Introducing the Nucleus® SmartNav system

Designed to set a new benchmark in intraoperative measurement

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The Nucleus® SmartNav system gives you live insights you can apply during electrode insertion to help you navigate the placement of an electrode array. You’ll also be able to review post-insertion measurements including correct electrode placement, impedance and AutoNRT®, accessible via an iPad app and wireless surgical off-the-ear processor.

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Correct electrode placement is fundamental to a good surgical outcome.¹⁻²

Added surgical assurance for you and your patients

The Nucleus® SmartNav intraoperative metrics include:

  • Placement Check – provides valuable information on final electrode placement and is designed to reduce the need for intraoperative imaging after electrode insertion.3-5
  • Angular insertion depth – provides real-time measurement of angular insertion depth and final electrode position*.6-9
  • Speed of insertion – provides feedback on the speed and consistency of the electrode insertion.10-12
  • Impedance and AutoNRT® measurements – provides assurance that the device is operating as intended, prior to leaving the operating room.13-14

Streamlined workflow

The Nucleus® SmartNav system introduces a platform which allows you to track and monitor electrode insertion to achieve your desired placement and hearing outcomes.

We've designed the system to enable a streamlined workflow from surgery to clinic. By facilitating the transfer of data between the operating room and fitting software, clinicians can be assured surgery has been successful, and provides a baseline to confidently program patients and help optimise hearing outcomes.15-17

More information

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Training support

Whether you want to learn new skills or build your expertise as a cochlear implant professional, we can support you with education and training.

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Cochlear implant candidacy

Cochlear™ implants are small, simple and smart. Learn more about who might benefit from them.

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Custom Sound® Pro fitting software

Introducing Custom Sound® Pro fitting software – pioneering technology from Cochlear created by clinicians to enhance the fitting process for your patients.

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Disclaimer

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.

* N/A for perimodiolar electrodes

References
  1. Holden LK, Finley CC, Firszt JB, Holden TA, Brenner C, Potts LG, et al. Factors affecting open-set word recognition in adults with cochlear implants. Ear and hearing [Internet]. 2013 May [cited 2020 Aug 20];34(3):342–60.
  2. James CJ, Karoui C, Laborde M-L, Lepage B, Molinier C-É, Tartayre M, et al. Early Sentence Recognition in Adult Cochlear Implant Users. Ear and hearing [Internet]. 2019 Jul [cited 2020 Aug 20];40(4):905–17.
  3. Cochlear Limited. D1653452 V1 SEP19. Execution of Electrode Array Tip Fold Over Detection Algorithm Sensitivity Validation.
  4. Cochlear Limited. D1639507 V1 OCT19. Clinical Investigation Report (CLTD5663 Volta Study).
  5. Cochlear Limited. D1640845 V1 OCT19. Clinical Investigation Report (CLTD5676 study).
  6. Morrel, W. G., Holder, J. T., Dawant, B. M., et al. Effect of Scala Tympani Height on Insertion Depth of Straight Cochlear Implant Electrodes. Otolaryngology—Head and Neck Surgery. (2020); 194599820904941. Available from https://doi.org/10.1177/0194599820904941.
  7. Skarzynski H, Lorens A,Matusiak M, Porowski M, Skarzynski PH, James CJ. Cochlear implantation with the Nucleus slim straight electrode in subjects with residual low-frequency hearing. Ear Hear (2014); 35(2):e33-43.
  8. Heutink, F.,de Rijk, S. R., Verbist, B. M., Huinck, W. J., & Mylanus, E. A. M. Angular Electrode Insertion Depth and Speech Perception in Adults With a Cochlear Implant: A Systematic Review. Otology & Neurotology. (2019). 40(7):900–910. Available from https://doi.org/10.1097/MAO.0000000000002298
  9. Cochlear Limited. D1665111 V1 SEP2019. Angular Insertion Monitoring Algorithm TRL6 Validation.
  10. Kontorinis G, Lenarz T, Stöver T, Paasche G. Impact of the insertion speed of cochlear implant electrodes on the insertion forces. Otol Neurotol. (2011 Jun); 32(4):565-70.
  11. Rajan GP, Kontorinis G, Kuthubutheen J. The effects of insertion speed on inner ear function during cochlear implantation: a comparison study. Audiol Neurootol. (2013); 18(1):17-22.
  12. Todt I, Mittmann P, Ernst A. Intracochlear fluid pressure changes related to the insertional speed of a CI electrode. Biomed Res Int (2014); 2014:507241.
  13. Page JC, Cox MD, Hollowoa B, Bonilla-Velez J, Trinidade A, Dornhoffer JL. Trends in Intraoperative Testing During Cochlear Implantation. Otol Neurotol. (2018 Mar); 39(3):294-298.
  14. Botros et al. AutoNRTTM: An automated system that measures ECAP thresholds with the Nucleus® FreedomTM cochlear implant via machine intelligence. Artificial Intelligence in Medicine (2007) 40, 15—28.
  15. Cochlear Limited. D1657378 ISS1 OCT19. Cochlear Nucleus® SmartNav App user guide (CAM).
  16. Cochlear Limited. D1651764 ISS3 FEB20. Cochlear Nucleus® SmartNav App user guide (ROW).
  17. Hoth, S, Dziemba OC. The Role of Auditory Evoked Potentials in the Context of Cochlear Implant Provision. Otol Neurotol (2017); 38(10): e522-e530.