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www.madebydelta.com DELTA Technical-Audiological Laboratory - TAL Edisonsvej 24 5000 Odense C Tlf. 72 19 41 00 – [email protected] Audiometer and Hearing Aid measurements / mini seminar

Mini seminar 2012-Audiometer.ppt - Audiologi

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Page 1: Mini seminar 2012-Audiometer.ppt - Audiologi

www.madebydelta.com

DELTA Technical-Audiological Laboratory - TAL

Edisonsvej 24

5000 Odense C

Tlf. 72 19 41 00 – [email protected]

Audiometer and Hearing Aid measurements/ mini seminar

Page 2: Mini seminar 2012-Audiometer.ppt - Audiologi

www.madebydelta.com

Program

14:00 Welcome and introduction/ Gert Ravn

14:10 SW Development and implementation of speech-gain measurements

according IEC 60118-15/ Søren L Jørgensen

14:40 Future EMC measurements on Hearing Aids/ Allan G Kristensen

15:00 New aspects of hearing aid documentation according IEC 60601-2-66 and

updated IEC 60118-13/ Gert Ravn

15:20 Audiometer calibration. Round Robin test results/ Carsten Daugaard

16:00 Closing

Page 3: Mini seminar 2012-Audiometer.ppt - Audiologi

www.madebydelta.com

Audiometer calibration - Agenda

Background

Audiometers in Denmark

Public clinics

ENT specialists

Private dispensers

Issues in practical audiometer calibration

Questions reading the standards

Deviations in audiometer testing

Round robin test

Results

Page 4: Mini seminar 2012-Audiometer.ppt - Audiologi

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Background

DELTA has as consultants for hearing health care in Denmark

traditionally been involved in audiometer calibration.

Before 2000 as consultants for technicians in public health care

when special questions about calibration arose

DELTA has published 2 technical reports in Danish explaining

calibration issues

For many years DELTA has been represented in WG 10

Audiometric equipment by Gert Ravn (and for a period Carsten

Daugaard)

Since 2000 DELTA has – as a part of the certification of private

clinics tested their audiometer’s calibration

Page 5: Mini seminar 2012-Audiometer.ppt - Audiologi

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Audiometers in Denmark

Two Danish manufactures dominate the market, a small handful

other manufactures are represented.

ENT specialists, often older audiometers, calibrated by

manufactures based on a service contract

Approx. 17 public clinics, older clinical audiometers, but also state

of the art equipment. calibration is moving from in-house to

service contracts

Approx 200 Private clinics (some of them also ENT specialists),

newer audiometers – often portable, yearly calibrated by

manufactures based on a service contract and controlled by

DELTA as a part of the certification

Page 6: Mini seminar 2012-Audiometer.ppt - Audiologi

www.madebydelta.com

Issues in practical calibration:

Speech audiometry

Offset value

Practical issues in speech calibration

Free field calibration

Attenuation of background noise

RETSPL for new headphones

Page 7: Mini seminar 2012-Audiometer.ppt - Audiologi

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Speech audiometry i Denmark

Since Dr. Røjskjær in Odense back in the fifties conducted the first

speech tests, this auditory test has been carried out in Denmark

Recorded speech material have existed also since the fifthies

Late in the eighties the national material ”Dantale” emerged and grew

to be the national standard

Page 8: Mini seminar 2012-Audiometer.ppt - Audiologi

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Speech audiometry i Denmark II

Based upon the DANTALE material a Discrimination score (DS) and a

Speech recognition threshold (SRT) is measured.

DS corresponds to the in ISO8253-3 clause 3.12 defined ”maximum

speech recognition score”

SRT corresponds to some extend th the in ISO 8253-3 i 3.13 defined

”speech recognition threshold level”, however the threshold for the

danish one syllable digits are defined as 2 out of three (66%) where

the standard defines 50 % as the threshold

Both are as standard presented in headphones with no noise.

Thresholds should be obtained in dB HL

Page 9: Mini seminar 2012-Audiometer.ppt - Audiologi

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Speech audiometry i Denmark III

According to the IEC 60645-2:1994 standard speech audiometry

offset are calibrated to 20 dB.

In principle every speech material have its own unique threshold, but

the 20 dB is a universal offset.

Speech audiometry are calibrated at 1 kHz and presented through

TDH-39

Preferably the headphone should have been equalised out

Clinicians switching to other headphones report misfits between

audiometry and speech audiometry findings

Page 10: Mini seminar 2012-Audiometer.ppt - Audiologi

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ANSI- values for speech audiometry

ANSI S3.6 -1996 offers differentiated

offset values for the three transducers

Lowering the offset to 12,5 for Insert

phones (in 2CC coupler)

DELTA investigated if 12,5 dB was a

meaning full value for insert phones

on DANTALE material

Or the documented offset of 28,15 dB

from the reports of the DANTALE

material made more sense

Page 11: Mini seminar 2012-Audiometer.ppt - Audiologi

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DELTA test of speech offset

Unfortunately no clear conclusion

could be drawn from the tests

Other than differences between the

headphones seems to be limited

And that no offered value was spot on

So we decided to stick to the 20 dB

offset, unless really good arguments

suggested another value.

Page 12: Mini seminar 2012-Audiometer.ppt - Audiologi

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Attenuation of background noise

Requriements of maximum background noise levels are based upon

the dampning of TDH-39.

In ISO 8253-1:2010 maximum background levels for TDH-39 are

given along with the dampening factor of TDH-39, ER-3A og HDA

200.

Attenuation values for ER-3A og Ear 5A is assumed idenical, as the

yellow foam plug is the same for both earphones

Page 13: Mini seminar 2012-Audiometer.ppt - Audiologi

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Attenuation of background noise II

Attenuation values of new headphones should be published and then

requirements for background noise levels can be calculated.

In Denmark practise have been that the TDH-39 headphone have

been build-in a sound attenuating cup (i.e from a hearing protector)

Official attenuation values are not given for these constructions,

The supraaural TDH-39 is in this way turned into a circumaural

headphone !

Page 14: Mini seminar 2012-Audiometer.ppt - Audiologi

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Dæmpningsværdier for HD280*

125 0 0

250 0 0

500 0 0

750 0 0

1000 0 3dB

1500 6dB -

2000 12dB 6dB

3150 15dB 10dB

4000 23dB 12dB

5000 31dB 20dB

6300 27dB 25dB

8000 26dB 27dB

HDA280 Schalldämmung / Sound attentionFrequency df in dB on df in dB on

(Hz) B&K 4153 Head and Torso4128C

* Fra mail korrespondance med Sennheisser

Page 15: Mini seminar 2012-Audiometer.ppt - Audiologi

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RETSPL for different headphones

Traditionally all audiometers in Denmark have had TDH39 og

ER-3A head/earphones.

RETSPL on 60318-3(6CC) og 60318-1 couplers can be found

in ISO 389-1 (Table 1 og 2) for THD-39

And in ISO389-2 on IEC60318-4(711) and IEC60318-5(2CC)

for ER-3A insert phones

HDA200 entered in the High-frequency standard ISO389-5,

now it is in u: ISO389-8:2004 table 1-)

Ear 5A is commonly accepted as it has the RETSPL according

to ER-3A (but are’nt really mentioned in the standard)

Supraaurale Headphone types, not mentioned above can be

measured on the IEC60318-1, coupler according to ISO 389-

1, where RETSPL for these headphones is given in table 2

Page 16: Mini seminar 2012-Audiometer.ppt - Audiologi

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ISO 389-1 excerpts :

- ISO 389-8: Circumaurale HP (only Sennheisser HDA 200)

Page 17: Mini seminar 2012-Audiometer.ppt - Audiologi

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New headphones emerges

New headphones are seen in Denmark: DD45 (TDH39 Clone) and

HD280

Rumor has that a new sennheisser is on its way

Supraaural headphones are in priciple covered in ISO 389-1 table 2,

where RETSPL for these headphones is given on the IEC60318-1,

coupler

Circumaural headphones are covered in ISO 389-8, but only HDA 200

can be used ?

Page 18: Mini seminar 2012-Audiometer.ppt - Audiologi

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DD45 W. Demand(Claus Elberling)

Page 19: Mini seminar 2012-Audiometer.ppt - Audiologi

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Audiometer measurement I

TDH-39 Reference A B C D

dB HL

Frekvens(Hz) L R L R L R L R L R

60 125 0,0 0,0 -2,9 -3,0 -1,7 -1,8 -1,6 -1,8 -0,2 -0,3

80 250 0,0 0,0 0,6 0,6 -0,6 -0,7 -1,0 -1,2 -0,3 -0,2

90 500 0,0 0,0 1,2 1,3 0,4 0,4 -1,0 -1,1 -0,5 -0,4

90 750 0,0 0,0 1,0 1,2 0,1 0,1 -1,0 -1,1 -0,3 -0,2

90 1000 0,0 0,0 0,7 0,8 0,1 0,2 -1,0 -1,0 -0,2 -0,1

90 1500 0,0 0,0 0,3 0,7 -0,1 0,0 -1,2 -1,1 -1,4 -1,5

90 2000 0,0 0,0 0,6 0,4 0,1 0,0 -0,9 -1,0 0,6 0,5

90 3000 0,0 0,0 2,6 2,8 0,3 0,4 -0,9 -1,0 -0,3 -0,3

90 4000 0,0 0,0 2,3 2,5 0,6 0,7 -0,7 -0,7 -0,1 -0,2

90 6000 0,0 0,0 -4,7 -7,9 0,9 0,8 -1,4 -1,5 -1,5 -1,4

90 8000 0,0 0,0 0,7 2,0 -0,1 0,3 -1,7 -1,5 -0,4 -0,7

Variation sabove 1,5 dB

Variations above limit

Page 20: Mini seminar 2012-Audiometer.ppt - Audiologi

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Audiometer measurement II

EAR-3A Reference A B C

dB HL

Frekvens(Hz) L R L R L R L R

60 125 0,0 0,0 -0,2 -0,5 -0,1 0,0 0,0 0,0

80 250 0,0 0,0 -0,4 -0,4 -0,3 -0,2 -0,1 -0,1

90 500 0,0 0,0 -0,2 -0,2 0,2 0,2 -0,1 -0,1

90 750 0,0 0,0 -0,2 -0,3 0,2 0,3 -0,2 -0,1

90 1000 0,0 0,0 -0,1 -0,3 0,7 0,7 -0,1 -0,2

90 1500 0,0 0,0 0,0 -0,4 1,7 1,8 -0,1 -0,1

90 2000 0,0 0,0 0,1 -0,6 2,8 2,8 0,0 0,0

90 3000 0,0 0,0 0,4 -0,8 1,8 1,9 0,4 0,6

90 4000 0,0 0,0 -1,1 -1,5 -4,4 -3,7 1,0 1,3

90 6000 0,0 0,0 -0,9 -0,9 3,3 3,4 0,8 0,8

90 8000 0,0 0,0 -0,1 -0,7 -1,7 -1,6 0,1 0,2

Variation sabove 1,5 dB

Variations above limit

Page 21: Mini seminar 2012-Audiometer.ppt - Audiologi

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Audiometer measurement III

HDA-200 Reference A B C

dB HL

Frekvens

(Hz) L R L R L R L R

60 125 0,0 0,0 -0,1 0,0 -0,4 -0,5 0,0 -0,1

80 250 0,0 0,0 -0,2 0,1 -0,2 -0,2 -0,4 -0,3

90 500 0,0 0,0 -0,3 -0,1 -0,3 -0,3 -0,2 -0,3

90 750 0,0 0,0 -0,4 -0,2 -0,4 -0,6 -0,4 -0,6

90 1000 0,0 0,0 -0,5 -0,3 -0,6 -0,6 -0,4 -0,6

90 1500 0,0 0,0 -0,7 -0,5 -1,1 -0,7 -0,8 -0,9

90 2000 0,0 0,0 -0,7 -0,5 -1,0 -1,0 -0,3 -1,0

90 3000 0,0 0,0 -1,8 -1,7 -1,5 -1,8 -1,4 -2,1

90 4000 0,0 0,0 -1,0 -0,6 -0,7 -0,9 -0,7 -1,0

90 6000 0,0 0,0 -0,2 0,1 -0,5 0,3 -0,1 0,2

90 8000 0,0 0,0 -0,1 0,2 -0,2 -0,4 -0,2 0,0

Variation sabove 1,5 dB

Variations above limit

Page 22: Mini seminar 2012-Audiometer.ppt - Audiologi

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Audiometer measurement IIII

BC-71

dB HL

Frekvens (Hz)Reference A C1 C2 D

30 250 0,0 -0,8 -0,5 -4,7 0,7

40 500 0,0 -0,1 -2,9 -4,0 0,4

40 750 0,0 -0,2 -2,4 -4,4 0,5

50 1000 0,0 0,0 -2,4 -4,6 0,7

50 1500 0,0 -0,6 -2,1 -5,6 0,9

50 2000 0,0 -0,7 -3,0 -4,5 0,1

50 3000 0,0 -0,5 -1,2 -2,6 0,0

50 4000 0,0 -3,4 0,8 -6,5 0,4

40 6000 0,0 2,0 -4,4 -4,5 -0,2

Variation sabove 1,5 dB

Variations above limit