposable
Ideal for those times when access to recharging is
limited (like a weekend away), the disposable battery
module provides up to 60 hours battery life.

STANDARD COMPACT STANDARD

RECHARGEABLE RECHARGEABLE
Nucleus 5 TWO IMPLANTS.
ONE REMOTE ASSISTANT

Remote Assistant With the simple press of a button, the

Nucleus 5 Remote Assistant allows
recipients with two Nucleus 5 cochlear
implants to simultaneously control or

Managing your hearing has never change both sound processors.

been so convenient

USER-FRIENDLY INTERFACE RESET FEATURE

The innovative Nucleus 5 remote assistant gives you
ultimate control over your hearing needs.
User-friendly, intuitive and reliable, the remote assistant
enables you to control the functions and settings of your
sound processor with the simple push of a button.
The ability to check the status of the sound processor,
coil or battery module is literally at your fingertips.
Additionally, the remote assistant intelligently
troubleshoots and diagnoses any issues with the sound
processor, and alerts you to things like low batteries or
a disconnected coil.
Quickly and easily adapt to a different
listening environment, plus adjust
volume and sensitivity with the remote
assistant’s user-friendly interface.
FULL COLOUR LCD SCREEN
Enjoy easy navigation on the remote
assistant’s bright and clear LCD screen.
ONE BUTTON CHECK
Simply press the ‘Cochlear’ button on
the remote assistant to check the status
of the processing unit, battery module,
coil cable or coil.
SCREEN ALERTS
Handy screen alerts warn you of any
potential issues such as low batteries,
a disconnected coil or the processor
itself not functioning properly.
Experiment with all the advanced
features and functionality of your
remote assistant, safe in the knowledge
that the ‘reset’ button will always take
you back to your original settings.
BATTERY LIFE
The remote assistant’s rechargeable
battery typically lasts for about one
week, and recharges quickly in 2-4 hours.
ADDED PROTECTION
A range of leather and silicone cases
is available to protect your remote
assistant from bumps and knocks.
Ultimate peace of mind The remote
assistant enables
for your child’s hearing you to quickly
and conveniently
LED INDICATOR LIGHT
/ SCREEN ALERTS
At Cochlear, we understand that you don’t want your child to check to see Handy screen alerts warn you
of any potential issues such as
just hear – you want them to live a happy, connected life. This
includes developing speech and language skills, attending a
that your child’s low batteries, a disconnected
coil or the processor itself not
mainstream school, playing team sports, listening to the latest equipment is functioning properly. 110 mm
music, or simply communicating with family and friends.
That’s why the robust and sophisticated Nucleus 5 has been
functioning
designed to give your child every opportunity to achieve their effectively
full potential in life.
And when they experience the joy of hearing with Nucleus ONE BUTTON CHECK
SIMPLE BUTTONS
5, it’s important to know that their processor is functioning Simply press the ‘Cochlear’
If your child’s remote assistant
properly. With that in mind, Cochlear has developed the is out of reach, you’ll still be button on the remote
Nucleus 5 Remote Assistant to wirelessly monitor and able to easily manage your assistant to check the status
manage your child’s hearing. child’s hearing with the simple of the processing unit, battery
two-button interface located module, coil cable or coil.
on the sound processor.

45 mm
ACTUAL SIZE

SNUGFIT ™
The sound processor fits comfortably
and securely to your child’s ear,
leaving them free to enjoy normal
sport and play.

LITEWEAR
Ideal for infants and young children,
the battery module can be removed
from your child’s ear and securely
TAMPER RESISTANT
attached to their clothing for a
lightweight alternative. Battery modules can be
locked onto the processing
unit to keep them safe from
curious little hands, whilst
still giving you access and
control. Tamper resistant
ear hooks are also available.
The Most And
Reliable Trusted
The world’s most reliable
cochlear implant system ever
Deciding to get a cochlear implant is a big decision – When you choose the Nucleus 5 System from Cochlear,

7out of 10
in fact, a decision that should last a lifetime. One of
the most important factors to consider is the reliability
of your internal implant. That’s why our cochlear
implants have been engineered and tested to the
most stringent industry standards – the same ones
used to measure the reliability of cardiac pacemakers.
The result: Nucleus Cochlear Implants are the most
reliable on the market today. 11-16
you choose a lifelong partner dedicated to your hearing
performance. We take the trust that you place in
Cochlear very seriously, and are committed to supporting
you for a lifetime.
people choose The performance, reliability and patient outcomes of our
cochlear implants have earned the trust and support of
Cochlear when clinicians and recipients worldwide – making the Nucleus
selecting a Cochlear Implant System and Cochlear the #1 choice.

cochlear implant. Graeme Clark, left (inventor of the Nucleus System)

and Rod Saunders, right (first multichannel cochlear
implant recipient)
PROVEN #1 RELIABILITY IN INDEPENDENT FOR MORE THAN 25 YEARS, COCHLEAR HAS TRUST IN COCHLEAR
CLINICAL STUDIES 14-16, 18 SET THE INDUSTRY STANDARD FOR RELIABILITY Over 25 years of delivering trusted and reliable products.
While all companies claim that they manufacture highly At Cochlear, we believe that you and your hearing #1 leader in implant reliability 6-11 built to last your lifetime. From the beginnings of
reliable cochlear implants, Cochlear recommends reading the
published research in reputable medical journals regarding
healthcare professional deserve to know the reliability of
our cochlear implants so that you can make an informed
More people choose Cochlear Nucleus than any other Professor Graeme Clark’s
cochlear implant in the world – over 120,000 recipients.
their long-term reliability. This way you can be confident
knowing the information is clinically accurate and from
decision. For that reason, we offer the industry’s most
comprehensive reports on our cochlear implant reliability More innovative product firsts than any other cochlear work in the 1960s, when he
independent resources who are unbiased in their reporting. using the stringent standards set by the International implant company.
Most comprehensive customer care, service and support.
sought a hearing solution
Standard ISO 5841-2.27 You can be certain that the
In three recent independent clinical studies, reviewing
the records of over 17,000 patients at 30 leading cochlear
information we make available is complete and accurate Proven lifetime commitment. for his deaf father, through
implant centres, the results published in reputable
medical journals conclude that Cochlear’s implants
based on highly regarded industry standards.
TRUST IN NUCLEUS 5
our research today, Cochlear
are the industry’s most reliable on the market. 14-16, 23 Industry’s thinnest titanium cochlear implant. continues to forge the way
The independent research demonstrates that Cochlear
delivers superior reliability results for your lifetime. 14-16, 23
Industry’s only two-way remote assistant.
Only AutoPhone capability.
in the development of
Only customisable listening options with SmartSound™ 2. science and technology
INDEPENDENT CLINICAL STUDY RESULTS – RELIABILITY FINDINGS
Highest water resistance of any sound processor. 24
in our field of expertise
COCHLEAR COMPARED TO COCHLEAR COMPARED NUMBER
– cochlear implants.
PUBLICATION ADVANCED BIONICS IS... TO MED-EL IS... OF PATIENTS
Ear and Hearing, 2007 3.5 times better 14, 23 4.6 times better 14, 23 12,856
Otology & Neurotology, 2008 3.8 times better 15, 23
5.8 times better 15, 23
946
Otology & Neurotology, 2009 5.3 times better 16, 23 Not available 3,417
 HOLLY’S STORY
One implant surgery.
Five upgrades.
A world of possibilities.

Connected
22 years after her implant, 26 year-old
Holly McDonell has enjoyed multiple
sound processor upgrades, without the

for life
need for further surgery.
THEN
Holly McDonell lived in a world of
silence. Holly’s Mum wanted to give her
a normal childhood and a bright future.
When you choose a cochlear implant, you need to know that it
will perform for you now and into the future. That’s why when 1987
you choose Cochlear, you’re choosing a lifelong partner who is At age 4, Holly became the first
dedicated to your hearing health. paediatric recipient of a commercial
Nucleus cochlear implant.
A standard and unique feature of all Cochlear’s implants is the
in-built chip intelligence that enables you to connect to future 1988

innovations in sound processing. Holly started school and attended

mainstream education for 13 years,
Cochlear’s earliest implant recipients have already received from Kindergarten to Yr 12.
upgrades that have resulted in improved hearing performance.
2000
This has been achieved without the need for additional surgery
Holly graduated from high school in
or replacement of the implant. This access to new technology
the top 2% of students in the state.
is unrivalled in the industry.
2007
Cochlear Nucleus 5 recipients have the distinct advantage of
Holly graduated from University
being backed by the industry’s largest investment in research with a first class honors in Law.
and development, the largest collaboration program with
leading specialists around the world and access to the world’s NOW

largest cochlear implant support organisation. Happily working as a lawyer

and living life to the full.
That’s how Cochlear continues to bring you the latest
advances in technology, no matter when you received
your first cochlear implant.
och lear implant,
y c
“With m s able to happily
This is what we call our Lifetime Commitment. We’re

I wa
committed to being your hearing partner for life and

instream
provide you with continued access to improved hearing.

attend ma
schools and successfully
achieve my own personal
and career goals.”
HOLLY MCDONELL – 26 YEARS
This is Cochlear’s promise to you. As the global leader in
hearing solutions, Cochlear is dedicated to bringing the gift
of sound to people all over the world. In fact, Cochlear has
reconnected over 200,000 people to their families, friends
and communities in more than 100 countries.
Along with the industry’s largest investment in research
and development, we continue to partner with leading
international researchers and hearing professionals, ensuring
that we are at the forefront in the science of hearing.
Our commitment to those who have received a Cochlear
hearing solution is that for the rest of their life, they will
Hear now. And always

For further information please contact your local Cochlear

representative or visit us on the web at: www.cochlear.com

References
1 Cochlear regularly publishes the reliability of Nucleus implants to the public according to International Standard ISO 5841-2000 and the reporting principles described in the European
Consensus Statement on Cochlear Implant Failures and Explanations. Nucleus Report March 2009
2 Cohen, L., Richardson, L., Saunders, E., Cowan, R. Spatial spread of neural excitation in cochlear implant recipients: comparison of improved ECAP method and psychophysical forward masking.
Hearing Research 179 (2003) 72-87
3 Ariyasu, L., Galey, F. R., Hilsinger, R., Jr., Byl, F. M. Computer-generated three dimensional reconstruction of the cochlea. Otolaryngology Head Neck Surgery 1989, 100, 2; 87-91
4 Blamey P, et al, Pitch Matching of Electric and Acoustic Stimuli, from Clark, Cowan, International Cochlear Implant Speech and Hearing Symposium, Ann Otol Rhinol Laryngol Suppl. 1995, 166;
220-222
5 Stakhovskaya, O., Bonham, Sridhar, D., Leake, P. Frequency Map for the Human Cochlear Spiral Ganglian. JARO 8:220-223, 2007
6 Balkany T et al. Nucleus Freedom North American clinical trial. Otolaryngol Head Neck Surg 2007;136(5):757-762
7 Pijil S et al. (2006) North American Freedom trial: Preliminary results adults. Cochlear Limited White Paper
8 Bassim MK et al. Med-EL Combi40+ Cochlear Implantation in Adults. Laryngoscope 2005;115:1568-1573
9 Seguin C et al. (2005). Patient performance with the Advanced Bionics HiRes 90K Helix 1 Device with HiFocus Perimodiolar (Helix) Electrode. Advanced Bionics White Paper
10 Multi Center Clinical Trial of the Nucleus 5 sound processor and remote assistant. Preliminary
11 Nucleus Reliability Report, Vol. 5, June 2008. Four years of data, launched in 2005
12 Advanced Bionics - Auditory Reliability Report, Summer 2009. 2.5 years of data, launched in 2005
13 MED-El Website [Online]. 2009 [Cited June 2009];[1 screen]. Available from: URL:http://www.medel.com/ english/img/animations/SONATA_CSR.swf
14 Battmer RD et al. A multi-centre study of device failure in European cochlear implant centres. Ear Hear 2007 Apr;28(2 Suppl):95S-99S
15 Cullen RD et al. Revision cochlear implant surgery in children. Otol Neurotol 2008;29(2):214-20
16 Battmer RD et al. A review of device failure in more than 23 years of clinical experience of a cochlear implant program with more Than 3,400 implantees. Otol Neurotol 2009 Jun;30(4):455-63
17 Clinical results with the new Cochlear Nucleus 5 System. Cochlear White Paper. March 2010.
18 The Nucleus Freedom Cochlear Implant System: Adult Post Market Surveillance Trials Results.
19 Post Market Surveillance, P970051/5028; Poster presented at 12th Symposium on Cochlear Implants in Children, June 2009.
20 Amlani, A. (2001). Efficacy of directional microphone hearing aids: a meta-analytic perspective. J Am Acad Audiol, 12, 202 - 214.
21 Bentler, R. (2005). Effectiveness of directional microphones and noise reduction schemes in hearing aids: a systematic review of the evidence. J Am Acad Audiol, 16, 473 - 484.
22 Wolfe J. Comparison of speech recognition for recipients with Cochlear implant technology from different manufacturers. Cochlear White Paper. Feb 2010
23 The Cochlear Implants produced by Advanced Bionics and Med-El referenced in the reliability studies were found to be `X’ times more likely to fail than the Nucleus Implants produced by
Cochlear.
24 When using a rechargeable battery module, the CP810 Sound Processor has a dust and ingress protection rating of IP57. When using a standard battery module (with Zinc Air batteries), the
CP810 Sound Processor has a dust and ingress protection rating of IP44. The CR110 Remote Assistant has a dust and ingress protection rating of IP44. IP44 and IP57are rated according to
International Standard IEC 60529.

Nucleus is a registered trademark of Cochlear Limited. Cochlear, SmartSound, AutoNRT, N33789F ISS3 OCT10
Softip, Freedom, Snugfit and the elliptical logo are trademarks of Cochlear Limited.
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© Cochlear Limited 2010.