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Real-Time Monitoring During Cochlear Implant Surgery: What It Means for Better Outcomes

Why Real-Time Monitoring Matters in Cochlear Implant Surgery

Cochlear implants have revolutionised hearing restoration for individuals with severe to profound hearing loss. But as with any surgical procedure, outcomes depend heavily on precision—especially during electrode insertion into the cochlea. That’s where real-time intraoperative monitoring comes into play.

At Cochlear Implants by The Listening Lab, a trusted provider of cochlear implant solutions in Singapore, we proudly offer Advanced Bionics’ HiRes™ Ultra 3D cochlear implants, powered by the exclusive AIM™ System. This state-of-the-art technology is a unique system on the market offering real-time monitoring of cochlear function during surgery—something competitors like Cochlear and MED-EL do not provide.

Introducing the AIM™ System: Precision in Real Time

The AIM™ (Active Insertion Monitoring) System is designed to measure Electrocochleography (ECochG) in real time during electrode insertion. This means surgeons receive immediate feedback on the status of the cochlea, enabling them to make data-driven decisions during the procedure. 

Why is this important?

  • Better implant positioning: Surgeons can stop or adjust insertion if the cochlea shows signs of trauma or resistance.
  • Enhanced hearing outcomes: Accurate placement can preserve residual hearing and optimise stimulation of the auditory nerve.
  • Immediate troubleshooting: Early detection of issues reduces the likelihood of re-operations or suboptimal performance.

Competitor Comparison: What Sets Advanced Bionics Apart?

According to a comparative chart of cochlear implant systems, Advanced Bionics’ HiRes Ultra 3D offers surgical real-time monitoring of cochlear functioning. On the other hand, no publicly available data suggest that Cochlear’s Nucleus® Profile™ Plus and  MED-EL’s Synchrony® 2 offer this crucial intraoperative feature.

FeatureAdvanced Bionics (HiRes Ultra 3D)Cochlear (Nucleus Profile Plus)MED-EL (Synchrony 2)
Real-time cochlear monitoring✅ Yes, via AIM™❌ No data available❌ No data available

Beyond that, Advanced Bionics also leads in impact resistance, MRI compatibility (up to 200 scans without affecting the magnet), and T-Coil compatibility, giving patients a more resilient and flexible hearing solution.

Benefits for Patients in Singapore

Singaporean patients and caregivers can feel confident in choosing Advanced Bionics for several key reasons:

1. Greater Surgical Accuracy

With the AIM™ System, surgeons can adapt electrode placement in real-time, reducing the risk of trauma and improving hearing potential.

2. Faster Post-Op Results

Real-time feedback supports automated objective audiometry, helping clinicians to fine-tune devices more effectively right after surgery.

3. Reduced Need for Revisions

By ensuring optimal electrode placement from the outset, the AIM™ System may reduce the likelihood of future corrective surgeries.

4. Peace of Mind with Fewer Unknowns

For both patients and surgeons, knowing the cochlea is being monitored minute-by-minute during surgery provides reassurance and boosts confidence in the success of the implant.

Practical Tip: Ask Your ENT About AIM™ Monitoring

When exploring cochlear implant options in Singapore, always ask whether the clinic uses the AIM™ System for intraoperative monitoring. If they don’t, you may be missing out on a significant advancement in hearing care technology.

At Cochlear Implants by The Listening Lab, our expert team works closely with patients and surgeons to ensure every implant procedure is backed by the most advanced tools and insights available—including AIM™.

Final Thoughts: Better Tech Means Better Hearing Futures

Intraoperative monitoring is more than just a technical enhancement—it’s a game-changer for cochlear implant recipients. By providing surgeons with real-time data, the AIM™ System from Advanced Bionics raises the standard for surgical precision and post-operative hearing outcomes.

If you’re considering a cochlear implant for yourself or a loved one, don’t settle for less. Choose a system that puts data, precision, and outcomes first.

Book a consultation with us today and learn how the AIM™ System can help you or your child hear more clearly, confidently, and comfortably.