Business Unit VIBRANT. Configuration Guide ADHEAR Configuration Software 1.0

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1 Business Unit VIBRANT Configuration Guide ADHEAR Configuration Software 1.0

CONTENT Content Introduction 3 Client List 4 Creating a New Client 4 Working with an Existing Client 4 Client s Base Data 5 Client Data 5 Ear Specific Information 5 Select the

Basics 10 VC Enable 10 Feedback Reduction 10 Input Mode 10 Equalizer 11 Compression (Advanced Option) 12 Features 13 Program Switch Tones 13 Low Battery Tones 13 Advanced

3 CONTENT Content Introduction 3 Client List 4 Creating a New Client 4 Working with an Existing Client 4 Client s Base Data 5 Client Data 5 Ear Specific Information 5 Select the Device 6 Model 6 Audio Processor Information 6 Documents 6 Configure the Selected Device 7 Response 8 Programs 9 Enable/Disable Programs 9 Copy Programs 9 Restore Programs 9 Basics 10 VC Enable 10 Feedback Reduction 10 Input Mode 10 Equalizer 11 Compression (Advanced Option) 12 Features 13 Program Switch Tones 13 Low Battery Tones 13 Advanced Features 14 Datalog 14 Noise Reduction 14 AGCO 14 Finalising the Configuration Session 15 Session Comments 15 Save or Discard Session 15 Print Session Report 15 Import and Export Client Data 15 1

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5 INTRODUCTION ADHEAR Configuration Guide Introduction The ADHEAR system is s an effortless treatment option for people with conductive hearing loss or single-sided deafness. In both application cases, ADHEAR uses the concept of bone conduction to transfer sound via the skull bones to a normally functioning cochlea. The system is delivered pre-configured with four programs which are optimised for the needs of ADHEAR users and the transmission of sound via bone conduction. The purpose of the optional ADHEAR Configuration Software is mainly to optimise the standard configuration of the ADHEAR Audio Processor for the user s convenience or for specific needs (e.g. for young children). It can also be used to modify device settings in cases where the pre-configuration does not meet the needs of a specific user. The aim of this configuration guide is to provide you with an overview of the most important functions of the ADHEAR Configuration Software. These functions will help your clients get the best out of their revolutionary ADHEAR Bone Conduction Hearing System. Figure 1: ADHEAR Configuration Software NOAH and NOAHlink are trademark or registered trademarks of Hearing Instrument Manufacturers Software Association (HIMSA A/S). HI-PRO is a trademark of GN Otometrics A/S. 3

PREPARATION Client List NOTE When using the ADHEAR Configuration Software within a NOAH framework, clients are managed through NOAH and the Client List screen will not be accessible.

6 PREPARATION Client List NOTE When using the ADHEAR Configuration Software within a NOAH framework, clients are managed through NOAH and the Client List screen will not be accessible. After starting up the ADHEAR Configuration Software in a standalone installation the Client List appears. Here you can manage your clients. You can access the client list any time while using the software by clicking on the symbol in the menu bar. Figure 2: Client List Creating a New Client Click on the New Client field to create a new client. Working With an Existing Client To upload the configuration file for an existing client, double-click on the name in the client list. You can also use the fields Last Name and First Name to search for a specific client in your list. You can access a specific session of an existing client within the Client Session field and open it by double-clicking on the respective session. 4

PREPARATION Client s Base Data NOTE When using the ADHEAR Configuration Software within a NOAH framework, clients are managed through NOAH and the Client s Base Data screen will not be accessible.

7 PREPARATION Client s Base Data NOTE When using the ADHEAR Configuration Software within a NOAH framework, clients are managed through NOAH and the Client s Base Data screen will not be accessible. After selecting the existing client or new client option, the Client s Base Data will open in a new window. You can access the client s base data at any time while using the software by clicking on the symbol in the menu bar. Client Data You can enter the client s data in the upper part of this window. It is mandatory to enter the last name in the database, however, we suggest to enter at least first name, last name and date of birth. This will facilitate client identification and search in the client list. Ear Specific Information In the lower section of this window you can enter the client s ear specific information. The audiogram allows for entering (masked) BC and AC values and UCL for both ears. You can also select whether the client is a binaural user or has single-sided deafness. We also suggest entering the Serial Number (No) of the ADHEAR Audio Processor used for the respective ear(s), in the corresponding field. Figure 3: Client s Base Data Important Note All data entered in this window is for information only. There will be no adjustments made to the device based on e.g. values entered in the audiogram or the selection of single-sided deafness in this client s base data. 5

PREPARATION Select the Device Once you have chosen the client and adjusted the data (optional), you can select the ADHEAR Audio Processor to be used by clicking the corresponding symbol on the menu

8 PREPARATION Select the Device Once you have chosen the client and adjusted the data (optional), you can select the ADHEAR Audio Processor to be used by clicking the corresponding symbol on the menu bar. The following window will appear: Figure 4: Select the Device Model In this window you can select the ADHEAR Audio Processor you want to configure for each ear, individually or bilaterally. Click on the Select Left or the Select Right button located on the right side above the audiogram. Audio Processor Information You can find detailed technical information on the ADHEAR Audio Processor in the bottom left corner of this window. Documents This section contains web links to The ADHEAR Factsheet for detailed technical information The ADHEAR Product Catalogue for information about products and accessories for the ADHEAR system -The - ADHEAR Video Library containing videos on how to handle the ADHEAR system -The - ADHEAR web page for up-to-date information and news about ADHEAR from MED-EL 6

CONFIGURATION Configure the Selected Device Once you have finished the preparations, you can modify the device configuration using the Configure the Selected Device symbol on the menu bar.

9 CONFIGURATION Configure the Selected Device Once you have finished the preparations, you can modify the device configuration using the Configure the Selected Device symbol on the menu bar. The system will now detect whether an ADHEAR Audio Processor is connected via the CS44 configuration cable to a programming interface, e.g. a HIPRO Box. If no device is detected, the ADHEAR Configuration Software will automatically enter the simulation mode. In this case, the word Simulation is displayed above the graph showing the output characteristics of the device. Configuration of program and device settings Figure 5: Configure the Selected Device NOTE If two devices for bilateral usage have been selected, both configurable audio processors will be displayed side by side in this window. For a better overview, this configuration guide will only show configuration of a single device. 7

The Output is displayed for a sound input level of 40dB (green), 65dB (yellow) and 90dB (red).

10 CONFIGURATION Response The graph displays the frequency response of the ADHEAR Audio Processor. The x-axis shows frequencies, the y-axis shows the output in db µn. The Output is displayed for a sound input level of 40dB (green), 65dB (yellow) and 90dB (red). NOTE The display can be changed from Output to AMSL (acoustomechanical sensitivity level) via the tick box. This may be referred to as gain for bone conduction devices. Frequency Response displayed as Output or AMSL Figure 6: Frequency Response 8

Restore Programs In this tab you can restore program settings. Restorations can be done for individual programs or for all programs by selecting Σ.

11 CONFIGURATION Programs To modify the pre-configured programs, click on the Programs button. Enable/Disable Programs Choose the number of programs you want to activate in the ADHEAR Audio Processor (1 to 6 programs) and confirm your selection by clicking Apply & Close. Restore Programs In this tab you can restore program settings. Restorations can be done for individual programs or for all programs by selecting Σ. Figure 9: Restore Programs Figure 7: Enable/Disable Programs Copy Programs In this window you can copy program settings for use in either another program in the same audio processor or in a second audio processor. The following options are available Restore to Read: Program(s) restored to status read out at the beginning of the session Restore to Database: Program(s) restored to values of the selected/last session Restore to Defaults: Program(s) restored to delivery settings Reset Device: Device is set back to delivery settings (i.e. 4 default programs) Figure 8: Copy Programs Important Note The Enable/Disable Programs option may be especially useful when the ADHEAR is used by young children. The program change button is disabled when only one program is configured, ensuring that the ADHEAR Audio Processor remains in the default setting. 9

12 CONFIGURATION Basics In this tab you can make basic adjustments to the programs and the device. Figure 10: Basics VC Enable The volume control (VC) on the device can be de-/activated by ticking the VC Enable box. The VC Startup option allows for adjustment of the default setting of the volume control, valid for all programs. The standard setting is -4dB from the maximum gain. Input Mode In this section you can select the input mode and the microphone option for each program. The following options are available: -Full - Automatic: Sound environment classifier enables omnidirectional or adaptive directional microphones depending on the situation -Adaptive - Directional: Directionality to the front with adaptive noise suppression in direction of the loudest source of noise. Directional: Directionality to the front with stationary noise suppression Omnidirectional Audio Input (DAI): 100% input via the direct audio input, microphones muted Mic+DAI: 50% omnidirectional microphone input, 50% input via direct audio input Feedback Reduction The feedback cancellation algorithm can be selected and deselected here for each individual program. Important Note The VC Enable option may be especially useful when the ADHEAR is used by young children. Disabling the volume control will make sure that the ADHEAR Audio Processor remains in the default setting. 10

CONFIGURATION Equalizer In the Equalizer tab you can change the gain of the 8 channels of the ADHEAR Audio Processor individually within a range from 0 db to -24 db.

13 CONFIGURATION Equalizer In the Equalizer tab you can change the gain of the 8 channels of the ADHEAR Audio Processor individually within a range from 0 db to -24 db. The master gain of the device can be adjusted by selecting Σ. Use the slider at the very left (below Σ) to adjust all channels at the same time. Figure 11: Equalizer 11

14 CONFIGURATION Compression (Advanced Option) Within this tab, you can adjust the input/output characteristics of the system for the individual programs. The following adjustments can be made in 8 individual channels Lower Threshold: Adjust Threshold for Low Level Gain setting Upper Threshold: Adjust Threshold for High Level Gain setting Low Level Gain: Adjust gain for soft input sounds High Level Gain: Adjust gain for loud input sounds Squelch Ratio: Adjust squelch ratio Squelch Threshold: Adjust squelch kneepoint Crossovers: Adjust frequency ranges of the channels The compression is based on the Lower/Upper Thresholds and corresponding Gains. The squelch region below the squelch threshold is a low input level expansion (squelch ratio). Important Note The ADHEAR Audio Processor is pre-set and optimised for use in cases of conductive hearing loss and single-sided deafness. In both cases the system is stimulating normally functioning inner ears and it is not anticipated that adjustments of compression settings will vastly increase the client s benefit. Modifications of compression settings should therefore be limited to cases where there seems to be no alternative as extensive modifications could lead to deterioration of sound perception. The device can be restored to default settings as described on page 9 of this configuration guide. 12

Program Switch Tones Within this tab information tones for device start-up, program change and volume control changes

15 CONFIGURATION Features In this tab you can adjust the information and warning tones pre-set in the ADHEAR Audio Processor. Program Switch Tones Within this tab information tones for device start-up, program change and volume control changes can be activated, deactivated and adjusted. Adjustments of signal tones Figure 12: Program Switch Tones Low Battery Tones Within this tab the low battery warning can be adjusted or deactivated (not recommended). Figure 13: Low Battery Tones 13

Data logging is available for the ADHEAR system and a visualisation tool is provided with the configuration software.

16 CONFIGURATION Advanced Features In the Advanced Features tab you can access data logging, noise reduction and AGCO settings. Figure 14: Advanced Features Datalog NOTE This visualisation tool is only available in the English language. Data logging is available for the ADHEAR system and a visualisation tool is provided with the configuration software. Please note that the coding for the individual programs in the audio processor is as follows: Memory A = Program 1, Memory B = Program 2, etc With this tool, the period of device use and the selection of the programs can be analysed. More detailed information about the analysis of the sound environments based on the classifier in default Program 1 are also available within the Environment tab. Data can be stored and retrieved via the Save to File and Load from File options. NOTE To reset the data logging file in the ADHEAR Audio Processor, select Clear Log within Advanced Features Noise Reduction You can adjust the noise reduction setting of each individual program from 0 db (off) to 12 db. Noise reduction settings are different in the individual pre-set programs, for example, with a DAI input, mode environmental noise reduction is not active. Figure 15: DataLog AGCO The slider for setting the automatic gain control output (AGCO) is available to decrease the maximum volume of the system by up to -30dB. Important Note It is highly unlikely that ADHEAR users will perceive sounds as disturbingly loud which would require a reduction of the maximum volume. We therefore strongly recommend not to reduce the output of the system with the AGCO control. 14

FINALIZING Finalising the Configuration Session Once you have successfully adjusted the ADHEAR, you can conclude the session with a few final steps using the respective controls on the menu bar.

17 FINALIZING Finalising the Configuration Session Once you have successfully adjusted the ADHEAR, you can conclude the session with a few final steps using the respective controls on the menu bar. Figure 16: Finalising the Configuration Session Session Comments Before closing the configuration session you may want to add some comments on the adjustments or other experiences. You can add comments to each session using the symbol. To export client data, please select the respective client from the list and select Export Selected Client. Choose a file name and a path to save the client data as an.xml file. To import client data, please select Import Client from File. Choose a path and.xml file containing the respective data and confirm the import. The imported data will now appear in your Client List. Save or Discard Session Before closing the client or the ADHEAR configuration software, the session details should be saved. This can be done using the button. If you would like to cancel all changes and return to the last stored session, click on the symbol. Print Session Report For documentation purposes a session report can be printed using the printer symbol. This report contains detailed information about the client data, audiograms entered and device settings of all programs. Import and Export Client Data Client data can be exported to be used on other systems or imported via the File dialogue. Figure 17: Import and Export Client Data 15

18 NOTES Notes 16

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ADHEAR System Product Catalogue

ADHEAR System Product Catalogue 2 ADHEAR What is it? ADHEAR is a revolutionary bone conduction system which fills an unmet need in the field of non-surgical bone conduction hearing solutions. With its