COCHLEAR ™ NUCLEUS ® RELIABILITY REPORT Volume 14 | February 2016 OUR MISSION We help people hear and be heard. We empower people to connect with others and live a full life. We transform the way people understand and treat hearing loss. We innovate and bring to market a range of implantable hearing solutions that deliver a lifetime of hearing outcomes. Cochlear’s implants are the most reliable in the industry. That’s one reason why more people choose Cochlear than any other implant brand. COCHLEAR'S IMPLANTS ARE THE MOST RELIABLE IN THE INDUSTRY 4,5 Cochlear Nucleus Reliability Report | February 2016 3 WHY RELIABILITY MATTERS High implant reliability means greater patient satisfaction and less risk of additional surgery. When considering which implant is right for your patient, it's important that you have access to the latest data on short- and long-term reliability, success and failure rates and key implant features. These are outlined in this Reliability Report. ABOUT RELIABILITY REPORTING The global standards for cochlear implant reliability reporting are the International Standard ISO 5841-2:20141, the reporting principles outlined in the European consensus statement on cochlear implant failures and explantations 2, and expert recommendations from the International classification of reliability for implanted cochlear implant receiver stimulators.3 Cochlear complies with these standards. HOW TO READ THIS REPORT What is Cumulative Survival Percentage (CSP)? What data is in this report? The cumulative percentage of functioning implants over time, which can be used to predict the reliability of the device within a given time period. The data in this report cover the entire life of implant models and registered implants* worldwide. The reliability calculations used in this report are in accordance with the ISO 58412:2014 Standard.1 They are probability calculations, which use a modified Kaplan-Meier estimator. These data estimate the probability of survival within a period of time and are represented as Cumulative Survival Percentage (CSP). MORE PEOPLE CHOOSE COCHLEAR THAN ANY OTHER IMPLANT BRAND OVER 280,000 REGISTERED COCHLEAR NUCLEUS® IMPLANTS WORLDWIDE Nucleus Implant Reliability Number of registered implants - 1 February 2016 ADULTS CHILDREN COMBINED 6,935 5,290 12,225 153,600 Profile CI24RE 69,160 84,440 CI500 15,381 14,388 29,769 CI24R 18,807 34,521 53,328 CI24M (All) 7,886 11,824 19,710 CI22M 9,959 8,224 18,183 Cumulative Survival Percentage (CSP) data for combined adults and children YEARS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 CI22M 99.3 98.7 98.2 97.8 97.5 97.2 97.0 96.7 96.5 96.2 96.0 95.7 95.5 95.3 95.0 94.9 94.7 94.5 94.1 93.9 93.7 93.4 93.2 92.9 92.4 92.2 92.1 92.1 92.1 CI24M (All) 99.5 98.9 98.5 98.2 98.0 97.9 97.7 97.6 97.5 97.3 97.2 97.1 97.1 97.0 97.0 96.9 96.9 96.8 96.8 CI24R 99.7 99.5 99.3 99.1 99.0 98.8 98.6 98.5 98.3 98.2 98.1 98.1 97.9 97.8 97.7 97.4 CI24RE 99.8 99.7 99.6 99.5 99.4 99.3 99.3 99.2 99.2 99.1 99.0 CI500 96.3 93.9 92.8 92.0 91.5 91.3 91.3 Profile 99.97 99.97 Previous generation implant Current generation implant PROFILE 99.97% 100 CI24RE 99.00% CI24R 97.40% 98 CI24M (ALL) 96.80% Cumulative Survival Percentage of Implants DEVICE 96 94 92 CI500* 91.30% CI22M 92.10% 90 PROFILE 99.97% CSP WITHIN TWO YEARS CI24RE 99% CSP WITHIN 11 YEARS 88 86 84 82 80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Time in Years REGISTERED IMPLANT DATA COMBINED FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 * Voluntarily recalled in September 2011. 8 Cochlear Nucleus Reliability Report | February 2016 Cochlear Nucleus Reliability Report | February 2016 9 What is combined data? How are results shown? The cumulative survival percentage of both adults and children populations combined. Results for adults and children are shown separately with 95% confidence intervals ( ) as required by the consensus statement. * An implant is registered with Cochlear when clinic/hospital submits the registration of the implanted device. Implant registrations often lag behind surgery dates. Cochlear Nucleus Reliability Report | February 2016 5 COMPLIANCE WITH INTERNATIONAL REPORTING STANDARDS In 2005, the major European cochlear implant centres, global regulatory authorities and device manufacturers developed the European consensus statement on cochlear implant failures and explantations.2 The consensus statement outlines how device failures and reliability should be reported, and the seven principles of best practice reporting. CONSENSUS STATEMENT PRINCIPLES All device failures must be reported to the competent authority and must be included in the calculation of the Cumulative Survival Rate (CSR*). Reporting of the CSR should be in accordance with ISO Standard 5841-2:2000.1 Manufacturer's reports of device failure should indicate the sources of data and the sample size. There must be no exclusions. The time period over which the data was collected should be specified. Reports of CSR should give complete historical data of a given device, describing any technical modifications (which can be integrated into historical data by starting at time 0). The complete data set of the ‘mother’ product should always be supplied when presenting data on subsequent device modifications. A new device can be attributed when there has been a change in either the case and/or the electrodes and/or the electronics and has been labelled by its own CE mark. Cumulative Survival Rate should be split into data for adults and for children and 95% confidence intervals (80% or 90% if the population is below 1,000 units) should be provided. Device survival time starts to count with closure of the wound intraoperatively. * CSR is identical to to Cumulative Survival Percentage (CSP). 6 Cochlear Nucleus Reliability Report | February 2016 COCHLEAR REPORTING PRACTICE COCHLEAR COMPLIANCE MED-EL COMPLIANCE4 ADVANCED BIONICS COMPLIANCE5 All device failures are reported to the competent authority. Cochlear uses the applicable definitions, categorisation scheme and calculation procedures of ISO 5841-2:20001 and the updated version published in 2014. All device failure modes are included, including failures due to external impact. The source of data is Cochlear’s global complaints handling database. Sample size and time period are specified with each report. Sample size not included. All models and all versions of each model are included in reports. Descriptions of any significant technical modfications are given. Reports aggregate the reliability of all devices (pre- and post- modification). If the postmodification is significantly different, postmodification is reported separately from the aggregate of all devices. A new device is attributed when there has been a change in either the case and/or the electrodes and/or the electronics and has been labelled by its own CE mark. Market practice is that all cochlear implants are labeled by one CE mark per authority. COMBI 40+ no longer reported. PULSAR no longer reported. COMBI 40+ no longer reported. PULSAR no longer reported. Clarion C1.0 no longer reported. Not explicitly stated. Not explicitly stated. Reports show separate data for adults and children. This Nucleus® Reliability Report contains reliability data with 95% confidence intervals, in compliance with the consensus statement.2,3 No split data on adults and children. Confidence intervals not included. All failures are counted that occur any time after wound closure. Not explicitly stated. Cochlear Nucleus Reliability Report | February 2016 7 MORE PEOPLE CHOOSE COCHLEAR THAN ANY OTHER IMPLANT BRAND OVER 280,000 REGISTERED COCHLEAR NUCLEUS® IMPLANTS WORLDWIDE Number of registered implants - 1 February 2016 DEVICE ADULTS CHILDREN COMBINED Profile 6,935 5,290 12,225 CI24RE 69,160 84,440 153,600 CI500 15,381 14,388 29,769 CI24R 18,807 34,521 53,328 CI24M (All) 7,886 11,824 19,710 CI22M 9,959 8,224 18,183 Cumulative Survival Percentage (CSP) data for combined adults and children YEARS 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 CI22M 99.3 98.7 98.2 97.8 97.5 97.2 97.0 96.7 96.5 96.2 96.0 95.7 95.5 95.3 95.0 94.9 94.7 94.5 94.1 93.9 93.7 93.4 93.2 92.9 92.4 92.2 92.1 92.1 92.1 CI24M (All) 99.5 98.9 98.5 98.2 98.0 97.9 97.7 97.6 97.5 97.3 97.2 97.1 97.1 97.0 97.0 96.9 96.9 96.8 96.8 CI24R 99.7 99.5 99.3 99.1 99.0 98.8 98.6 98.5 98.3 98.2 98.1 98.1 97.9 97.8 97.7 97.4 CI24RE 99.8 99.7 99.6 99.5 99.4 99.3 99.3 99.2 99.2 99.1 99.0 CI500 96.3 93.9 92.8 92.0 91.5 91.3 91.3 Profile 99.97 99.97 Cochlear Nucleus Reliability Report | February 2016 Nucleus Implant Reliability Previously available implant Currently available implant PROFILE 99.97% 100 CI24RE 99.00% CI24R 97.40% 98 Cumulative Survival Percentage of Implants CI24M (ALL) 96.80% 96 94 92 CI500* 91.30% CI22M 92.10% 90 PROFILE 99.97% CSP WITHIN TWO YEARS CI24RE 99% CSP WITHIN 11 YEARS 88 86 84 82 80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Time in Years REGISTERED IMPLANT DATA COMBINED FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 * Voluntarily recalled in September 2011. Cochlear Nucleus Reliability Report | February 2016 9 Natalie S. Cochlear recipient since 2015 CURRENTLY AVAILABLE IMPLANTS Cochlear Nucleus Reliability Report | February 2016 11 NUCLEUS PROFILE SERIES IMPLANT Number of registered Profile Series implants - 1 February 2016 ADULTS CHILDREN COMBINED 6,935 5,290 12,225 At only 3.9 mm, the thin implant body of the Profile Series is the most discreet choice for all patients. The implant also offers ease of use and faster surgery due to minimal drilling. Commercially released in 2014, the Profile Series sets a new standard in implant reliability with a 99.97% combined Cumulative Survival Percentage within two years. Profile Series Cumulative Survival Percentage YEAR 1 2 Adults 99.95 99.95 Children 100.00 100.00 Combined 99.97 99.97 3.9 mm 12 Cochlear Nucleus Reliability Report | February 2016 Profile Series Reliability Adults Cumulative Survival Percentage of Implants 100 Children CHILDREN 100.00% ADULTS 99.95% 99 PROFILE: OVER 12,000 DEVICES IMPLANTED 98 99.97% CSP WITHIN TWO YEARS 97 96 95 0 1 2 Time in Years REGISTERED IMPLANT DATA FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 Cochlear Nucleus Reliability Report | February 2016 13 NUCLEUS CI24RE SERIES IMPLANT Number of registered CI24RE Series implants - 1 February 2016 ADULTS CHILDREN COMBINED 69,160 84,440 153,600 The CI24RE Series is the world’s most widely used cochlear implant. Released in 2005, it has a record of 99% combined Cumulative Survival Percentage within 11 years. CI24RE Series Cumulative Survival Percentage YEARS 14 1 2 3 4 5 6 7 8 9 10 11 Adults 99.9 99.8 99.7 99.7 99.6 99.5 99.5 99.5 99.4 99.4 99.4 Children 99.8 99.7 99.5 99.4 99.3 99.2 99.1 99.1 99.0 98.8 98.6 Combined 99.8 99.7 99.6 99.5 99.4 99.3 99.3 99.2 99.2 99.1 99.0 Cochlear Nucleus Reliability Report | February 2016 CI24RE Series Reliability ADULTS 99.4% CHILDREN 98.6% 98 Cumulative Survival Percentage of Implants Children Adults 100 96 94 CI24RE: OVER 150,000 DEVICES IMPLANTED 92 90 99% CSP WITHIN 11 YEARS 88 86 84 82 80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 Time in Years REGISTERED IMPLANT DATA FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 Cochlear Nucleus Reliability Report | February 2016 15 Rod Saunders First research multi-channel cochlear implant recipient, 1978 PREVIOUSLY AVAILABLE IMPLANTS 17 Cochlear Nucleus Reliability Report | February 2016 17 NUCLEUS CI500 SERIES IMPLANT Number of registered CI500 Series implants - 1 February 2016 ADULTS CHILDREN COMBINED 15,381 14,388 29,769 Released in 2009, the CI500 Series has a combined Cumulative Survival Percentage of 91.3% within seven years. The CI500 Series was voluntarily recalled in September 2011. CI500 Series Cumulative Survival Percentage YEARS 18 1 2 3 4 5 6 7 Adults 95.9 93.9 92.8 92.3 91.9 91.7 91.7 Children 96.6 94.0 92.7 91.7 91.1 90.9 90.8 Combined 96.3 93.9 92.8 92.0 91.5 91.3 91.3 Cochlear Nucleus Reliability Report | February 2016 CI500 Series Reliability Adults 100 Children Cumulative Survival Percentage of Implants 98 96 94 92 ADULTS 91.7% CHILDREN 90.8% 90 88 86 84 82 80 0 1 2 3 4 5 6 7 8 9 10 Time in Years REGISTERED IMPLANT DATA FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 Cochlear Nucleus Reliability Report | February 2016 19 NUCLEUS CI24R IMPLANT Number of registered CI24R implants - 1 February 2016 ADULTS CHILDREN COMBINED 18,807 34,521 53,328 The CI24R was released in 2000 with perimodiolar (Contour Advance®) and straight electrodes. Within 16 years, the CI24R implant has a combined Cumulative Survival Percentage of 97.4%. CI24R Cumulative Survival Percentage YEARS 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Adults 99.8 99.7 99.5 99.4 99.3 99.1 99.0 98.9 98.9 98.7 98.7 98.6 98.6 98.5 98.5 98.3 Children 99.7 99.4 99.1 99.0 98.8 98.6 98.3 98.2 98.0 97.9 97.8 97.7 97.5 97.3 97.2 96.8 Combined 99.7 99.5 99.3 99.1 99.0 98.8 98.6 98.5 98.3 98.2 98.1 98.1 97.9 97.8 97.7 97.4 Cochlear Nucleus Reliability Report | February 2016 CI24R Reliability Children Adults 100 ADULTS 98.3% 98 Cumulative Survival Percentage of Implants CHILDREN 96.8% 96 94 92 90 88 86 84 82 80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Time in Years REGISTERED IMPLANT DATA FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 Cochlear Nucleus Reliability Report | February 2016 21 NUCLEUS CI24M IMPLANT Number of registered CI24M implants - 1 February 2016 ADULTS CHILDREN COMBINED ALL 7,886 11,824 19,710 POST** 6,169 9,313 15,482 Released in 1997, the CI24M implant was the world’s first cochlear implant with a removable magnet for MRI safety. Within 19 years, the CI24M implant has a combined Cumulative Survival Percentage of 96.8%. CI24M Cumulative Survival Percentage YEARS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Adults (All) 99.8 99.7 99.7 99.6 99.5 99.5 99.4 99.4 99.3 99.2 99.1 99.0 99.0 98.9 98.9 98.8 98.8 98.6 98.6 Children (All) 99.2 98.3 97.7 97.3 97.0 96.8 96.6 96.4 96.3 96.1 96.0 95.9 95.8 95.8 95.7 95.7 95.6 Adults (Post) 99.9 99.8 99.7 99.6 99.5 99.5 99.4 99.3 99.3 99.2 99.1 99.0 99.0 98.9 98.9 98.8 98.8 98.8 # Children (Post) 99.4 98.6 98.1 97.8 97.5 97.3 97.2 97.0 96.8 96.7 96.5 96.5 96.4 96.3 96.3 96.2 96.2 96.2 # Combined (All) 99.5 98.9 98.5 98.2 98.0 97.9 97.7 97.6 97.5 97.3 97.2 97.1 97.1 97.0 97.0 96.9 96.9 96.8 96.8 ** ‘Post’ refers to the addition of a structural support component to improve impact strength. # Individual populations are less than the minimum required for a valid calculation.1 22 Cochlear Nucleus Reliability Report | February 2016 16 17 95.6 18 95.6 19 CI24M Reliability Adults (Post) 100 Adults (All) ADULTS (POST) 98.8% 98 Cumulative Survival Percentage of Implants Children (All) Children (Post) ADULTS (ALL) 98.6% 96 CHILDREN (POST) 96.2% CHILDREN (ALL) 95.6% 94 92 90 88 86 84 82 80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Time in Years REGISTERED IMPLANT DATA FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 Cochlear Nucleus Reliability Report | February 2016 23 NUCLEUS CI22M IMPLANT Number of registered CI22M implants - 1 February 2016 ADULTS CHILDREN COMBINED 9,959 8,224 18,183 Released in 1985, the CI22M implant was the first commercially available multi-channel cochlear implant in the world. Within 29 years, the CI22M implant has a combined Cumulative Survival Percentage of 92.1%. CI22M Cumulative Survival Percentage YEARS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Adults 99.3 99.0 98.7 98.5 98.4 98.3 98.2 98.0 97.9 97.6 97.5 97.4 97.2 96.9 Children 99.2 98.3 97.6 96.9 96.5 96.0 95.5 95.2 94.8 94.5 94.2 93.8 93.6 93.3 Combined 99.3 98.7 98.2 97.8 97.5 97.2 97.0 96.7 96.5 96.2 96.0 95.7 95.5 95.3 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 96.7 96.6 96.4 96.2 95.9 95.7 95.5 95.2 95.0 94.6 94.1 94.0 93.9 93.9 93.9 93.0 92.8 92.7 92.4 92.1 91.8 91.5 91.3 91.1 90.8 90.5 90.1 90.1 # # 95.0 94.9 94.7 94.5 94.1 93.9 93.7 93.4 93.2 92.9 92.4 92.2 92.1 92.1 92.1 # Individual populations are less than the minimum required for a valid calculation.1 24 Cochlear Nucleus Reliability Report | February 2016 CI22M Reliability Children Adults 100 Cumulative Survival Percentage of Implants 98 ADULTS 93.9% 96 94 92 90 88 CHILDREN 90.1% 86 84 82 80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Time in Years REGISTERED IMPLANT DATA FOR ADULTS AND CHILDREN AS OF 1 FEBRUARY 2016 Cochlear Nucleus Reliability Report | February 2016 25 APPENDIX GRAPHICAL REPRESENTATION Each graph represents a type of device based on the receiver/stimulator portion. RECEIVER/ STIMULATOR IMPLANTS* Profile Series Cochlear Nucleus Profile with Contour Advance Electrode (CI512) Cochlear Nucleus Profile with Slim Straight Electrode (CI522) CI24RE Series Nucleus Freedom® with Contour Advance Electrode Nucleus Freedom with Straight Electrode Cochlear Nucleus CI422 Cochlear Implant Cochlear Hybrid™ L24 Cochlear Implant CI500 Series Cochlear Nucleus CI512 Cochlear Implant Cochlear Nucleus CI513 Cochlear Implant Cochlear Nucleus CI551 Double Array Cochlear Implant Cochlear Nucleus ABI541 Auditory Brainstem Implant CI24R Nucleus 24 with Contour Advance Electrode Nucleus 24 with Contour® Electrode Nucleus 24k with Straight Electrode CI24M Nucleus 24 with Straight Electrode Nucleus 24 with Double Array Nucleus 24 Auditory Brainstem Implant [ABI] CI22M Nucleus 22 * Implant availability varies by market. REFERENCES 1. International standard ISO 5841-2. Implants for surgery — Cardiac Pacemakers — part 2: Reporting of clinical performance of populations of pulse generators or leads. Geneva (Switzerland): International Organization for Standardization - initially published in 2000 and updated in 2014. 2. European consensus statement on cochlear implant failures and explantations. Otol Neurotol. 2005 Nov;26(6):1097-9. 3. Battmer RD, Backous DD, Balkany TJ, Briggs RJ, Gantz BJ, van Hasselt A, et al. International classification of reliability for implanted cochlear implant receiver stimulators. Otol Neurotol. 2010 Oct;31(8):1190-3. 4. Reliability You Can Count On [Internet]. MED-EL. January 2016 [cited 17 March 2016]. Available from: http://www.medel.com/reliability-reporting/ 5. 2015 Cochlear Implant Reliability Report [Internet]. Stäfa (Switzerland): Advanced Bionics AG; 2015 [cited 17 March 2016]; Available from: http://www. advancedbionics.com/content/dam/ab/Global/en_ce/documents/candidate/028-M719-02_Global_2015_Implant_Reliability_Report_reference.pdf 26 Cochlear Nucleus Reliability Report | February 2016 As the global leader in implantable hearing solutions, Cochlear is dedicated to bringing the gift of sound to people with moderate to profound hearing loss. We have helped over 400,000 people of all ages live full and active lives by reconnecting them with family, friends and community. We aim to give our recipients the best lifelong hearing experience and access to innovative future technologies. For our professional partners, we offer the industry's Cochlear Ltd (ABNresearch 96 002 618 073) 1 University Avenue,networks. Macquarie University, NSW 2109, Australia Tel: +61 2 9428 6555 Fax: +61 2 9428 6352 largest clinical, and support Cochlear Ltd (ABN 96 002 618 073) 14 Mars Road, Lane Cove, NSW 2066, Australia Tel: +61 2 9428 6555 Fax: +61 2 9428 6352 Cochlear Americas 13059 E Peakview Avenue, Centennial, CO 80111, USA Tel: +1 303 790 9010 Fax: +1 303 792 9025 Cochlear Canada Inc 2500-120 Adelaide Street West, Toronto, ON M5H 1T1, Canada Tel: +1 416 972 5082 Fax: +1 416 972 5083 Cochlear AG EMEA Headquarters, Peter Merian-Weg 4, 4052 Basel, Switzerland Tel: +41 61 205 0404 Fax: +41 61 205 0405 Cochlear Deutschland GmbH & Co. KG Karl-Wiechert-Allee 76A, 30625 Hannover, Germany Tel: +49 511 542 770 Fax: +49 511 542 7770 Cochlear Europe Ltd 6 Dashwood Lang Road, Bourne Business Park, Addlestone, Surrey KT15 2HJ, United Kingdom Tel: +44 1932 26 3400 Fax: +44 1932 26 3426 Cochlear Benelux NV Schaliënhoevedreef 20 i, B-2800 Mechelen, Belgium Tel: +32 15 79 55 11 Fax: +32 15 79 55 70 Cochlear France S.A.S. 135 Route de Saint-Simon, 31100 Toulouse, France Tel: +33 5 34 63 85 85 (International) or 0805 200 016 (National) Fax: +33 5 34 63 85 80 Cochlear Italia S.r.l. Via Larga 33, 40138 Bologna, Italy Tel: +39 051 601 53 11 Fax: +39 051 39 20 62 Cochlear Nordic AB Konstruktionsvägen 14, 435 33 Mölnlycke, Sweden Tel +46 31 335 14 61 Fax +46 31 335 14 60 Cochlear Tıbbi Cihazlar ve Sağlık Hizmetleri Ltd. Şti. Çubuklu Mah. Boğaziçi Cad., Boğaziçi Plaza No: 6/1, Kavacık, TR-34805 Beykoz-Istanbul, Turkey Tel: +90 216 538 5900 Fax: +90 216 538 5919 Cochlear (HK) Limited Room 1204, 12/F, CRE Building, No 303 Hennessy Road, Wanchai, Hong Kong SAR Tel: +852 2530 5773 Fax: +852 2530 5183 Cochlear Korea Ltd 1st floor, Cheongwon building, 828-5, Yuksam dong, Kangnam gu, Seoul, Korea Tel: +82 2 533 4663 Fax: +82 2 533 8408 Cochlear Limited (Singapore Branch) 6 Sin Ming Road, #01-16 Sin Ming Plaza Tower 2, Singapore 575585 Tel: +65 6553 3814 Fax: +65 6451 4105 Cochlear Medical Device (Beijing) Co., Ltd Unit 2208 Gemdale Tower B, 91 Jianguo Road, Chaoyang District, Beijing 100022, P.R. China Tel: +86 10 5909 7800 Fax: +86 10 5909 7900 Cochlear Medical Device Company India Pvt. Ltd. Ground Floor, Platina Building, Plot No C-59, G-Block, Bandra Kurla Complex, Bandra (E), Mumbai – 400 051, India Tel: +91 22 6112 1111 Fax: +91 22 6112 1100 株式会社日本コクレア (Nihon Cochlear Co Ltd) 〒113-0033 東京都文京区本郷2-3-7 お茶の水元町ビル Tel: +81 3 3817 0241 Fax: +81 3 3817 0245 Cochlear Middle East FZ-LLC Dubai Healthcare City, Al Razi Building 64, Block A, Ground Floor, Offices IR1 and IR2, Dubai, United Arab Emirates Tel: +971 4 818 4400 Fax: +971 4 361 8925 Cochlear Latinoamérica S.A. International Business Park, Building 3835, Office 103, Panama Pacifico, Panama Tel: +507 830 6220 Fax: +507 830 6218 Cochlear Ltd (ABN 96 002 618 073) 1 University Avenue, Macquarie University, NSW 2109, Australia Tel: +61 2 9428 6555 Fax: +61 2 9428 6352 Cochlear NZ Limited Level 4, Takapuna Towers, 19-21 Como St, Takapuna, Auckland 0622, New Zealand Tel: + 64 9 914 1983 Fax: +61 2 8002 2800 Cochlear Ltd (ABN 96 002 618 073) 14 Mars Road, Lane Cove, NSW 2066, Australia Tel: +61 2 9428 6555 Fax: +61 2 9428 6352 Cochlear Americas 13059 E Peakview Avenue, Centennial, CO 80111, USA Tel: +1 303 790 9010 Fax: +1 303 792 9025 Cochlear Canada Inc 2500-120 Adelaide Street West, Toronto, ON M5H 1T1, Canada Tel: +1 416 972 5082 Fax: +1 416 972 5083 www.cochlear.com Cochlear AG EMEA Headquarters, Peter Merian-Weg 4, 4052 Basel, Switzerland Tel: +41 61 205 0404 Fax: +41 61 205 0405 Cochlear Deutschland GmbH & Co. KG Karl-Wiechert-Allee 76A, 30625 Hannover, Germany Tel: +49 511 542 770 Fax: +49 511 542 7770 Cochlear Europe Ltd 6 Dashwood Lang Road, Bourne Business Park, Addlestone, Surrey KT15 2HJ, United Kingdom Tel: +44 1932 26 3400 Fax: +44 1932 26 3426 Cochlear Benelux NV Schaliënhoevedreef 20 i, B-2800 Mechelen, Belgium Tel: +32 15 79 55 11 Fax: +32 15 79 55 70 Disclaimer Cochlear France S.A.S. 135 Route de Saint-Simon, 31100 Toulouse, France Tel: +33 5 34 63 85 85 (International) or 0805 200 016 (National) Fax: +33 5 34 63 85 80 Please seek advice your practitioner health professional for hearing Cochlear Italia S.r.l. from Via Larga 33,medical 40138 Bologna, Italy Tel:or +39 051 601 53 11 Fax: +39about 051 39treatments 20 62 loss. TheyNordic will be to advise on a14,suitable solution Sweden for theTel hearing condition. products Cochlear ABable Konstruktionsvägen 435 33 Mölnlycke, +46 31 loss 335 14 61 Fax +46All 31 335 14 60 CochlearbeTıbbi Cihazlar Sağlık Hizmetleri Ltd. Şti. Çubuklu Mah. Boğaziçi Cad.,professional. Boğaziçi Plaza No: 6/1, Kavacık, TR-34805 Beykoz-Istanbul, Turkey Tel: +90 216 538 5900 Fax: +90 216 538 5919 should used only asvedirected by your medical practitioner or health Cochlear (HK) Limited Room 1204, 12/F, CRE Building, No 303 Hennessy Road, Wanchai, Hong Kong SAR Tel: +852 2530 5773 Fax: +852 2530 5183 Cochlear Korea Ltd 1st floor, Cheongwon building, 828-5, Yuksam dong, Kangnam gu, Seoul, Korea Tel: +82 2 533 4663 Fax: +82 2 533 8408 Not all products are available in all6countries. Please contact your representative. Cochlear Limited (Singapore Branch) Sin Ming Road, #01-16 Sin Ming Plazalocal TowerCochlear 2, Singapore 575585 Tel: +65 6553 3814 Fax: +65 6451 4105 Cochlear Medical Device (Beijing) Co., Ltd Unit 2208 Gemdale Tower B, 91 Jianguo Road, Chaoyang District, Beijing 100022, P.R. China Tel: +86 10 5909 7800 Fax: +86 10 5909 7900 Cochlear Medical Device Company India Pvt. Ltd. Ground Floor, Platina Building, Plot No C-59, G-Block, Bandra Kurla Complex, Bandra (E), Mumbai – 400 051, India Tel: +91 22 6112 1111 Fax: +91 22 6112 1100 ACE, Advance Off-Stylet, AutoNRT, Autosensitivity, Beam, Button, Carina,Cochlear, 株式会社日本コクレア (NihonAOS, Cochlear Co Ltd) 〒113-0033 東京都文京区本郷2-3-7 お茶の水元町ビル Tel: +81 ,3Codacs, 3817 0241Contour, Fax: +81 3Contour 3817 0245 Cochlear East FZ-LLCESPrit, Dubai Healthcare Al Razi Building 64, BlockHugfit, A, Ground Floor, Offices IR1 and IR2, Dubai, UnitedMET, Arab Emirates Tel: +971 4 818 4400 Fax: +971 4 361 8925 Advance,Middle Custom Sound, Freedom,City, Hear now. And always, Hybrid, inHear, Invisible Hearing, MP3000, Cochlear Latinoamérica S.A. International Business Park, Building 3835, Office 103, Panama Pacifico, Panama Tel: +507 830 6220 Fax: +507 830 6218 myCochlear, NRT, Nucleus, , Off-Stylet, SmartSound, Softip, SPrint, True Wireless, the elliptical logo and Whisper are Cochlear NZ Limited Level 4, Takapuna Towers, 19-21 Como St, Takapuna, Auckland 0622, New Zealand Tel: + 64 9 914 1983 Fax: +61 2 8002 2800 That’s why more people choose Cochlear than any other hearing implant company. either trademarks or registered trademarks of Cochlear Limited. Ardium, Baha, Baha SoftWear, BCDrive, DermaLock, EveryWear, Vistafix and WindShield are either trademarks or registered trademarks of Cochlear Bone Anchored Solutions AB. www.cochlear.com © Cochlear Limited 2016 D828700 ISS2 APR16