AR-I-MREMSW-5 Avant REM Speech Training Manual
Effective Date: 4/07/2014
17
MedRx Live Speech Mapping Protocol
Unlike other products, the Avant REM Speech system places full control over the measurement
environment firmly in the hands of the hearing care professional. The system is powerful, yet extremely
flexible, allowing each provider to use Live Speech Mapping in a way that compliments their practice style
rather than compromising it.
In order to
get you “up and running” with the Avant REM Speech system, MedRx has developed the
following protocol. This simple procedure has been found to be effective with both audiologists and
hearing instrument specialists. After mastering the basic operation of the system utilized in this protocol,
you are encouraged to further expand your use of Live Speech Mapping in your practice. Feature-
specific help is available by simply pressing the F1 key or clicking on the Help icon or text menu.
1. Basic Diagnostics
a.
Using your audiometer and NOAH, measure and record the following values:
b. Pure Tone Air and Bone conduction thresholds
c.
Narrow Band Noise or Pure Tone UCL at 500, 2000 and 3000 Hz
d.
Other tests if needed in your practice or jurisdiction
2.
Complete a careful otoscopic examination as instructed by the manufacturer of your otoscope.
a.
For MedRx Video Otoscopes, refer to the Help system within the software by pressing
the F1 key or clicking the Help icon or text menu
3. Position patient as described earlier in this manual.
4. Calibrate Probe Tube as described above.
5. Measure and place the probe tube in the ear canal.
6. Complete a Live Speech Mapping measurement UNAIDED
a. Microphone input
b. Peak Measures
c. 1/3 Octave resolution
7. Carefully place the hearing instrument in the ear without disturbing the probe tube.
8. Complete a Live Speech Mapping measurement AIDED.
9. Using the On Top Mode, make any adjustments needed to the hearing instrument so that:
a. The LSM curve for Quiet Speech (50 to 60 dB) is at the bottom of the white modified
speech spectrum (canoe)
b. The LSM curve for raised vocal effort speech is in the upper third of the space between
threshold and UCL
c. The LSM curve for loud sounds (very loud speech, clapping hands, etc) is approximately
10 dB below the UCL curve.
Summary of Contents for Avant REM Speech
Page 1: ...TRAINING MANUAL...
