At MED-EL, providing the highest quality and having the most reliable products is our first and foremost priority. To ensure that current and prospective MED-EL users and the community of professionals are fully informed, MED-EL regularly publishes detailed up-to-date information on the reliability of its cochlear implants.
How is reliability measured?
In order to measure the reliability of cochlear implants in an objective way the Cumulative Survival Rate (CSR) is calculated.
The CSR indicates the percentage of implants still fully functioning after a certain period of time. MED-EL is the only manufacturer that publishes not only traditional CSR-data according to the ISO 5841-2:2000 standard, but also provides additional detail that we call the Extended CSR . Extended CSR data assures full transparency relative to the various causes of device malfunction.
Extended Cumulative Survival Rate
The CSR is being calculated in full accordance with ISO 5841- 2:2000 and includes:
Device
related Cumulative Survival Rate including
accident related root causes for malfunction
Device related Cumulative Survival Rate excluding
accident related root causes for malfunction
Extended CSR including medical, surgical as well as accident
related issues
MED-EL’s Implant CSR Data:
Comply with the ISO 5841-2: 2000
Are based on the categorization of failure
modes of implanted devices according to the available
complaint reports or according to the results of the
technical investigation of explanted systems
Include all categories of device malfunction
including accident related causes
Are in keeping with the results of the
European and American consensus discussions
Consider devices in populations of at
least 200 for any given time frame
Since the first implantation of the PULSARCI100 in March of 2004, not a single implant has failed due to loss of hermeticity or electronic defect. The same holds true for the optimized C40+ implants manufactured since May 2002.
Experience over the last 4 years shows an accident
related failure rate of the hermetic housing of 0.14% per year.
This value is in the range of the US wide rate of accident
related traumatic brain injury**
0.1% … children between 0 and 4 years
2.87% … for adults
Since the first implantation in June 2006
not a single SONATATI100 cochlear
implant had to be re-implated for device related, surgical
or medical reasons. This also holds true for accident related issues.