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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….