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Using & Troubleshooting
Cochlear Implants
Using Troubleshooting_V3_Dec08
What you will learn today:• How to use and troubleshoot Advanced
Bionics’ body worn sound processors.• How to use and troubleshoot Advanced
Bionics’ behind the ear sound processors.• How to use FM systems and accessories with
our sound processors
Auria® Harmony® Sound Processor
HiRes® 90K Bionic Ear
SoundWave Professional Suite
Platinum Series™ Sound Processor
®
Sound Processors Evolution
Harmony®
Clarion® 1.0Clarion® 1.2 S-Series®
Platinum Sound™Processor
PlatinumBTE®
CII BTE® HiRes®Auria®
Harmony® Sound Processor
Programmable Controls: • Telecoil• Volume Control• Program Position
Headpiece and Cable
3-Slot Program Switch
Volume ControlLED Indicator
Dual protection for water resistance
Processor Microphone
Built-in Telecoil
T-Mic Earhook
Rechargeable Battery
Volume ControlTypically worn at 12:00
as shown by the dot
Decrease Increase
Program Switch3 slots
#1 on the “bottom step”
Harmony® Sound Processor
User Friendly ControlsDecrease Increase
Orange Battery status
||| or |||| Good battery
Low battery
|| || || Change battery
Green Microphone status
Flickers green in response to loud sounds Good
Indicates empty program slot suitable for performing microphone test
Red Lock Status
| | | | | | | | (1 sec interval) No lock
|||||||||||| Wrong implant linked
Processor error condition (remove and reinsert battery to reset)
Harmony® Sound Processor: LED
Auria® Sound Processor
Previous Generation
Programmable Controls: • Volume Control• Program Position
Dual protection for water resistance
Processor Microphone
Volume Control3-Slot Program Switch
Headpiece & Cable
Rechargeable Battery
Auria® Sound Processor
User-friendly ControlsVolume ControlTypically worn at 12:00
as shown by the dot
Decrease Increase
Program Switch3 slots
#1 on the “bottom step”
Auria® Sound Processor
FireFly™ Earhook*Single Amber LED
(solid) Good
| | | | | | | | Troubleshoot
(no light) Change battery
*This earhook is ONLY compatible with the Auria processor
Auria® Sound Processor
PowerPak*• Can be used instead of a PowerCel• Uses one AA battery and provides longer operating
times before a battery change is required• Attaches to the student’s clothing
*This option is ONLY compatible with the Auria processor
Using Ear Level Sound Processors
• How do you turn the BTE on and off?• Placing the PowerCel on the processor turns the
processor on • To turn the processor off, remove the PowerCel
• Harmony has a built in amplifier• Requires an open program position• Direct Connect System & headphones provides
access to the processor microphone
• Auria does not have a built-in amplifier• Direct Connect System and a RadioShack portable
amplifier (speaker) provides access to the processor microphone
BTE Processor Microphone Check
Off-the-ear power options(currently under development)
Earhooks go on in a snap
(regular and pediatric sizes)
iConnect(Wireless FM)
BTE ProcessorMaking it easy for parents and school
staff…
Avg. 24 Hours*Avg. 14 Hours*
PowerCel Slim™ PowerCel Plus™
BTE ProcessorPowerCel Batteries
• Rechargeable and environmentally friendly • Proprietary design for safety and longevity• 10 second battery changes• Full listening day on a single charge• Harmony users report up to 50% increase in battery hours
when upgrading from the Auria
* Battery hours with Harmony processor
Direct Connect T-Mic iConnect StandardFireFly™(Auria)
BTE ProcessorEarhook Options
Sound Processor
Headpiece (includes microphone, transmission coil, and magnet)
Cable
Rechargeable battery
Platinum Sound™ Processor (PSP)
Platinum Sound™ Processor
Features
Program Switch
Volume
LEDSensitivity
Auxiliary Connector(on side of SP)
Jack for HP cable
Platinum Sound™ Processor
Program Switch
Microphone Tester
EarphonesMicrophone TestPosition
Platinum Sound™ Processor
Volume Control
Decrease Increase
12:00
Platinum Sound™ Processor
Sensitivity ControlThe sensitivity control knob determines the softest level of sound that the cochlear implant microphone will pick up.
Decreases the microphone sensitivity
12:00 Increases
the microphone sensitivity
Platinum Sound™ Processor
Light Emitting Diode (LED) Indicator
• The LED is used to indicate the following:1. Battery charge status, then2. Lock status, and finally,3. Microphone system status
LED IndicatorBattery Status
Battery Status
(3-4 quick blinks) Battery charge status is good
(2 quick blinks)Battery is sufficiently charged to power the system
(1 quick blink)Battery is nearly depleted and should be replaced
||| or ||||
||
|
• Lock Status• Information regarding the communication link between
the sound processor and internal cochlear stimulator• After the battery charge sequence the LED will continue to
flash red once per second until the headpiece is over the internal implant and communication with the internal device is established.
LED IndicatorBattery Status
• Indicates the microphone is picking up sound and transmitting to the internal cochlear stimulator
• After the battery and lock status sequences the LED should flash green to loud speech
LED IndicatorMicrophone System
Status
• A feature to assure that the correct processor and implant are being connected
• A rapidly blinking red light indicates:• Wrong processor • In rare instanced, that there is a processor error condition
LED IndicatorIntelliLink™ Implant ID
Safety Feature
• Optional feature designed primarily for children• Alerts the caregiver or teachers when the system:
• is not transmitting sound to the implant • beeps once each second until proper lock status is
achievedOR• the battery is near depletion
• slow beeping tone until the battery dies or is replaced
**Only available on the PSP
Platinum Sound™ ProcessorAudible Alarm
• An alternative battery source that is powered by 3 AA batteries
Platinum Sound™ ProcessorBattery Pack
Green LED Orange LED Outcome
On On System OK
Blinking On Troubleshoot
Off On Replace battery prior to further
troubleshooting
Off Off Sensor needs replacing
System Sensor*• Verify’s communication link between speech processor and internal stimulator
*This device does NOT work with the Harmony due to the built-in LED
Sound Processor Placement & Device Check
Platinum Sound™ Processor Harmony® Processor
1. Processor•Verify battery charge•Turn down the Volume•Set sensitivity to user position•Set program selector to “On”
1. Processor•Verify battery charge•Turn down the volume•Select the appropriate program
Platinum Sound™ Processor Harmony® Processor
2. Establish communication•Set headpiece in place•Select the appropriate program•Verify lock
3. Turn up the volume (12:00)
4. Check the microphone
5. Behavioral listening check
2. Establish communication•Set headpiece in place•Verify lock
3. Turn up the volume (12:00)
4. Check the microphone
5. Behavioral listening check
• Purpose: • Confirm that the child has access to
meaningful sound with the cochlear implant• Tools:
• Working cochlear implant system• Age appropriate materials
• Acoustic Screen• Ling Six Sound instructions
• Documentation:• Establish a baseline• Chart progress
Behavioral Listening Check
Troubleshooting
Keys to Success:
• Access support: on-line & on-call• Keep tools on hand• Daily listening checks
Troubleshooting the Sound Processor
• When the child stops responding to sound as expected:1. Visually inspect the student’s equipment 2. Verify processor settings3. Check the battery status using the LED
Troubleshooting the BTE Processor• What can you do to troubleshoot the sound processor?
• Change the battery• Replace the integrated headpiece cable• Listen to the microphone
• Reminder: the processor must be set to an empty program slot
• Harmony – use microphone tester headphones• Auria – use RadioShack speaker
**If the microphone is faulty, plug in the auxiliary microphone to provide a different sound source
• What can you do to troubleshoot the sound processor?• Use the LED sequence to determine what the
problem may be• Change the battery• Change the cable• Listen to the headpiece microphone with the
microphone tester earphone -change the headpiece if warranted
• Plug in the auxiliary microphone to provide a different source for microphone pick up
Troubleshooting the PSP
• Frequency modulated (FM) systems are composed of a teacher-worn transmitter (microphone) and a receiver worn by or positioned close to the child
• Teacher’s voice is captured by the transmitter (via the microphone) and sent wirelessly to the receiver via radio waves
• An FM system brings the teacher’s voice directly to the student and is designed to:
• Improve listening in noisy, reverberant classrooms• Overcome the problems of listening at a distance
FM Systems
Transmitter
Receiver
Microphone
• Platinum Series Processor (PSP)
FM SystemsReceiver Options
• Harmony or Auria BTE Processor
FM Systems: Receiver Options
iConnect adapter with Phonak receiver
Harmony internal T-coil
MyLink receiver accessed by:
Auriaexternal T-coil
Direct Connect earhook and cable
with Phonak receiver
T-mic earhook and regular headphones
with box receiver
FM systemsiConnect adapter
• Cable-free connectivity to standard Phonak 3-prong receivers
• No compromise in PowerCel operating time• Uses one ZeniPower Zinc-Air Size 10 battery (available
from Advanced Bionics)• Averages 20-30 hours of battery life
FM & Assistive Listening Devices
Direct Connection• Only use with battery-operated devices• Processor connects to audio input cable to device• Platinum Series Processor (PSP)
• Use the auxiliary input jack (on the side of PSP)
• Harmony or Auria BTE Processor• Use the Direct Connect earhook and cable
Audio Interface Cable
FM & Direct Connect
Direct Connect
Assistive Listening Devices (ALDs)
T-Mic® Earhook for natural connectivity• Headphones• Computer lab• Music players
• Telephones and cell phones• Just hold up to the ear in a natural
position
Assistive Listening Devices (ALDs)
T-coil• Harmony (internal) / Auria (external)
• Requires program set up by the audiologist
• Audio Mixing• Connect to:
• Neckloop Receiver
• Silhouette/induction earhook(s)
• Binaural Considerations
Summary
• When troubleshooting, it is important to start simple then progress
• There are many options for your student to connect with our system
• Should you need additional support do not hesitate to contact our On-Call support staff • Monday-Friday 5 am – 5 pm PST• 1-877-829-0026• ToolsForSchools@advancedbionics.com
• Don’t forget to go to www.BionicEar.com/ToolsForSchools for more information
Questions and Discussion….
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