Cochlear Nucleus 8 User manual

for Nucleus®8 System
and Nucleus®7 System
Hybrid™User Guide

ii Hybrid User Guide

1Hybrid User Guide
Contents
Introduction
About this guide . . . . . . . . . . . . . . . . . . . . . . . . . 2
Hybrid system . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Use your Hybrid system
Wear your Hybrid system. . . . . . . . . . . . . . . . . . . .8
Care for your Hybrid system . . . . . . . . . . . . . . . . . .9
Change the dome . . . . . . . . . . . . . . . . . . . . . . . 10
Change the speaker unit wax filter. . . . . . . . . . . . . . 11
Troubleshoot
Check the Hybrid system . . . . . . . . . . . . . . . . . . . 12
Warnings
For parents and carers. . . . . . . . . . . . . . . . . . . . . 14
Hybrid system . . . . . . . . . . . . . . . . . . . . . . . . . 15
Other information
Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Serious incidents . . . . . . . . . . . . . . . . . . . . . . . 23
Equipment classification . . . . . . . . . . . . . . . . . . . 24
Legal statement . . . . . . . . . . . . . . . . . . . . . . . . 24
Trademark legal statement. . . . . . . . . . . . . . . . . . 24

2Hybrid User Guide
Introduction
About this guide
This guide is intended for Cochlear implant recipients and their
carers, who use their Cochlear™ Nucleus® 8 system or
Cochlear™ Nucleus® 7 system in Hybrid™ mode. The Cochlear
Nucleus 8 system consists of the Nucleus 8 Sound Processor
(model number CP1110) in Hybrid mode. The Cochlear Nucleus 7
system may consist of the Nucleus 7 Sound Processor (model
number CP1000) or Cochlear Nucleus 7 SE Sound Processor
(model number CP1001) or Cochlear Nucleus 7 S Sound Processor
(model number CP1002) in Hybrid mode.
This guide can also be used as a reference by hearing healthcare
professionals.
For more information, refer to the Nucleus 8 Sound Processor User
Guide, Nucleus 7 Sound Processor User Guide, Nucleus 7 SE Sound
Processor User Guide or Nucleus 7 S Sound Processor User Guide.
Note
• Please also refer to your Important 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.
• Not all products are available in all countries.
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.

3Hybrid User Guide
Hybrid system
The Nucleus 8, Nucleus 7, Nucleus 7 SE and Nucleus 7 S
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
Hybrid mode
When using the Nucleus Sound Processor in Hybrid mode, the
hybrid system is worn in the outer ear canal of the respective
ear.
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
Intended purpose
Device Intended purpose
Cochlear Hybrid Receiver The Hybrid Receiver is intended to be
used in combination with other devices
as part of a hearing implant system to
deliver amplified sound via the ear canal
for recipients with residual hearing.
Cochlear Hybrid Open
Dome, Cochlear Hybrid
Bass Single Dome,
Cochlear Hybrid Bass
Double Dome
The dome is intended to be used as an
accessory to the Hybrid Receiver to
allow a Hybrid Receiver to fit
comfortably and securely within the ear
canal. The dome is also used to assist
with delivering sound from the receiver.
Cochlear Hybrid Ear Lock
(size 60 and 85)
The Cochlear Hybrid Ear Lock is
intended to be used as an accessory to
the Hybrid Receiver to assist with
securing the Hybrid Receiver within the
ear canal.
Cochlear Hybrid Earhook
with Removal Tool
The Hybrid Earhook with removal tool
is intended to be used to assist with
wearing the sound processor as part of a
hearing implant system.

5Hybrid User Guide
Indications
Cochlear Hybrid Receiver
The Cochlear Hybrid Receiver is indicated for use with the
Nucleus 8 Processing Unit, Nucleus 7 Processing Unit,
Nucleus 7 SE Processing Unit, and Nucleus 7 S Processing
Unit.
The sound processor in Hybrid mode, regardless of associated
implant, is indicated for recipients with residual hearing at
frequencies between 125 Hz and 2 kHz.
Cochlear Hybrid Domes and Earhook
This section applies to the following devices (all variants, and
sizes unless otherwise listed):
• Cochlear Hybrid Earhook with Removal Tool
• Cochlear Hybrid Open Dome
• Cochlear Hybrid Bass Single Dome
• Cochlear Hybrid Bass Double Dome
• Cochlear Hybrid Power Dome.
The devices listed above are indicated for use with the
Cochlear Hybrid Receiver.
Cochlear Hybrid Ear Lock
The Cochlear Hybrid Ear Lock is indicated for use with the
Cochlear Hybrid Receiver, size 60 and 85.

6Hybrid User Guide
Contraindications
Cochlear Hybrid Receiver
The Cochlear Hybrid Receiver is not indicated for use with
processing units other than those listed in the Indications.
The sound processor in Hybrid mode is not indicated for
recipients who have no residual hearing at frequencies
between 125 Hz and 2 kHz.
Cochlear Hybrid Domes and Earhook
The Cochlear Hybrid Domes and Earhook are not indicated for
use with devices other than those listed in the Indications.
Cochlear Hybrid Ear Lock
The Cochlear Hybrid Ear Lock is not indicated for use with
devices other than those listed in the Indications.

7Hybrid User Guide
Intended patient population
There are no restrictions for the intended patient population
of the Nucleus 8 Sound Processor, Nucleus 7 Sound Processor,
Nucleus 7 SE Sound Processor and Nucleus 7 S Sound
Processor in terms of age, weight, health or other condition.
Benefits
The Nucleus 8, Nucleus 7, Nucleus 7 SE and Nucleus 7 S
Sound Processors operate in conjunction with a compatible
Cochlear implant system. Potential benefits of receiving a
Cochlear implant system include:
• Better understanding of speech in quiet.
• Better understanding of speech in noise.
• Increased satisfaction based on hearing capabilities.
Intended users
Intended users of the Nucleus 8, Nucleus 7, Nucleus 7 SE and
Nucleus 7 S Sound Processors in Hybrid mode are:
• Recipients of a compatible Cochlear Nucleus implant.
• Carers of recipients, who carry out recipient functions as
needed. Carers may include parents of paediatric recipients
who are less than 12 years old, nurses or other carers of
otherwise dependant recipients.
• Audiologists/clinicians.

8Hybrid User Guide
Use your Hybrid system
Wear your 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.
Remove the Hybrid system
When removing your coil and sound processor, remove
your dome from your ear as instructed by your clinician.