Smart Bimodal Solutions

When hearing aids alone are no longer enough.


With Bimodal Hearing, the hearing aid and cochlear implant work as a team

If you have cochlear implant patients with enough residual hearing in their contralateral ear to benefit from a hearing aid, a bimodal fitting could provide them with many benefits. A systematic literature review has found that where appropriate, individuals should use hearing aids with their cochlear implant in order to achieve bilateral benefits and the best possible speech recognition and quality of life outcomes.1

When compared to using a hearing aid or cochlear implant alone, users of bimodal hearing report:

  • a more natural hearing experience2
  • improved speech understanding in both quiet and noise3-6
  • enhanced perception of music7
  • improved sound localization3-4
  • better overall performance in real-life environments3

These combined benefits help to build your patients' speech and language understanding and are particularly beneficial for children’s learning and development.6

Cochlear™ Nucleus® Implant Systems work with any hearing aid to deliver these life-changing benefits of bimodal hearing.

A bimodal solution with direct smartphone streaming

To provide advanced bimodal solutions for you and your patients, Cochlear collaborates with ReSound in the Smart Hearing Alliance. We offer a smart bimodal hearing solution with direct streaming from a compatible iOS or Android™ device*, which 89% of smart bimodal users said was important in their everyday life when surveyed.8 Smart bimodal hearing is available through the following Cochlear and ReSound devices.

Smart Bimodal Direct Streaming.jpeg

Enhanced bimodal hearing through wireless streaming

When not streaming directly from a compatible Apple or Android device, your patients can enjoy the benefits of simultaneous bimodal streaming from a phone, TV or microphone, we offer a range of True Wireless™ Devices.

Compared with using a cochlear implant alone, bimodal users experienced a 23% increase in speech understanding in noise when streaming with a Wireless Phone Clip9 and an average 6.3 dB improvement in signal to noise ratio of speech recognition when streaming with a Wireless™ Mini Microphone.10 Our True Wireless Devices use a proprietary low energy protocol to provide stereo quality bimodal sound with minimal impact on battery life.#

See how Smart Bimodal Solutions have enhanced Chad's life

Bimodal Fitting Flow

You can access the latest Bimodal Fitting Flow in Custom Sound® Pro.


*For compatibility information and devices visit and

#Battery life varies for every user, according to the age of the battery, the programs used each day, your implant type, the thickness of skin covering your implant, and the size and type of battery used. Streaming from compatible devices, True Wireless devices or FM may decrease sound processor battery life depending on how often and for how long streaming is engaged..


  1. Buchman CA, Gifford RH, Haynes DS, et al. Unilateral Cochlear Implants for Severe, Profound, or Moderate Sloping to Profound Bilateral Sensorineural Hearing Loss: A Systematic Review and Consensus Statements. JAMA Otolaryngol Head Neck Surg. Published online August 27, 2020. doi:10.1001/jamaoto.2020.0998
  2. Farinetti A, Roman S, Mancini J, et al. Quality of life in bimodal hearing users (unilateral cochlear implants and contralateral hearing aids). Eur Arch Otorhinolaryngol (2015 Nov);272:3209–3215.
  3. Ching TY, Incerti P, Hill M. Binaural benefits for adults who use hearing aids and cochlear implants in opposite ears. Ear and Hearing. 2004;25(1):9-21.
  4. Potts LG, Skinner MW, Litovsky RA, et al. Recognition and localization of speech by adult cochlear implant recipients wearing a digital hearing aid in the nonimplanted ear bimodal hearing). Journal of the American Academy of Audiology. 2009;20(6):353-73.
  5. Morera C, Cavalle L, Manrique M, et al. Contralateral hearing aid use in cochlear implanted patients: Multicenter study of bimodal benefit. Acta Otolaryngol (2012 Jun);132:1084–1094.
  6. Gifford RH, Dorman MF, McKarns SA, Spahr AJ. Combined electric and contralateral acoustic hearing: Word and sentence recognition with bimodal hearing. Journal of Speech, Language, and Hearing Research. (2007 Aug);50(4):835-43.
  7. Sucher CM, McDermott HJ. Bimodal stimulation: benefits for music perception and sound quality. Cochlear Implants International. (2009 Jan);10(S1):96-9.
  8. Cochlear Limited. D1627134. Cochlear Bimodal Experience Survey - April 2019. 2019, Oct.
  9. Wolfe J, Morais M, Schafer E. Speech recognition of bimodal cochlear implant recipients using a wireless audio streaming accessory for the telephone. Otology & Neurotology. 2016;37(2):20-5.
  10. Vroegop JL, Dingemanse JG, Homans NC, Goedegebure A. Evaluation of a wireless remote microphone in bimodal cochlear implant recipients. International Journal of Audiology. 2017;56(9):643-9.