Operation Manual
Contents
1. 44 TO TFOUDIOSTIOOU IO ates assesses eee Ux EQ SES Sn ESI UEEUH S EEAIUXIE ICM U CR Isa dU M ENNS 46 Ti APPENGDCOA oc 48 8111254 6 OM easyTymp e 15d 2 05 15 T MAICO Operation Manual easyTymp 1 Introduction Thank you for purchasing a quality product from the MAICO product family The easyTymp is designed and manufactured to meet all quality and safety requirements When designing the easyTymp we placed particular importance on making it a user friendly device The intent was to make its operation is easy to learn thus making the device simple and easy to operate This user manual is meant to make it as easy as possible for the operator to become familiar with the operation and functions of the easyl ymp when performing tympanometry and acoustic reflex tests If you have questions or suggestions for further improvements please do not hesitate to contact us Your MAICO Team Note Although almost attention has been given to ensure the accuracy of the operating manual some minor errors may still exist We apologize for any inconvenience this may cause 8111254 6 OM easyTymp e 15d 3 05 15 T MAICO Operation Manual easyTymp 1 1 Quick Start Turning on the unit Figure 1 rTT N Select Test T Nep 26Hz 02 ymp TkHz 03 yap Z26Hz Auto Polins 04 lhymp Z26Hz Roflox J0d 05 Flynp tkHz Auto Reflex 06 ymp TkHz Reflex SOdE WB Iesse Figure 3 Setup language Figure 5 Setup Langu2. 0 001 ml is the lowest detectable volume change Initial latency 35 ms 5 ms Rise time 45 ms 5 ms Terminal latency 35 ms 5 ms Fall time 45 ms 5 ms Overshoot max 1 Undershoot max 1 400 to 200 daPa 750 daPa and 550 daPa 50 daPa Reflex calibration standards and spectral properties General Ipsi and Contra lateral Earphone opecifications for stimulus signals are made to follow IEC 60645 5 Pure tone Broad band noise BBN Spectral properties General about levels MAICO Standard MAICO Standard As Broad band noise specified in IEC 60645 5 but with 500 Hz as lower cut off frequency The actual sound pressure level at the eardrum will depend on the volume of the ear See Table 2 for details The risk of artifacts at higher stimulus levels in reflex measurements are minor and will not activate the reflex detection system 8111254 6 OM easyTymp e 15d 42 05 15 T MAICO Operation Manual easyTymp Reference values for stimulus calibration Table 1 dB re 20 uPa Probe 1000 oo 60 X j65 1500 20 j 80 50 2000 30 j 80 i2 3000 35 j 80 n 4o00 55 90 X jJ80 05 0 8000 00 120 Coupler types used by calibration IOW Probe easyTymp and CIR55 are calibrated using an IEC60380 5 2cc acoustic coupler made in accordance to IEC 60318 5 DD45 are calibrated using a 6cc acoustic couple
3. Operation Manual easy ymp MAICO Diagnostics GmbH Sickingenstr 70 71 D 10553 Berlin Tel 49 30 70 71 46 50 Fax 99 T MAICO Operation Manual easyTymp Contents DPE OG UG HOW eiserne e E 3 UN UC Stait seinninn r a a n Aira 4 1 2 Description and intended Use easy Tymp 5 1 3 Features of the easyTymp Pro Version sessse 5 1 4 Safety Notes ccccceccsecceeeeseeeeseeseeeeeeeseeeseeeceeeseeeseeeteeeteeetaeeeeneeas 6 2 Impedance measurements 1 e eeeeeeee eere eene enn nnn 8 2 1 VV END ANIONIC EY T 8 Ec PAC OUIS CFC OX ice austen desint A E EEE 8 2 3 easy ymp Pro Version Eustachian Tube Function Test 9 2 4 easy ymp Pro Version Acoustic Reflex Decay 9 9 GETING started uso esci esee EEEE RIIKUSMIU SEN UNNUD AKI 10 3 1 PC system FEQUIFEMENHS c ccccceececeeeeeececeeeeseeeseeeeseeeeseeeseeeesees 10 3 2 Supported Software sseeesssssssesssseeen ener nnns 10 3 3 Unpacking and inspection cccecceecceeeeeceeeseeeeeeeeeeseeeaeeeeeeneeeees 10 3 4 System installation eee cecceeeceeeeeeeeeeeeeeeeaeeeseeeseeeseeeseeteeeteenees 12 34 1 Hardware IMStAN ATOM wads viwisesesieswssvcuiuunwsn seudusuwueusuisneusnuseusuiadaciwukavuensussdasueveusens 12 PE 6 cS ee eee ee ee ee eee ee 17 3 9 Preparing the test ccccceccceece
4. The top left button brings you back to the Test screen The top middle button brings you to the View Details screen where the data of the selected client is shown The top right button will bring you to the View Sessions screen where the available sessions of the selected client can be reviewed and printed Right and Left buttons will bring you to the top or bottom of the client list respectively Up and down buttons scroll up or down as one client s information is viewed 4 4 8 View Details View Details Lm ID First Mame Humber 4 Last Name Birth Date DD HH YYYY Back Edit Delete Figure 44 4 4 9 Edit Details Edit Details ID First Name JENS Last Mame LEHR Birth Cate 05 01 2013 O17F3456789 64 ABCDEFGHIJKLMA HOPQRSTUVHXYZ abcdefghijklm o rstuvwuxwyz BL AU NE NN Figure 45 8111254 6 OM easyTymp e 15d This screen shows demographics of the selected client Figure 44 From here you can either use the top left button to go back to the View Client screen or use the top middle button to edit the client details in the Edit Details screen With the top right button you can delete either this patient or all patients This screen shows the client ID First Name Last Name and Birth Date Figure 45 The top left button brings you back to the View Details Screen The top middle button will select the highlighted character and put it where the cursor is placed
5. 19 05 15 T MAICO Operation Manual easyTymp 3 5 5 easyTymp Pro Version Placement of the Contralateral Phones 2 transducers are available for purchase to perform contralateral measurements If the CIR55 insert phone is used place the proper eartip on the insert before inserting the phone into the non test ear Figure 26 If the DD45 is used place the head band over the patient s head The audiometric headphone is placed 3 over the non test ear or contralateral reflex ear Figure 27 3 6 Cleaning the probe tip In order to secure correct impedance measurements it is important to make sure that the probe system is kept clean at all times Therefore please follow the illustrated instructions below on how to remove cerumen from the probe tip s small acoustic and air pressure channels Never clean the probe tip while the tip is still attached to the probe Figure 28 Unscrew the probe cap by turning it in a counter clockwise direction Figure 28 Take the plastic probe tip out of the probe Figure 29 Figure 29 Take the cleaning tool apart to find the thin brush and thin rigid plastic cord Figure 30 Figure 30 8111254 6 OM easyTymp e 15d 20 05 15 Operation Manual easyTymp Use the plastic cord or brush to push debris out of the 3 probe tip Figure Always enter the probe tip from be tip Fi 31 Al ter th be tip f the rear to avoid accumulation of debris inside the vent
6. probe This tone is used to measure the change in compliance in the middle ear system while the air pressure is varied automatically from a positive value 200 daPa to a negative value 400 daPa max Maximum compliance of the middle ear system occurs when the pressure in the middle ear cavity is equal to the pressure in the external auditory canal This is the highest peak of the curve as it is recorded on the chart The position of the peak on the horizontal axis and on the vertical axis of the chart will provide diagnostic information regarding the function of the middle ear system Gradient calculations are reported as the Tympanogram width at half of peak compliance expressed in daPa A limits box is available on both the display and printout to aid in diagnosis Compliance is measured with respect to an equivalent volume of air with the scientific quantity milliliter ml for 226 Hz and mmho for 1000 Hz Air is measured in deca Pascals daPa Note 1 02 mmH O 1 0 daPa 2 2 Acoustic Reflex An acoustic reflex or contraction of the intratympanic muscles occurs under normal conditions when a sufficiently intense sound is presented to the auditory pathway This contraction of the muscle causes a stiffening of the ossicular chain which changes the compliance of the middle ear system As in Tympanometry a probe tone is used to measure this change in compliance When the stimulus presentation and measurement are made in the same
7. y Use up and down to adjust Date Date format and Date format DD MM YYYY time Time 13 19 07 Back HN O Save Figure 50 4 5 3 Setup easyTymp Setup easyTymp Cu Use up and down to scroll through the options Use Power Save right and left arrow keys to adjust Figure 51 Never 4 The Power Save can be set to Never or 1 2 3 4 or Power Off 9 minutes 8 min 0 The Power Off can be set to Never or from 1 to 10 minutes Show Pass Fail Show Pass Fail If On the test result will display with On f a Pass Fail symbol depending on Normative Values Show Calibration Warning defined internally Off 4 Show Calibration Warning On you will be Reflex Presentation reminded to calibrate the device Negative 4 Reflex Presentation Negative or Positive graphs e I NN ME NNI Figure 51 8111254 6 OM easyTymp e 15d 33 05 15 MT MAICO Operation Manual easyTymp 4 5 4 Setup Printer Use up and down to scroll through the options Figure Print Option 52 Use right and left arrow keys to change options Print Options automatic or manual automatic 4b Reflex Presentation table or graph Reflex Presentation Printing enabled or disabled table 4b Printing enabled 4b Figure 52 4 5 5 Setup Clinic Info Use Up Down Right and Left arrow keys to move the cursor over the keyboard Figure 53 The top middle button will select the highlighted Backspace is an arrow in the top right corner Space is a bar underneath the keybo
8. Calibration cavities The easyTymp comes with a separate test cavity which can be used to quickly check the probe calibration validity The test cavity includes 0 2 ml 0 5 ml 2 0 ml and 5 0 ml cylinders We strongly recommended calibrating each probe at least once a year If a probe is handled roughly e g has fallen onto a hard surface it might need to be calibrated again Calibration values of the probe are stored in the probe itself Therefore probes can be exchanged at all times 3 2 2 Software You can view and store all your measurements with the MAICO Impedance Software Module Note For installation and functions see the software manual 8111254 6 OM easyTymp e 15d 17 05 15 T MAICO Operation Manual easyTymp 3 5 Preparing the test 3 5 1 Patient Instruction Otoscopic examination of the patient s ear canals should be performed prior to testing Excessive cerumen or vernix in the ear canals may interfere with the test and give invalid or incomplete results Patients with excessive cerumen debris or foreign bodies in the ear canals should be referred to an audiologist or physician for removal of the blockage prior to testing Excessive hair may need to be trimmed Make sure that the patient is comfortably seated in a chair or on an examination table if necessary Small children may feel more comfortable sitting on a parent s lap Show the probe to the patient and then explain the following The aim of the test i
9. Min Intensity in dB HL 70 Intensity Reflex Max Intensity in dB HL 100 Duration of Signal 10 s Earside Contralateral Tympanometry Frequency 226 Hz Number of Measurements 3 Earside Ipsilateral Frequency during Testing 226 Hz Duration of Signal 30 s Earside Ipsilateral 45 05 15 Operation Manual easyTymp T MAICO 8111254 6 OM easyTymp e 15d 46 10 Troubleshooting Issue Solution White If the device shows white screen after turning on make sure battery is Screen fully charged Frozen If the display freezes try PiSpiay o torestart the unit o to shut off the system and change the battery Note Please do not take out the battery before turn off Always turn off the device and then take out the battery Battery Please check that the battery is properly inserted into the cavity compartment Please check that the battery connector spring contacts inside the compartment is clean and working properly Probe Make sure the probe tip is inserted correctly into the probe Otherwise follow the suggestions in Probe tip Probe tip 1 Please clean the probe tip as described in the manual If the system still does not run proceed with step 2 2 Use a new probe tip If the system still does not run proceed with step 3 3 Change the complete probe and check if the system is running Extensional If the device shows leaking please cable 1 Follow the suggestions for probe tip Probe 2 If step 1 is not helpful plea
10. RAM Graphic display 1024 x 768 Operating system Windows XP Professional SP3 Windows 7 Professional or Ultimate Version for 32 und 64 Bit Computer Connection USB 1 1 or higher 3 2 Supported Software Measuring module MAICO Impedance Software Patient Management Software MAICO database GDT Germany NOAH 3 up to Windows 7 NOAH 4 3 3 Unpacking and inspection Check the packaging and content for damage Prior to shipping the easy Tymp was carefully packed and inspected However it is good practice to thoroughly inspect the outside of the shipping box for signs of damage If any damage is noted please notify the carrier immediately Please remove the MAICO instrument from the shipping box by lifting the cardboard package on the end flaps Holding the package securely fold the side flaps upwards to loosen the tension in the plastic film The instrument can now be easily removed from the plastic packaging without the use of scissors or other sharp tools SAVE ALL THE ORIGINAL PACKING MATERIAL AND THE SHIPPING CONTAINER SO THE INSTRUMENT CAN BE PROPERLY PACKED IF IT NEEDS TO BE RETURNED FOR SERVICE OR CALIBRATION Notify the carrier immediately if any mechanical damage is noted This will insure that a proper claim is made Save all packing material so the claim adjuster can inspect it as well Notify your dealer or MAICO when the adjuster has completed the inspection Please check that all accessories listed below have been
11. daily calibration prior to testing patients 8111254 6 OM easyTymp e 15d 6 05 15 T MAICO Operation Manual easyTymp The service and calibration must be performed by an authorized service center In accordance with the regulations of the EU medical directive we will drop our liability if these checks are not done The use of non calibrated tympanometers is not recommended as uncalibrated instruments may lead to faulty measurements and sometimes even damage the patient s hearing Take note to ensure that all the accessories have been properly connected To avoid person to person cross contamination of communicable diseases parts that come in direct contact with the patient i e eartips should only be used one time Recycle Disposal In accordance with the Electronic Equipment Act for disposal of electronic equipment the customer is obliged to dispose of the used consumables according to appropriate regulation at own cost Follow your respective local laws and regulations for the proper LT deposal of batteries and any other parts of this system 8111254 6 OM easyTymp e 15d 7 05 15 T MAICO Operation Manual easyTymp 2 Impedance measurements 2 1 Tympanometry Tympanometry is the objective measurement of the tympanic membrane TM and middle ear mobility compliance and pressure within the middle ear system During the test a low pitched probe tone 226 Hz is presented to the ear canal by means of the hand held
12. device manager in the PC If the easyTymp does not appear in the list install the driver again using the installation CD 8111254 6 OM easyTymp e 15d 47 05 15 T MAICO Operation Manual easyTymp 11 Appendix A 1 kHz L Macedo de Resende J dos Santos Ferreira S Alves da Silva Carvalho I Oliveira I Barreto Bassi Tympanometry with 226 and 1000 Hertz tone probes in infants Braz j otorhinolaryngol vol 78 no 1 Sao Paulo Jan Feb 2012 Carvallo RMM Medida de imitancia acustica em criancas de zero a oito meses de idade Sao Paulo Universidade Federal de Sao Paulo Escola Paulista de Medicina 1992 Lu JS Zhang J Tang L Ding W Zhang L Guo XP Zai NL Analysis of the 1000 Hz tympanometry in normal hearing neonates Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2011 Nov 46 11 905 8 Rafidah Mazlan Joseph Kei Louise Hickson Asaduzzaman Khan John Gavranich Ron Linning High Frequency 1000 HZ Tympanometry Findings in Newborns Normative Data Using a Component Compensated Admittance Approach Australian and New Zealand Journal of Audiology Volume 31 Issue 1 May 2009 pages 15 24 DOI 10 1375 audi 31 1 15 Kei J Allison Levick J Dockray J Harrys R Kirkegard C Wong J High frequency 1000 Hz tympanometry in normal neonates J Am Acad Audiol 2003 14 1 20 8 226 Hz Shanks J amp Shohet J 2009 Tympanometry in clinical practice In J Katz L Medwetsky R Burkard amp L
13. ear by means of the probe this acoustical reflex is referred to as an ipsilateral acoustic reflex For best results this reflex measurement is automatically conducted at the air pressure value where the compliance peak occurred during the tympanometric test Stimulus tones of varying intensities at 500 1000 2000 or 4000 Hz are presented as short bursts If a change in compliance greater than 0 03 ml is detected a reflex is considered present Because this is an extremely small compliance change any movement of the probe during the test may produce an artifact false response 8111254 6 OM easyTymp e 15d 8 05 15 T MAICO Operation Manual easyTymp 2 3 easyTymp Pro Version Eustachian Tube Function Test The Eustachian tube connects the middle ear with the nasopharynx Its function is to equalize pressure between the middle ear and the atmosphere The Eustachian tube test can be used to determine if the Eustachian tube is functioning properly in patients with an intact tympanic membrane or in patients who have a perforated TM or pressure equalization tubes 2 4 easyTymp Pro Version Acoustic Reflex Decay Acoustic reflex decay also Known as adaptation is the measurement of the acoustic reflex response during sustained stimulus presentation 8111254 6 OM easyTymp e 15d 9 05 15 T MAICO Operation Manual easyTymp 3 Getting started 3 1 PC system requirements Processor Intel Pentium 4 Celeron 1 4 GHz Memory 1 GB
14. in Pin 9 Power supply 3 5V Pin 10 CH2 out Pin 11 CH2 GND Pin 12 at ENS I2C DATA I2C Interrupt USB USB USB port for type B communication Calibration properties Calibrated Probe system Ipsilateral and Contralateral Earphone is Transducers 8111254 6 OM easyTymp e 15d integrated in the probe system Probe frequency transmitter and receiver and pressure transducer is integrated in the probe system 41 05 15 T MAICO Operation Manual easyTymp Accuracy General Reflex Frequencies Ipsilateral Reflex Tone Levels Contralateral Tone Levels Pressure measurement Compliance measurement Impedance calibration properties Probe tone Compliance Pressure Frequencies Level Distortion Range Temperature dependence Pressure dependence Reflex sensitivity Temporal reflex characteristics Range Safety limits Reflex Generally the instrument is made and calibrated to be within and better than the tolerances required in the specified standards 3 5 dB for 500 to 2000Hz and 5 10 dB for 3000 to 4000Hz 5 dB for 500 to 2000Hz and 5 10 dB for 3000 to 4000Hz 5 or 10 daPa whichever is greater 5 or 0 1 ml whichever is greater 226 Hz 1 1000 Hz 1 85 dB SPL 1 5 dB measured in an IEC 60318 5 acoustic coupler The level is constant for all volumes in the measurement range Max 5 THD 0 1 to 8 0 ml 0 003 ml C 0 00020 ml daPa
15. received in good condition If any accessories are missing or damaged immediately notify your dealer or MAICO 8111254 6 OM easyTymp e 15d 10 05 15 T MAICO Operation Manual easyTymp Standard Accessories 1 easyTymp handheld unit 1 Probe 1 Probe Tip replacement 1 1 Rechargeable battery 1 Power supply unit for easy Tymp handheld unit only when operating without cradle 1 Eartip box configuration see below 1 Test cavity 1 Carrying case 1 Software Kit MAICO Impedance Software 1 Operating manual 1 Short user guide Standard configuration of Eartip box 10 Eartip flanged 3 5 mm 10 pieces red 10 Eartip mushroom 7 mm 10 pieces blue 10 Eartip mushroom 9 mm 10 pieces green 10 Eartip mushroom 11 mm 10 pieces blue 10 Eartip mushroom 13 mm 10 pieces green 5 Eartip mushroom 15 mm 5 pieces blue 5 Eartip mushroom 19 mm 5 pieces yellow 5 Eartip umbrella 15 mm 5 pieces red 5 Eartip umbrella 19 mm 5 pieces blue 1 MAICO cleaning tool for probe 1 MAICO eartip removal tool Additional accessories for easyTymp External probe 35cm Wall Mount Kit for cradle with integrated eartip box power supply unit and additional rechargeable battery Cradle with integrated printer power supply unit and additional rechargeable battery Additional accessories for easyTymp Pro Version Contra Probe 140 cm CIR55 Contralateral Earphone EARtone A3 Contralateral E
16. 000 Hz each with 2 Ipsilateral 70 to 110 dB HL Contralateral 70 to 120 dB HL Automatic Single intensities Reflex growth 0 to 12s 0 05 to 0 25 ml x axis Volume in ml y axis Time in ms Level in dB HL Earphone integreted in probe Same specification as tympanometry expect only one test signal 226 Hz ETF perforated 8111254 6 OM easyTymp e 15d 40 05 15 T MAICO Operation Manual easyTymp Test signals Pure tone 226 Hz with 1 96 Test level 85 dB SPL 1 5 dB measured in an IEC 60318 5 acoustic coupler The level is constant for all volumes in the measurement range Distorsion Max 5 9e THD Control tympanometry Automatic Time range 0 to 30 sec settings Pressure Range O to 400 daPa Accuracy Compliance 5 or 10 daPa whichever is greater Pressure 5 or 0 1 ml whichever is greater Graphical display General PC connection Memory x axis Time in sec y axis Pressure in daPa USB Input output for computer communication Theoretically an infinite amount of test results can be stored on the PC The easy Tymp hand held unit is delivered with a 2 GB memory card enough for storing more than a quarter of a million tests Specification of output connections Outputs Transducer proprietary Pin 1 CH1 out 12 pole Pin 2 CH1 GND Pin 3 DGND Pin 4 GND Microphone Pin 5 Microphone input Analog Pin 6 balanced in Pin 7 Microphone input Analog Pin 8 balanced
17. Backspace is an arrow in the top right corner Space is a bar underneath the keyboard The top right button will select the next details for editing Right and Left buttons will move the selection of the keyboard one character to the left or right Up and down buttons will move the selection of the keyboard one character up or down When editing the birth date the up and down button will change the numerical value 30 05 15 T MAICO Operation Manual easyTymp 4 4 10 View Results View Results a For the selected client the screen shows a list of available sessions Figure 46 14 02 2011 12 58 26 L ui e Operating from this screen The top left button brings you back to the View Patient screen The top middle button will prompt you and ask for confirmation before it deletes the selected session or all sessions The top right button will show the selected session in the View Results screen Right and Left buttons will bring you respectively to the top or bottom of the result list Up and down buttons scroll up or down one session Figure 46 4 4 11 View Results In this screen the test recordings of the selected session View Results a are shown Figure 47 Tympanogram Y em Operating from this screen The top left button brings you back to the View Results screen The top middle button will print all results which are stored in the selected session m 300 300 daPa The top right but
18. Hood Eds Handbook of clinical audiology 6th ed pp 157 188 Baltimore Lippincott Williams amp Wilkins Mrowinski D Scholz G Audiometrie Eine Anleitung f r die praktische Horprufung 2006 3 Auflage Thieme Verlag Jerger J Norhtern J Clinical impedance audiometry 1980 Thieme Verlag 8111254 6 OM easyTymp e 15d 48 05 15 Operation Manual easyTymp opecifications are subject to change T MAICO MAICO Diagnostics GmbH Sickingenstr 70 71 10553 Berlin Germany Tel 49 30 70 71 46 50 Fax 49 30 70 71 46 99 E mail sales maico biz Internet www maico biz 8111254 6 OM easyTymp e 15d 49 05 15
19. Z 300 300 dafa Volume 0 73 ml Press 1 1 daPa Press 2 69 daPa Press 3 14 daPa Print NEAN Delete Figure 39 Instruct patient to swallow Perforated Lou he RE Measurement of changing pressure indicates status of ETF Perforated Eardrum Eustachian tube Figure 40 Ii 20 30 Openi 3 dfa Closet 212 i Open2 299 i Close2 153 up Opena 117 ih Close3 45 484 Print Save Delete Figure 40 8111254 6 OM easyTymp e 15d 27 05 15 T MAICO Operation Manual easyTymp 4 4 5 Select Patient amp Save Select Pat amp Save From this screen you can either save data to CI New Patient Number 4 an existing patient uploaded from your database or save a Andy Andrews data to a new client Figure 41 New patient will always get E John Doe the name New Patient Number where is always the E Dick Solomon next available number Back EditNew Save Figure 41 Operating from this screen The top left button will bring you back to the Done screen without saving and without deleting data The top middle button opens a screen for editing new patient details The top right button will save the data to the selected client After saving all data is deleted and easyTymp returns in the Test screen ready for testing Hight and Left buttons will bring you to the top or bottom of the client list respectively Up and down buttons scroll up or down as one client s info
20. age Language i English Bark Figur save language Figure 7 Language English 4k Figure 7 8111254 6 OM easyTymp e 15d Select Test Test screen Choose oelect Test Figure 2 Test Ready au i OF Rymp 226Hz t Aubo Roflox Zeb Hz Pressure Compliance WP b v wb Figure 2 Choose Language in the Setup Menu Figure 4 Language Date amp Time t eas yTymp gt Printer Clinic Info License Patient Management Figure 6 05 15 Operation Manual easyTymp Note Please note that the battery needs to be charged for a minimum period of approximately 6 hours prior to first use of the easy Tymp hand held tympanometer To charge the battery please place the easy lymp into the cradle and connect the cradle to the mains power with the use of the easy lymp power supply provided Figure 8 1 2 Description and intended Use easyTymp The easyTymp is an automatic middle ear analyzer well suited to perform tympanometry and screen acoustic reflexes on people of all ages easy ymp provides an optional 1kHz probe tone for testing newborns The purpose of the easyTymp test system is to provide a rapid tympanometry measurement document the presence of acoustic reflexes at several frequencies and determine Eustachian tube function The easyTymp is intended to be used by hearing healthcare professionals i e ENT doctors audiologists and other trained personnel
21. ame protocol as was used last After disconnecting easyTymp from a PC it will start in the Select Protocol screen and the desired protocol should be selected The battery status bar will show the current battery power status If the battery is empty you will be warned the measurement will be stopped and all recorded data will be stored If this occurs shut down the instrument and change the battery to continue testing The measurement data will be recovered when you start up again so the measurement can continue without restarting the test Note If a white screen appears and the easy Tymp does not proceed with the next screen the battery is almost empty Please change the battery to proceed The following paragraphs describe the precise operation of the different screens you will observe during the use of easy Tymp 8111254 6 OM easyTymp e 15d 23 05 15 T MAICO Operation Manual easyTymp 4 4 1 Test Connected Cu Usually the easy Tymp starts with the Test Screen When 01 Tymp 226Hz deleting or saving data after a measurement you will also a 226 Hz return to this screen Figure 34 The graphics of the ongoing test will also be displayed The i box indicates the normative area where the peak of the tympanogram is expected to fall The measured curve will yim 900 300 daP be directly shown in the graphic while the measurement is ard Volume mi being taken Below the graphic the measured values TET daPa Volume Pressure Complia
22. ard The top right button will select the next details for editing Select the top left button to save and return to the Setup 1 0123456789 screen ABCDEFGHIJKLM NOPQRSTUVWKY 2 abcdefghijklm 0 rstuvwxyz Back HM Select m Save i Figure 53 8111254 6 OM easyTymp e 15d 34 05 15 T MAICO Operation Manual easyTymp 4 5 6 Setup License TkHz License Figure 54 Setup License un Impedance Serial No 01842167 License Key 77777666 Figure 55 8111254 6 OM easyTymp e 15d Option to buy licenses to unlock further measurements Figure 54 Select By pressing the Top right button you can select the module to view add or change the license key Use left right up and down arrow keys to move the cursor over the keyboard Figure 55 Select he top middle button will select the highlighted character Backspace is an arrow in the top right corner Space is a bar underneath the keyboard Save The top left button will save and return to the oetup screen 35 05 15 MT MAICO Operation Manual easyTymp 4 5 7 Setup Patient Management Patient Management Turns the internal patient data management on or Patients off Figure 56 On 4 Off will delete all measured and or stored data Back Save Figure 56 4 5 8 About Here you will find information about the firmware version and calibration dates Figure 57 Version 1 02 05 Calibration Date
23. arphone DD45 Contralateral Headset Additional Licenses for the easyTymp License for high frequency probe tone of 1 KHz Consumable material Printer paper 8111254 6 OM easyTymp e 15d 11 05 15 M M AICO Operation Manual easyTymp 3 4 System installation 3 4 1 Hardware installation 3 4 1 1 Installing the cradle 1 USB in 2 USB out 3 USB out D 2 3 5 4 USB out USBin USBout USBout USBout Power 5 Power o ruse ne 6 Follow the j for use 6 instructions for use Figure 7 Put the enclosed mains cable into the power connection socket 5 and the mains plug into a power socket 3 4 1 2 Cradle indication lights Depending on the version with or without printer the cradle has up to three indication lights easy ymp LED shows solid blue when it is placed inside the cradle The battery however will be charged automatically and will be fully charged after approx three hours The current battery state of charge may be seen on the easyTymp display Battery LED shows solid blue when the spare battery in the cradle is fully charged The LED will flash while the battery is charging Printer LED is red when a printer problem occurs See also Figure 8 Figure 8 3 4 1 3 Installing paper in the thermal printer otep 1 Push button to open the printer cover Figure Figure 9 8111254 6 OM easyTymp e 15d 12 05 15 Operation Manual easyT ymp Ste
24. ave the instrument and its power supply checked according to the medical electrical safety standard IEC 60601 1 on a yearly basis by a qualified service technician 8111254 6 OM easyTymp e 15d 38 05 15 Operation Manual easyTymp T MAICO 8 Technical Data The easyTymp is an active diagnostic medical product according to the class lla of the EU medical directive 93 42 EEC Approval of the quality system is made by TUV identification no 0123 Medical CE mark TUV identification no 0123 C Standards Safety IEC 60601 1 Class Il Type B EMC IEC 60601 1 2 oe Impedance IEC 60645 5 ANSI S3 39 Type 2 Normative Box e g Appendix A Power Consumption 0 6 A UE24WCP 240100SPA Mains voltages 100 240 VAC 50 60 Hz and fuses Power easyTymp Fuses 3 A 5 V Power Cradle Fuses 3 A 24V Operation environment Temperature 15 35 C Rel Humidity 30 9096 Storing handling Temperatures below 0 C and above 50 C may cause permanent damage on the instrument and its accessories Transport Temperature 20 50 C Rel Humidity 10 95 Dimension and weight Dimension W x D x H 80 x 300 x 70 mm Weight 427 9 Impedance Measuring System Probe tone Air pressure Compliance Test types Frequency Level Control Indicator Range Pressure limitation Range Tympanometry 8111254 6 OM easyTymp e 15d 226 Hz 1000 Hz 69 dB HL with AGC assuring constant level at different ea
25. cceeeceeceeceeceeseeseeceeceeseeesenseesaeess 18 3 5 1 Pallent Istr CllOll ses cuc ned suu err exkaik e se eX ES VeRO EFE e uet Fu Pa Er Rak S rein 18 3 5 2 Visual inspection of the ear canal eese 18 3 5 3 Handling the eartips ccccceccsecccseeceeecceeeceeeceueceeecseesaueeeaeesseeseusseaeesaees 18 3 5 4 easy Tymp Pro Version Placing and using the Shoulder Box 19 3 5 5 easy Tymp Pro Version Placement of the Contralateral Phones 20 3 6 Cleaning the probe tip eseeeseeeseeeeneeereenrnnnns 20 4 Operating easy VID seen eseac ik qu ete nti PUER Cid cU edo tua eee qut Rua 22 4 1 Operating Panel cc ccc cecccseeceeeeeceeeeeeeeseeeeseeeceeeeeeeesueeseeesenees 22 4 2 Getting started ccc ceccc secs eeeceeeteeeeeseeeeeeeeeseeseeeseeeseeseeeseeesaes 22 4 3 Probe status INGICATION ccccccecceeceececeeceeceeseeeeceeeeeseeeeeeeseeeeeees 22 4 4 Operating CASYTYMP cccceecceeecseeeeeeeeeeeeeeeeeeseeseeeseeeseeseeetees 23 8111254 6 OM easyTymp e 15d 1 05 15 T MAICO Operation Manual easyTymp M ORBE 24 A M elc ze E iele i i RR 25 TA DONG NS RR RR 26 4 4 4 Advanced Testing easy lymp Pro Version ccccceeeeceeeeceeeeseeeeseeeesaeees 26 a4 5 5slect P alli AV Ce nes ecu dese eh eic Mp ei eee 28 AAO EdCNOW RETE EET 28 4 4 7 View Patients uueeesevum pr Ssouucut ss ep
26. he Setup screen Top right button selects the protocol of your choice and brings you to the Test screen Right and left buttons will bring you to the top or bottom of the protocol list respectively Up and down buttons allow scrolling up or down to select one protocol 8111254 6 OM easyTymp e 15d 25 05 15 T MAICO Operation Manual easyTymp 4 4 3 Done easyTymp will automatically go to the Done screen when Tympanogram it has finished testing Figure 36 k ole From here measurements of both ears can be reviewed printed and or saved Of course you can also directly start Z a new measurement in the Test screen from here U 600 30 00 daPa Volume 1 65 ml Pressure 1 daPa Compliance 0 67 ml Gradient 69 daPa Print Save Delete Figure 36 Operating from this screen Print Top left button will print the test results of the left and right ear Note that there should be a connection to the printer by placing the easyTymp in the cradle Save Top middle button will save the measurement of both ears Delete Top right button will present a popup message saying Delete current or both ears the Top left button will cancel the process The Top middle button will delete the data of the currently selected ear and bring you back to the Test screen The Top right button will delete data for both ears and bring you back to the Test screen Right and Left buttons will select re
27. he probe out Figure 20 Note Do not pull on the extension cable as this can damage the tubing connection Connect the probe to the easy Tymp by lining up the red triangles and pushing the probe into the unit Figure 21 The probe can be attached to the extension cable by correctly lining up the pins and clicking the probe into the end of the extension cable Figure 22 Connecting the Contralateral Headphone or Insert To measure contralateral reflexes it is necessary to connect the Shoulder Box to the easylTymp as described previously 16 05 15 MAICO Operation Manual easyTymp Find the jack labeled Contra on the Shoulder Box Insert the contralateral transducer into this jack Figure 23 Figure 23 The Contra Probe must be calibrated to the selected contralateral transducer type This calibration is already completed if the Contra Probe and transducer are purchased at the same time Otherwise the Contra Probe and transducer need to be sent to an authorized service center to perform the calibration Note Three different contra phones can be purchased for use with the easyTymp The contra phones need to be calibrated to the Contra Probe before use If a new contra phone should be used a recalibration of the Contra Probe is necessary We strongly advise against using an uncalibrated Contra Phone Uncalibrated instruments may lead to faulty measurements and possibly damage the patient s hearing 3 4 1 10
28. ical directive we will drop our liability if these checks are not done The use of non calibrated tympanometers is not recommended 7 3 Instrument Handling The instrument should be checked once a week 8111254 6 OM easyTymp e 15d 37 05 15 T MAICO Operation Manual easyTymp 7 4 Operation The instrument should only be handled and operated by trained personnel audiologists ENT doctors or personnel with similar qualifications 7 5 Patient Safety Warning Do not perform a test while charging the device via USB cable External equipment intended for connection to signal input signal output or other connector shall comply with relevant IEC standard e g IEC 60950 for IT equipment and the IEC 60601 series for medical electrical equipment In addition all such combinations systems shall comply with the standard 60601 1 1 Safety requirements for medical electrical systems Equipment not complying with IEC 60601 shall be kept outside the patient environment as defined in the standard at least 1 5 m from the patient Any person who connects external equipment to signal input signal output or other connectors has created a system and is therefore responsible for the system complying with the requirements of IEC 60601 1 1 If in doubt contact your service technician or local representative for help The cradle connection provides power for the thermal printer In order to maintain a high level of safety it is necessary to h
29. n 10 minutes MAICO easyTymp is specified according to EN 60601 1 Protection against electrical hazard is guaranteed only when the instrument is connected to a grounded safety Please note that during operation the instrument should always be connected to a battery operated or mains operated notebook computer that complies with EN 60601 1 or EN 60950 1 In the event that a main cable connector or wall socket is damaged please do not use the instrument under any circumstance Allen key for adjustable feet on the cradle unit An Allen key is enclosed in the packaging of the ear tip box to enable adjustment of the pair of adjustable feet located on the bottom of the cradle Please ensure that the Allen key is not permanently stored in the ear tip box that the Allen key is only used to adjust the setting of the adjustable feet on the cradle and that this tool is not used for any other purpose on the easy ymp unit ATTENTION PLEASE READ THE ENTIRE MANUAL CAREFULLY BEFORE OPERATING THIS INSTRUMENT Go gt Please only use this instrument as described in the manual Please familiarize yourself with the instrument and its operation before using Should defects or damages be suspected please do not under any circumstances use or attempt to fix the instrument yourself To guarantee that the tympanometer works properly the instrument has to be checked and calibrated at least once a year We propose however to do a
30. nce and Gradient are shown following the measurement Compliance ml Gradient daPa Select Test Patient Figure 34 Stop Test Ready The header shows the status of the probe It might show Ready In Ear Leaking or Blocked n the upper right corner the battery status is indicated liil When the easyTymp is placed in the cradle it will charge the battery and a flashing battery icon will be shown n the upper right corner an icon indicates if the easyTymp is testing the left ear or right ear R 03 lymp 226Hz Auto Reflex When entering the Test Screen the second line shows the name of the protocol which is in use As soon as easy ymp detects that the probe is in the ear the second line will show which test of the protocol is running Operating from this screen Putting the probe in the ear and obtaining a seal will automatically start the test Select Test The top left button will bring you to the Select Test screen where you can select a different test protocol Patient The top middle button will bring you to the Patient screen where patient data can be viewed or changed and earlier sessions can be reviewed and or printed This function is only displayed if the patient management is activated Stop Top right button will interrupt the test and Done will appear in the upper left hand corner of the screen If the measurement is stopped via the top right button Stop the function of the top button
31. not in use for extended time periods 14 05 15 M MAICO Operation Manual easyTymp 3 4 1 6 Charging the battery The spare battery is stored and charged in the back of the cradle Figure 19 Battery LED will show solid blue when the spare battery in the cradle is fully charged The LED will flash as long as the battery is charging s te q Figure 19 Please observe the following precautions Keep the battery fully charged Do not place the battery in fire or apply heat to the battery Do not damage the battery or use a damaged battery Do not expose the battery to water Do not short circuit the battery or reverse the polarity Use only the charger provided with the easy Tymp Please see the following section for estimated charging times 3 4 1 7 Battery life The following table gives an estimate of the charging time CT in hours for the battery Be aware that negative numbers mean that the battery is discharging Charge times are the same for the spare battery in the cradle and the battery in the cradled easyTymp Off 1 5 3 8 2 3 2 On pump off 2 8 32 4 1 47 8111254 6 OM easyTymp e 15d 15 05 15 T MAICO Operation Manual easyTymp 3 4 1 8 Changing probes F Figure 20 r x D Figure 21 Figure 22 3 4 1 9 easyTymp Pro Version Phone 8111254 6 OM easyTymp e 15d To release the probe press the circular button on the back of the instrument and pull t
32. p 2 Pull the blue lever upwards Figure 10 _BMAICO Figure 10 Step 3 Insert paper roll into the compartment with its loose end to the front of the printer Position the loose end into the printer roll and raise it by rotating the printer roll with your finger Figure 11 Figure 11 Step 4 Push the blue lever down Figure 12 Figure 12 Step 5 Close the printer cover Figure 13 Figure 13 8111254 6 OM easyTymp e 15d 13 05 15 T MAICO Operation Manual easyTymp 3 4 1 4 Mounting the cradle on the wall Figure 14 3 4 1 5 Installing the easyTymp In order to mount the cradle on the wall an optional wall mount kit is available Figure 14 NOTE Please note that the battery needs to be charged for a minimum of approximately 6 hours prior to first use of the easy lymp hand held tympanometer Figure 18 8111254 6 OM easyTymp e 15d The battery compartment is opened by gently pressing the indentation and pulling the cover downwards Figure 15 Place the battery inside the compartment Making sure the battery contacts are correctly placed Figure 16 The removal tab attached to the back of the battery case should be placed on the top of the battery to remove the battery easily Figure 17 Replace the lid on the easy lymp and push it upwards to close the battery compartment Figure 18 It is recommended that the battery is removed from the instrument when it is
33. r canal volumes Automatic Measured value is displayed on the graphical display 400 to 200 daPa 50 daPa and 550 daPa 0 1 to 8 0 ml at 226 Hz probe tone Ear volume 0 1 to 8 0 ml and 0 1 to 15 mmho at 1000 Hz probe tone Automatic 05 15 T MAICO Operation Manual easyTymp Indicators Memory Reflex Functions Signal sources Outputs Test types Graphical Compliance is indicated as ml for 226 Hz display and as mmho for 1000 Hz and pressure as daPa Stimulus level is indicated as dB Hearing Level Tympanometry 1 curve per ear per tympanometry test And theoretically an infinite number of tests per protocol Tone Ipsi 500 1000 2000 4000 Hz max 100 dB Reflex HL Noise Ipsi Broad band noise BBN Reflex Tone Contra 500 1000 2000 4000 Hz max 100 dB Reflex HL Noise Contra Broad band noise BBN Reflex Ipsi Earphone Probe earphone incorporated in the probe system for Reflex measurements Contra Probe earphone incorporated in the probe Earphone system for Reflex measurements Air Connection of the air system to the probe Automated Automatic reflexes Reflex Single intensities Single reflex auto search Reflex Decay Functions Test method Test signals Test level Control acoustic reflexes Time range Volume Range Graphical display Ipsi earphone ETF Intact lpsi and contralateral Pure Tones 500 Hz 1000 Hz 2000 Hz 4
34. r made in accordance to IEC60318 3 8111254 6 OM easyTymp e 15d 43 05 15 T MAICO Operation Manual easyTymp 9 Test Protocols 01 226Hz Standard 02 1kHz License 1 kHz 03 226Hz Ipsi Reflex Auto Standard 04 226Hz Ipsi Reflex 90dB Standard 05 1kHz Ipsi Reflex Auto License 1 kHz 06 1kHz Ipsi Reflex 80dB BB License 1 kHz 07 226Hz Ipsi Contra Auto License Pro Version 08 226Hz Ipsi Contra 90 dB License Pro Version 8111254 6 OM easyTymp e 15d Tympanometry Frequency 226 Hz Earside Ipsilateral Tympanometry Frequency 1 kHz Earside Ipsilateral Tympanometry Frequency 226 Hz Number of Reflexes tested 4 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex Min Intensity in dB HL 70 Intensity Reflex Max Intensity in dB HL 100 Earside Ipsilateral Tympanometry Frequency 226 Hz Number of Reflexes tested 4 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex Intensity in dB HL 90 Earside Ipsilateral Tympanometry Frequency 1 KHz Number of Reflexes tested 4 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex Min Intensity in dB HL 70 Intensity Reflex Max Intensity in dB HL 2 100 Earside Ipsilateral Tympanometry Frequency 1 kHz Number of Reflexes tested 1 Test signal Broad band noise Intensity Reflex Intensity in dB HL 80 dB Earside Ipsilateral Tympanometry Frequency 226 Hz Number of Reflexes
35. rmation is viewed 4 4 6 Edit New With this screen you can input data for a new client before ID First Name Last Name Birth Date DD MM YYYY saving the measurement Figure 42 Save Select Next Figure 42 Operating from this screen The top left button saves the patient details and brings you back to Select Patient amp Save 8111254 6 OM easyTymp e 15d 28 05 15 T MAICO Operation Manual easyTymp The top middle button will select the highlighted Backspace is an arrow in the top right corner Space is a bar underneath the keyboard The top right button will select the next details for editing Right and Left buttons will move the selection of the keyboard one character to the left or right Up and down buttons will move the selection of the keyboard one character up or down When editing the birth date the up and down button will change the numerical value 4 4 7 View Patients View Patients This screen shows a list of clients Figure 43 E Andy Andrews some of the clients may be uploaded from your database E John Doe When one or more sessions are stored the square in front E Dick Solomon of the patient s name is filled If there is not session stored yet this square will be empty v Back Details Result Figure 43 8111254 6 OM easyTymp e 15d 29 05 15 T MAICO Operation Manual easyTymp Operating from this screen
36. rrow key to switch the device on To switch easyTymp off press both red and blue arrow keys together and hold for one second easy ymp will always start within the test screen ready to start a measurement It will always default to the same protocol as previously used 4 3 Probe status indication If you use the optional external probe the light at the back of the probe indicates the probe status with the following colors Red Right ear is selected Probe is out of ear Blue Left ear is selected Probe is out of ear Green Probe is in the ear and is sealing test is running Yellow Probe is in the ear and blocked or leaking 8111254 6 OM easyTymp e 15d 22 05 15 T MAICO Operation Manual easyTymp White The probe has just been attached Probe status is unknown The probe status stays white in hand held use if the easyTymp is not monitoring the probe status If the probe light stays white in any other situation easy Tymp might need to be switched off and on again to regain proper probe status Flashing color easyTymp is pausing during a protocol and waits for you to press continue The color in which the probe light is flashing indicates the probe status like above Flashing green to red blue easyTymp just finished the protocol 4 4 Operating easyTymp Operating the easyTymp is very intuitive After switching the instrument on it will usually start in the Test Screen and is ready to test the s
37. s Figure 31 Place the probe tip back onto the probe Figure 32 Make sure that the plastic pegs are inserted into the appropriate corresponding cavities Figure 32 ocrew the probe cap back on the probe Figure 33 The force of tightening the cap will tighten the screw sufficiently Never use tools to fix the probe cap If any blockage or damage occurs to the sealing gasket the probe system can only be serviced by MAICO Figure 33 8111254 6 OM easyTymp e 15d 21 05 15 Operation Manual easyT ymp T MAICO 4 Operating easyTymp 4 1 Operating Panel i MAICO Test Ready GE A 03 Tynp 226Hz Auto Reflex 226 Hz 2 1 500 300 300 daPa Volume I Pressure daPa Compliance Gradient Select Test Patient Stop Function Keys VOI f Top buttons Function of the keys is related to the functions indicated in the display above the individual function key e g Select Test Patient otop P Arrow Keys Turn on easyTymp by pressing the right or left arrow key Turn off easy Tymp by pressing both keys at the same time V Up and down buttons Scroll through the different easy lymp settings menu test protocols or scroll up and down on the display VAT V 4 2 Getting started To get started take the easy Tymp out of the cradle By default it will turn on automatically If you don t store the easyTymp in the cradle press either the red or blue a
38. s easylymp 26 01 2010 Probe 20 08 2010 Hext Calibration 26 01 2011 Figure 57 4 6 easyTymp Pro Version Shoulder Box button The Shoulder Box button will change ears as long as the probe detects it is not in the ear When the probe is in an ear it will interrupt the testing and bring you to the Done Screen and from there also back to the Test screen with a second press of the button If a protocol includes an instruction message pressing the Shoulder Box button results in continuing the protocol no matter what the probe status 8111254 6 OM easyTymp e 15d 36 05 15 T MAICO Operation Manual easyTymp 5 Warranty Maintenance and Service The easyTymp is guaranteed for 2 years This warranty is extended to the original purchaser of the instrument by MAICO through the Distributor from whom it was purchased and covers defects in material and workmanship for a period of 2 years from date of delivery of the instrument to the original purchaser The easyTymp may be repaired only by your dealer or by an authorized service center We urgently advise you against attempting to rectify any faults yourself or commissioning non experts to do so In the event of repair during the guarantee period please include a copy of your invoice or receipt In order to ensure that your instrument works properly the easyTymp should be checked and calibrated at least once a year This check has to be carried out by your dealer When re
39. s to test the mobility of the eardrum The tip of the probe will be inserted into and seal the ear canal A small amount of air will flow through the probe to move the eardrum it produces a sensation equal to pressing a finger slightly into the ear canal One or more tones will be heard during the test No participation is expected from the patient Coughing talking and swallowing will interfere with test results 3 5 2 Visual inspection of the ear canal Check the external ear canal with an otoscope to ensure that it is clear as debris such as wax or hair might negatively impact the test results 3 5 3 Handling the eartips Following otoscopy select an eartip of the appropriate size for the patient s canal size and shape from the eartip kit and press the eartip tightly onto the probe tip Always use eartips from MAICO or Sanibel Eartips are for single patient use only 8111254 6 OM easyTymp e 15d 18 05 15 T MAICO Operation Manual easyTymp 3 5 4 easyTymp Pro Version Placing and using the Shoulder Box Figure 24 S sMAICO Figure 25 8111254 6 OM easyTymp e 15d A clip is located on the back of the Shoulder Box which can be attached to the patient s clothing Figure 24 For most patients it is easiest to clip the Shoulder Box to the patient Press the button on the Shoulder Box to start or stop pause the current measurement or switch between right and left when the probe is not inserted to the ear Figure 25
40. s will change to give the option to print or delete Right and Left buttons will select respectively right or left ear for testing If data on one or both ears is still available the up and down buttons will bring you back to the Done screen and allow you scroll through the measurement results 8111254 6 OM easyTymp e 15d 24 05 15 T MAICO Operation Manual easyTymp When the probe is in an ear the button will interrupt the testing and bring you to the Done screen and from there back to the Test screen if it is pressed a second time If a protocol includes an instruction message pressing the Shoulder Box button results in continuing the protocol no matter what the probe status indicates 4 4 2 Select Test Screen Select Test To change the selected protocol press Select Test Left Top Button The following measurements are available in Neto the standard easyTymp Figure 35 03 226Hz Ipsi Reflex Auto 04 226Hz Ipsi Reflex 90dB 01 Tymp 226 Hz 03 Tymp 226 Hz Auto Reflex 04 Tymp 226 Hz Reflex 90dB NOTE Extra licenses for optional measurements are available High frequency Probe Tone of 1 kHz Contra Reflex Measurement 523 I Reflex Decay Measurement and ETF Measurement Figure 35 Operating from this screen easyTymp Leads to the easyTymp Setup Select Select a test protocol and return to the test screen Keyboard operation from this screen Top middle button brings you to t
41. se change the extension cable If the problem persists follow the suggestions for Probe tip Probe Battery slot 1 If the spare battery is not charging please check if the battery is properly inserted and the terminals are in contact springs in cradle 2 Please make sure the battery contacts are clean in the case Connection 1 Make sure the handheld is properly inserted after the test in cradle Improper docking may lead to no connection between device and the cradle Please make sure battery contacts are clean in the case Printer Please check if the cradle is connected with power supply problem Please check if the printer function is activated in the device Please check if the printer paper is properly inserted Properly place the handheld on the cradle c RoONPNGN When during printing process the 2 battery is charged also take the 2 battery out of cradle and try again 05 15 T MAICO Operation Manual easyTymp PC Connections Make sure the Patient database and the printer is deactivated from handheld Handheld a Please check the USB connection in the PC and the system b Use another USB cable Cradle a Make sure the device is properly placed into the Cradle b Make sure the Cradle is powered while transferring the result to PC Make sure the easyTymp option is selected in the PC software for detail contact your distributor Try to reinstall the PC software Check the
42. spectively right or left ear for testing and bring you back to the Test screen The existing data of the selected ear will only be deleted after the probe detects that it is in the ear with a proper seal Up and down buttons make you scroll through the different test results When viewing the first or last test of an ear pressing up or down respectively will bring you to the test results of the other ear 4 4 4 Advanced Testing easyTymp Pro Version Acoustic Reflex postin g Ipsi and EL Before performing contralateral reflex Reflex 20 100 dEHL Ipsi Reflex 90 100 dBHL T testing tympanometry Will be 605 m 615 ONS m 7215 a a i x X x performed Figure 37 dBHL 75 dBHL 90 dBHL EOD Hz 500 Hz 2000 Hz o 05 mi 715m 19 m 2515 al dBHL 85 dBH dBHL 70 dBHL 500 Hz 500 HZ 2000 Hz 4000 H2 B i ee GEEERID cee HER on ea k a ee ee ee LL 0 11S D L Nk amp Figure 37 8111254 6 OM easyTymp e 15d 26 05 15 M M AICO Operation Manual easyTymp Acoustic Reflex Decay losilateral and Contralateral Reflex Decay Testing can be Decay u performed Figure 38 i Level 90 dBHL Pressure 4 daPa Ipsi 500 Hz Decay 45 Print Figure 38 ETF Testing Non Perforated Instructions for testing will be displayed at the top of the ETF Non Perforated screen Figure 39 1 Red or Blue represents test ear 2 Grey represents Valsalvation 0 3 Green represents Swallow 600 S
43. such as medical technicians neonatal and school nurses The easyTymp cradle serves as a docking and recharging station The easy Tymp docking station is available in two versions one with the ear tip box and one with an integrated printer Using the included Software the handheld unit will transfer data to a PC via USB connection while in the docking station or it can also transfer data directly via USB cable when no docking station is available 1 3 Features of the easyTymp Pro Version The easyTymp Pro Version enables contralateral acoustic reflex measurements reflex decay and eustachian tube function testing when the optional Contra Probe is purchased and the additional license is activated 8111254 6 OM easyTymp e 15d 5 05 15 T MAICO Operation Manual easyTymp 1 4 Safety Notes The easyTymp should always be operated in a room with minimal magnetic influence to ensure that examinations are not disturbed by external noise Electro medical instruments that emit strong electromagnetic fields e g microwaves radiotherapy devices can affect the operation of the easyTymp Therefore the operation of these instruments in close proximity to the easy Tymp should be avoided at all times Note The examination room should have a normal temperature between 15 C 59 F and 35 C 95 F If the instrument has cooled down during transportation please wait for it to warm up to room temperature before operation warm up time less tha
44. tested 8 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex Min Intensity in dB HL 70 Intensity Reflex Max Intensity in dB HL 100 Frequency during Reflexes 226 Hz Earside Ipsi and Contralateral Tympanometry Frequency 226 Hz Number of Reflexes tested 8 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex Intensity in dB HL 90 Earside Ipsi and Contralateral 44 05 15 T MAICO Operation Manual easyTymp 09 1kHz Ipsi Contra Auto License Pro Version 10 1kHz Ipsi Contra 80dB BB License Pro Version 11 Decay Ipsi License Decay 12 Decay Contra License Decay 13 ETF Intact License Decay 14 ETF Perforated License Decay 8111254 6 OM easyTymp e 15d Tympanometry Frequency 1 kHz Number of Reflexes tested 8 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex Min Intensity in dB HL 70 Intensity Reflex Max Intensity in dB HL 2 100 Earside Ipsi and Contralateral Tympanometry Frequency 1 KHz Number of Reflexes tested 2 Test signal 80 Broad band noise Intensity Reflex Intensity in dB HL 80 dB Earside Ipsi and Contralateral Number of Reflexes tested 4 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex Min Intensity in dB HL 70 Intensity Reflex Max Intensity in dB HL 100 Duration of Signal 10 s Earside Ipsilateral Number of Reflexes tested 4 Frequencies 0 5 1 0 2 0 4 0 kHz Intensity Reflex
45. ton has no function Volume 0 70 ml Right and Left buttons will show the recordings of Pressure 2 daPa the right or left ears respectively if available Compliance 0 85 ml Up and down buttons scroll through the different Gradient 0 54 daPa tests which are included in the selected session Figure 47 8111254 6 OM easyTymp e 15d 31 05 15 T MAICO Operation Manual easyTymp 4 5 Setup Language Date amp Time eas vIymp Printer Clinic Info License Patient Management About Back Select Figure 48 4 5 1 Setup Language setup Language Cu Language English 4b Back Save Figure 49 8111254 6 OM easyTymp e 15d To change the Setup of the easy Tymp navigate from Test screen to Select test and then to easyTymp Figure 48 Operating from this screen Back The top left button brings you back to the Select test screen The top middle button has no function Select The top right button selects the highlighted setting to be viewed Hight and Left buttons have no function Up and down buttons scroll up and down to the next item Use right and left arrow keys to adjust language Figure 49 Available languages are English German Spanish French Italian Chinese Japanese and Polish 32 05 15 M MAICO Operation Manual easyTymp 4 5 2 Setup Date amp Time Use right and left arrow keys to scroll through the m options Figure 50 Date 14 02 2011
46. turning the instrument for repairs it is essential to also send the probe and all other accessories and include a detailed description of the faults In order to prevent damage in transit please use the original packing if possible when returning the instrument 6 Disinfection It is recommended that parts which come in direct contact with the patient be subjected to standard disinfecting procedure between patients This includes physically cleaning and use of a recognized disinfectant Individual manufacturer s instruction should be followed for use of this disinfecting agent to provide an appropriated level of cleanliness To avoid person to person cross contamination of communicable diseases eartips should only be used one time 7 Safety Regulations 7 1 Electrical safety The instrument is not to be used in environments dealing with explosive f material or equipment The easyTymp is constructed to comply with protection class Il Type B of the international standard IEC 60601 1 EN 60601 1 Protection from an electric shock is ensured even without the system earth connection The instruments are not intended for operation in areas with an explosion hazard 7 2 Measurement Safety To guarantee that the tympanometer works properly the instrument should be checked and calibrated at least once a year The service and calibration must be performed by an authorized service centre In accordance with the regulations of the EU med
47. ucec us euur eds euO ves supI sas eus sao UID UE ES NUDC MEUS UMP CES KUUEUE 29 2 4 9 VICW Deals sceededomneddhesetedo edd edddted dededtedededoedse 30 4 4 9 Edit Details ccccccccceccceeeceeeecececeeeceueceaeeceeeseueeeaeesseeseueesaeesseesensenaeenees 30 AAO VEW SCIUNT m UU EE EE A 31 4 4 11 View RESURS oeure rete ge coset cc coast eter bet nt cei ca bute catseaeet exeh exeeceveecet lt cyeeeehesseceeeee 31 OO CWI MU 32 BoE e gReenS eee eee eee EM 32 A 2 Sell BI TINE 33 AO SEIU EASY WYN NR 33 2 54 OUI NINN reeds A EA PE EE E E A E EA E AE ET 34 4 5 5 Setup Clinic Info sees 34 450 SCUD LICENS NR TT Tm 35 4 5 7 Setup Patent Managemen ee caccia sianki de daa ono ea aatia aca aao e qatiti de aao de hane oes 36 4 5 8 AO OW CREER ENIRO 36 4 6 easyTymp Pro Version Shoulder Box button 36 5 Warranty Maintenance and Service 37 O bIE tei n 37 Z DANCY PROC UA ONS aoe dace nace T 37 7 1 Electrical SAICLY RRRREENNRE 37 7 2 Measurement Safely cccceccceeeceseeteseeseeeteneecseeteeesseeeeeeteeeenees 37 Peo NSUUMEME we 1g 16 o o 37 L X8 DC MeO NR c 38 Fo Pauelit Sale esten E treten petentium En an OMM E 38 o POCMIMICAN M Dala TERI TM 39 9 TEST decr see
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