background image

 

D

0125127

C

       

  

 

23

 

White

weighted

 

noise

 

can

 

be

 

used

 

mostly

 

for

 

testing

 

of

 

equipment.

 

It

 

is

 

not

 

recommended

 

to

 

use

 

it

 

for

 

hearing

 

aid

 

fitting,

 

unless

 

specified

 

by

 

the

 

manufacturer.

 

Crest

 

Factor:

 

BBN

 

=

 

1.73

 

(4.8dB),

 

PRN

 

=

 

7.86

 

(17.9dB)

 

Pink:

 

The

 

noise

 

is

 

filtered

 

so

 

its

 

energy

 

per

 

frequency

 

(power

 

spectral

 

density)

 

is

 

inversely

 

proportional

 

to

 

the

 

frequency.

 

Each

 

octave

 

carries

 

the

 

same

 

amount

 

of

 

energy.

 

Comparing

 

to

 

White

 

Noise,

 

the

 

Pink

 

Noise

 

energy

 

drops

 

approximately

 

3dB

 

per

 

octave.

 

Pink

weighted

 

noise

 

can

 

be

 

used

 

mostly

 

for

 

testing

 

of

 

equipment.

 

It

 

is

 

not

 

recommended

 

to

 

use

 

it

 

for

 

hearing

 

aid

 

fitting,

 

unless

 

specified

 

by

 

the

 

manufacturer.

 

Crest

 

Factor:

 

BBN

 

=

 

3.67

 

(11.3dB),

 

PRN

 

=

 

6.55

 

(16.3dB)

 

Speech

 

 

Byrne:

 

The

 

noise

 

is

 

approximately

 

weighted

 

to

 

International

 

Long

 

Terms

 

Average

 

Speech

 

Spectrum

 

(ILTASS)

 

as

 

described

 

in

 

Byrne

 

et.

 

al.,

 

1994.

 

 

The

 

noise

 

with

 

this

 

weighting

 

is

 

preferred

 

for

 

hearing

 

aid

 

fitting

 

because

 

its

 

spectrum

 

is

 

the

 

best

 

approximation

 

of

 

the

 

spectrum

 

of

 

real

 

human

 

speech.

 

Crest

 

Factor:

 

BBN

 

=

 

4.22

 

(12.5dB),

 

PRN

 

=

 

3.47

 

(10.8dB)

 

Speech

 

 

ANSI:

 

The

 

noise

 

is

 

approximately

 

weighted

 

to

 

ANSI

 

S3.42

 

Speech

 

Noise.

 

The

 

noise

 

with

 

this

 

weighting

 

can

 

be

 

used

 

for

 

fitting

 

hearing

 

aids.

 

The

 

slope

 

of

 

ANSI

weighted

 

noise

 

is

 

not

 

as

 

steep

 

as

 

Byrne

weighted,

 

so

 

there

 

is

 

more

 

power

 

in

 

higher

 

octaves.

   

This

 

will

 

result

 

in

 

less

 

gain

 

required

 

by

 

the

 

hearing

 

aid

 

to

 

reach

 

targets,

 

but

 

may

 

result

 

in

 

under

fitting

 

at

 

high

 

frequencies.

 

Crest

 

Factor:

 

BBN

 

=

 

4.46

 

(13.0dB),

 

PRN

 

=

 

5.17

 

(14.3dB)

 

 

To

 

activate

 

specific

 

REM

 

tests,

 

click

 

the

 

buttons

 

as

 

follows:

 

Opens

 

the

 

audiometry

 

data

 

entry

 

screen.

   

Use

 

this

 

if

 

audiometry

 

has

 

not

 

been

 

previously

 

measured

 

and

 

entered

 

into

 

Noah.

 

Real

 

Ear

 

Unaided

 

Response

 ‐ 

Measures

 

the

 

additive

 

effect

 

of

 

the

 

ear

 

canal’s

 

resonance

 

to

 

a

 

stimulus.

  

Reported

 

as

 

dB

 

SPL

 

of

 

output.

 

Real

 

Ear

 

Unaided

 

Gain

 ‐ 

Measures

 

the

 

additive

 

effect

 

of

 

the

 

ear

 

canal’s

 

resonance

 

to

 

a

 

stimulus.

  

Reported

 

as

 

dB

 

SPL

 

of

 

gain.

  

If

 

a

 

real

 

ear

 

unaided

 

response

 

(REUR)

 

curve

 

has

 

been

 

measured,

 

the

 

corresponding

 

real

 

ear

 

unaided

 

gain

 

curve

 

is

 

automatically

 

plotted

 

to

 

the

 

REUG

 

screen.

 

The

 

difference

 

between

 

the

 

REUG

 

and

 

the

 

REAG

 

is

 

called

 

the

 

Real

 

Ear

 

Insertion

 

Gain

 

(REIG).

 

This

 

Insertion

 

Gain

 

information

 

is

 

used

 

to

 

compare

 

to

 

the

 

target

 

gain

 

curve

 

selected

 

for

 

the

 

client.

 

The

 

Real

 

Ear

 

Aided

 

Response

 

(REAR)

 

is

 

the

 

sound

 

pressure

 

level

 

in

 

the

 

ear

 

canal

 

measured

 

with

 

the

 

probe

 

microphone

 

close

 

to

 

the

 

eardrum

 

and

 

the

 

operating

 

hearing

 

instrument

 

inserted

 

in

 

the

 

ear

 

and

 

turned

 

on.

 

ANSI

 

defines

 

REAR

 

as

 

the

 

SPL,

 

as

 

a

 

function

 

of

 

frequency,

 

at

 

a

 

specified

 

measurement

 

point

 

in

 

the

 

ear

 

canal

 

for

 

a

 

specified

 

sound

 

field,

 

with

 

the

 

hearing

 

aid

 

in

 

place

 

and

 

turned

 

on.

 

Summary of Contents for Avant REM+

Page 1: ...D 0125127 C 1...

Page 2: ...d 105 Largo FL 33771 U S A Toll Free 888 392 1234 727 584 9600 Fax 727 584 9602 Email medrx medrx diagnostics com MedRx s Authorized Representative in Europe DGS Diagnostics A S Audiometer Alle 1 5500...

Page 3: ...ep Guide to Live Speech Mapping 16 Speech Mapping with Recorded Inputs 17 Speech Mapping with Live Voice Inputs 18 Running Speech Mapping On Top 19 MedRx Live Speech Mapping Protocol 19 Real Ear Measu...

Page 4: ...ect Help Topics Select an item from the list in the Index tab and click Display Measurement uncertainty is 1 dB Getting to Know Your AVANT REM Intended Use Statement The hearing aid analyzer is intend...

Page 5: ...with your REM device Use of unapproved accessories is not recommended Probe Microphones Probe Mic Hanger Headphones Optional DC Power Supply Optional Bluetooth Active Speaker Bluetooth Speaker Audio...

Page 6: ...h the Red Blue connectors Place a small flat head screw driver on the small orange tabs and push down while inserting a speaker wire into the opening then remove the screw driver Be sure the wire is s...

Page 7: ...ll the hook on the back side of the probe mic Pull hook down to seat on the post 3 Once installed the large O rings should be adjustable for fitting 4 Gently press clip into place 5 Turn clip over pla...

Page 8: ...placed at a distance of about 1 meter 19 39 from the patient for normal use It is preferred to plug the speaker into the power supply but it may be powered by the internal battery The Bluetooth option...

Page 9: ...Studio shortcut on your Windows Desktop Noah Launch Noah Select a patient Launch MedRx Studio module following Noah procedures Basic Software Options Several options are available which allow the user...

Page 10: ...op right corner of the software or pressing the F1 key Live Speech Mapping Select LSM from the main menu Top Tool Bar The Tool Bar icons have the following functions 1 On Top Window 2 Tube Calibration...

Page 11: ...Ear Selection 2 Stimulus Selection 3 Viewing Mode 4 Open Fit Function 5 Start Stop Buttons The Target Selection icon sets up 1 Target type 2 Client information 3 Hearing aid parameters The Display ico...

Page 12: ...ets your default view and default target levels The General tab defines the default appearance of the Live Speech Mapping test environment The Fitting tab sets the default fitting rule client informat...

Page 13: ...tab sets the tests displayed in the Live Speech Mapping module The REUR tab sets the default appearance and units displayed on the REUR graph The REOR tab sets the default appearance and units display...

Page 14: ...positioned in such a way that nothing blocks the path of the emanated sound in front and on the sides of the speaker For example positioning a speaker behind a monitor is incorrect and can severely af...

Page 15: ...be at least 70 dB to complete a valid calibration If the screen prompt indicates the signal is too low increase the volume on the loudspeaker or move the patient closer and restart the calibration Re...

Page 16: ...ed you may manually enter the audiometric data into the REM software as follows 1 Under General then Shown Tests select show Tone 2 Select AUD module located at the top left of the software 3 Using yo...

Page 17: ...suring A pure tone or white noise will be presented and once it reaches the selected input level with the slide bar the chosen track will play When enough data is collected click the Stop button to st...

Page 18: ...ing MedRx Modified Speech Spectrum DSL IO NAL NL2 NAL NL1 Speech Mapping with Live Voice Inputs Using the microphone allows measurement of both the professional s voice and that of a third party e g t...

Page 19: ...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...

Page 20: ...solution 7 Carefully place the hearing instrument in the ear without disturbing the probe tube 8 Complete a Live Speech Mapping measurement AIDED LSM 9 Using the On Top mode make any adjustments neede...

Page 21: ...e Help files under the topic Signal Types Access these by clicking on the Help tab at the top of the screen and selection Help Topics Select an item from the list in the Index tab and click Display Me...

Page 22: ...of the window Stimulus Signal Types Pure Tone A pure sine wave Crest Factor 1 41 3 0dB Broadband Noise BBN Uniform random noise with normal Gaussian amplitude distribution Can be weighted to White Pi...

Page 23: ...as steep as Byrne weighted so there is more power in higher octaves This will result in less gain required by the hearing aid to reach targets but may result in under fitting at high frequencies Cres...

Page 24: ...rel or feel blocked up These are signs of a build up of self generated low frequency energy in the ear canal This excessive occlusion can be measured objectively in the Occlusion Effect task The Real...

Page 25: ...rn the compression and noise reduction circuits off Using open fit hearing aids for RECD measurements may result in invalid low and mid frequency measurements because of insufficient gain at those fre...

Page 26: ...In this case to obtain another RECD only REAR with insert headphone measurement is necessary This is possible because the coupler response does not change provided that neither the coupler nor the in...

Page 27: ...l hearing person would perceive the sound Toggle between these selections as necessary 5 The Reset option restores the audiogram to the original state Use this option if you have modified the audiogra...

Page 28: ...ayer panel to control the playback CD allows the user to play music CDs After the option is activated use the player panel to control the playback How to use the Master Hearing Aid 1 Select the Master...

Page 29: ...late with the pencil icon Editing a template will open the print editor and allow you to adjust print elements 8 Duplicate existing templates icon 9 Delete template icon To Use an Existing Print Templ...

Page 30: ...8 Drag and drop elements onto the page to create your template a You can combine data from multiple modules into a single template b Elements may overlap and will stack cover previously added elements...

Page 31: ...to many beautiful colors These take the shape of a long round arch with its path high above and its two ends apparently beyond the horizon There is according to legend a boiling pot of gold at one end...

Page 32: ...exception of transducers and cables sold by the manufacturer of the Avant REM as replacement parts for internal components may result in increased emissions or decreased immunity of the Avant REM The...

Page 33: ...Non applicable Guidance and manufacturer s declaration electromagnetic immunity The Avant REM is intended for use in electromagnetic environment specific below The customer or the user of the Avant R...

Page 34: ...ers m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vici...

Page 35: ...s 150 kHz to 80 MHz d 1 17 P 80 MHz to 800 MHz d 1 17 P 800 MHz to 2 5 GHz d 2 33 P 0 01 0 12 0 12 0 233 0 1 0 37 0 37 0 74 1 1 17 1 17 2 33 10 3 7 3 7 7 40 100 11 7 11 7 23 3 For transmitters rated a...

Page 36: ...C to 50 C and humidity level from 10 to 90 All components with patient contact are made of bio compatible materials This device does not produce any adverse physiological effects Install the device a...

Page 37: ...MedRx Authorized Representative in Europe Non ionizing electromagnetic radiation Special Disposal Required Humidity Limitation Caution General warning sign Temperature limitation Read the instruction...

Page 38: ...n cloth or sealed Alcohol swabs for each device to be cleaned 4 Wipe the surfaces of the probe microphone black ear loop and headphone pads with the 70 Isopropyl Alcohol Clean other transducers in the...

Page 39: ...Real Ear Unaided Gain Real Ear Insertion Gain Real Ear Occluded Response Real Ear Occluded Gain Real Ear Aided Response Real Ear Aided Gain Other Test Available Live Speech Mapping with Peaks and LTAS...

Page 40: ...of the purchaser MedRx shall not be liable for any consequential or incidental damages or for breach of any express or implied warranty Except to the extent of applicable law any implied warranty merc...

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