MAESTRO 10
System Software
Patient-Centered Remote Care & Fitting. Anytime. In Less Time.
Provide patient-centered remote care—anytime and in less time—with MAESTRO 10, the newest fitting software for MED-EL cochlear implant systems. Featuring new intuitive impedance heat maps and guided workflows to save you time, MAESTRO 10 is packed with powerful fitting options and easy-to-learn tools such as bimodal synchronization and anatomy-based fitting.
- Remote fitting without appointments
- Impedance heat maps at a glance
- Time-saving intraoperative workflows
- Anatomy-based fitting
Patient-Centered Remote Care & Fitting
Introducing patient-centered remote care from MED-EL: With MAESTRO 10, you can adjust and send audio processor fitting maps to your patients who use the HearCare MED-EL app—no matter where they are and at any time that’s convenient for you.
Increased Access to Hearing Care
Offer your patients with compatible smartphones* and MED-EL devices** increased access to timely personalized care with remote care via MAESTRO 10. Remote care and fitting are ideal for MED-EL cochlear implant recipients who:
- Live far from your clinic
- Are unable to visit the clinic due to medical conditions
- Lack mobility or time
You have the power to decide which patients are suitable for remote care and invite them via MAESTRO 10.
With the HearCare app, your patients have the power to share their data with you, their trusted clinician, after they’ve visited your clinic. After they complete a system check, your patient’s current configuration is available to you at any time via a MAESTRO 10 remote care session, which gives you access to the same fitting parameters as in a conventional face-to-face in-clinic fitting session.** It includes an ongoing record of each configuration backup: telemetry measurements, fitting maps, front-end parameters, audiogram data, and datalogging.
Anytime Access to Device Data & Backups
Quickly access your patients’ most recent settings and past configuration backups at any time. This includes microphone, coil or cable problems, audio processor and implant errors as well as RONDO 3 battery health. With MAESTRO 10 and remote care, the telemetry measurement and microphone data provided is equivalent to data obtained during in-clinic visits. This means remote care patients who are doing well or only need implant checks will no longer need an appointment, saving you time.
Prioritize Care Based on Patients’ Needs
Evaluate remote care results at your convenience to prioritize those who need the most urgent in-clinic care. You can access past records to monitor progress and changes. This allows you to provide flexible, individualized ongoing care by monitoring patients who are performing as expected without in-clinic visits. That way they can avoid time-consuming trips to the clinic, and you can reserve in-clinic appointments for those who most need them.
Asynchronous Remote Audio Processor Fitting
Remote care provides access to the same fitting parameters as in a conventional face-to-face fitting session. It also allows you to remotely fit, program, and make adjustments to your patients’ audio processors—all without needing to set an appointment time. This gives you the flexibility to provide care to your patients when it suits your schedule and continue to meet their individual needs. And they can quickly and conveniently download their new configuration anytime, anywhere.
Faster Audio Processor Replacements***
With remote care, you no longer need to take the time to program a replacement or loaner audio processor of the same type before sending it to your patient. Simply send the empty processor directly to your patient or their caregiver, and they can download their last audio processor configuration with the backup function in the HearCare app. This way your patients will have less hearing downtime, and you can provide them with timely support.
Steps to Access MED-EL Remote Care and Fitting
1
Get in touch with your local MED-EL representative as soon as possible.
2
MED-EL gives your clinic access to remote care and fitting in MAESTRO 10.
3
Your patients download the HearCare MED-EL app and you invite eligible patients via MAESTRO 10.
4
You can provide suitable patients remote care and fitting at any time.
Sign Up for Remote Care at Your Clinic
Request more information to prepare your clinic to provide remote care and fitting services to MED-EL cochlear implant recipients.
HearCare MED-EL
With this easy-to-use app, your patients can receive audio processor configurations for remote fitting, perform implant, coil, and audio processor checks, and back up their audio processor configurations and settings. Convenient Care. Anytime. Anywhere.
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Enhanced Features
Intuitive Impedance Field Telemetry Heat Maps
MAESTRO 10’s new impedance field telemetry (IFT) interface provides heat maps for each telemetry measurement so you can evaluate the impedance status across the entire electrode array at a single glance. Now you can identify potential high impedance (HI) channels and short circuits and even compare impedance heat maps all on the same screen.
Time-Saving Intraoperative Workflows
MAESTRO 10 provides easy-to-follow intraoperative workflows. Whether you are new or experienced in the OR, these intuitive workflows can help you save time when performing objective measurements like AutoART, eABR or eSRT. Additionally, you can also measure cochlear microphonics (CM) as a response to acoustic stimulation in patients with residual hearing.
Faster Database Performance
The new database structure of MAESTRO 10 improves the speed of saving or migrating data, and MAESTRO 10 provides a secure way to export data easier and faster than ever before. There is a new, optimized interface for easier importing, exporting, and resolving data conflicts. This new and intuitive design allows you to make informed decisions about data inconsistencies.
Seamless Cybersecurity Compliance
MAESTRO 10 allows you to configure the storage and transmission of data to meet your unique requirements. MAESTRO 10 can also be seamlessly integrated into existing user management infrastructure for authorized users. By using active directory, MAESTRO 10 allows you to log in quickly and easily via a secure single sign-on. Data that you export or upload and download for remote care is secured by using state-of-the-art security algorithms and technologies to make the exchange of data as secure as possible for you.
Place-Based Mapping With Anatomy-Based Fitting
Providing your patients with a closer match to natural hearing has always been our philosophy, and our unique long electrode arrays can deliver more accurate place-pitch stimulation to the cochlea’s natural tonotopic map. And when it comes to the cochlea’s second turn, only MED-EL’s cochlear implants are designed to mimic natural rate coding with FineHearing sound coding.
With MAESTRO 10 and place-based mapping using our anatomy-based fitting (ABF) tools, you can reach closer to natural hearing with your patients than ever before.
With anatomy-based fitting, you can easily fine-tune the frequency map to be closer to the natural map of each individual cochlea. By combining detailed imaging data from OTOPLAN with MAESTRO 10, you can quickly assign center frequencies based on the actual anatomical location of each electrode contact.****
“ABF can be used to fit experienced bilateral cochlear implant users; it improves speech perception, especially in noise, and self-perceived sound quality. ABF fitting is a promising approach to match the input from both CIs, thereby providing access to binaural processing.” [ft]
Kurz et al., 2023
“Methods to minimize electric mismatches, such as place-based mapping procedures, may support better early speech recognition for [similar patient populations of EAS users].” [ft]
Dillon et al., 2023
Use OTOPLAN to Identify Electrode Contact Location
OTOPLAN is a powerful surgical planning software that allows you to visualize detailed 3D anatomy from standard imaging. With OTOPLAN, you can automatically identify contact location using post-op imaging. And OTOPLAN calculates the natural tonotopic frequency for each electrode contact.****
Apply Place-Based Mapping via Anatomy-Based Fitting
With just a few clicks, you can import the detailed electrode location data into MAESTRO 10 from OTOPLAN for place-based mapping. MAESTRO 10 automatically calculates an optimal distribution of electrode center frequencies to cover the full input frequency range (70Hz–8,500 Hz) while aligning to the natural tonotopic map as closely as possible based on where each contact is positioned in the cochlea. You also have the option to fine-tune the frequency range of each electrode contact using simple manual controls.
Complete Standard Fitting Procedure
Anatomy-based fitting helps you to assign more natural frequency distributions on an individual electrode array. After finishing these simple steps for place-based mapping, you can carry on with your normal fitting process. Anatomy-based fitting is designed to work together with subjective patient feedback and objective measures.
MED-EL Academy: Anatomy-Based Fitting
Learn more about providing place-based mapping with anatomy-based fitting at your clinic. Check out our in-depth online series on the fundamentals of Anatomy-Based Fitting, plus detailed guides to OTOPLAN and MAESTRO—find everything you’re looking for on the MED-EL Academy!
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Bimodal Synchronization
With MAESTRO 10’s Bimodal Synchronization feature, you can easily match the processing delay timing between RONDO 3 or SONNET 2 and nearly any hearing aid without needing to refit the hearing aid.
View timing settings for hearing aids
Why MED-EL:
A Trusted Partner
For more than 30 years, MED-EL has been a trusted partner and innovation leader in hearing implants. We’re here to work together with you, and we’re committed to providing outstanding service and support for our professional partners.
With the most advanced cochlear implant systems, we offer the best hearing experience for your patients and the best clinical experience for you.
Sign Up for Remote Care
Ready to learn more about offering remote care and fitting to your patients?
Fill out this form to request more information from your local MED-EL representative.
SYNCHRONY 2
See why individualized electrode arrays, safe access to MRI, and a streamlined central electrode lead for exceptional surgical handling make SYNCHRONY 2 your new favorite cochlear implant.
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SONNET 3
Smaller and lighter, SONNET 3 delivers built-in direct streaming and the closest to natural hearing with maximum flexibility and freedom.
RONDO 3
Find out how wireless charging, directional microphones, and wireless connectivity make RONDO 3 incredibly simple and simply incredible.
Technical Data
MAESTRO 10 System Software
- Coding strategies: FS4, FS4-p, FSP, HDCIS. The Fine Structure Processing strategies (FS4, FS4-p, FSP) deliver both tonotopic and temporal information, reflecting natural hearing
- Pulse shape options: Biphasic and Triphasic Pulses, Interphase Gaps (IPG)
- Four program positions
- Progressive maps: Automatic generation of maps with an increase in loudness
- Integrated EAS acoustic fitting (6-channel EAS acoustic fitting)
- Longitudinal patient record: The patient history gives a quick overview of previous measurements and mappings
- Data import and export with integrated option to anonymize patient data
- Visual reinforcement tool (VRT): Integrated media player to support fitting with visual rewards
- Compatible with all current multi-channel MED-EL cochlear implants
- Compatible with all currently available MED-EL audio processors
- Bimodal view in postoperative sessions that allows bimodal synchronization for patients with a hearing aid****
- Support for importing OTOPLAN data and compute a frequency band distribution based on OTOPLAN data
- System check dialog that can help perform a functional check of certain hardware components of an audio processor****
- Support of processor software updates for certain audio processor types****
- Telecoil booster and direct audio input booster****
- Remote Care allows you to perform tasks and asynchronously exchange data with compatible patient devices to update audio processor configurations.***
- Impedance heat map represents calculated impedances obtained from an Impedance and Field Telemetry (IFT) task.
- Change of data export and import is optimized for easier importing, exporting, and resolving of data conflicts.
Professional Online Portal***
- Integrated link to myMED-EL, an online platform for professionals
Measurements
The following measurements are available intraoperatively and postoperatively:
- Impedance and Field Telemetry (IFT): Easy and fast implant integrity check
- Electrically Evoked Compound Action Potential (ECAP) measurements: AutoART is the fastest automatic ECAP measuring tool (intraoperative: 90 seconds for all 12 channels, postoperative: 3-4 minutes for all 12 channels), ART provides extended configuration options and additional measurement types
- Electrically Evoked Stapedius Reflex Threshold (ESRT): Check implant function intraoperatively or find an objective baseline for fitting postoperatively
- Electrically Evoked Auditory Brainstem Response (EABR): Confirm if stimulation is generating a response in the auditory center of the brain
- Electric Acoustic Evoked Potential (EAEP) Tool (Advanced ART Setup): Record coordinated electrically and acoustically evoked intracochlear potentials with the first clinically available cochlear microphonics (ECoG) tool
Fitting
- Automatic ECAP based maps: ARTFit automatically generates a fitting map based on an ECAP measurement
- Strategy-independent energy consumption: The energy consumption of the processor is independent of the selected coding strategy
- Loudness balancing: Easy simultaneous balancing of bilateral CIs, SSD cases, or CI to hearing aids
- Remote fitting capability
System Requirements
Hardware requirements
- PC with a supported Microsoft® Windows® operating system
- Dual-core x86 or x64 processor with a clock speed of 1.6 GHz or faster
- 2 GB of free RAM or more
- 2 GB of free disk space or more
- Display resolution of 1920 × 1080 or higher
- One free high-power USB Type-A compliant port, version 2.0 or higher
Software requirements
Microsoft Windows 10 or later
Supported database formats
Microsoft SQL Server 2022, Microsoft SQL Server
2019, Microsoft SQL Server 2017, Microsoft SQL Server 2016
MAX Programming Interface
The MAX programming interface is compatible with all current multi-channel implants and audio processors. It features two audio processor sockets, allowing simultaneous bilateral fittings.
Upgrading
Upgrading is quicker and easier than ever before, simply download the software. Alternatively, order a USB flash drive.
OTOPLAN software is a product of CASCINATION AG.
* For smartphone compatibility information, go to the HearCare MED-EL page.
** HearCare MED-EL and fitting via Remote Care are compatible with PULSARCI100, SYNCHRONY, CONCERTO, SONATA series implants
used in combination with a SONNET 2, SONNET 2 EAS, or RONDO 3 audio processor. Fitting via Remote Care is only accessible if enabled by a clinician. Recipients with the HearCare MED-EL app and a compatible smartphone as well as a compatible implant
and audio processor can perform system checks on their own after installing the app without Remote Care being enabled by their clinician. Clinicians should consider the suitability of fitting via Remote Care before inviting qualified patients based
on clinical judgment.
*** Not all services are available in all areas.
**** Compatible with SONNET 2, SONNET 2 EAS, and RONDO 3 audio processors.
Not all features are available on all versions of SONNET 2/SONNET 2 EAS. You can check which SONNET 2/SONNET 2 EAS variant your patient has here. For full details on its features, please see the technical data.
