OticOn saFari Fitting guide The Complete Guide to Fitting Oticon Safari using Genie 2010.2 Pediatric Fitting Mode Genie 2010.2 The Pediatric Fitting Mode was developed based on input from audio- logists from all over the world with the aim to help simplify the fitting process of children with hearing loss. The goal is to offer: • Intuitive pediatric features Genie • Pediatric default settings – and the option to personalize them • More time for counseling – with less time spent on programming Pages marked with indicate steps that • Greater certainty – hence more confidence in the fitting should always be carried out.The other pages deal with optional steps. 2 How does the Pediatric Fitting Mode help? Fitting Counseling • Pediatric Default Settings – pediatric appropriate • Parent counselling support incorporated with the option to define own settings and age into Genie brackets • Child-oriented sounds and pictures • Settings Overview – quickly verify that the instrument settings are set as you wish • Dedicated instructional videos • Compression Ratio – ascertain the CR of the fitting with one click • Visual Indicator (LED) – visual confirmation can be enabled or disabled as desired • Improved FM flexibility – change or maintain program button settings • Volume Control Reserve Gain – information is readily available 3 Table of Contents Table of Contents 4 Fitting Controls 38 Connecting Safari to Genie 5 Automatics 40 Personalize Genie 9 More Tools Feedback Manager 41 Fitting Step 10 REM 42 Graph Format 11 Live Demonstration 43 Pediatric Default Settings 12 Activity Analyzer 44 Default Rationale 13 Fitting Assistant 45 Measurement Modules 14 In-situ Audiometry 46 Navigation 15 End Fitting Buttons and Indicators 48 Pediatric Settings Dialog 17 Operate Pushbutton and VC 49 Counseling 22 Beeps 50 Select Family 24 Visual Indicator (LED) 51 Selection Select Instrument 26 ConnectLine 52 RECD, REUR and Audiogram 27 TV 53 Program Manager 30 Phones 54 Telephone Options 31 Music/ Audio 55 Acoustics 32 More Tools Phone and DAI/FM 56 COW, CHILD, ELF 33 Phone Programs 57 Links 34 DAI/FM 58 Pediatric Instruction Videos 35 Save, Program and Exit 59 User Instructions 60 Connecting Safari to Genie It is just as easy and quick to fit Safari instruments as other Oticon hearing instruments. Safari is programmed using programming shoes and Oticon programming cable #3 (right and left). You can also use nEARcom to fit Safari instruments without cables. 5 Connecting the Programming Shoe 1. Open the battery door on the instrument and slide the programming shoe into the guide as 1 shown. (Make sure the battery is fresh). 2. Close the battery door and attach the HI-PRO or NOAHlink cable. 2 6 nEARcom For greater flexibility and comfort use nEARcom to Detect the instruments fit Safari instruments without cables. 1. Switch on the instruments using fresh batteries. 2. Lay nEARcom on the table and place the instru- ments in the middle of the neck loop. 3. Click Detect for cordless programming. Note: make sure the instrument volume control is set to position 3 during detection. Cordless programming Wired programming 7 nEARcom Instruments which have never been programmed To identify the instrument place it in the middle of must be assigned to the correct side the neck loop and click BEEP. The instrument will – left and right – in Genie. beep for 6 seconds. Use a BEEP test as follows: While the instrument is beeping, remove it from nEARcom and listen to it. If the instrument does not beep, return it to the middle of the neck loop, click Change side 1 and click the same BEEP. Listen to the instrument again. Click Continue and proceed with the programming. 1 8 Personalize Genie In Genie Preferences you can Personalize the user interface and settings for pediatric fittings. Go to Preferences g Specific Preferences: • Fitting Step • Graph Format • Pediatric Default Settings • Default Rationale • Measurement Modules Changes in Preferences apply to all products. The new settings will be applied when you restart Genie. 9 Personalize genie Preferences – Fitting Step Select All channels plus MPO to access more controls in the fitting step. When fitting Safari SP, the MPO is available in the control panel by default. 10 Preferences – Graph Format To view the SPLogram as the default graph in the Fitting step, select SPLogram. To simplify verification, the SPLogram allows you to compare the fit to target with results from external real-ear measurement equip- ment. 11 Preferences – Pediatric Default Settings Three panels are available: • Age brackets Click + or – to customize the age bracket • Automatics Change the Noise Management and Directionality for each age bracket above • Buttons A default setup is available from Oticon. Provide access to the Volume Control for each age Personalize Genie by choosing your preferred default bracket setting. My Voice is not a Safari feature. Setting will apply to pediatric fittings of Agil Pro, Chili SP9, Epoq XW, Dual XW, Epoq XW and Dual XW. 12 Preferences – Default Rationale The default rationale for children is DSL v5.0a. • Select product Family • Choose your preferred rationale for each hearing instrument 13 Preferences – Measurement Modules • When fitting Safari through Noah, you can select a preferred REM or HIT module • If selected, the REM module will open automatically when going to the REM tool in the Fitting step 14 Navigation Horizontal navigation – organizer steps: • Client: Appears only when running Genie outside Noah • Counseling: Appears only if Gateway is installed • Family: Selection of all hearing instrument families • Selection: Selection of instrument style, features, and entry of pre-fitting measures (e.g. RECD) • Fitting: Feedback measurement, verification and fine tuning of settings • End Fitting: Setting of user buttons and indicators, ConnectLine, FM, save, program and exit 15 Navigation Vertical navigation – task pane: • For each organizer step there is a Task Pane providing access to tools and links related to where you are in the fitting process 16 Pediatric Settings Dialog In a new Safari fitting, an overview dialog lists the default settings based on the child’s age. • Age bracket and age of the child • Setting of Directionality and Noise Management • Volume Control status • Available program and rationale Select Show Pediatric Settings to view the dialog during the fitting. 17 Pediatric Settings Dialog • The dialog box will always reflect the current settings of the hearing instrument • When children enter a new age group, Genie will alert you via this dialog box. Use the ‘Apply’ button to accept the new age group settings 18 Fitting Steps Overview Counseling g Family g Selection g Fitting g End Fitting Select Family Select Instrument Controls Button and Indicators – Operate pushbutton RECD, REUR Automatic Features and VC and Audiogram – Beeps Feedback Manager – Visual Indicator Program Manager – Telephone Options REM ConnectLine The Ear Evaluation Acoustics Live Demonstration Phone and DAI/FM Learning Your Child’s COW – CHILD – ELF Activity Analyzer User Instructions Language Hearing Links Fitting Assistant Recommendations Pediatric Instruction In-situ Audiometry Videos Counseling The Ear Evaluation Learning Your Child’s Language Hearing Recommendations counseling Counseling The Pediatric Counseling tool has been developed to sup- port the counseling process. It offers a suite of dynamic visual and audio modules within the following areas: • Evaluation • Your Child’s Hearing • Recommendations • Learning Language • The Ear Audiogram will be automatically imported into the Pediatric Counseling tool from Genie. Installation of Oticon Gateway CD version 2.0 or later is required to run the counseling tool properly from Genie. 22 Family Select Family 23 Family Select Family Detect the instrument after connecting to NoahLink, HiPro Box or nEARcom or Select the Safari family and then select Safari style (Safari 312/ 13P or Safari SP) and model (900, 600 or 300). 24 Family Selection Select Instrument RECD, REUR and Audiogram Program Manager – Telephone Options Acoustics COW – CHILD – ELF Links Pediatric Instruction Videos selection Select Instrument If the instrument is not connected, choose the appropriate style: • An overview of the different hearing instrument styles is presented • The fitting range is reflected for each style selected Oticon Streamer can be selected if part of the fitting. The correct style and model is automatically detected in a live fitting. Select whether Streamer will be part of the fitting. To simulate a fitting select the style and model you want to simulate. To select Safari SP, go to Family step 26 Selection RECD, REUR and Audiogram In order to most accurately prescribe hearing instrument settings, Genie needs information on the measurement methods used to obtain the audio- metric thresholds. By entering this data, Genie will determine whether to apply corrections or not. See examples on the following pages. Choose the tab you need and enter the appropriate values: • RECD • REUR If you do not want Genie to apply any corrections to • Audiogram the audiometric information entered, you do not need to visit this area. By default, no corrections are applied. 27 Selection RECD Enter the measured RECD values in the appropriate boxes. RECD values differ greatly between infants and adults. They change during early childhood, and can be expected to reach adult values by the time the child is about seven years old. If no values are inserted, Genie will automatically use the predicted values for the appropriate age. 28 Selection Audiogram Select the appropriate: • Measurement method • Test signal transducer • dB measurement unit Genie will make the necessary audiogram corrections based on the information entered. Thresholds are dependent on the transducers used: – Headphones – Insert earphones Genie does not apply any corrections unless you – Insert earphones (with own earmold) alter settings in the screen and represcribe settings. The grey curve shows the corrected audiogram. – Free Field 29 Selection Program Manager By default, one program is available: P1: General (M). To add extra programs: Click ‘Add‘ and select additional program from the options menu.