Life's Worth Hearing

Life’s worth hearing Exploring a Cochlear™ Bone Conduction Solution Opening up a new world of sound

When you live with hearing loss, you’re not simply missing out on sounds, you could be missing out on life. It’s time to get back what you’ve been missing. If you struggle to hear because of conditions such as draining ears, chronic ear infections, acoustic neuroma or Microtia and Atresia, a bone conduction solution may be what you have been waiting for.

2 “ My hearing loss no longer slows me down. The Baha System keeps up with me and my active lifestyle.” Tiff any – Baha recipient

3 Hope when you need it most

Every hearing loss is different and the causes vary from person to person. Your hearing loss may affect one ear or both ears and it may stem from a problem in the inner, middle or outer ear. Depending on the degree of hearing loss and which part of the ear is damaged, a bone conduction solution can help you regain access to the sounds you have been missing. Cochlear™ bone conduction solutions are clinically proven medical treatment options for those with single-sided deafness, conductive hearing loss or mixed hearing loss.

Single-sided deafness Conductive hearing loss Mixed hearing loss Sensorineural hearing loss in one When your outer or middle ear is Refers to a combination of ear where you have little or no damaged and prevents sound from conductive and sensorineural hearing in that ear, but normal reaching your inner ear. hearing loss. This means there hearing in the other ear. may be damage in both the outer Possible causes: or middle ear and the inner ear. Possible causes: • Malformations at birth Any of the causes of • Sudden deafness • Microtia and/or Atresia conductive hearing loss • Acoustic neuroma • Draining ears plus any of the following: • Birth defects • Chronic ear infections • Aging • Genetics • Previous ear surgeries • Exposure to loud noise • Head trauma • Chronic mastoiditis or middle ear • Head trauma infections • Meniere’s disease • Genetics • Skin growth or cyst • Adverse reactions to drugs • Meniere’s disease (cholesteatoma) • Malformation at birth or missing inner ear or cochlea • Syndromes such as Down, Goldenhar and Treacher Collins

4 Outer ear Middle ear Inner ear

Cochlea Ossicles

Ear canal Eardrum Auditory nerve

Anatomy of the ear

5 6 Understanding treatment options for your hearing loss Today there are a variety of hearing solutions to treat different types of hearing loss. Depending on the type of hearing loss you have, some hearing solutions may be more effective than others. Your hearing implant specialist will recommend the best solution for your hearing loss.

Possible solutions for Possible solutions for conductive single-sided deafness and mixed hearing loss • CROS hearing aids • Medications • Bone conduction solutions • Surgery - Cochlear™ Osia® System • Hearing aids - Cochlear™ Baha® System • Bone conduction solutions - Cochlear™ Osia® System - Cochlear™ Baha® System

How bone conduction solutions are different

Than CROS and traditional hearing aids: Than middle ear surgery:

• Our portfolio of bone conduction solutions • If you have had an unsuccessful middle ear offers discreet wearing options that you surgery or surgeries to help restore natural only need to wear on the hearing impaired hearing, a bone conduction solution might ear(s), while CROS hearing aids require be for you. users to wear devices on both the normal • There is risk of damaging your inner ear or and the hearing impaired ear. cochlea during middle ear surgery, which can leave you with hearing loss. • Studies show that bone conduction solutions provide better speech understanding in noise • With a bone conduction solution, there is than CROS hearing aids.1 no risk of damaging residual hearing or the cochlea. • While wearing conventional bone conduction hearing aids, volume and sound quality can be limited because the skin acts as a barrier. • Some hearing aids require users to wear an earmold, which can aggravate existing conditions, such as draining ears.

7 Could a bone conduction solution help you?

Ask yourself the following questions and if you answer “yes” to any of them, then a bone conduction solution might be right for you: □ Can you only hear from one ear? □ Do you suffer from sore or irritated ears due to your hearing aids? □ Do you have trouble getting sufficient loudness when using hearing aids? □ Do you suffer from chronic ear infections? □ Do you have draining ears? □ Do you battle feedback such as whistling hearing aids or distorted sound?

□ Do you have malformed ears or ear canals?

Benefits of hearing through bone conduction Research and decades of experience demonstrate the benefits of a bone conduction solution compared to leaving your hearing loss untreated.2-4

With a bone conduction solution you my be able to: • Hear better, even in noisy situations. • Enjoy a clean, more natural sound because bypassing the damaged part of your ear may reduce the amount of amplification needed to help you hear better. • Hear sounds as if they are coming from both sides. • Become more aware of your surroundings, increasing your ability to hear important sounds.

8 Insurance coverage for a bone conduction solution Unlike hearing aids, bone conduction solutions are covered by Medicare. They are also covered by many insurance plans and typically Medicaid.* Contact a Hearing Implant Specialist to determine if you are a candidate.

For additional insurance information and resources visit www.cochlear.com/us/insurance

Private Insurance Medicaid Medicare

Bone Conduction Covered by most Typically covered.** Covered.† Solutions insurance plans.*

Hearing Aids Typically Typically covered.** By law are not covered. not covered.

For candidates residing in Canada, you should contact your local hearing implant center to determine coverage. The cost of a hearing implant may be covered by your provincial and territory health insurance plan. Every health insurance plan is diff erent. Coverage varies by each province and territory, the type of hearing implant you may need and your hearing loss.

* Contact your insurance company or local Hearing Implant Specialist to determine your eligibility for coverage. ** Coverage for adult Medicaid recipients varies according to state-specifi c guidelines. † Covered for Medicare benefi ciaries who meet CMS criteria for coverage.

9 Adrian – Osia recipient

10 Cochlear bone conduction solutions The Cochlear portfolio of bone conduction solutions off ers implantable and non-surgical options that are designed to meet your individual needs and provide unparalleled hearing performance. All of our bone conduction solutions are scientifi cally proven to treat conductive and mixed hearing loss and single-sided sensorineural deafness.

11 Cochlear bone ® conduction solution Osia System The Osia System is the world’s fi rst active osseointegrated steady-state implant.* It uses piezoelectric stimulation to bypass the damaged areas of the middle and outer ear to send vibrations directly to the inner ear. This type of stimulation is novel for bone conduction solutions. The Osia System is made up of two parts: the implant and transducer (the part that creates the vibrations) that are located under the skin, and the sound processor which is placed externally off the ear.

1 3 2

External sound processor

Internal implant

How the Osia System works

1 The sound processor captures sound 3 The Piezo Power™ transducer vibrates, sending in the air and digitally analyzes the signal. vibrations through the implant to the bone. 2 The processed signal and power are sent 4 The vibrations travel to the inner ear where through to the implant. they are converted into electrical impulses and sent to the brain to be interpreted as sound.

* In the United States, the Osia System is cleared for children ages 12 and older. In Canada, the Osia System is indicated for children ages 5 and older.

12 Osia® 2 Sound Processor

The slim, off -the-ear Osia Sound Processor is light and comfortable to wear. As a one-piece unit that includes the magnet and battery, you can simply place it on your head and you’re ready to go. It’s that easy. Its small size is designed to allow you to wear it all day. In fact, you may even forget it’s there. • For those with hearing loss up to 55 dB SNHL* • Off ers direct streaming with compatible Apple® devices**

• Dust and moisture resistant† and has been thoroughly drop tested for durability

• Can easily become waterproof with the Aqua+ accessory† • Control your hearing experience conveniently from your smartphone with the Osia Smart App • LED light to confi rm that the sound processor is on and connected

Osia 2 Sound Processor

Color options:

Sandy Chocolate Slate Silver Black Blonde Brown Grey Grey

* SNHL means sensorineural hearing level. ** For compatibility information, visit www.cochlear.com/compatibility. † The Osia 2 Sound Processor with Aqua+ is waterproof down to three meters for a maximum of 2 hours and dust tight corresponding with a level IP68 of the International Standard IEC60529.

13 Cochlear bone ® conduction solution Baha System The Baha System uses a small abutment to provide a direct connection between the implant and sound processor, which may maximize your hearing performance.*

External sound processor

1 2

How the Baha Connect System works

1 The Baha® 6 Max Sound Processor picks up sound 3 The sound vibrations are then sent directly through vibrations from the environment. the bone to the inner ear (cochlea) where they are converted into electrical impulses by tiny hair cells 2 The sound vibrations are transferred through an inside the cochlea. These impulses travel to the abutment to a small titanium implant inserted brain, allowing you to perceive sound naturally. in the bone behind the ear.

* In the United States and Canada, the placement of a bone conduction implant is contraindicated in children under the age of 5.

14 Baha® 6 Max Sound Processor

For you to experience clear, rich and natural sound in noisy environments, one thing is very important: a powerful sound processor. When we designed the Baha 6 Max Sound Processor, we wanted to ensure that although it is small in size, it is packed with power. • For hearing loss of up to 55 dB SNHL* • Off ers direct streaming from compatible Apple® and Android™ devices** • Our highest dust and water protection at iP68† • LED light to confi rm that the sound processor is on and connected • Control your hearing experience conveniently from your smartphone as well as the ability to update your sound processors Firmware, remotely, using the Baha Smart App • Uses disposable batteries with up to 132 hours battery life5

Baha 6 Max Sound Processor

Color options:

Mint Black Brown Copper Silver Blonde

* SNHL means sensorineural hearing level. ** For compatibility information, visit www.cochlear.com/compatibility. † The Cochlear Baha 6 Max Sound Processor, with battery compartment excluded, is dust and water resistant to level IP68 of the International Standard IEC60529. Refer to the relevant user guide for more information. Tested by the RISE Research Institutes of Sweden AB.

15 Cochlear non-surgical bone conduction Baha Start solution If you are not yet ready to move forward with a surgical solution, there’s a non-surgical bone conduction option available for you to try. • Our non-surgical solution features the Baha® SoundArc™ or Baha Softband with the Baha® 6 Max Sound Processor • Once you are comfortable, you can work with your Hearing Implant Specialist to determine which solution is best for you

Baha SoundArc Baha Softband

Try it fi rst, then decide. With a bone conduction solution, you have the unique advantage of trying it fi rst before you make any decisions.

16 17 Cindy – Baha recipient

Advanced technology in your sound processor

Osia 2 and Baha 6 Max Sound Processors feature: • Dual microphones that help fi lter out • Smart Apps that allow for easy and background noise convenient adjustments to settings and to locate a missing sound processor • Automatic sound processing that adapts to your environment • Built-in 2.4 GHz True Wireless™ technology to help you hear better in • Direct streaming from compatible noise without neck-worn devices smartphone devices*

* For compatibility information, visit www.cochlear.com/compatibility.

18 Sound processors that adjust automatically

Every listening environment is different with varying levels of background noise. Natural hearing adapts seamlessly to these changes. Both the Osia 2 Sound Processor and the Baha 6 Max Sound Processor are designed to act the same way that natural hearing works without the need to make manual adjustments.

SmartSound® iQ technology is designed to: • Analyze your surroundings, identify the listening environment and automatically adjust based on where you are • Provide a more comfortable listening experience with improved hearing performance • Help you enjoy clearer, crisper sound even in noisy environments

Soft speech Loud speech

Quiet Speech in soft noise SmartSound® iQ

Speech in Loud noise loud noise

Soft noise

* For compatibility information, visit www.cochlear.com/compatibility.

19 Tiff any – Baha recipient

Advanced technology A seamless connection to life— from your smartphone

The Osia 2 Sound Processor and the Baha 6 Max Sound Processor allow you to easily and conveniently stream phone calls, music, video and entertainment directly from a compatible smartphone or device.* With the Baha 6 Max Sound Processor, you can stream from Apple® and Android™ devices, including an Apple Watch, whereas the Osia 2 Sound Processor allows for direct streaming from compatible Apple devices.*

You can also easily customize your sound processor experience and settings with the Osia Smart App or the Baha Smart App.

From your compatible device, you can quickly and easily: • Change programs • Save custom settings for your favorite locations • Start wireless streaming • Adjust the volume, treble and bass • Get help fi nding your lost sound processor

* The Baha 6 Max is compatible with both Apple and Android devices. The Cochlear Baha Smart App is available on App Store and Google Play. For compatibility information, visit www.cochlear.com/compatibility.

20 Exclusive True Wireless™ accessories

Our sound processors feature advanced wireless technology to help you hear more clearly in challenging situations. Cochlear™ True Wireless ™ accessories send sound directly to your sound processor. The Osia 2 Sound Processor and the Baha 6 Max Sound Processor are equipped with proprietary 2.4 GHz wireless technology which is similar to the wireless protocol that Bluetooth® and Wi-Fi devices depend on.

Watch TV, listen to your favorite music, hear speech and conversation or talk on the phone— all without the constraints of anything around your neck or additional wires that you fi nd with less advanced systems. With our full range of True Wireless accessories including the Mini Microphone 2+, Phone Clip and TV Streamer, you’ll be able to focus less on hearing and more on what’s important: life.

You can also use the wireless Remote Control 2 to change programs, adjust volume, start streaming from a wireless accessory or monitor battery life—all with just a push of a button.

Experience True Wireless Freedom

Mini Phone TV Streamer Remote Microphone 2+ Clip Control 2

21 Cochlear Care Providing a lifetime of support through accessible services that drive community and connectivity.

22 Enjoy personalized services Insurance process support and and information with the direct insurance billing Cochlear Family You will have access to our specialized team By activating your free Cochlear Family that can help you obtain insurance approval account, you’ll have personalized access or support appeals when coverage for one to tips, tools and resources. You’ll of Cochlear’s implantable hearing solutions connect with other Cochlear Family has been denied. In addition, we off er direct members, and you’ll enjoy the peace of billing services to your insurance company mind that comes from knowing we’re for upgrades to help make the payment and with you every step of the way. insurance claim process easier. www.cochlear.com/us/family www.cochlear.com/us/insurance

Anytime, anywhere access to important information with myCochlear Fast service with Hear Always As part of the Cochlear Family, you Your clinic and Cochlear want to make sure will have access to a convenient online you experience sound uninterrupted, which resource called myCochlear. Your is why we partnered on the exclusive Hear myCochlear account provides you Always program. Hear Always ensures with information about your specifi c expedited replacement of your sound device, including warranty and upgrade processor if you are ever without sound. information, troubleshooting tips, as well as special promotions. Robust hearing therapy resources on the Communication Corner Cochlear Concierge can answer The Communication Corner is our extensive your questions hearing therapy website which provides A team of experts is ready to answer materials and activities for all levels to your questions and assist you in help you improve your listening and learning about the process, our communication skills. It includes a range of products, technology and company. practice tools, as well as an assessment that provides guidance on where to start and 800 216 0228 which program is best for you. [email protected] www.cochlear.com/us/commcorner

23 Better hearing starts here We’ve never heard anyone say, “I wish I would have waited.” In fact, the opposite is true. Those who have a bone conduction solution reported a significantly higher quality of life compared to when they left their hearing loss untreated.6,7 Once you make this life-changing decision, there are a few steps to get you on your way to hearing your best.

01 Visit a Hearing Implant 03 Choose the best bone Specialist for a hearing test conduction solution for you If you haven’t already met with a All bone conduction solutions are Hearing Implant Specialist, then now is designed to restore access to sound in a the time. You will complete a hearing similar fashion, yet there are noticeable test to find out if you can benefit from a distinctions between the devices. Think bone conduction system. beyond today and consider what you want for the future. You may also want To find a Hearing Implant Specialist in to think beyond the product itself and your area, visit www.cochlear.com/ remember that Cochlear will provide us/appointment support to you for a lifetime.

02 Obtain insurance approval 04 Outpatient surgery Unlike hearing aids, bone conduction A bone conduction implant procedure implant systems are typically covered is typically a same day, outpatient by Medicaid, Medicare and most procedure and is performed under * insurance plans. The hearing implant general anesthesia. The procedure team or your audiologist may submit the is considered fairly routine and safe, necessary paperwork to your insurance but, as with any surgery, there are * company to start the approval process. risks. We encourage you to speak For more information, visit with your surgeon about any concerns www.cochlear.com/us/insurance or questions.

* Covered for Medicare beneficiaries who meet CMS criteria for coverage. Coverage for adult Medicaid recipients varies according to state specific guidelines.

24 05 Activating your bone 07 Hearing therapy conduction system Just as with any surgery, rehabilitation is After the initial healing period of about critical to your success and will continue 12 weeks, you will have an appointment to be important throughout your hearing with your audiologist to receive your journey. For additional support, we offer new sound processor. This is the day robust rehabilitation programs through you will start to hear sound through the Communication Corner that can be your new device! tailored to your needs at every learning level and age group.

www.cochlear.com/us/commcorner 06 Ongoing care We have many “how to” videos available on myCochlear, a 24/7 online service portal, and our Customer Service team will be happy to answer any questions you have along the way to ensure Every moment you are taking good care of your new matters. Why wait? device. We understand things happen, keep in mind, we offer a one-time loss replacement for your sound processor.

Connect with other recipients and families who can share their personal experiences. Visit www.cochlear.com/us/connect-with-a-mentor

25 Cochlear gives you more than hearing—we give you hope That’s why we are devoted to pioneering the most advanced implantable hearing solutions. Over 40 years ago Dr. Tjellström and his team of experts pioneered the world’s first bone conduction solution, it opened up a whole new world of hearing to those who suffer from conductive hearing loss, mixed hearing loss and single-sided deafness. Since then, we’ve never stopped improving the technology. And you can be confident we never will.

If you’re struggling to hear clearly even with powerful hearing aids, a bone conduction solution may be the answer you’ve been looking for. Take the next steps today.

Learn more about bone conduction solutions and schedule an appointment with a Hearing Implant Specialist. www.cochlear.com/us

The Cochlear Concierge group is a team of experts that are ready to answer your questions and assist you in learning about the process, our products, technology and company. [email protected] 800 216 0228

26 Chris – Osia recipient

27 Hear now. And always As the global leader in implantable hearing solutions, Cochlear is dedicated to helping people with moderate to profound hearing loss experience a life full of hearing. We have provided more than 600,000 implantable devices, helping people of all ages to hear and connect with life’s opportunities.

We aim to give people the best lifelong hearing experience and access to innovative future technologies. We collaborate with leading clinical, research and support networks.

That’s why more people choose Cochlear than any other hearing implant company.

References

1. Niparko JK, Cox KM, Lustig LR. Comparison of the bone-anchored 5. Cochlear Americas. The Cochlear Baha 6 Max Datasheet BUN871 hearing aid implantable hearing device with contralateral routing Data on file. 2020; Feb. Data on file. of offside signal amplification in the rehabilitation of unilateral 6. Dutt, S. N., McDermott, A., Jelbert, A., Reid, A. P., & Proops, D. deafness. Otology & Neurotology, 2003 Jan;24(1):73-78. W. (2002). The Glasgow benefit inventory in the evaluation of 2. Flynn MC, Sadeghi A, Halvarsson G. Baha solutions for patients patient satisfaction with the bone-anchored hearing aid: quality with severe mixed hearing loss. Cochlear Implants Int 2009;10 of life issues. JOURNAL OF LARYNGOLOGY AND OTOLOGY, Suppl 1:43-7. (SUPP/28). 7. 3. Hol MK, Snik AF, Mylanus EA, Cremers CW. Long-term results of 7. Kunst, S. J. W., Hol, M. K. S., Mylanus, E. A. M., Leijendeckers, bone anchored hearing aid recipients who had previously used air- J. M., Snik, A. F. M., & Cremers, C. W. R. J. (2008). Subjective conduction hearing aids. Arch Otolaryngol Head Neck Surg 2005 benefit after BAHA system application in patients with congenital Apr;131(4):321-5. unilateral conductive hearing impairment. Otology and 4. Watson GJ, Silva S, Lawless T, Harling JL, Sheehan PZ. Bone Neurotology, 29(3), 353–358. 23 anchored hearing aids: a preliminary assessment of the impact on outpatients and cost when rehabilitating hearing in chronic suppurative otitis media. Clin Otolaryngol 2008;33:338–342. 5.

Please seek advice from your health professional about treatments for hearing loss. Outcomes may vary, and your health professional will advise you about the factors which could affect your outcome. Always read the instructions for use. Not all products are available in all countries. Please contact your local Cochlear representative for product information. Views expressed are those of the individual. Consult your health professional to determine if you are a candidate for Cochlear technology. Cochlear Sound Processors are compatible with Apple and Android devices. Cochlear Smart Apps are available on App Store and Google Play. For compatibility information visit www.cochlear.com/compatibility. Android, Google Play and the Google Play logo are trademarks of Google LLC. The Android robot is reproduced or modified from work created and shared by Google and used according to terms described in the Creative Commons 3.0 Attribution License. ©2021. Apple, the Apple logo, FaceTime, Made for iPad logo, Made for iPhone logo, Made for iPod logo, iPhone, iPad Pro, iPad Air, iPad mini, iPad and iPod touch are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc., registered in the U.S. and other countries. The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc. and any use of such marks by Cochlear is under license. ©Cochlear Limited 2021. All rights reserved. Hear now. And always and other trademarks and registered trademarks are the property of Cochlear Limited or Cochlear Bone Anchored Solutions AB. The names of actual companies and products mentioned herein may be the trademarks of their respective owners.

Cochlear Americas CochlearCochlear Canada Canada Inc. Inc. 10350 Park Meadows Drive 2500-1202500-120 Adelaide Adelaide Street Street West Lone Tree, CO 80124 USA WestToronto, ON M5H 1T1 Canada Telephone: 303 790 9010 Toronto,Support: ON 800 M5H 483 1T1 3123 Canada Support: 800 483 3123 Support: 800 483 3123 www.cochlear.com/us

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