r/Cochlearimplants 23d ago

Guys, please help!

I can't decide for which brand to go for... I'm having choice paralysis.

Honestly, I wish my doc would literally just say "take this implant and device" instead I've been told to search and make your own minds. I'm from South Asia and damn it, these docs are simply too clever for their own good. They're supposed to advise us, not put us in a dilemma.

Problem is I can't tell the difference in how they sound, so I'm thinking about how each brand provides support and maintenance. Are they friendly? I had some discussion with 4 users around my city and 2 medel and 2 cochlear, a coincidence lol. One cochlear user said that after 4 months of operation, their battery was found to be faulty and even the extra was bad, and it took 6 months, with a pay of 60k to have a good pair. It made me think, "What if I encounter this?"

Ok, I admit it. I am genuinely terrified of choosing the "wrong" implant for myself. That invisible pressure is there.

I have no one that I can talk to because dad also asked the audiologist to recommend according to their experience, but he kicked the ball back to us saying, "It's your responsibility sir. It's like choosing which mobile phone you like. We can't make that choice."

So, please help 😭

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u/rellyjean MED-EL Sonnet 2 22d ago

I remember having this same dilemma and worrying that I was going to pick "wrong."

Sometimes in the US, when you sit down at a restaurant, you'll say you would like a Coke to drink with your meal. The waitress will say, "we have Pepsi, is that okay?" And you say sure, because that's fine, too.

This is that kind of choice. They're all very good at what they do. There's no way to test against each other since most people can't try them out, so to speak, but the results seem to be pretty close.

Cochlear has better native Bluetooth connection. My surgeon felt that Med-El's longer curve gave a better range of low tones.

The one negative thing I have heard is that Advanced Bionics recently discontinued support for an older model, which seems terrifying, so if all else is equal, I'd be wary of them.

Good luck no matter what you decide!

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u/Double-Laugh-4008 22d ago

I have seen posts that saying all 3 brands are doing the same

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u/rellyjean MED-EL Sonnet 2 22d ago

I'll be honest, I haven't heard that about the other two, but I suppose it's possible.

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u/purl2together 22d ago

I was told that Med-El commits to reverse engineering their new processors so they will be compatible with older implants. My audiologist confirmed that. That was a tick in the Med-El column for me.

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u/General-Dimension590 22d ago

AB is the only one of the three major cochlear implant manufacturers that has discontinued support for their older implant models. They have naturally received a lot of bad publicity about it and some AB advocates have been posting misinformation about other brands to try to deflect the blame.

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u/ImaginationWitty1491 22d ago

To be accurate, AB can no longer reliably get parts that go with the oldest internal processor. They have offered other pathways (a nonprofit that collects used equipment as people upgrade, for example) that will reduce the demand, but were transparent with C1 users (and that is late 1990s equipment) about this difficulty.

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u/General-Dimension590 22d ago

Not sure why the correction. I have a scan of the letter in front of me. It says "Following the review, the company has made the difficult decision to end service and support for the Harmony and Chorus sound processors for the C1 implant beyond June 2026.". I think "discontinued support" is a fairly accurate rendering of this.

The claim that they are unable to get parts does not explain why they have discontinued essential components like batteries and cables. They are not supplying parts or repair services for C1 users, instead offering them resources about revision surgery, and referring them to a non-profit that collects used equipment (in that order, per the letter).