Relief Introduction to the Neuromonics Tinnitus Treatment For Candidates.
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Transcript of Relief Introduction to the Neuromonics Tinnitus Treatment For Candidates.
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Introduction to the Neuromonics Tinnitus Treatment
For Candidates
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Neuromonics Background
Core technology conceived in 1993 Neuromonics formed in 2001 Current locations; Bethlehem, PA & Sydney, Australia Randomized clinical trials with >200 tinnitus patients Thousands of patients treated worldwide FDA clearance 2005 Regulatory approval in: United States, Australia, New
Zealand and Singapore
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Tinnitus Population
50 Million suffer from tinnitus
10-15 Million seek medical treatment for tinnitus
2 Million have severe, highly disturbing tinnitus
1 Million new cases of tinnitus are identified per year
400,000 Veterans on tinnitus disability
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Pathogenesis of Tinnitus
Auditory Perception
Emotional Response
Attention and Awareness
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Sub-Cortical Awareness Processing
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Neuromonics: Mechanism of Action
3. Reaction1. Perception 2. Attention
EmotionalAuditory Attentional
Stimulation Desensitization Relaxation & Relief Acoustic signal
customized for each patient’s hearing profile
(stereo)
Helps retrain the brain to be less
aware and bothered by tinnitus in relaxed state
Pleasant, relaxing music.
Relief from tinnitus perception.
Hanley PJ, Davis PB. Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: underlying principles and clinical efficacy. Trends in Amplification. 2008; Sep;12(3):210-22. Epub 2008 Jul 9.
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Non-invasive, FDA cleared, patented and clinically tested Proven long-term reduction of tinnitus disturbance Clinically administered and monitored by a trained
clinician Combines a novel approach to acoustic stimulation with
structured counseling and support
What is Neuromonics Tinnitus Treatment?
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Neuromonics Tinnitus Treatment
Treatment signal and music is customized to your hearing profile
Decreases awareness and disturbance to the tinnitus
Treatment duration is generally 6 - 8 months but can vary depending on your individual case
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Treatment Usage
Required usage is 2 - 4 hours per day when the tinnitus is most bothersome
Can use in small segments of time during the day For example: 15, 30 or 60 minute time intervals
Device tracks usage throughout the day
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Treatment Usage
Treatment cannot be used when: Driving Straining to hear Listening to television Device may get wet Exercising to raise your heart rate
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Appointment Schedule
Fitting of your customized device
Periodic follow-ups to monitor progress approximately every 8 to 10 weeks Retest measurements as needed Download logged data from device
Final appointment
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Treatment Stimulus
Treatment signal is a customized stimulus which is embedded in music
Music mimics the resting heart rate to help with relaxation
Specially chosen for its frequency response to maximize stimulation of the auditory pathways
Styles of music used Classical Baroque Style Contemporary/Relaxation Style
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Importance of Customization
Maximize stimulation of the auditory pathways
Stereo effect- balances right and left ear
Allows for more relief from tinnitus at a lower listening volume
Able to use treatment for sleep
Helps with relaxation
0.25 0.5 1 2 4 6 8 10 120
10
20
30
40
50
60
70
80
90
100
110
1 2 3 4 6 7 8 9
dB
kHz
Thresholds
Music
Spectral Composition of Music +Hearing Thresholds of Typical
Clinic Patient Sample
Loud
ness
Pitch
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Device
Easy to use
Volume control allows you to set at a comfortable level
Monitors daily and cumulative usage
Rechargeable battery
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The first stage is designed to help you get relief from the tinnitus while using the treatment and also to help you relax
High level of interaction
Relief and reduction of tinnitus awareness during listening sessions
Treatment: Stage 1
(Schematic)
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The purpose of the second stage of treatment is to help re-train your brain to be less aware and less bothered by the tinnitus
Intermittent interaction with tinnitus
See results even when not using the treatment
Intensity
Treatment: Stage 2
(Schematic)
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Clinical Outcomes (after 6 months of treatment*):
40% + Reduction in Tinnitus Disturbance**……
40% + Reduction in Tinnitus Awareness…………
5 dB + Reduction in MML***..………………………
5 dB + Improvement in LDL****..…………………
95%
84%
78%
69%
Davis, P, Paki, B, Hanley, P. Neuromonics Tinnitus Treatment: Third Clinical Trial. Ear and Hearing. 2007; Vol. 28, No. 2; 242-257.
*Clinical measures reported by participants with significant levels of tinnitus disturbance prior to treatment.
**Measured by the Tinnitus Reaction Questionnaire***Participants with pretreatment minimum masking level of greater than 5dB
****Participants with decreased sound tolerance
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Patient Satisfaction
Relief from tinnitus ………………………….
Improved ability to fall asleep …………
A sense of control of tinnitus ………….
Improved ability to relax ………………….
97%
94%
94%
94%
Davis, P, Paki, B, Hanley, P. Neuromonics Tinnitus Treatment: Third Clinical Trial. Ear and Hearing. 2007; Vol. 28, No. 2; 242-257.
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www.neuromonics.com