Phonak pediatric solutions Because a child is not a small adult

Phonak pediatric solutions Because a child is not a small adult

Children are special We all recognize that children are not small adults and should not be treated as such. We wouldn t give a newborn baby a steak to eat; we would only give a pediatric dose of medicine to a toddler; we would never ask a thirteen-year-old to drive us to work. We have evolved to treat children and adolescents appropriately according to their age, and this understanding guides practically everything we do with and for them to aid their growth and development into happy, successful adults. Hearing loss is no exception. In fact, understanding the unique challenges of hearing impairment in childhood is essential to avoid long-term problems that might hold them back later in life. From initial diagnosis and testing to hearing aid selection and verification, and ongoing support and counselling, the needs of hearing-impaired children are very different from those of adults. Crucially, hearing loss, regardless of degree, can impair the development of spoken language. Therefore, it is vital that children have consistent access to speech to be able to engage fully with education, family life and relationship building in order to establish the foundation of spoken language. It is important for you, as a practicing physician looking after children at such an important time in their young lives, to know that your hearing aid recommendations will make a difference. At Phonak, we have worked alongside leading pediatric specialists for over 40 years to provide hearing-impaired children around the world with proven hearing solutions. Our international Pediatric Advisory Board ensures that all our developments in hearing device technology anticipate the specific needs of children and guides our best practices and recommendations for pediatric fittings. Better hearing through technology Hearing well in a multitude of situations can be particularly challenging for children with hearing loss. Having a hearing aid that allows them to fully participate at school, at play and at home is essential to their overall sense of well-being; therefore, hearing aid technology that can keep up with their active lives and changing needs is essential. Phonak continues to develop innovative technology specifically for children and has created dedicated and proven hearing solutions that ensure kids receive the best listening experience throughout their daily activities. The comprehensive pediatric solution consisting of Phonak Sky V, Roger, wireless accessories and resources described in this brochure allows children to hear speech better in both quiet and noisy situations and helps them to explore the world with confidence. Let Phonak help you give your young patients access to a world full of wonderful new sounds to help them master the complexities of everyday life and engage with the world around them via our dedicated portfolio of pediatric solutions. 3

Introducing SoundRecover2: a revolution in hearing technology Non-linear frequency compression is a form of frequency lowering technology that compresses high-frequency sounds into a lower frequency range in order to improve audibility. Phonak first introduced non-linear frequency compression, called SoundRecover, in instruments for severe to profound hearing loss in 2008, providing better detection of /sh/ and /s/ sounds for those with more severe hearing loss. SoundRecover2 is Phonak s new frequency lowering algorithm, using the very latest adaptive technology to increase the benefits of non-linear frequency compression. It uses two cut-off frequencies to define a region where compression is adaptively applied in real time according to the sound frequencies being detected (Figure 1). This helps to increase audibility of high-frequency sounds and at the same time protect the clarity of low-frequency sounds (e.g. vowels and voiced consonants). SoundRecover2: enabling access to even more sounds Clinical studies of SoundRecover2 show improved audibility of high-frequency information compared with the original SoundRecover while also maintaining the low and midfrequency sounds, giving children access to a broader range of sounds essential for speech and language development. 1,2 By creating an optimal listening experience, SoundRecover2 enables more children than ever before to hear and communicate with confidence. Children already using SoundRecover may be able to switch to SoundRecover2 without a long period of acclimatization, so the benefits of upgrading to the new platform can be experienced sooner rather than later. Output with significant high-frequency energy Output with significant low- and mid-frequency energy Level (db) Level (db) fout Max fout Max Frequency (khz) Logarithmic scale Frequency (khz) Logarithmic scale Figure 1. SoundRecover2 restores access to high-frequency sounds (left side) and at the same time protects low- and mid-frequency sounds (right side). 1 Wolfe, J et al (2015). Evaluation of a novel non-linear frequency compression scheme for use in children. Int J Audiol (in press). 2 SoundRecover2 for Pediatrics: Improving audibility where it matters most. Phonak Field Study News (2016). 4

AutoSense Sky OS Listening made easy Phonak s AutoSense Sky OS (operating system) is based on the successful AutoSense OS. It has been specifically designed to ensure that children have an optimal listening experience whether they are in the classroom or playground, listening to music or spending time with the family. By accurately capturing and analyzing a child s environment in real time, AutoSense Sky OS always selects the right blend of programs and settings to optimize a child s listening and understanding (Figure 2). The new automatic program and feature selector in AutoSense Sky OS is up to 30% more precise for noisier classrooms and 39% more accurate in recognizing yelling and shouting as unwanted noise compared to the adult system. 3 Indicator light Ensuring life is on The new, easy-to-understand indicator light featured on the four Sky V behind-the-ear (BTE) models provides parents and caregivers a clear, visible signal that: the hearing aid is powered on the Roger program is active the battery is running low This new feature can be activated and programmed flexibly by a hearing care professional. In an external usability study of the new indicator light, 100% of parents were easily able to confirm the hearing aid was powered on. 4 Technology With no manual interaction required, children can focus on more of life s great adventures and let their hearing aids do the work. Capturing and analyzing child s environment Selected blend of programs Sound classification Program Blending proportion Hearing-impaired child in school environment Calm situation Speech in noise Speech in loud noise Speech in car Comfort in Noise Comfort in echo Music 41% 48% 0% 0% 0% 11 % 0% Feature application Feature activation Aided hearing situation Output of the hearing aid Figure 2. Illustration of the pediatric operating system, AutoSense Sky OS. 3 Automatic and Directional for Kids. Phonak Insight (2016). 4 Bohnert, A (2015). Internal validation, LED usability study. Mainz University. 5

RogerReady Ready to go Adding a Roger receiver is now easier than ever. Any Roger receiver coupled to a Sky V device will automatically detect the signal from a Roger microphone and activate the Roger + Mic program. This is all that is needed to receive the Roger signal. Automatic detection ensures that children have access to the Roger signal with unparalleled signal-to-noise ratio whenever a Roger microphone is in use. There is no additional programming of the hearing aids by the audiologist, giving access to improved hearing quickly and simply. Roger + Mic A choice of customizable modes Available in Phonak Target 4.3 software and higher, Roger + Mic now offers a choice of three microphone modes customizable by the fitter: Omnidirectional Real Ear Sound Automatically activated fixed directional Roger and directional setting Exclusively providing near and far field clarity The Roger and directional setting allows children to simultaneously hear the teacher at a distance and their peers in close proximity (see Figure 3). In addition to the far field advantage gained with a remote Roger microphone, the Roger and directional setting improves understanding for near field (peer) talkers in noise by an average of 26% compared to a Roger and omnidirectional program. 5 This breakthrough technology is exclusively offered by Phonak, allowing children to have access to the benefits of directional microphones throughout the day when using Roger. db SNR (signal-to-noise ratio) improvement with Roger and directional compared to Roger and omnidirectional 3 db SNR Teacher s voice SNR Peer s voice SNR Figure 3. Illustration of the benefit of Roger and directional setting in a classroom. 5 A powerful noise-fighting duo: Roger and Phonak directionality. Phonak Field Study News (2016). 6

Phonak Sky V performance: proven benefits Technology Along with a host of new dedicated features, children wearing Sky V will also benefit from the proven performance of Binaural VoiceStream Technology, which uses a four-microphone network to stream simultaneous, bi-directional, full-audio bandwidth signals in real-time. This helps to improve sound quality, resulting in unmatched speech understanding. Binaural VoiceStream Technology has been shown to improve speech recognition. It is featured in CROS II and is available in hearing instrument programs such as Speech in Wind and DuoPhone. Speech in Wind When Speech in Wind is activated, the system can respond appropriately depending on whether the wind noise is asymmetrical, so the wearer has no need to recognize and react to the wind noise. The Speech in Wind program has been shown to make voices clearer while improving comfort. As a result, speech intelligibility increases by up to 28%. 6 DuoPhone Children with hearing loss can find phone calls difficult to follow. Phonak s DuoPhone helps them overcome this challenge by automatically streaming the caller s voice in real-time to the ear opposite the phone. The effect is to allow the speaker to be heard in both ears. A recent study of children aged between 6 and 14 years showed that using the DuoPhone helped improve speech recognition by 30% over monaural hearing in both quiet and noisy conditions. 7 CROS II For children with an unaidable hearing-impaired ear on one side and hearing in the other ear, Phonak now offers a new, discreet CROS transmitter (Contralateral Routing of Signals). Featuring the unique Phonak Binaural VoiceStream Technology, CROS II wirelessly transmits sound from the unaidable ear to the Sky V hearing aid on the better hearing ear. A clinical study has shown that using CROS II results in improved speech understanding in both quiet and noisy environments. 8 Our research has shown that children typically receive a 30% improvement in speech understanding on the telephone with use of the DuoPhone, and as a result, we consider the DuoPhone to be an absolutely essential feature on hearing aids fitted for children. Dr. Jace Wolfe, Director of Audiology, Hearts for Hearing Foundation, Oklahoma. 6 Latzel, M and Appleton, J (2013). Evaluation of a Binaural Speech in Wind Feature, Part 2: Validation and Real-life Benefit. Hearing Review 20; August 27. 7 Wolfe, J et al (2015). Evaluation of the Benefits of Binaural Hearing on the Telephone for Children with Hearing Loss. Am Acad Audiol Volume 26, 93 100. 8 Phonak (2015). CROS II Improved speech understanding thanks to binaural beamforming. Phonak Field Study News. 7

Roger technology: helping bridge the understanding gap Children require a hearing system capable of dealing with noisy listening challenges as they enjoy a life of action, play and education. Any improvement in word recognition scores can have a positive effect on a child s understanding and therefore learning abilities. 9 This is where the Roger portfolio can bridge the understanding gap. To help children with hearing loss engage optimally with the world around them, hearing systems that provide significant improvements in signal-to-noise ratios are needed. By offering your young patients Roger technology with a Phonak Sky V hearing aid, you are creating an integrated hearing solution that can help optimize the child s hearing, enabling them to reach their full potential and engage with the world around them. Introducing Roger technology Roger is the adaptive 2.4 GHz digital wireless standard with state-of-the-art technology aimed at providing outstanding performance in noise and over distance. Roger offers the industry s best ever Speech-in-Noise performance, with improvements of up to 54% over fixed frequency modulation (FM) systems and 35% over Phonak s own Dynamic FM in noisy environments (75 and 80 dba of competing noise). 10,11 Whether at home, in class, or in a social setting the Roger portfolio offers multiple microphones and accompanying receivers to suit listeners of every age. 90 80 + 70 Percent words correct (MINT) 60 50 40 30 20 + Roger Dynamic FM Traditional FM 10 0 65 70 75 80 Ambient noise level dba 9 Wolfe, J et al (2013). Better Speech Recognition with Digital RF System in Study of Cochlear Implants. Hearing Journal 66;24 26. 10 Thibodeau, L (2013). Comparison of speech recognition with adaptive digital and FM wireless technology by listeners who use hearing aids. Int J Audiol 23;201 210. 11 Wolfe, J et al (2013). Evaluation of speech recognition of cochlear implant recipients using a personal adaptive radio frequency system. J Am Acad Audiol 24;714 724. 8

Phonak Sky V: a comprehensive portfolio of pediatric technology Technology Five models to suit children needing the most powerful hearing aids Four performance levels; V90, V70, V50, V30* Phonak Sky V-M Phonak Sky V-P Phonak Sky V-SP Phonak Sky V-UP Phonak Sky V-RIC db HL db HL db HL db HL db HL 0 0 0 0 0 10 10 10 10 10 20 20 20 20 20 30 30 30 30 30 40 40 40 40 40 50 50 50 50 50 60 60 60 60 60 70 70 70 70 70 80 80 80 80 80 90 90 90 90 90 100 100 100 100 100 110 110 110 110 110 125 250 500 1k 2k 4k 8k 125 250 500 1k 2k 4k 8k 125 250 500 1k 2k 4k 8k 125 250 500 1k 2k 4k 8k 125 250 500 1k 2k 4k 8k Mild to moderately severe hearing loss, all audiometric configurations. Mild to severe hearing loss, all audiometric configurations. Mild to profound hearing loss, all audiometric configurations. Moderate to profound hearing loss, all audiometric configurations. Moderate to profound hearing loss, all audiometric configurations. SlimTube HE Hook / mini hook xs receiver xp receiver xup receiver Look and feel Tamperproof increased safety for our youngest users. 5 water-resistant and dust-tight models with IP68 rating. New, light-weight, composite materials make Sky V housings significantly more robust than previous housings. New Power SlimTube II offered for Sky V-SP and UP has been optimized for comfort and esthetic appeal. * only available in specific countries 9

Roger wireless microphones There are several Roger microphone options, providing a solution for every listener, whatever hearing technology they currently use. Roger Touchscreen Mic Roger Touchscreen Mic features a new user-friendly interface for use in the classroom. With an automatic microphone function, it conveniently switches from an individual talker to a small group interaction mode, depending on its placement. Roger Pass-around The Roger Pass-around microphone is designed to enhance classroom discussions so that not only teachers, but all students are heard clearly. With an appealing design it is the optimal size for kids and teens to hold and fully control. Roger Multimedia Hub This versatile transmitter used in a Roger network features audio mixing which allows a teacher s voice to be heard simultaneously with an audio signal. Used as a stand-alone device, it can be connected to an audiobook or tablet for individual listening. Roger Pen The Roger Pen offers state-of-the-art wireless technology with superior speech-in-noise and over distance performance. Packed in a discreet design, its features include fully automated or manual microphone settings and Bluetooth connectivity, providing an all-inclusive listening experience. Roger Clip-On Mic The Roger Clip-On Mic, worn on a shirt is a small and lightweight microphone. Perfect for parents and family members, multiple Roger Clip-On Mics can be used together, allowing a child to hear everyone. 10

Roger receivers and accessories With several styles of Roger receivers and accessories available, there is a solution for every child, regardless of the hearing technology they are currently using. Wireless portfolio Roger X The miniature universal Roger receiver with 3-pin Euro plug is compatible with virtually all BTE hearing aids, cochlear implant speech processors and streaming devices. Roger MyLink An easy-to-use universal Roger receiver worn around the neck and compatible with any hearing aid or cochlear implant with T-Coil. Roger designintegrated receivers These discreet Roger receivers perfectly complement the sleek contours of a Phonak hearing aid and are available in matching colors and tamperproof versions. There are also Roger design-integrated receivers compatible with selected cochlear implants (CIs) from Cochlear and Advanced Bionics. Roger Focus A discreet behind-the-ear receiver that cuts through distracting background noise to bring a speaker s words directly into a child s ears. These devices enable children with unilateral hearing loss and normal hearing children with Auditory Processing Disorder (APD) and Autism Spectrum Disorder (ASD) to hear speech in noise better. 11

Mix & Match tool: the color of sound T3 Precious Pink T7 Alpine White Q3 Caribbean Pirate Q2 Electric Green Purple Q7 Blue Q6 Pink R3 M6 Lava Red Yellow R2 M7 Blue Ocean Q6 T7 Green R1 M8 Majesty Purple Orange R4 P1 Sand Beige P2 Amber Beige P3 Sandalwood P4 Chestnut P5 Champagne P6 Silver Gray T7 Velvet Blackk P8 Beige 01 Petrol Q1 Transparent 13 Designed to suit all young clients preferences, the color of sound has never been so attractive. The Mix & Match tool supports the color selection of the hearing aid and Roger receiver. This allows hearing care professionals as well as kids and parents at home to mix the different housing, ear hooks and Roger receiver colors to perfectly match the child s color preferences. With a Mix & Match concept incorporating 7 colored ear hooks and 16 colored hearing aid housings and Roger receivers, children can select the perfect color combination to complement their personalities. www.phonakpro.com/mix-match 12

A summary of Phonak Sky V and Roger pediatric hearing technology A child is not a small adult. Hearing-impaired children need specific solutions that allow them to hear speech better in both quiet and noisy situations and help them to explore the world with confidence. Based on the proven performance of our signature Venture platform, Sky V introduces numerous groundbreaking features and technologies. Together with Roger, it has been specifically optimized to help children master the complexity of everyday situations and enhance their listening and spoken language, allowing them to explore the world with confidence. 13

Product and age recommendation overview Infants and toddlers Sky V-M With tamperproof battery door and ear hook Sky V-P With tamperproof battery door and ear hook Sky V-SP With tamperproof battery door and ear hook Sky V-UP With tamperproof battery door and ear hook Sky V-RIC Roger Touchscreen Mic For use at home and pre-school/childcare Roger Clip-On Mic For use at home by parents and siblings Roger Pen Experienced parents or children requiring Bluetooth connection Roger design-integrated receivers With tamperproof solution Roger X Not recommended for children 0 36 months old Roger MyLink Roger Focus CROS II DECT Phone II ComPilot II ComPilot Air II TVLink II PilotOne II Good for parents EasyCall II 14 Recommended Not recommended

School-aged Teens Ages 8 years and older For school and home use For home and after-school use For home use For home and after-school use Ages 6 and older For children with a non-aidable ear For children with a non-aidable ear Ages 8 years and older or when it can be managed independently Ages 8 years and older or when it can be managed independently 15

Life is on We are sensitive to the needs of everyone who depends on our knowledge, ideas and care. And by creatively challenging the limits of technology, we develop innovations that help people hear, understand and experience more of life s rich soundscapes. Interact freely. Communicate with confidence. Live without limit. Life is on. www.phonakpro.com/pediatric 028-1502-02 / V1.00 / 2016-01 / 8G / Printed in XXXX Phonak AG All rights reserved