Auria Auria EQ2288 Bedienungsanleitung

Software Version 1.4August 2006soundwave_dfm_chp1_revC.qxp 10/18/2006 6:13 PM Page 1

viHarmony™HiResolution®Bionic Ear System Device Fitting Manualsoundwave_dfm_chp1_revC.qxp 10/18/2006 6:14 PM Page vi

NNRRII MMeeaassuurriinngg TTiippssSSoouunndd PPrroocceessssoorrSoundWave NRI is supported on the PSP and BTE processors.When recording NRI intraope

MMaannuuaall AAvveerraaggiinngg• Use NRI options to set Samples to 256.• Use the space bar to stop the measurement once a desired response is observe

UUssiinngg ttNNRRII ttoo CCrreeaattee aann IInniittiiaall PPrrooggrraamm1. Obtain tNRI response for at least one electrode.2. Try obtaining a re

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TTrroouubblleesshhoooottiinngg tthhee HHiiRReessoolluuttiioonn®®BBiioonniicc EEaarr SSyysstteemmA cochlear implant system is sophisticated technol

TTrroouubblleesshhoooottiinngg DDuurriinngg PPrrooggrraammmmiinngg iinn SSoouunnddWWaavveeTroubleshooting Clinician HardwareCCPPII NNoott RReecc

6. Reassess M levels in Live Speech.7. Check Audio Mixing ratio.TTrroouubblleesshhoooottiinngg LLoocckkPoEM dynamically adjusts RF as needed to maxim

SSoouunndd iiss DDiissttaanntt aanndd UUnncclleeaarr1. When adjusting a program in Live Speech the patient may report an unclear or distant sound

UUnnssaattiissffaaccttoorryy//DDiissttoorrtteedd SSoouunndd QQuuaalliittyy After a patient has been given adequate time to adjust to electrical s

Patient and Clinician Fitting Equipmentsoundwave_dfm_chp1_revC.qxp 10/18/2006 6:14 PM Page 1

6. If FNS is elicited before a comfortably loud level of stimulation can be reached, you can disable the auto pulse width algo-rithm and manually doub

TTrroouubblleesshhoooottiinngg PPaattiieenntt HHaarrddwwaarreeHardware related problems often present as a sudden change in sound quality. Most hard

HHooww ttoo TTeesstt tthhee PPllaattiinnuumm SSoouunndd PPrroocceessssoorr ((PPSSPP)) MMiiccrroopphhoonnee::You will need the Headpiece Microp

BBTTEE FFaallllss ooffff tthhee EEaarr1. Use an Earmold to further secure the BTE to the ear. Ear molds are available for use with a T-Mic, Contac

RReedduuccttiioonn iinn BBaatttteerryy LLiiffee1. Rule out a problem with a specific battery or PowerCel.2. Inquire about the age of the batteries

8. Does the patient dislike the percept on any particular electrodes? Check single electrode percepts with Tone Bursts, andeliminate electrodes that e

PPoooorr SSoouunndd QQuuaalliittyy1. Determine whether this is a persistent complaint or a recent change in perceived quality.2. Rule out external e

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PPaattiieenntt HHaarrddwwaarreeIInntteerrnnaall CCoommppoonneennttssThe Implantable Cochlear Stimulator (ICS) contains the system’s electronics.The

EExxtteerrnnaall CCoommppoonneennttssFive sound processors (SPs) are currently in use with the HiResolution Bionic Ear System: four behind-the-ear (B

Harmony™HiResolution®Bionic Ear System Device Fitting ManualHHaarrmmoonnyy aanndd AAuurriiaa HHeeaaddppiieecceeThese headpieces are lightweight, ha

PPoowweerr SSuuppppllyy OOppttiioonnssPPoowweerrCCeell™Figure 5: Auria PowerCelAAuurriiaa PPoowweerrPPaakk™™((AAvvaaiillaabbllee ffoorr uussee w

Harmony™HiResolution®Bionic Ear System Device Fitting ManualPPoowweerrCCeell CChhaarrggeerrThere are 2 charger designs in use for the PowerCels (Figu

HHaarrmmoonnyy aanndd AAuurriiaa OOppeerraattiioonnVVoolluummee CCoonnttrroollPatients use the volume control during normal operation to adjust lo

Harmony™HiResolution®Bionic Ear System Device Fitting ManualHHaarrmmoonnyy TTrrii--ccoolloorr LLEEDDThe Harmony Processor is equipped with a built i

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MMiiccrroopphhoonnee TTeesstt IInnddiiccaattoorrWhen an empty program slot is selected, a steady GREEN light will illuminate indicating that the pro

Harmony™HiResolution®Bionic Ear System Device Fitting ManualHHaarrmmoonnyy aanndd AAuurriiaa AAuuddiioo EEaarrhhooookk OOppttiioonnssPatients hav

AAuurriiaa FFiirreeFFllyy®DDiiaaggnnoossttiicc IInnddiiccaattoorr ((AAuurriiaa oonnllyy))The FireFly is a diagnostic earhook that allows parents,

Harmony™HiResolution®Bionic Ear System Device Fitting ManualHHaarrmmoonnyy aanndd AAuurriiaa AAcccceessssoorriieessAAcccceenntt CCoolloorr CCoovv

SSyysstteemm SSeennssoorr ((FFoorr uussee wwiitthh tthhee PPSSPP,, AAuurriiaa,, PPllaattiinnuumm aanndd CCIIII BBTTEEss.. NNoott ccoomm

Harmony™HiResolution®Bionic Ear System Device Fitting ManualBBeehhiinndd--tthhee--EEaarr ((BBTTEE)) SSoouunndd PPrroocceessssoorrssPrior to the rel

EEaarrhhooookkAn earhook is used to hold the BTE Sound Processor behind the ear. Three earhooks are available;T-Mic, Auxiliary Audio, andStandard earh

Harmony™HiResolution®Bionic Ear System Device Fitting ManualBBTTEE SSeennssiittiivviittyy Sensitivity is a program parameter set by the clinician wh

AAcccceessssoorriieessSSyysstteemm SSeennssoorr((FFoorr uussee wwiitthh tthhee PPSSPP,, AAuurriiaa,, PPllaattiinnuumm aanndd CCIIII BBTTEEss

Harmony™HiResolution®Bionic Ear System Device Fitting ManualPPllaattiinnuumm SSoouunndd PPrroocceessssoorr™™((PPSSPP))The PSP is the body worn proce

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SSeennssiittiivviittyyThe patient uses the sensitivity control during normal operation to adjust the sensitivity of the microphone.When the sensitivit

Harmony™HiResolution®Bionic Ear System Device Fitting ManualMicrophone/System StatusThe LED flashes green when the signal is in compression. This occu

CCaarrrryyiinngg CCaasseeThe adult patient kit comes equipped with a quality leather carrying case that snaps securely over the SP. A clip on the bac

Harmony™HiResolution®Bionic Ear System Device Fitting ManualPPaattiieenntt EEqquuiippmmeenntt MMooddeell NNuummbbeerrssThe following tables detail

Table 5: PSP External Equipment and AccessoriesDescription Model No.Platinum Sound Processor AB-7250Platinum Headpiece for CII Implant Patients AB-730

Harmony™HiResolution®Bionic Ear System Device Fitting ManualTable 6: BTE External Equipment and AccessoriesDescription Model No.CII BTE Sound Processo

CClliinniicciiaann EEqquuiippmmeennttCochlear implants are highly specialized devices that must be adjusted to suit each individual patient. You will

Harmony™HiResolution®Bionic Ear System Device Fitting ManualMMiinniimmuumm HHaarrddwwaarree aanndd SSooffttwwaarree RReeqquuiirreemmeennttssSoundW

CCoonnnneeccttiinngg CClliinniicciiaann EEqquuiippmmeennttThe sound processor is connected to the system via the programming cable. The programming

Harmony™HiResolution®Bionic Ear System Device Fitting ManualUUSSBB CCoonnnneeccttiioonnThis diagram details the USB connection.First, install the USB

The Advanced Bionics and HiResolution logo and text are registered trademarks of Advanced Bionics. Other product namesor services identified are trade

SSyysstteemm SSaaffeettyyEEqquuiippmmeenntt SSaaffeettyyCCaauuttiioonn:: TThhee CCPPII PPoowweerr SSuuppppllyy iiss aa hhiigghh vvoollttaagge

Harmony™HiResolution®Bionic Ear System Device Fitting ManualIInnssttaalllliinngg SSoouunnddWWaavvee PPrrooffeessssiioonnaall SSuuiitteeYou will ins

5. Double-click on setup.exe.The system prepares to install the Advanced Bionics MSDE Database Instance.6. Click on Next.The system begins installatio

Harmony™HiResolution®Bionic Ear System Device Fitting Manual7. Click on Finish.8. Remove and re-insert the SoundWave installation CD. SoundWave Setup

IInnssttaalllliinngg SSoouunnddWWaavvee1. Insert the CD in your CD drive.The system automatically begins to prepare for installation and then display

Harmony™HiResolution®Bionic Ear System Device Fitting Manual4. Enter your User Name and the name of your Clinic or Company and then click on Next.The

UUppggrraaddiinngg SSoouunnddWWaavveeIf you have already been using SoundWave, you will need to update to the new version now being released.The proc

Harmony™HiResolution®Bionic Ear System Device Fitting ManualSSttaarrttiinngg SSoouunnddWWaavveeCaution: The CPI powers the sound processor during fit

WWhheenn YYoouu NNeeeedd HHeellppHelp is available from most of the SoundWave windows. It was designed as an aid to familiarize you with SoundWave

Using SoundWavesoundwave_dfm_chp2.qxp 10/18/2006 5:53 PM Page 39

iDefinition of Terms ...i

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41SSoouunnddWWaavvee™™PPrrooffeessssiioonnaall SSuuiitteeYou will use SoundWave to fit the HiResolution®Bionic Ear System. All patients with CII and

PPoowweerr EEssttiimmaattoorr ((PPooEEMM))PoEM represents an advanced approach for transparent management of RF. PoEM generates a table (taking less

SSoouunnddWWaavvee WWiinnddoowwssSSoouunnddWWaavvee''ss MMaaiinn wwiinnddoowwThe Main window displays when you first open SoundWave. It i

SSeelleecctt PPaattiieennttBefore you can begin using the software with your patient, you must create a patient file. The Select Patient window displ

TThhee PPrrooggrraamm MMaannaaggeemmeenntt WWiinnddoowwThe Program Management window displays each time you open a patient’s file and remains open

TThhee PPrrooggrraamm WWiinnddoowwThe SoundWave Program Window allows you to customize a program for your patient. All the most frequently used para

RRaattee aanndd PPuullssee WWiiddtthh Rate and Pulse Width display the real-time values as the program fitting progresses. Rate is defined in the

FFiilltteerrssThis option allows you to select between Extended Low (default, sets to 250Hz) and Standard Filters (sets to 350Hz).DDiissppllaayy IInn

VVoolluummee aanndd SSeennssiittiivviittyyThe Volume and Sensitivity fields allow you to view or adjust the current settings depending upon which pr

Managing your Patient Database...72Back Up Your Patient Datab

OOppttiioonnss BBuuttttoonnThe Options button brings up a window that contains the less frequently used program parameters and settings.SSttiimmuullu

PPrreeffeerreenncceess iinn SSoouunnddWWaavveeThe Preference menu allows you to set application specific parameters.You can set preferences for comm

FFiittttiinngg wwiitthh SSoouunnddWWaavveeThe first step for any fitting is to open the patient’s file. At an initial fitting you will also want to

IInniittiiaalliizziinngg tthhee SSoouunndd PPrroocceessssoorr1. Click on the Tools menu.The software displays the Tools menu options.2. Click on In

RRuunnnniinngg EElleeccttrrooddee CCoonnddiittiioonniinnggElectrode conditioning prepares the electrodes for stimulation prior to programming. The i

CCrreeaattiinngg aa NNeeww PPrrooggrraamm1. From the Program Management window grid, click on the New Program button.The software displays a new pr

MMeeaassuurree MM LLeevveellss wwiitthh SSppeeeecchh BBuurrssttssThe clinical unit (CU)represents constant charge.Therefore, as adjustments inpul

PPrrooggrraamm wwiitthh LLiivvee SSppeeeecchh1. Click on Live Speech. Remember to set volume and sensitivity on thesound processor to suggested use

AAddddiittiioonnaall FFiittttiinngg TTaasskkssVViieewwiinngg//MMeeaassuurriinngg IImmppeeddaanncceessYou can view impedances from the program windo

EEnnaabblliinngg aann eelleeccttrrooddee1. From the program window, right-click on an electrode.SoundWave displays a pop up menu.2. Click on the Ena

iiiAAuuddiioo MMiixxiinnggAudio Mixing enables the clinician to program input fromboth the processor microphone and an accessory audioinput. Audio M

SSeettttiinngg RRaannggee LLiimmiittss uussiinngg tthhee VVoolluummee CCoonnttrrooll –– MMiinniimmuumm LLeevveell1. With Live Speech on, adju

MMaannuuaallllyy SSeettttiinngg TTssSoundWave automatically adjust Ts to 10% of M levels. After measuring Ms, you may want to adjust Ts manually to

AAddjjuussttiinngg GGaaiinnssYou can adjust gains on an individual electrode or on a global basis. Gain is applied to the input signal.AAddjjuusstt

DDiissppllaayyiinngg ttNNRRII vvaalluueess iinn tthhee PPrrooggrraamm wwiinnddoowwSoundWave allows you to display the patient’s measured tNRI va

EEddiittiinngg aann EExxiissttiinngg PPrrooggrraammOnce you have created a single program, typically, you will use that program as the basis for su

DDoowwnnllooaaddiinngg PPrrooggrraammss ttoo SSoouunndd PPrroocceessssoorr1. From the Program Management window, click and hold the mouse button d

EEnnaabblliinngg AAllaarrmmss ((PPSSPP)),, SSttaattuuss LLEEDD,, aanndd IInntteerrnnaall TTeelleeccooiill ((HHaarrmmoonnyy))1. From the Progra

CCoommppaarriinngg PPrrooggrraammss aanndd TTaallkkOOvveerrYou can use any program for TalkOver and your patient can compare any programs.Note: Sti

VViieewwiinngg//PPrriinnttiinngg aann IImmppeeddaannccee HHiissttoorryy RReeppoorrtt1. From the Reports menu, click on the Impedance History optio

PPrrooggrraamm DDeettaaiillssSoundWave can generate a report for each patient program. The Program Details report includes all program parameter valu

HHiiRReess FFiiddeelliittyy 112200 ((ffoorr HHiiRReess--SS aanndd HHiiRReess--PP))HiRes Fidelity 120 has the potential to choose from 120unique

VViissiitt HHiissttoorryy RReeppoorrttSoundWave creates a visit history record each time you connect a processor and open a patient file. A visit hi

NNRRII MMeeaassuurreemmeenntt DDeettaaiillssSoundWave can generate a report detailing data obtained from running the NRI utility. The NRI Measuremen

MMaannaaggiinngg yyoouurr PPaattiieenntt DDaattaabbaassee BBaacckk UUpp yyoouurr PPaattiieenntt DDaattaabbaassee Back Up is the process you w

EExxppoorrtt aa PPaattiieenntt FFiillee((ss))Export is the process that you will use when you want to make a copy of one or more of the patient fil

IImmppoorrtt aa PPaattiieenntt FFiilleeImport allows you to import one or more patient files into SoundWave's database. You will use the impor

3. Use the Look in field to browse to the export file location.4. Click on the patient(s) file.5. Click on the Open button to initiate the import proc

PPrrooggrraammmmiinngg CCIISS oorr MMPPSSYou can emulate a CIS or MPS strategy type by reducing the number of electrodes, using wider pulse widths a

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NNeeuurraall RReessppoonnssee IImmaaggiinngg ((NNRRII))Within the SoundWave Professional Suite programming software is a Neural Response Imaging to

Harmony™HiResolution®Bionic Ear System Device Fitting ManualMMoosstt CCoommffoorrttaabbllee LLeevveell ((MM))The level of stimulation (measured in

HHooww DDooeess NNRRII EElliicciitt aanndd MMeeaassuurree tthhee EECCAAPP??Using the system’s telemetry, NRI permits the clinician to record th

NNRRII RReeccoorrddiinngg WWiinnddoowwThe NRI Recording window is divided into three (3) panes: Measurement Parameters, Evoked Potential (uV) vs Tim

PPooiinnttssPoints refer to the number of stimulation levels to be applied for measuring NRI incrementally from the Starting Stimulation to theEnding

HHooww DDoo WWee CCoommppaarree NNRRII VVaalluueess aanndd HHiiRReess PPrrooggrraamm LLeevveellss??NRI and HiRes use the same units (CU) in S

UUssiinngg SSoouunnddWWaavvee''ss NNRRII ttooooll 1. From an open patient file, click on the NRI option from the Tools menu.SoundWave di

EEnntteerriinngg SSttaarrttiinngg oorr EEnnddiinngg LLeevveellssYou can enter starting or ending levels by clicking on the up and down arrows to t

RReeppeeaattiinngg oorr EEddiittiinngg aa SSaavveedd NNRRII MMeeaassuurreemmeennttDouble-click on a row in the NRI Management window to open a s

SSeelleeccttiinngg ttNNRRII ttoo ddiissppllaayy iinn tthhee PPrrooggrraamm WWiinnddoowwSoundWave allows you to display the patient’s measured t

NNRRII RReeccoorrddiinngg GGuuiiddeelliinneessSStteepp 11:: SSeett NNRRII RReeccoorrddiinngg SSeettttiinnggssStimulating Electrode:• Run on t

If tNRI or M levels are >300CU:Measure ESRT with Speech Bursts.Program 1: M levels set to 20% below ESRT.Program 2: M levels set to 10% below ESRT.