{"id":22130,"date":"2022-10-31T17:10:55","date_gmt":"2022-10-31T16:10:55","guid":{"rendered":"https:\/\/lifelonghearing.com\/allgemein\/stazeni-z-trhu-versus-spolehlivost\/"},"modified":"2025-05-01T13:16:05","modified_gmt":"2025-05-01T13:16:05","slug":"stazeni-z-trhu-versus-spolehlivost","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/","title":{"rendered":"Sta\u017een\u00ed z trhu versus spolehlivost"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:10px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:45;line-height:1.4;\">Co zaru\u010duje bezpe\u010dnost sluchov\u00fdch implant\u00e1t\u016f?<\/h1><\/div><div class=\"fusion-text fusion-text-1\"><p><strong>Zat\u00edmco ve skupin\u00e1ch u\u017eivatel\u016f sluchov\u00fdch implant\u00e1t\u016f na r\u016fzn\u00fdch soci\u00e1ln\u00edch s\u00edt\u00edch koluj\u00ed zpr\u00e1vy o stahov\u00e1n\u00ed produkt\u016f z trhu, v\u00fdrobci se chlub\u00ed nejvy\u0161\u0161\u00ed spolehlivost\u00ed sv\u00fdch implant\u00e1t\u016f. Jak to tedy doopravdy je a \u010d\u00edm je zaru\u010dena spolehlivost sluchov\u00fdch implant\u00e1t\u016f?<\/strong><\/p>\n<\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1200\" height=\"559\" title=\"reliability_featured-1200&#215;559\" src=\"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg\" data-orig-src=\"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg\" alt class=\"lazyload img-responsive wp-image-31902\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27559%27%20viewBox%3D%270%200%201200%20559%27%3E%3Crect%20width%3D%271200%27%20height%3D%27559%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1-200x93.jpg 200w, https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1-400x186.jpg 400w, https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1-600x280.jpg 600w, https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1-800x373.jpg 800w, https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-2\" style=\"--awb-margin-top:3%;\"><p>\u201eAktu\u00e1ln\u011b narozen\u00e9 d\u011bti se do\u017eij\u00ed a\u017e 120 let!\u201c, hl\u00e1sal titulek v \u010dasopisu National Geographics v kv\u011btnu roku 2013. Pokud jsou tedy dnes d\u011btem indikov\u00e1ny sluchov\u00e9 implant\u00e1ty, m\u011bly by vydr\u017eet v\u00edce ne\u017e sto let. Ale technick\u00e1 za\u0159\u00edzen\u00ed se \u010dasem porouchaj\u00ed, a to i ta kvalitn\u00ed. Jak dlouho mohou u\u017eivatel\u00e9 sluchov\u00fdch implant\u00e1t\u016f o\u010dek\u00e1vat, \u017ee jim implant\u00e1t vydr\u017e\u00ed? To lze p\u0159edpov\u011bd\u011bt z \u00fadaj\u016f o spolehlivosti. Pro d\u011btsk\u00e9 kandid\u00e1ty na kochle\u00e1rn\u00ed implant\u00e1t (KI) a jejich rodi\u010de jsou tyto \u00fadaje o spolehlivosti d\u016fle\u017eit\u00fdm krit\u00e9riem p\u0159i rozhodov\u00e1n\u00ed v dob\u011b, kdy se na operaci p\u0159ipravuj\u00ed.<\/p>\n<p>Mezin\u00e1rodn\u00ed norma ISO 5841-2 definuje, jak\u00fdm zp\u016fsobem mus\u00ed b\u00fdt uv\u00e1d\u011bny \u00fadaje o spolehlivosti implant\u00e1t\u016f \u2013 to se t\u00fdk\u00e1 kardiostimul\u00e1tor\u016f i sluchov\u00fdch implant\u00e1t\u016f. \u00dadaje o spolehlivosti zve\u0159ejn\u011bn\u00e9 podle t\u00e9to normy ukazuj\u00ed, kolik implant\u00e1t\u016f muselo b\u00fdt po ur\u010dit\u00e9 dob\u011b pou\u017e\u00edv\u00e1n\u00ed vyjmuto z t\u011bla, proto\u017ee ji\u017e nebyly funk\u010dn\u00ed. Navzdory tomuto jednotn\u00e9mu standardu v\u0161ak zd\u00e1nliv\u011b protich\u016fdn\u00e9 informace matou a zneklid\u0148uj\u00ed u\u017eivatele i kandid\u00e1ty. I pro odborn\u00edky je toto t\u00e9ma velmi slo\u017eit\u00e9.<\/p>\n<p>Krom\u011b toho maj\u00ed na dlouhodob\u00e9 pou\u017e\u00edv\u00e1n\u00ed s konzistentn\u00ed kvalitou zvuku vliv i dal\u0161\u00ed faktory. Rakousk\u00fd v\u00fdrobce MED-EL dokonce hovo\u0159\u00ed o <a href=\"https:\/\/www.medel.com\/hearing-solutions\/cochlear-implants\/reliability#Implant_Reliability\" target=\"_blank\" rel=\"noopener\">360stup\u0148ov\u00e9 bezpe\u010dnosti a spolehlivosti.<\/a>.<\/p>\n<h2>Spolehlivost \u2013 vysv\u011btleno odborn\u00edky<\/h2>\n<p>Prof. Dr. Wolf-Dieter Baumgartner, univerzitn\u00ed profesor na ORL univerzitn\u00ed klinice ve V\u00eddni a Stockholmu a hostuj\u00edc\u00ed profesor ve Fakultn\u00ed nemocnici Brno, je jedn\u00edm z nejuzn\u00e1van\u011bj\u0161\u00edch odborn\u00edk\u016f na KI na sv\u011bt\u011b. Na \u010desk\u00e9m ORL kongresu v Brn\u011b ve dnech 8.-10. \u010dervna 2022 prezentoval aktu\u00e1ln\u00ed poznatky o spolehlivosti implant\u00e1t\u016f.<\/p>\n<p>Informace z t\u00e9to prezentace jsme pro v\u00e1\u0161 p\u0159ehled zkombinovali s informacemi z publikac\u00ed jin\u00fdch v\u011bdeck\u00fdch kapacit, se specifikacemi p\u0159\u00edslu\u0161n\u00e9 normy a tak\u00e9 s \u00fadaji z webov\u00fdch str\u00e1nek v\u00fdrobc\u016f implant\u00e1t\u016f:<\/p>\n<ul>\n<li><a href=\"#implantlife\"> Jak se zm\u011bnil \u017eivot s implant\u00e1ty v posledn\u00edch desetilet\u00edch<\/a><\/li>\n<li><a href=\"#reliability\">Co znamenaj\u00ed \u00fadaje o spolehlivosti<\/a><\/li>\n<li><a href=\"#honestly\"> Jak poctiv\u011b jsou prezentov\u00e1ny \u00fadaje o spolehlivosti<\/a><\/li>\n<li><a href=\"#change\">Kdy vym\u011bnit implant\u00e1t<\/a><\/li>\n<li><a href=\"#recall\">Jak sta\u017een\u00ed z trhu ovlivn\u00ed u\u017eivatele<\/a><\/li>\n<li><a href=\"#information\">Kde v\u00fdrobci skr\u00fdvaj\u00ed dal\u0161\u00ed informace o spolehlivosti<\/a><\/li>\n<\/ul>\n<p>Op\u011bt jsme pro v\u00e1s shrnuli <a href=\"#again\">nejd\u016fle\u017eit\u011bj\u0161\u00ed krit\u00e9ria<\/a>.<\/p>\n<h2 id=\"implantlife\">Zku\u0161enosti p\u0159in\u00e1\u0161ej\u00ed bezpe\u010dnost<\/h2>\n<p>\u010c\u00edm je syst\u00e9m sofistikovan\u011bj\u0161\u00ed, t\u00edm v\u00edce je zabezpe\u010deno jeho spolehliv\u00e9 fungov\u00e1n\u00ed. Na druh\u00e9 stran\u011b rostouc\u00ed zku\u0161enosti se samotnou implantac\u00ed vedou tak\u00e9 k bezpe\u010dn\u011bj\u0161\u00edm chirurgick\u00fdm postup\u016fm a t\u00edm k dal\u0161\u00edmu zvy\u0161ov\u00e1n\u00ed spolehlivosti tohoto chirurgick\u00e9ho z\u00e1kroku. \u201e40 procent na\u0161ich kochle\u00e1rn\u00edch implantac\u00ed jsme provedli v uplynul\u00fdch dev\u00edti letech. Od roku 2013 do roku 2022 jsme zav\u00e1d\u011bli p\u0159ibli\u017en\u011b 100 kochle\u00e1rn\u00edch implant\u00e1t\u016f ro\u010dn\u011b,\u201c odvol\u00e1v\u00e1 se prof. Baumgartner na \u00fadaje v\u00edde\u0148sk\u00e9 univerzitn\u00ed nemocnice. \u201ePro srovn\u00e1n\u00ed: v letech 1994-1999 jsme implantovali 45 kochle\u00e1rn\u00edch implant\u00e1t\u016f ro\u010dn\u011b.\u201c<\/p>\n<p>Analogov\u00e9 implant\u00e1ty z doby p\u0159ed rokem 1994 byly nyn\u00ed zcela nahrazeny nov\u011bj\u0161\u00edmi digit\u00e1ln\u00edmi typy. Dokonce i u\u017eivatel\u00e9 dosud funk\u010dn\u00edch implant\u00e1t\u016f cht\u011bli vyu\u017e\u00edt vylep\u0161en\u00ed, kter\u00e1 p\u0159inesla digit\u00e1ln\u00ed technologie. Nicm\u00e9n\u011b, i kdy\u017e se v\u00fdsledky sly\u0161en\u00ed d\u00edky digit\u00e1ln\u00edm KI v\u00fdrazn\u011b zlep\u0161ily, 20 % implant\u00e1t\u016f z prvn\u00edch p\u011bti let muselo b\u00fdt vym\u011bn\u011bno \u2013 to znamen\u00e1 ka\u017ed\u00fd rok jeden ze 30 KI.<\/p>\n<p>Pro srovn\u00e1n\u00ed: ani jeden implant\u00e1t sou\u010dasn\u00e9 technologie, kter\u00e1 se ve V\u00eddni pou\u017e\u00edv\u00e1 od roku 2014, nemusel b\u00fdt vym\u011bn\u011bn!<\/p>\n<p>\u201eU pacienta, kter\u00e9mu je dnes implantov\u00e1n sofistikovan\u00fd elektronicky p\u0159\u00edstroj, je pravd\u011bpodobn\u011bj\u0161\u00ed, \u017ee bude m\u00edt v budoucnu jin\u00fd zdravotn\u00ed probl\u00e9m, ne\u017e selh\u00e1n\u00ed tohoto p\u0159\u00edstroje,\u201c je si jist\u00fd prof. Baumgartner. \u201eKI je nejspolehliv\u011bj\u0161\u00ed l\u00e9ka\u0159sk\u00fd implant\u00e1t! Odborn\u00edk na KI prov\u00e1d\u00ed srovn\u00e1n\u00ed s jin\u00fdmi popul\u00e1rn\u00edmi implant\u00e1ty: \u201eKardiostimul\u00e1tory maj\u00ed dnes pr\u016fm\u011brnou \u017eivotnost \u0161est let, ky\u010deln\u00ed prot\u00e9zy jeden\u00e1ct let a kochle\u00e1rn\u00ed implant\u00e1ty maj\u00ed pr\u016fm\u011brnou \u017eivotnost 12,5 roku. U sou\u010dasn\u00fdch KI Synchrony a Synchrony 2 od spole\u010dnosti MED-EL m\u016f\u017eeme pravd\u011bpodobn\u011b o\u010dek\u00e1vat dokonce funk\u010dn\u00ed \u017eivotnost v\u00edce ne\u017e 30 let.\u201c<\/p>\n<h2 id=\"reliability\">Snadno pochopiteln\u00e9 standardn\u00ed \u00fadaje o spolehlivosti<\/h2>\n<p>Existuj\u00ed r\u016fzn\u00e9 d\u016fvody, pro\u010d m\u016f\u017ee sluchov\u00fd implant\u00e1t p\u0159estat fungovat. V kategorii \u201eroz\u0161\u00ed\u0159en\u00e9\u201c jsou shrom\u00e1\u017ed\u011bny v\u0161echny mysliteln\u00e9 d\u016fvody selh\u00e1n\u00ed. Implant\u00e1t mohl b\u00fdt nap\u0159\u00edklad zni\u010den z vn\u011bj\u0161\u00edch p\u0159\u00ed\u010din \u2013 \u201eprobl\u00e9my souvisej\u00edc\u00ed s nehodou\u201c. Mohl b\u00fdt po\u0161kozen v d\u016fsledku nez\u00e1visl\u00e9ho zdravotn\u00edho stavu, p\u0159i jin\u00e9m chirurgick\u00e9m z\u00e1kroku nebo p\u0159i samotn\u00e9 implantaci, co\u017e jsou \u201emedic\u00ednsk\u00e9 a chirurgick\u00e9 probl\u00e9my\u201c. Jako ka\u017ed\u00e9 technick\u00e9 za\u0159\u00edzen\u00ed se implant\u00e1t rovn\u011b\u017e m\u016f\u017ee s\u00e1m rozb\u00edt, co\u017e jsou \u201eprobl\u00e9my souvisej\u00edc\u00ed p\u0159\u00edmo se za\u0159\u00edzen\u00edm\u201c.<\/p>\n<p>V\u00fdrobci mohou zajistit p\u0159edev\u0161\u00edm technickou spolehlivost, ale mohou do ur\u010dit\u00e9 m\u00edry ovlivnit i ostatn\u00ed aspekty a zdroje probl\u00e9m\u016f, prost\u0159ednictv\u00edm v\u00fdrobn\u011b technick\u00fdch opat\u0159en\u00ed. Nap\u0159\u00edklad, zaoblen\u00fd tvar implant\u00e1tu s optimalizovan\u00fdm povrchem pom\u00e1h\u00e1 p\u0159edch\u00e1zet reakc\u00edm tk\u00e1n\u00ed a podr\u00e1\u017ed\u011bn\u00ed poko\u017eky.<\/p>\n<p>Pro u\u017eivatele je p\u0159\u00ed\u010dina selh\u00e1n\u00ed implant\u00e1tu druhotn\u00e1. Implant\u00e1t se obvykle vym\u011b\u0148uje chirurgicky. U\u017eivatel\u00e9 doufaj\u00ed, \u017ee po f\u00e1zi n\u00e1vyku op\u011bt dos\u00e1hnou obvykl\u00e9 kvality sluchu.<\/p>\n<p>Spolehlivost je v\u017edy prezentov\u00e1na jako \u201ekumulativn\u00ed m\u00edra p\u0159e\u017eit\u00ed\u201c (CSR), kter\u00e1 ud\u00e1v\u00e1, kolik procent v\u0161ech syst\u00e9m\u016f je po ur\u010dit\u00e9 dob\u011b st\u00e1le funk\u010dn\u00edch. V p\u0159\u00edpad\u011b nov\u00fdch syst\u00e9m\u016f lze samoz\u0159ejm\u011b takov\u00e9 \u00fadaje uv\u00e1d\u011bt pouze po omezenou dobu.<\/p>\n<h2 id=\"honestly\">Transparentn\u00ed spolehlivost: triky n\u011bkter\u00fdch v\u00fdrobc\u016f<\/h2>\n<p>Potenci\u00e1ln\u00ed z\u00e1jemci o KI po\u017eaduj\u00ed transparentnost informac\u00ed o spolehlivosti implant\u00e1t\u016f. Spolehlivost je \u010dasto jedn\u00edm z rozhodovac\u00edch krit\u00e9ri\u00ed pro nebo proti ur\u010dit\u00e9mu implant\u00e1tu. Podn\u011btem k tomu m\u016f\u017ee b\u00fdt rakousk\u00fd v\u00fdrobce MED-EL, kter\u00fd v posledn\u00edch desetilet\u00edch soustavn\u011b zve\u0159ej\u0148uje rozs\u00e1hl\u00e9 \u00fadaje o spolehlivosti sv\u00fdch implanta\u010dn\u00edch syst\u00e9m\u016f. Co v\u0161ak mohou d\u011blat ti v\u00fdrobci, jejich\u017e implant\u00e1ty nejsou tak spolehliv\u00e9 a maj\u00ed krat\u0161\u00ed \u017eivotnost?<\/p>\n<p>Jedn\u00edm z obl\u00edben\u00fdch trik\u016f je omezen\u00ed zobrazovan\u00e9 spolehlivosti implant\u00e1tu na ur\u010dit\u00fd typ nebo podskupinu tohoto modelu implant\u00e1tu. Pokud je v p\u0159ehledu zobrazen pouze jeden z n\u011bkolika typ\u016f implant\u00e1t\u016f, \u010dten\u00e1\u0159 si toho m\u016f\u017ee v\u0161imnout pouze tehdy, pokud pozorn\u011b sleduje a d\u00e1le studuje zdrojov\u00e9 informace. Ostatn\u00ed podtypy s n\u011bkdy a\u017e alarmuj\u00edc\u00edm po\u010dtem selh\u00e1n\u00ed tak z\u016fstanou nezm\u00edn\u011bny. Pokud jste tedy u\u017eivatelem nebo kandid\u00e1tem, m\u011bli byste tyto \u00fadaje v\u017edy \u010d\u00edst velmi pozorn\u011b a v\u011bnovat pozornost pozn\u00e1mk\u00e1m psan\u00fdm mal\u00fdm p\u00edsmem!<\/p>\n<h2 id=\"change\">V\u00fdm\u011bna implant\u00e1tu: kdy se vyplat\u00ed?<\/h2>\n<p>Atraumatick\u00e9 elektrody kochle\u00e1rn\u00edho implant\u00e1tu umo\u017e\u0148uj\u00ed chirurgovi zav\u00e9st elektrodu bez nam\u00e1h\u00e1n\u00ed hlem\u00fd\u017ed\u011b. Z\u00e1rove\u0148 v\u0161ak zaji\u0161\u0165uj\u00ed, \u017ee implant\u00e1t lze v nejhor\u0161\u00edm p\u0159\u00edpad\u011b bez obav vyjmout. Pokud tato situace nastane, je nejen samotn\u00e1 kochle\u00e1rn\u00ed implantace, ale i v\u00fdm\u011bna kochle\u00e1rn\u00edho implant\u00e1tu klasifikov\u00e1na jako bezpe\u010dn\u00fd rutinn\u00ed z\u00e1krok. V 90. letech 20. stolet\u00ed a n\u00e1sledn\u011b v roce 2000 n\u011bkte\u0159\u00ed u\u017eivatel\u00e9 podstoupili reimplantaci bez konkr\u00e9tn\u00edho d\u016fvodu, aby vyu\u017eili vylep\u0161enou technologii digit\u00e1ln\u00edho, v\u00edcekan\u00e1lov\u00e9ho KI. O reimplantaci by se v\u0161ak m\u011blo uva\u017eovat pouze v p\u0159\u00edpad\u011b, \u017ee st\u00e1vaj\u00edc\u00ed implant\u00e1t ji\u017e neposkytuje uspokojiv\u00e9 v\u00fdsledky sly\u0161en\u00ed.<\/p>\n<p>Nedostatek kontinuity v dal\u0161\u00edm v\u00fdvoji m\u016f\u017ee zp\u016fsobovat r\u016fzn\u00e9 zm\u011bny. Ned\u00e1vno p\u0159i\u0161el jeden australsk\u00fd v\u00fdrobce s n\u011bkolika inovacemi sluchov\u00fdch implant\u00e1t\u016f, kter\u00e9 po ur\u010ditou dobu inzeroval. Ji\u017e po n\u011bkolika letech v\u0161ak byl v\u00fdrobek sta\u017een z trhu bez n\u00e1hrady. Pokud je v\u00fdroba ur\u010dit\u00e9ho typu implant\u00e1tu zastavena, nemohou st\u00e1vaj\u00edc\u00ed u\u017eivatel\u00e9 o\u010dek\u00e1vat dal\u0161\u00ed v\u00fdvoj zvukov\u00e9ho procesoru nebo p\u0159\u00edslu\u0161enstv\u00ed. Technologie, kter\u00e1 pomalu zastar\u00e1v\u00e1, jednoho dne p\u0159estane b\u00fdt schopna dr\u017eet krok s na\u0161\u00edm ka\u017edodenn\u00edm \u017eivotem. V takov\u00e9m p\u0159\u00edpad\u011b bude mo\u017en\u00e1 nutn\u00e9 vym\u011bnit samotn\u00fd implant\u00e1t, i kdy\u017e je cel\u00fd syst\u00e9m st\u00e1le funk\u010dn\u00ed \u2013 za model a v\u00fdrobce, u kter\u00e9ho lze bez v\u00e1h\u00e1n\u00ed o\u010dek\u00e1vat neust\u00e1l\u00fd dal\u0161\u00ed v\u00fdvoj.<\/p>\n<h2 id=\"recall\">Z\u00e1v\u011br: Co znamen\u00e1 porucha nebo sta\u017een\u00ed implant\u00e1tu z trhu pro u\u017eivatele a kandid\u00e1ty?<\/h2>\n<p>Jak\u00e1koli porucha implant\u00e1tu mus\u00ed b\u00fdt nahl\u00e1\u0161ena p\u0159\u00edslu\u0161n\u00fdm dohledov\u00fdm \u00fa\u0159ad\u016fm. Pokud se u jednoho typu implant\u00e1tu vyskytuj\u00ed poruchy \u010dasto, dal\u0161\u00ed implantace p\u0159\u00edslu\u0161n\u00e9ho modelu se z preventivn\u00edch d\u016fvod\u016f zru\u0161\u00ed. Rovn\u011b\u017e jsou sta\u017eeny implant\u00e1ty cel\u00e9 s\u00e9rie, kter\u00e9 byly dod\u00e1ny \u2013 tento krok se naz\u00fdv\u00e1 \u201esta\u017een\u00ed z trhu\u201c. Pokud v\u00fdrobce na \u010dast\u00e9 probl\u00e9my nereaguje, \u00fa\u0159ad na\u0159\u00edd\u00ed sta\u017een\u00ed cel\u00e9 s\u00e9rie.<\/p>\n<p>Implant\u00e1ty jsou p\u0159ed odesl\u00e1n\u00edm z v\u00fdroby pe\u010dliv\u011b kontrolov\u00e1ny. Zodpov\u011bdn\u00ed v\u00fdrobci reaguj\u00ed na probl\u00e9my co nejd\u0159\u00edve, tedy je\u0161t\u011b p\u0159edt\u00edm, ne\u017e by mohly negativn\u011b zas\u00e1hnout potenci\u00e1ln\u00ed u\u017eivatele. V tomto smyslu rakousk\u00fd v\u00fdrobce MED-EL za posledn\u00edch 20 let klasifikoval p\u0159esn\u011b 18 kus\u016f implant\u00e1t\u016f ze sv\u00e9 produkce jako rizikov\u00e9 z hlediska z\u00e1vady a vyzval k jejich vr\u00e1cen\u00ed. Probl\u00e9m se v\u0161ak nikdy net\u00fdkal cel\u00e9 s\u00e9rie. Ostatn\u00ed v\u00fdrobci KI m\u011bli m\u00e9n\u011b \u0161t\u011bst\u00ed \u2013 t\u0159i dal\u0161\u00ed v\u00fdrobci dohromady eviduj\u00ed za stejn\u00e9 obdob\u00ed osm sta\u017een\u00ed cel\u00fdch s\u00e9ri\u00ed! V z\u00e1vislosti na v\u00fdrobci bylo posti\u017eeno 4 000 a\u017e 30 000 kus\u016f implant\u00e1t\u016f. V n\u011bkter\u00fdch p\u0159\u00edpadech dos\u00e1hla nutn\u00e1 reimplantace dvoucifern\u00e9ho procentu\u00e1ln\u00edho rozsahu. Naposledy si sta\u017een\u00ed jedn\u00e9 s\u00e9rie vy\u017e\u00e1dalo p\u0159ibli\u017en\u011b 2 800 reimplantac\u00ed!<\/p>\n<p>Spole\u010dnost MED-EL doposud nezaznamenala jedin\u00e9ho u\u017eivatele, kter\u00e9ho by se t\u00fdkala explantace v d\u016fsledku sta\u017een\u00ed ur\u010dit\u00e9ho produktu z trhu.<\/p>\n<h2 id=\"information\">P\u0159i v\u00fdb\u011bru KI dbejte na spolehlivost!<\/h2>\n<p>Pokud jste ji\u017e u\u017eivatelem KI, m\u011bli byste v p\u0159\u00edpad\u011b sta\u017een\u00ed s\u00e9rie z\u016fstat klidn\u00ed, proto\u017ee ne ka\u017ed\u00fd implant\u00e1t dot\u010den\u00e9 s\u00e9rie mus\u00ed nutn\u011b selhat. Na druhou stranu pro kandid\u00e1ty na KI m\u00e1 smysl pe\u010dliv\u011b porovn\u00e1vat \u00fadaje nejen o spolehlivosti jednotliv\u00fdch implant\u00e1t\u016f, ale tak\u00e9 o s\u00e9ri\u00edch ji\u017e sta\u017een\u00fdch z trhu od r\u016fzn\u00fdch v\u00fdrobc\u016f. Krom\u011b t\u011bchto kl\u00ed\u010dov\u00fdch \u00fadaj\u016f existuj\u00ed tak\u00e9 n\u011bkter\u00e9 skryt\u00e9 rysy spolehlivosti.<\/p>\n<p>Pro spr\u00e1vnou funkci kochle\u00e1rn\u00edho implant\u00e1tu je obzvl\u00e1\u0161t\u011b d\u016fle\u017eit\u00e1 konstrukce a vlastnosti aktivn\u00ed elektrody, kter\u00e1 je um\u00edst\u011bna v hlem\u00fd\u017edi. P\u0159i zav\u00e1d\u011bn\u00ed nesm\u00ed po\u0161kodit strukturu hlem\u00fd\u017ed\u011b. U tuh\u00fdch preformovan\u00fdch elektrod k tomu doch\u00e1z\u00ed ve v\u00edce ne\u017e 40 procentech p\u0159\u00edpad\u016f zaveden\u00ed. U n\u011bkter\u00fdch jin\u00fdch typ\u016f elektrod k tomu doch\u00e1z\u00ed p\u0159ibli\u017en\u011b u \u010dty\u0159 a\u017e p\u011bti ze 100 zaveden\u00ed<a href=\"#_ftn1\" name=\"_ftnref1\">[1]<\/a><sup>,<a href=\"#_ftn2\" name=\"_ftnref2\">[2]<\/a><\/sup>. Elektroda proraz\u00ed bazil\u00e1rn\u00ed membr\u00e1nu v hlem\u00fd\u017edi a p\u0159esune se ze Scala tympani do Scala vestibuli.<\/p>\n<p>Pokud v\u0161ak elektroda nen\u00ed dostate\u010dn\u011b stabiln\u00ed, hroz\u00ed, \u017ee se p\u0159i prvn\u00edm odporu, po necel\u00fdch 360 stupn\u00edch hloubky zaveden\u00ed, zahne jej\u00ed \u0161pi\u010dka \u2013 takzvan\u00fd \u201etip fold-over\u201c. Nap\u0159\u00edklad u tenk\u00fdch modiol\u00e1rn\u00edch elektrod k tomu doch\u00e1z\u00ed p\u0159ibli\u017en\u011b u osmi procent p\u0159\u00edpad\u016f. Oba probl\u00e9my v\u00fdrazn\u011b zhor\u0161uj\u00ed porozum\u011bn\u00ed \u0159e\u010di s KI.<\/p>\n<p>Tyto probl\u00e9my nebyly u KI MED-EL nikdy pozorov\u00e1ny a zd\u00e1 se, \u017ee jejich atraumatick\u00e9 elektrody maj\u00ed spr\u00e1vnou s\u00edlu i pro hlubok\u00e9 zaveden\u00ed p\u0159es dva a p\u016fl z\u00e1vitu hlem\u00fd\u017ed\u011b.<\/p>\n<p>Statistiky t\u00e9m\u011b\u0159 nezahrnuj\u00ed probl\u00e9my zp\u016fsoben\u00e9 oxidac\u00ed na kontaktech elektrod. K t\u011bm doch\u00e1z\u00ed, kdy\u017e se na kontaktech ne\u00famysln\u011b vytvo\u0159\u00ed mal\u00fd stejnosm\u011brn\u00fd proud. <a href=\"#_ftn3\" name=\"_ftnref3\">[3]<\/a><sup>,<a href=\"#_ftn4\" name=\"_ftnref4\">[4]<\/a><\/sup> \u00a0Oxidace po\u0161kozuje lidskou tk\u00e1\u0148 a zhor\u0161uje stimulaci a sly\u0161en\u00ed v odpov\u00eddaj\u00edc\u00edm t\u00f3nov\u00e9m rozsahu. Zm\u011bny, jako je pomalu sl\u00e1bnouc\u00ed porozum\u011bn\u00ed \u0159e\u010di, lze snadno p\u0159i\u010d\u00edst fyziologick\u00fdm nebo kognitivn\u00edm zm\u011bn\u00e1m u u\u017eivatele, ale v tomto p\u0159\u00edpad\u011b se jedn\u00e1 o postupnou poruchu implant\u00e1tu. Aby se tomuto probl\u00e9mu p\u0159ede\u0161lo, chr\u00e1n\u00ed spole\u010dnost MED-EL ji\u017e po desetilet\u00ed ka\u017ed\u00fd jednotliv\u00fd kan\u00e1l na elektrod\u011b vlastn\u00edmi kondenz\u00e1tory, kter\u00e9 spolehliv\u011b eliminuj\u00ed ne\u017e\u00e1douc\u00ed stejnosm\u011brn\u00fd proud. P\u0159esto\u017ee tuto technologii MED-EL pou\u017e\u00edv\u00e1 a vysv\u011btluje ji\u017e des\u00edtky let, zat\u00edm ji p\u0159ijal pouze jeden v\u00fdrobce. U\u017eivatel\u00e9 ostatn\u00edch v\u00fdrobc\u016f se nad\u00e1le podivuj\u00ed nad postupn\u00fdm zhor\u0161ov\u00e1n\u00edm sv\u00e9ho sluchu.<\/p>\n<p>Kone\u010dn\u00e1 spolehlivost implant\u00e1tov\u00e9ho syst\u00e9mu v\u0161ak z\u00e1vis\u00ed tak\u00e9 na tom, jak m\u00e1lo implant\u00e1t omezuje ka\u017edodenn\u00ed \u017eivot. Nap\u0159\u00edklad vy\u0161et\u0159en\u00ed magnetickou rezonanc\u00ed, kter\u00e1 jsou \u010dasto nezbytn\u00e1, by m\u011bla b\u00fdt i s implant\u00e1tem mo\u017en\u00e1 bez jak\u00fdchkoli omezen\u00ed.<\/p>\n<hr \/>\n<p><strong><u id=\"again\">Krit\u00e9ria spolehlivosti: <\/u><\/strong><\/p>\n<ul>\n<li>Kumulativn\u00ed m\u00edra p\u0159e\u017eit\u00ed (CSR): Jsou pou\u017eita <a href=\"#reliability\">stejn\u00e1 krit\u00e9ria<\/a>? Jsou modely a doba pozorov\u00e1n\u00ed srovnateln\u00e9? Nejsou \u00fadaje omezeny pouze na \u201e<a href=\"#honestly\">speci\u00e1ln\u00ed modely<\/a>\u201c?<\/li>\n<li><a href=\"#recall\">Sta\u017een\u00ed s\u00e9rie<\/a> \u2013 v\u010detn\u011b po\u010dtu dot\u010den\u00fdch implant\u00e1t\u016f a nutn\u00fdch reimplantac\u00ed<\/li>\n<li>Rozs\u00e1hl\u00e1 <a href=\"#information\">kompatibilita s MR<\/a>: l\u00e9ka\u0159sky <a href=\"https:\/cs\/zdravi\/lekarska-vysetreni-s-kochlearnim-implantatem\/\">nezbytn\u00e1 vy\u0161et\u0159en\u00ed<\/a> neomezuj\u00ed pou\u017eit\u00ed implant\u00e1tu.<\/li>\n<li><a href=\"#information\">Atraumatick\u00e1 elektroda<\/a>: zachov\u00e1v\u00e1 strukturu a umo\u017e\u0148uje atraumatickou v\u00fdm\u011bnu implant\u00e1tu.<\/li>\n<li><a href=\"#information\">Kondenz\u00e1tory<\/a>: zabra\u0148uj\u00ed oxidaci a postupn\u00e9 ztr\u00e1t\u011b funkce implant\u00e1tu<\/li>\n<li><a href=\"#information\">Elektrody<\/a> bez ohnut\u00ed \u0161pi\u010dky: zabra\u0148uj\u00ed tvrd\u00e9mu zkreslen\u00ed zvuku<\/li>\n<li>Nep\u0159etr\u017eit\u00e1 p\u00e9\u010de: n\u00edzk\u00e1 fluktuace zam\u011bstnanc\u016f u distributora; v\u00fdrobce nem\u00e1 \u017e\u00e1dn\u00e9 <a href=\"#change\">star\u00e9 implant\u00e1ty<\/a> bez n\u00e1stupnick\u00fdch model\u016f<\/li>\n<\/ul>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a> Wanna et al (2014) Impact of electrode design and surgical approach on scalar location and cochlear implant outcomes, Laryngoscope, 124:S1\u2013S7, https:\/\/doi.org\/10.1002\/lary.24728<\/p>\n<p><a href=\"#_ftnref2\" name=\"_ftn2\">[2]<\/a> O\u2019Connel et al (2017) Intra- and Postoperative Electrocochleography May Be Predictive of Final Electrode Position and Postoperative Hearing Preservation, Front. Neurosci., May 2017\/Volume 11\/Article 291, https:\/\/doi.org\/10.3389\/fnins.2017.00291<\/p>\n<p><a href=\"#_ftnref3\" name=\"_ftn3\">[3]<\/a> <a href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0196649\" target=\"_blank\" rel=\"noopener\">https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0196649<\/a><\/p>\n<p><a href=\"#_ftnref4\" name=\"_ftn4\">[4]<\/a> K Spiers et al (2016) An X-ray fluorescence microscopic analysis of the tissue surrounding the multi-channel cochlear implant electrode array, Cochlear Implants International, 17:3, 129-131, DOI: 10.1080\/14670100.2016.1157943<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Co zaru\u010duje bezpe\u010dnost sluchov\u00fdch implant\u00e1t\u016f? Zat\u00edmco ve skupin\u00e1ch u\u017eivatel\u016f sluchov\u00fdch implant\u00e1t\u016f na r\u016fzn\u00fdch<\/p>\n","protected":false},"author":4,"featured_media":31902,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[470],"tags":[422,412],"class_list":["post-22130","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veda","tag-hearing-implant-reliability","tag-hearing-implants"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sta\u017een\u00ed z trhu versus spolehlivost - Czech<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sta\u017een\u00ed z trhu versus spolehlivost - Czech\" \/>\n<meta property=\"og:description\" content=\"Co zaru\u010duje bezpe\u010dnost sluchov\u00fdch implant\u00e1t\u016f? Zat\u00edmco ve skupin\u00e1ch u\u017eivatel\u016f sluchov\u00fdch implant\u00e1t\u016f na r\u016fzn\u00fdch\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/\" \/>\n<meta property=\"og:site_name\" content=\"Czech\" \/>\n<meta property=\"article:published_time\" content=\"2022-10-31T16:10:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-01T13:16:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"559\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"fjkdev\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"fjkdev\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/\",\"url\":\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/\",\"name\":\"Sta\u017een\u00ed z trhu versus spolehlivost - Czech\",\"isPartOf\":{\"@id\":\"https:\/\/lifelonghearing.com\/cs\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg\",\"datePublished\":\"2022-10-31T16:10:55+00:00\",\"dateModified\":\"2025-05-01T13:16:05+00:00\",\"author\":{\"@id\":\"https:\/\/lifelonghearing.com\/cs\/#\/schema\/person\/bf63eda228b9e220de707e9ef974ed27\"},\"breadcrumb\":{\"@id\":\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#primaryimage\",\"url\":\"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg\",\"contentUrl\":\"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg\",\"width\":1200,\"height\":559},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/lifelonghearing.com\/cs\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Sta\u017een\u00ed z trhu versus spolehlivost\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lifelonghearing.com\/cs\/#website\",\"url\":\"https:\/\/lifelonghearing.com\/cs\/\",\"name\":\"Czech\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lifelonghearing.com\/cs\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/lifelonghearing.com\/cs\/#\/schema\/person\/bf63eda228b9e220de707e9ef974ed27\",\"name\":\"fjkdev\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lifelonghearing.com\/cs\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/a7434b53a4696595aad9b5066f6512c8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/a7434b53a4696595aad9b5066f6512c8?s=96&d=mm&r=g\",\"caption\":\"fjkdev\"},\"url\":\"https:\/\/lifelonghearing.com\/cs\/author\/fjkdev\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Sta\u017een\u00ed z trhu versus spolehlivost - Czech","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/","og_locale":"en_US","og_type":"article","og_title":"Sta\u017een\u00ed z trhu versus spolehlivost - Czech","og_description":"Co zaru\u010duje bezpe\u010dnost sluchov\u00fdch implant\u00e1t\u016f? Zat\u00edmco ve skupin\u00e1ch u\u017eivatel\u016f sluchov\u00fdch implant\u00e1t\u016f na r\u016fzn\u00fdch","og_url":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/","og_site_name":"Czech","article_published_time":"2022-10-31T16:10:55+00:00","article_modified_time":"2025-05-01T13:16:05+00:00","og_image":[{"width":1200,"height":559,"url":"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg","type":"image\/jpeg"}],"author":"fjkdev","twitter_card":"summary_large_image","twitter_misc":{"Written by":"fjkdev","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/","url":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/","name":"Sta\u017een\u00ed z trhu versus spolehlivost - Czech","isPartOf":{"@id":"https:\/\/lifelonghearing.com\/cs\/#website"},"primaryImageOfPage":{"@id":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#primaryimage"},"image":{"@id":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#primaryimage"},"thumbnailUrl":"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg","datePublished":"2022-10-31T16:10:55+00:00","dateModified":"2025-05-01T13:16:05+00:00","author":{"@id":"https:\/\/lifelonghearing.com\/cs\/#\/schema\/person\/bf63eda228b9e220de707e9ef974ed27"},"breadcrumb":{"@id":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#primaryimage","url":"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg","contentUrl":"https:\/\/lifelonghearing.com\/cs\/wp-content\/uploads\/sites\/8\/2022\/10\/reliability_featured-1200x559-1.jpg","width":1200,"height":559},{"@type":"BreadcrumbList","@id":"https:\/\/lifelonghearing.com\/cs\/stazeni-z-trhu-versus-spolehlivost\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/lifelonghearing.com\/cs\/"},{"@type":"ListItem","position":2,"name":"Sta\u017een\u00ed z trhu versus spolehlivost"}]},{"@type":"WebSite","@id":"https:\/\/lifelonghearing.com\/cs\/#website","url":"https:\/\/lifelonghearing.com\/cs\/","name":"Czech","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/lifelonghearing.com\/cs\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/lifelonghearing.com\/cs\/#\/schema\/person\/bf63eda228b9e220de707e9ef974ed27","name":"fjkdev","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/lifelonghearing.com\/cs\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/a7434b53a4696595aad9b5066f6512c8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/a7434b53a4696595aad9b5066f6512c8?s=96&d=mm&r=g","caption":"fjkdev"},"url":"https:\/\/lifelonghearing.com\/cs\/author\/fjkdev\/"}]}},"acf":[],"_links":{"self":[{"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/posts\/22130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/comments?post=22130"}],"version-history":[{"count":18,"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/posts\/22130\/revisions"}],"predecessor-version":[{"id":33187,"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/posts\/22130\/revisions\/33187"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/media\/31902"}],"wp:attachment":[{"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/media?parent=22130"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/categories?post=22130"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lifelonghearing.com\/cs\/wp-json\/wp\/v2\/tags?post=22130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}