Solutions for Children with Severe to Profound Hearing Loss
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Unique considerations developing technology for severe to profound hearing loss Unique Different needs regulations Pediatric Research Standard of Care CI vs HA Fitting classifications strategies 3
Agenda Hearing solutions for children with severe to profound hearing loss: • Sky Marvel review • New Sky Link M • New Naida P-UP • New Roger solutions • Roger On (new microphone) • Roger NeckLoop • Roger Focus ll
The starting line-up Sky Marvel Sky Link M Naida P-UP Tried-and-true solution Progressive Hearing Loss Most profound of losses • The Most powerful Phonak hearing Your go to pediatric product line • Sky Marvel product created for aid and first ultrapower offering children who may end up in a universal connectivity. bimodal hearing solution 6
Sky Marvel Sky Marvel Sky Link M Naida P-UP Tried-and-true solution Progressive Hearing Loss Most profound of losses Your go to pediatric product line 14 Colors and 7 tone hook colors • 3 Technology Levels (90/70/50) • Autosense Sky OS pediatric OS • Indicator light • myPhonak Junior app • Universal Connectivity 7
Sky Marvel: Models 3 form factors in 4 performance levels – 90, 70, 50 13 312 Sky M-M Sky M-PR Sky M-SP BTE BTE BTE *Requires NoahLink Wireless to fit [058-0139] Battery SlimTube HE 8 size Regular Tube
Sky Marvel offers Connects to Clear smartphones, Rechargeable Child-specific rich sound Roger™ mics and model design more 5 year standard warranty 9 for hospitals, clinics and school purchasers
AutoSense Sky OS 3.0: developed with AI AutoSense OS 3.0 was developed using artificial intelligence (AI) to automatically Detect Adapt More natural listening experience Provide the best hearing experience in any listening environment 10
Rich, powerful sound AutoSense Sky OS: The world’s first operating system designed for children Up to Provides up to Up to 30% 39% more accurate in 24% improvement in more precise during recognizing yelling and sentence recognition in noisy classroom shouting as unwanted noise2 activities1 noise1 11 1. Feilner et al,. (2016), 2. Wolfe, et al., (2018),
Adaptive nature of SoundRecover2 Input with significant high frequency energy present Input with significant low/mid frequency energy present Compressed output Compressed output 12
Benefits of SoundRecover2 pre-calculation Provides even No risk for distortion No risk of greater benefit for of low and mid deprivation severe to profound frequencies users than before Page 13
Connects to smartphones, Roger™ mics and more The world’s first pediatric hearing The world’s first pediatric Enjoy direct streaming from aids that directly stream from both hearing aids with direct multimedia sources through iOS and Android devices streaming of Roger the TV Connector 14
Smart devices – clever kids Tablet and smartphone use is widespread Schools have adopted them in education of elementary school of surveyed schools students report that they 78% regularly use a tablet or smartphone 79% reported use of tablets in school Ofcom. (2019). Children and parents: Media use and attitudes report 2018. Retrieved from https://www.ofcom.org.uk/research-and-data/media-literacy-research/childrens/children-and-parents-media-use-and-attitudes-report-2018, accessed August 19th, 2019. 15
Child-specific design Smaller and lighter Industry leading with RogerDirect robustness Safe thanks to new tamperproof features Indicator light 16
Share the moments of love Sky Link M A Sonova brand
Cutting edge technology 45 + years development of Extensive pediatric hearing rehabilitation aids expertise Helping kids share the moments of love
Phonak Naída™ Link M & Phonak Sky™ Link M & AB Naída™ I M Sky I™ M
Sky Link M Sky Marvel Sky Link M Naida P-UP Tried-and-true solution Progressive Hearing Loss Most profound of losses • Sky Marvel product created for children who may end up in a bimodal hearing solution • 1 Technology level (90) • 6 Colors and 7 Tone hooks • Autosense Sky OS Pediatric OS • Indicator light • MyPhonak Junior App • Universal Connectivity 20
A pediatric bimodal solution World’s World’s first first Sky Link M Sky CI M The combination of Sky Link M and Sky CI M is the world’s first truly pediatric dedicated bimodal solution. 21
Sky Link M versus Sky M SP Moderate to profound hearing loss, all audiometric configurations 22
Marvel brings wireless connectivity to Sky Link M and Sky CI M Binaural Voice Stream irStream™ Technology™ (BVST) TV Connector and Proprietary 2.4 GHz Protocol PartnerMic Bluetooth® Classic Streamed media speech and media music; Streamed phone calls Bluetooth® LE RogerDirect™ Noahlink wireless, AB remote mobile app, and Roger microphones Phonak RemoteControl The Bluetooth® mark is a registered trademark owned by Bluetooth SIG, Inc. and any use of such mark by Sonova AG is under license.
Why is bimodal important? Benefits of bimodal fittings may include1: • Improved speech recognition in quiet and in noise • Improved sound localization compared with unilateral CI use • Improved speech quality • Improved music appreciation • Improved ease of listening 1. Vroegop, J. L., Homans, N. C., van der Schroeff, M. P., & Goedegebure, A. (2019). Comparing Two Hearing Aid Fitting Algorithms for Bimodal cochlear implant Users, Ear and Hearing: 40(1) 98-106. doi: 10.1097/AUD.0000000000000597
Research into bimodal benefit in kids Washington University • The Ohio State University “For children with the most profound losses, • “A period of early bimodal stimulation provides a early bilateral CIs provide the greatest benefit to early language acquisition for children opportunity for developing good spoken language skills“ undergoing cochlear implantation”. “For those with moderate-to-severe losses, • “These early benefits translate into later benefits however, a prescribed period of bimodal use in phonemic awareness, working memory, may be more advantageous than early expressive vocabulary, and reading ability.” simultaneous bilateral cochlear implants” Davidson LS, Geers AE, Uchanski RM, Firszt JB. (2019). Effects of Early Acoustic Hearing on Speech Perception and Language for Pediatric cochlear implant Recipients. J Speech Lang Hear Res. 62(9):3620-3637. Moberly, A. C., Lowenstein, J. H., & Nittrouer, S. (2016). Early bimodal stimulation benefits language acquisition for children with cochlear implants. Otology & Neurotology, 37(1), 24–30. 25
Factors which influence Sky Link M recommendation • Family wishes • Physical constraints of the child • Local implant candidacy criteria: • Degree of hearing loss • Age of implantation • Unilateral vs bilateral • Simultaneous or sequential • Reimbursement/financial considerations
Sky Link M or Sky M-SP – Initial fitting Pathway 1: Bilateral • Lesser degrees of hearing loss Sky M-SP • Local requirements indicate fitting of an SP-level device Pathway 2: • Child fulfills cochlear implant candidacy criteria • Family interested Bilateral • Local regulations promote simultaneous implantation Sky M-SP N o • Financially viable for cochlear implant i s e Pathway 3: • Family interested • Child fulfills cochlear implant candidacy criteria Bilateral • Local regulations promote unilateral or sequential bilateral Sky Link M N implantation o i • Financially viable for cochlear implant s 27 e
Sky Link M or Sky M-SP – Subsequent fitting Which device is most suitable? Pathway 1: • Need new hearing aids • Not progressing as well with hearing aids as hoped N N o o • Deteriorating hearing loss i i • Fulfills cochlear implant candidacy criteria s s Old devices e Bilateral e • Unilateral implantation or sequential binaural implantation Sky Link M Pathway 2: • Needs new hearing aids • Child fulfills cochlear implant candidacy criteria N o • Contraindication for cochlear implant i • Family NOT interested Old devices s Bilateral e Sky M-SP 28
Target 7.1 & Target CI Class IIa Class III • Sky Link M and Naída Link M • Sky CI M and Naída CI M • Phonak Target • Advanced Bionics Target CI 29
• Sky Link M fitting – full control • Sky Link M fitting - full control • Bimodal fitting– full control of both devices • Bimodal fitting - • Connect to Sky CI M and Sky Link M Sky CI M is the primary • Read Sky CI M • Automatic alignment of features and programs device between devices • Adjust certain setting on Sky Link M • Create a new bimodal fitting if needed Target 7.1 cannot write to 30 Sky CI M
Naida P-UP Sky Marvel Sky Link M Naida P-UP Tried-and-true solution Progressive Hearing Loss Most profound of losses • The Most powerful Phonak hearing aid and first ultrapower offering universal connectivity. • 4 technology levels (90,70,50,30) • 7 Colors (Non pediatric) • Universal Connectivity • 2 Active Bluetooth classic connections • myPhonak Junior app (P-UP) or myPhonak app 31
Naída Paradise P-UP P-PR Available in: Sand Silver Graphite Velvet Beige Beige Chestnut Champagne Gray Gray Black 33
Naída Paradise Naida P-PR Naida P-UP SlimTube 4.0 HE11 680 HE11 HE11 680 Max Power Output Max Power Output 129 130 141 134 (dB SPL) (dB SPL) Max Gain (dB) 69 68 Max Gain (dB) 84 78 34
Naída breaks down connectivity barriers for UP wearers Universal World’s Hands-free World’s connectivity First calls First Multiple Bluetooth® World’s World’s First RogerDirect™ First connections 35
Universal connectivity 36
Naída P-UP battery life 11 days of battery life Based upon 16 hour day including: 8 hours: Autosense 4.0, 4 hours Bluetooth streaming 4 hours of Roger/AirStream 37
Summary Sky Marvel Sky Link M Naida P-UP Tried-and-true solution Progressive Hearing Loss Most profound of losses • The Most powerful Phonak hearing Your go to pediatric product line • Sky Marvel product created for aid and first ultrapower offering children who may end up in a 14 Colors and 7 tone hook colors universal connectivity. bimodal hearing solution • 3 Technology Levels (90/70/50) • 4 technology levels (90,70,50,30) • 3 Pediatric Colors and 7 Tone hooks • Autosense Sky OS pediatric OS • 7 Colors • Autosense Sky OS Pediatric OS • Indicator light • All of Marvels features and more.. • Indicator light • myPhonak Junior app (Spring 21) • myPhonak Junior app (P-UP) or • myPhonak Junior App (Spring 21) • Universal Connectivity myPhonak app • Universal Connectivity • Universal Connectivity with 2 Active Bluetooth Classic connections 38
Introducing New Roger Solutions
Roger On™
Roger On Ease of use • Switch automatically between different modes • Adapts to environment and use case • myRogerMic app Hearing Performance • Display • IP 54, protected against splashes of water • MultiBeam 2.0 Technology • Stereo sound quality • Pointing mode 2.0 • Orientation independent in presenter mode Designed for versatility • Available Spring 2021 • Compatible with almost every hearing aid and cochlear implant • Covers virtually all use cases • Table mode • Presenter mode • Pointing mode • Streaming from TV, stream music and more 41
Roger On Display Three microphones • Microphone mode in a triangle Available • Device status • MultiBeam 2.0 Late Technology spring • Battery status Three microphones in a row On/off • Pointing mode 2.0 • Clear indication of on/off Button Clip Two colors • Champagne Charging • Graphite grey • USB-C • 8 hours usage • 3 hours charging 42
Three modes with automatic switching Pointing mode 2.0 Presenter mode Table mode with three microphones with orientation-independent in with MultiBeam 2.0 Technology presenter mode 43
Pointing Mode 2.0 • Improved Pointing mode 2.0 uses three microphones • Creates a well-defined microphone beam • Zoom in to a speaker in a conversation or classroom 44
Orientation-independent in Presenter mode • Accelerometer activates upward pointing beam. It knows what position it is placed in so you don’t have to use the lanyard. • Equal speech quality is maintained independent of the position* • Easier to Use *According to technical measurements at RISE (Research Institute of Sweden) 16 April 2019. 45
Table mode • Three embedded microphones; six beam combinations • Automatic activation of microphone beam with best SNR • Provides the listener with improved speech intelligibility • MultiBeam 2.0 Technology* found in Roger On *MultiBeam 2.0 Technology is only available using Sonova hearing devices with RogerDirect. 46
Ease of Use – The myRogerMic app Switch microphone mode Change beam steering selection Mute/unmute Check battery status Configure up to 2 custom programs 47
Streaming TV and Multimedia 48
Receiver Compatibility Roger On is compatible with 02 and 03 Roger receivers used on hearing aids, cochlear implants and BAHAs RogerDirect installed Roger X Roger Focus II Roger NeckLoop Roger 17 Roger 18 Roger 19 Roger 20 Roger 21 RogerDirect License Universal receivers Integrated receivers 49
Roger NeckLoop
A Universal Solution Roger NeckLoop can be used with all hearing instruments with T-coil • Hearing aids • Cochlear implants • BAHA- with a T-coil Roger NeckLoop is available as 02 and 03 version. 51
Roger NeckLoop features Detachable neck loop Battery • Available two lengths, • Indication for 60 and 80 cm battery status • Up to 10 hours use, 3 hours charging On/off • Clear indication of on/off Volume control Two-sided housing Display USB-C • Volume setting • Charging • Connection status • Digital output 52
Roger NeckLoop Can be used with Easy to use and demo Can be used with Roger NeckLoop hearing Roger Speech to Text brings the aids,CIs, BAHA with Available in 02 and 03 applications conversation closer a T-coil with headphones 53
Speech to text Roger NeckLoop can be connected to Speech to text gives a texted laptop/tablet or mobile phone with a version of Roger inputs speech to text app 54
Roger NeckLoop vs. Ear-level Receivers Benefits of Ear-level receivers: • Better sound quality • Access to a broader frequency bandwidth Roger 17 Roger 18 Roger 19 • Automatic activation of Roger when used with Marvel and Paradise hearing aids • No additional manual program needed Roger 20 Roger 21 Roger X When to choose the Roger NeckLoop: • If Roger is only accessible via T-coil Vs. • If looking for a Speech to Text solution using Roger 55 NEW! Roger NeckLoop
Roger NeckLoop A universal receiver for all patients • Compatible with Non-Phonak hearing instruments • Students ranging from elementary to higher education • Working young adults 56
Roger Focus II
Who could this be? Unilateral Hearing Loss (UHL) Auditory Processing Disorder (APD) Autism Spectrum Disorder (ASD) Difficulties with: Understanding speech in noise . Challenges with localization Decreased engagement Increased anxiety levels Behavioral Issues. 1,2,3. 58
Roger Focus II: Listening performance at school and home Works with any Roger mic Indicator light Pediatric colors Lockable volume control IP68 Size 00 Slim Tube Now available Tamperproof battery doors 59
Form factors Up to Up to 20 52 Hrs battery life Hrs battery life on a full charge Roger Focus II Roger Focus II-312 Rechargeable Zinc-Air 60
Roger Focus II … Listening performance Personalized choices Safety at school and home …helps children and teens focused on what matters 61
Resources
HearingSuccess Convenient Hear Understand Learn Connect Fun 63
A Sound Foundation Through Early Amplification 2021 8th International Pediatric Audiology Conference March 28 — 31, 2021 64 Register at Phonakpro.com Trainings and Events tab/Phonak Events
The Phonak pediatric team Sarah Benner Evan Claytor Stacy Michels Pediatric Territory Pediatric Territory Pediatric Territory Manager Manager Manager AK, N CA, ID, MT, DE, NJ, NY, and Il, IA, KS, MN, NE, OR, WA, and WY E PA ND, SD, and WI x 9648 x 9635 x 5171 Patty Shappell Dana Ulakovic Morgan White Pediatric Territory Pediatric Territory Pediatric Territory Manager Manager Manager AZ, CO, HI, NV, UT, CT, ME, MD, MA, IN, KY, MI, OH, W. PA, S. CA, and Guam NH, NC, RI, VT, E. TN, and WV x 5003 VA, and DC x 9524 x 9568 Dawn Aerts Coming Soon! Cybill Johnson Director of AL, FL, GA, MS, Pediatric Pediatric Sales SC, W. TN Account Specialist x5293 x5275 AR, LA, MO, NM, OK, TX First.Last@phonak.com 65
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