Cochlear Implant Atlas
CI Atlas · Devices & Electrode Arrays · Module 09

9SYNCHRONY, FSP and the SONNET/RONDO System

Beyond its arrays, MED-EL is known for two things: a rotatable MRI magnet that ended the era of magnet-removal surgery, and fine-structure coding strategies that hand temporal timing — not just envelopes — to the apical channels. SONNET behind-the-ear and RONDO single-unit processors complete the system, with the Oticon Medical/Neurelec lineage as a historical footnote.

TThe rotatable MRI magnet

The SYNCHRONY / SYNCHRONY 2 implant carries a diametrically magnetised magnet in a housing that freely rotates to align with an external MRI field, reducing torque, pain and the need for magnet removal — making it MRI-conditional at high field strength without surgery, a major clinical differentiator (commonly 1.5 T and 3.0 T; verify exact conditions per variant; cross-ref Module 15).[2014]

CFine-structure coding

MED-EL's signature coding strategies are FSP and FS4/FS4-p, which encode temporal fine structure (zero-crossing timing) on the most apical low-frequency channels rather than envelope alone, aiming for better pitch, music and tonal-language perception; FS4 applies fine-structure timing to up to 4 apical channels, with HDCIS as the envelope-based comparator (cross-ref Ch.8). Riss et al. ran crossover studies of FSP/FS4/FS4-p.[2006]

Self-aligning vs fixed magnet in the scanner

external MRI field →rotatable — aligns, no torquefixed — torque ∝ 87%
SYNCHRONY: MRI-conditional at 1.5 T (magnet in place)

A fixed implant magnet experiences torque in the scanner that grows as the field direction departs from the magnet's axis — the source of pain and displacement that long made MRI difficult. MED-EL's SYNCHRONY uses a rotatable diametric magnet that simply spins to align with the field, so it stays MRI-conditional at 1.5 T and 3.0 T with the magnet left in place. Other strategies are removable or self-aligning magnets; device choice matters for patients who will need lifelong imaging (cross-ref Ch.12). Schematic.

TSONNET behind-the-ear

The behind-the-ear processor line is SONNET / SONNET 2 (with an EAS variant for combined electric-acoustic stimulation), used across the portfolio.[2014]

CRONDO single-unit

The RONDO / RONDO 2 / RONDO 3 is a single-unit, button-style processor worn off the ear over the implant magnet, integrating microphone, electronics, battery and coil in one piece — the original single-unit concept; RONDO 2 introduced wireless charging.

TThe Oticon/Neurelec lineage

Oticon Medical's CI line descends from Neurelec (formerly MXM), itself from Claude-Henri Chouard's pioneering French multichannel work (1976–77), marketing the Neuro Zti implant with Digisonic heritage as a smaller fourth manufacturer (cross-ref Ch.1 History). NOTE: Oticon Medical announced exit/transfer of its CI business (~2023, to Cochlear) — confirm current availability before teaching as available.

What the coding keeps — envelope vs fine structure

envelope (both)+ fine-timing pulses

Classic CIS-type strategies transmit only the slow envelope of each channel. MED-EL's fine-structure strategies (FSP, FS4) add the rapid temporal fine structure — timing pulses locked to the signal's zero-crossings on the few apical (low-frequency) channels — aiming to convey pitch and music cues the envelope discards. It is a coding-strategy difference (software) the long apical reach of the lateral-wall array is built to exploit. Schematic.

Case 13.9 · Imaging an implant recipient
A SYNCHRONY recipient needs a 3 T MRI of the brain.

What feature helps?

Self-assessment — Module 92 questions
Question 1

The SYNCHRONY implant eases MRI by…

Question 2

Fine-structure strategies (FSP/FS4) add what to the apical channels?

Tracked locally in your browser — see /progress for the dashboard.