Cochlear Hybrid Nucleus 8 User manual

for Nucleus®8 System
and Nucleus®7 System
Hybrid™User Guide
ES
FR-CA

Contents
Hybrid™ User Guide for Nucleus® 8
System and Nucleus® 7 System
1
ES
Guía de usuario de Hybrid™ para el
sistema Nucleus® 8 y el sistema
Nucleus® 7
16
FR-CA
Mode d’emploi Hybrid™ pour le
système Nucleus® 8 et le système
Nucleus® 7
31

iv Hybrid User Guide
Symbols used in this guide
Note
Important information or advice.
Tip
Time saving hint.
Caution (no harm)
Special care to be taken to ensure safety and
effectiveness. Could cause damage to equipment.
Warning (harmful)
Potential safety hazards and serious adverse reactions.
Could cause harm to person.
This guide is intended for Cochlear implant recipients and their
carers, who use their Cochlear™Nucleus®8 Sound Processor
(model number CP1110) or Cochlear™Nucleus®7 Sound
Processor (model number CP1000) in Hybrid™mode.
People with certain types of hearing loss can wear the sound
processor in Hybrid mode by adding a Hybrid system which sends
amplified acoustic sound into the ear canal.
Note
• Please also refer to your Patient Information document for
essential advice that applies to Cochlear implant systems.
• Refer to the Warnings section for warnings relating to the use
of the Hybrid system.
For more information, refer to the Nucleus 8 Sound Processor User
Guide or the Nucleus 7 Sound Processor User Guide.

1Hybrid User Guide
Contents
About
Hybrid mode explained . . . . . . . . . . . . . . . . . 2
Hybrid system . . . . . . . . . . . . . . . . . . . . . . 3
Wear
Wear the Hybrid system . . . . . . . . . . . . . . . . 4
Care
Care for your Hybrid system . . . . . . . . . . . . . . 5
Change the dome . . . . . . . . . . . . . . . . . . . . 6
Change the speaker unit wax filter . . . . . . . . . . 7
Troubleshoot . . . . . . . . . . . . . . . . . . 8
Warnings . . . . . . . . . . . . . . . . . . . . .10
For parents and carers. . . . . . . . . . . . . . . . . .10
Hybrid system . . . . . . . . . . . . . . . . . . . . . .10
Other information . . . . . . . . . . . . . .11

2Hybrid User Guide
Hybrid mode explained
Hybrid mode may benefit Cochlear implant recipients who
have some residual hearing, by providing amplified sound
(like a hearing aid).
In Hybrid mode, your sound processor delivers two types
of sound signals:
• The usual electric signals to the cochlear implant
• Extra acoustic signals to the Hybrid system.

3Hybrid User Guide
Hybrid system
The Nucleus 8 and Nucleus 7 Hybrid systems include:
• The Cochlear Hybrid Earhook–replaces your normal
earhook, and connects the Cochlear Hybrid Receiver to
your sound processor.
• The Cochlear Hybrid Receiver–a cable with a speaker
unit that fits in your ear. It has a replaceable wax filter.
• A dome–fits over the speaker unit to hold it in place
and protect your ear. It is disposable and has a built-in
wax filter.
Caution
• Your clinician will select the receiver and dome that you
should use. Do not substitute any other parts.
• Your clinician will attach and remove the receiver for you. Do
not attempt to do this yourself.
1. Hybrid Earhook
2. Cable
3. Speaker unit (under dome)
4. Dome
5. Hybrid Receiver

4Hybrid User Guide
Wear the Hybrid system
Caution
• Recipients or carers should not fit the Hybrid system to the
sound processor, or remove it. This should only be done by
your clinician.
• Keep the Hybrid receiver away from the coil magnet.
• Do not twist the receiver cable.
1. Hold the coil in
one hand and
place the sound
processor on
your ear with
the other.
2. Place the coil
on your head.
3. Place your dome in your ear as instructed by your
clinician.
4. When removing your coil and sound processor,
remove your dome from your ear as instructed by
your clinician.

5Hybrid User Guide
Care for your Hybrid system
Note
Your Nucleus 8 or Nucleus 7 Hybrid system is not compatible
with any parts that can be used with Freedom, CP800 Series or
CP900 Series Sound Processors (e.g. domes, earmoulds,
receivers or earhook).
Caution
• Handle and store the Hybrid system very carefully.
• Do not drop the Hybrid system.
The Nucleus 8 or Nucleus 7 Hybrid system provides the
benefit of two wax filters:
1. An in-built wax filter in the disposable dome.
2. A replaceable wax filter fitted in the receiver’s speaker
unit.
Every day
• Check the dome and its filter. Change the dome
whenever its filter is clogged with wax, or whenever the
dome is dirty, discoloured or losing shape.
• When changing the dome, also check the wax filter in
the speaker unit. Change the speaker unit filter
whenever it is clogged with wax or if the sound from
the speaker unit does not sound normal.

6Hybrid User Guide
Change the dome
1. Pull the dome off,
using your
fingernails if
necessary, and
discard.
2. Push the new dome
directly onto the
speaker unit.
3. Click it securely into
place.

7Hybrid User Guide
Change the speaker unit wax filter
Caution
• Wax filters must always be used with the Hybrid system and
replaced regularly.
• Keep the Hybrid receiver away from the coil magnet.
1. Remove a new
ProWax tool from
its shell. One point
on the tool has a
removal tool and
the other point has
the new filter.
2. Insert the removal
tool into the
existing wax filter
and gently move
the filter from side
to side and remove
it from the speaker
unit.
3. Push the new filter
into the speaker
unit.
4. Dispose of the tool
and used wax filter.

8Hybrid User Guide
Troubleshoot
Problem Resolution
You do not hear
sound through the
Hybrid system
1. Change the sound processor
batteries.
2. Check your dome. If there is wax
buildup, change the dome. See Care
for your Hybrid system on page 5.
3. Check your speaker unit wax filter. If
there is wax buildup, change the filter.
See Care for your Hybrid system on
page 5.
4. Check that the receiver is properly
connected to your sound processor.
5. If the problem continues, contact
your clinician.
You experience
discomfort when
using the Hybrid
system
1. Check that your dome is properly
fitted to the speaker unit.
2. If the problem continues, contact
your clinician.

9Hybrid User Guide
Problem Resolution
You hear intermittent
or distorted sound, or
sound is too soft
1. Check that your dome is properly
fitted to the speaker unit.
2. Check that the receiver is properly
connected to your sound processor.
3. Check your dome. If there is wax
buildup, change the dome. See Care
for your Hybrid system on page 5.
4. Check your speaker unit wax filter. If
there is wax buildup, change the filter.
See Care for your Hybrid system on
page 5.
5. Your receiver cable may be too long
or too short. If in doubt, contact your
clinician.
6. Your dome may be the wrong type or
the wrong size. If in doubt, contact
your clinician.
7. If the problem continues, contact
your clinician.
Sound is too loud Remove the sound processor and coil from
your head immediately and contact your
clinician.

10 Hybrid User Guide
Warnings
For parents and carers
• Contact your clinician for advice on choosing the most
suitable Hybrid system for children.
• Do not allow children to replace a Hybrid system.
• Keep all parts of the Hybrid system out of reach of
children. Removable parts (e.g. domes and wax
management systems) can be lost or may be a choking
hazard.
• Carers should routinely check for signs of discomfort.
See your clinician if you are concerned that the Hybrid
system is not working at a comfortable sound level.
Hybrid system
• Refit and replace domes regularly to ensure optimal
fitting and retention. Consult your clinician for advice
on Hybrid system misfits or signs of discomfort.
• Remove your sound processor if there is any discomfort
or pain (e.g. sound level is uncomfortably loud) and
inform your clinician.
• If the dome is not securely attached to your Hybrid
system, it could fall off in your ear canal. If this happens,
see your medical practitioner.

11Hybrid User Guide
Other information
Materials
• Hybrid Earhook is made from polyamide (PA) and liquid
silicone rubber (LSR).
• Receiver cable outer sheathing is made from polyamide.
• Domes are made of silicone.

12 Hybrid User Guide
Equipment classification
The sound processor is internally powered equipment Type
B applied part as described in the international standard
IEC 60601-1:2005/A1:2012, Medical Electrical Equipment
– Part 1: General Requirements for Basic Safety and
Essential Performance.
Legal statement
The statements made in this guide are believed to be true
and correct as of the date of publication. However,
specifications are subject to change without notice.
© Cochlear Limited 2022
Trademark legal notice
ACE, Advance Off-Stylet, AOS, AutoNRT, Autosensitivity,
Beam, Bring Back the Beat, Button, Carina, Cochlear,
科利耳, コクレア, 코클리어, Cochlear SoftWear,
Contour, コントゥア , Contour Advance, Custom Sound,
ESPrit, Freedom, Hear now. And always, Hugfit, Hybrid,
Invisible Hearing, Kanso, MET, MicroDrive, MP3000,
myCochlear, mySmartSound, NRT, Nucleus, Osia,
Outcome Focused Fitting, Off-Stylet, Profile, Slimline,
SmartSound, Softip, SPrint, True Wireless, the elliptical
logo, and Whisper are either trademarks or registered
trademarks of Cochlear Limited. Ardium, Baha, Baha
SoftWear, BCDrive, DermaLock, Human Design, Piezo
Power, SoundArc, Vistafix, and WindShield are either
trademarks or registered trademarks of Cochlear Bone
Anchored Solutions AB.

13Hybrid User Guide
Labelling symbols
The following symbols may appear on your sound
processor or accessories and/or packaging:
Refer to instruction manual
Consult
instructions for use
Consult instructions for use
Specific warnings or precautions associated with the
device, which are not otherwise found on the label
Manufacturer
Compatible sound processors
Authorised representative in the European
Community
UDI
Unique Device Identification
Medical Device
Catalogue number
Serial number
Batch code
Date of manufacture
Temperature limits
CE registration mark

14 Hybrid User Guide
Radio compliance certification for Australia and New
Zealand
By prescription
Recyclable material
Dispose of electrical components in accordance with
your local regulations
Separate
disposal of
batteries
Dispose of batteries separately from normal waste
Type B applied part
Ingress Protection Rating
• Protected against access of solid foreign objects
greater than or equal to 1.0mm diameter.
• Protected against failure from dust penetration.
• Protected against failure from splashing water.

xvGuía de usuario de Hybrid
ES
Símbolos utilizados en esta guía
Nota
Información o aviso importante.
Consejo
Consejo para ahorrar tiempo.
Precaución (daños materiales)
Hay que tener especial cuidado para garantizar la
seguridad y la efectividad. Podrían producirse daños en el
equipo.
Advertencia (lesiones)
Posibles peligros para la seguridad y reacciones adversas
graves. Podrían lesionarse personas.
Esta guía está dirigida a cuidadores de pacientes y pacientes con
implantes de Cochlear que usen su procesador de sonido
Cochlear™Nucleus®8 (número de modelo CP1110) o Cochlear™
Nucleus®7 (número de modelo CP1000) en modo Hybrid™.
Las personas con determinados tipos de hipoacusia pueden llevar
el procesador de sonido en modo Hybrid añadiendo un sistema
Hybrid, que envía una señal acústica amplificada al conducto
auditivo.
Nota
• Consulte también el documento Información para pacientes
para obtener indicaciones básicas sobre los sistemas de
implante Cochlear.
• Consulte el apartado de advertencias sobre el uso del sistema
Hybrid.
Para obtener más información, consulte la Guía de usuario del
procesador de sonido Nucleus 8 o la Guía de usuario del procesador
de sonido Nucleus 7.

16 Guía de usuario de Hybrid
ES
Índice
Acerca de
Explicación del modo Hybrid. . . . . . . . . . . . . . 17
Sistema Hybrid . . . . . . . . . . . . . . . . . . . . .18
Equipo
Llevar el sistema Hybrid . . . . . . . . . . . . . . . .19
Cuidados
Cuidados del sistema Hybrid . . . . . . . . . . . . 20
Cambiar el dome . . . . . . . . . . . . . . . . . . . .21
Cambiar el filtro para el cerumen de la unidad de
auricular . . . . . . . . . . . . . . . . . . . . . . .22
Resolución de problemas . . . . . . . . .23
Advertencias . . . . . . . . . . . . . . . . . .25
Para padres y cuidadores . . . . . . . . . . . . . . . .25
Sistema Hybrid . . . . . . . . . . . . . . . . . . . . .25
Información adicional . . . . . . . . . . 26