Neuromonics Fitting - Neuromonics Professional
Contents
1. Pz ient est test gt b G _ o ss i ht aemm te _ ee File Edit Chart Track Device Help 1 fA A d Classicalt O Headphones F Connected Oasis I SN S1D00000017 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K ff 10 10 10 40 15 20 25 20 35 40 40 40 40 10 10 15 20 25 30 35 40 40 40 40 12 00 AM 04 00 AM 08 00 AM 12 00 PM 04 00 PM 08 00 PM 18 Sep 2013 05 26 YW leeeeevesieceeessiL P Procedure Based upon patient input regarding perception of the acoustic stimulation in stereo the Audio Binaural Balance can be adjusted to the right or left side in 2dB steps up to a maximum of 10dB Adjustments can be made by either clicking and dragging the slider or using the arrow keys on your keyboard Note setting default or Headphone Selection WE Neuromonics Tinnitus Fitting Module Patient test test lt Lo e File Edit Chart Track Device Help GC JIRA A Cassica1 O O O 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K an an an 1 an an on on an an an an an an an lan lan 1 an an on on an an an an an an Clicking on the drop down menu of the Headphone icon allows the clinician to choose which headphones are selected for the patient There is a choice of three 3 options J5 Sony or Bose Track Adj2. you listen to your Oasis device To adjust the volume 1 Press the buttons on the Oasis device See Figure 1 Each time you press a button the volume increases or decreases incrementally 2 Press the desired button until you reach a volume comfortable for you Selecting a Track Each of the four music tracks lasts for approximately 60 minutes You may prefer to listen to a variety of track or to a single track several times You may find some tracks are more appropriate for certain listening times for example when you are going to sleep or when you are working Progressive Muscle Relaxation Track The Oasis device contains a selection that walks you through the steps of a progressive muscle relaxation exercise Press Center PLAY button scroll to PMR selection press PLAY Type text CL10 0006 Charging the Oasis Device 1 Plug the supplied power cord into a power outlet 2 Insert the charger plug into the Oasis device micro USB charging port Figure 4 3 Plugging the charger into the device automatically starts charging the Oasis device You can verify this by viewing the Charge Battery icon on the main screen Battery charging can take up to 10 hours When charging is complete the batter icon fills in completely and the normal charged icon will appear on the screen 4 Disconnect the charger and unplug from the power outlet Setting the Date and Time 1 The current date and time is displayed on the h
3. Help BS iil Classical 2 Headphones CG tne SN SID00000017 O Right 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K 250 500 750 1K 15K 2K 3K 4K 6K 8K QK 10K 12K an an an an r an ar an ar an in in in an an an an 1P an ar an ar an in an in aa When connection with the device is lost Not connected is displayed To re establish connection check supplied USB cable and that device is turned on The software will try to establish the connection automatically every 5 seconds Alternatively you can click on the icon to re establish connection Type text CL10 0006 Type text Enter High Frequency Audiometry Values Sepa m mou Yara o b Neuromonics Tinnitus Fitting Module Patient test test os File Edit Chart Track Device Help DS Qh Cassicalt D Headphones Connected Oasis 1 SN SID00000017 G Gad 12 00 AM 04 00 AM 08 00 AM 12 00 PM 04 00 PM 08 00 PM 18 Sep 2013 06 26 Y bororo rsmeeese sC I D The Neuromonics software will interpolate the 9 10 and 12kHz values from the entered audiogram If the patient s measured levels differ from this you can overwrite each of these values by highlighting the desired value and entering the correct value 2 Before Fitting the Oasis Device Review Questionnaires Have the patient complete the following questionnaires just prior to their appointment e Expectations Questionnaire for patient R
4. axation including an explanation of the typical physiological response to relaxation music Regular exercise strenuous enough to raise a sweat Preventing tinnitus from disrupting activities and lifestyle The Clinician s Guidelines CD includes several Patient Advice Sheets that you might find helpful to provide to your patient during the treatment process For exam ple diet and medication can influence tinnitus and sleep By modifying habits your patient can take steps to decrease their tinnitus disturbance in addition to Neuromon ics Tinnitus Treatment e g reduce coffee intake modify drinking habits reduce ex cessive smoking Handouts available on the Clinician s Guidelines CD include Changing the way you think about tinnitus Coping with environmental noises Diet and Medication Progressive Relaxation Training Sleep Stress and Relaxation 7 Counseling Expectations After Fitting review and give to patient Documents located in Treatment Protocol Patient Record Starting the Neuromonics Tinnitus Treatment Key points when using the treatment Expectations of Neuromonics Tinnitus Treatment Neuromonics Agreement Recommend patient sign Agreement Warranty Registration Card in Patient Information envelope with Oasis device Appointment Notes Follow Up Courtesy Call Date Stage One Appointment Date Type text CL10 0006 Type text Type text CL10 0006
5. device is programmed in Phase Two With the exception of patients with Reactive type tinnitus who will always have device programmed with the Phase Two Stimulus Note Phase Transition Setting Type text Type text CL10 0006 Track Selection Ay Settings Set Log Start Date September 04 2013 E7 Noise Level 10dB Select Tracks o Clicking on the Select Tracks tab opens the window from which the clinician can select which tracks will be available Classical 3 Relaxation 3 Relaxation 4 Use lt ALT gt key and drag item with mouse to reorder OK Cancel Click on the check box for the desired tracks then click OK Select up to 4 tracks The tracks can be re ordered by holding down the ALT key and dragging into the desired play order Note Track Selections 5 Determine Interaction Level Goal To achieve high interaction blending at a comfortable listening level High Interaction Level M Volume record on Neuromonics Fitting Form pejust to a comfortable level where the treatment blends with their innitus Degree of interaction blending achieved at this level Low Moderate High Complete Type text Type text CL10 0006 Type text 6 Tinnitus Management and Patient Advice Sheets Patient may benefit from basic advice and education on any one of the following issues Sleep Diet and medication Sound Level Exposure Medication Rel
6. etermined in conjunction with input from the patient regarding patient preferences and needs Setting Startup Volume The volume at which the device starts playing aik Neuromonics Tinnitus Fitting Module Patient test test File Edit Chart Track Device Help D amp S d Classical1 O O Headphones F Connected Oasis I SN SID00000017 G Right Left 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K 250 500 750 1K 15K 2K 3K 10 10 10 10 15 20 25 30 35 40 40 40 40 10 10 4K 6K 8K 9K 10K 12K 10 10 15 20 25 30 35 40 40 40 40 12 00 AM 04 00 AM 08 00 4M 12 00 PM 04 00 PM 08 00 PM 18 Sep 2013 05 26 YW leveesees eeeeeee IO I a 18 09 2013 v S 18 09 2013 v Current Volume refers to the volume at which the device is set at whilst it is connected to the software Manually adjusting the volume on the device will be reflected on the slide bar Start up volume is the volume which the device will start at each time it is turned on by the wearer Ideally this should be set at the wearer s threshold when listening to Track 3 Procedure Using Track adjust the volume up or down to find the level that the patient can just hear the music threshold Note setting default or Type text CL10 0006 Setting Audio Binaural Balance Up to 10 dB broadband volume difference between ears th Ne romonics Tinnitus Fitting Module
7. eview and discuss responses with the patient e Management Questionnaire for patient Review and discuss responses with the patient Type text CL10 0006 Type text 3 Getting to Know the Oasis The Oasis device uses buttons to navigate through the menu structure and through sound files Powering On the Oasis Device If the Oasis device is powered off press down the middle button The Oasis device powers on to the Menu screen Connecting the Headphones The sounds played by the Oasis have been exactly matched to the spectral profile of the supplied headphones to ensure device usage is effective Plug the supplied headphones into the headphone port on the top of the Oasis device Beginning and Ending a Session There are four Neuromonics customized music tracks that have been programmed for listening sessions To play a track 1 Press the center Play button The first track starts to play 2 Press Play again to pause treatment 3 To skip between tracks press the lt lt or gt gt button When PLAY is pressed again play resumes from the point where the track paused If the device remains paused for five minutes the device shuts off If PLAY is pressed again while off the Oasis device starts over by playing the first track Setting the Volume Each time you press PLAY at the start of a session the volume starts at a minimum volume level This is so that you set the volume to the correct level each time
8. ome screen 2 Press and hold the Play button until the set up menu appears approx 5 seconds 3 Using the buttons scroll down until the Set Date Time Menu is highlighted 4 Press the center Play button to access the Date Time Menu 5 Inthe Date field press the keys until the desired month is selected By using the lt lt and gt gt buttons you can move to the Day field and repeat step number 4 to achieve the desired day 6 Repeat step 4 to change the year 7 To complete setting the time return to the setup screen by advancing to the Setup Menu item and then press the center button to return Note The Oasis device will automatically return to the main screen if no action is taken for approximately 30 seconds Sleep Timer The Oasis device comes with a sleep timer so that you can play the Oasis device for 5 minutes up to 120 minutes To change the sleep timer 1 Press and hold the center Play button for approximately 3 seconds to access the set up menu 2 To select the Sleep Timer Menu press the lt lt or gt gt buttons until the Sleep Timer is highlighted By pressing the lt lt or gt gt buttons the Sleep Timer will change from 5 to 120 minutes 3 Select the desired sleep time then scroll down to return to the Setup Menu Note The Oasis device will automatically return to the main screen if no action is taken for approximately 30 seconds Single Continuous Mode The Oasis device allows yo
9. ortance of Customization Maximize stimulation of auditory pathways Stereo effect Accounts for asymmetry in hearing levels Allows more relief at a lower listening volume Able to use treatment for sleep Helps with relaxation Stage Designed to provide relief from tinnitus when using the treatment Helps in relaxation High level of interaction with tinnitus Relief and reduction of tinnitus awareness during listening sessions Patient will have relief only while using the device Type text NOAH operation e Enter patient s audiogram into Noah e Open the Neuromonics fitting module by clicking on the ae a Neuromonics icon Establishing a Serial Connection h Neuromonics Tinnitus Fitting Module Patient test test File Edit Chart Track Device Help H Gal Classical1 O O A Headphones Connected Oasis I SN SID00000017 JO Right 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K in in in in 4h an OR aM AR AN An an an in in in in am IN OR aM aR aM an an an The software will automatically detect the connected device and display the type of device and the serial number All changes made in the software are immediate and are automatically saved to the device A Neuromonics Tinnitus Fitting Module Patient test test a A o r o mmm File Edit Chart Track Device
10. u to play your tracks in either a continuous fashion or a single time only When selecting Continuous the track sequence will repeat after the final track and start at the beginning once more To Select Single or Continuous Mode 1 Press and hold Play for approximately 5 seconds to access the set up menu 2 Press the buttons until the desired mode is highlighted Pressing the lt lt or gt gt button changes the mode from Single to Continuous 3 Select the desired mode then scroll down to return to the Setup Menu Type text Type text CL10 0006 Usage Min 2 4 hours per day when tinnitus Bothersome Duration 6 8 mos varies depending on individual Use in small segments of time 15 30 or 60 minute time intervals Single plays selected track then automatically shuts off Continuous plays all tracks in a continuous loop until device is powered off Listening Volume Set the volume to a comfortable listening level never set volume to an uncomfortable listening level Don t be afraid to use more volume if you need it for relief Listening must always be pleasant amp relaxing High volumes can take away from the relaxing aspects and can become frustrating Gradually turn down volume a few minutes before ending your treatment session to aide in relief contrast Type text 4 Programming of Device Features Procedure Adjustment of various fitting parameters to be d
11. ustment WA Neuromonics Tinnitus Fitting Module Patient test test File Edit Chart 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K _ 10K 12K an an an an Lan an aR an an an an an an an in an ian am an oR an an an an an an The track being played can be played paused and the next or previous track can be selected Type text Type text CL10 0006 Noise Level Advanced settings WE Neuromonics Tinnitus Fitting Module Patient test test Lalm File Edit Chart Track Device Help Pif A all Classical1 O O A Headphones F Connected Oasis I SN SID00000017 Right Left 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K 250 500 750 1K 15K 2K 3K 4K 6K 8K 9K 10K 12K in 1n 1n 1n 1R mn DR an aR An An An An in 1n 1n 1n 1R on DR an aR An An An An Click on the Settings icon to open the Settings options When the instrument is Phase 1 the level of the white noise neural stimulus can be adjusted in 2dB steps to a minimum of 10dB and a maximum of 10dB from the default level Note setting default or Phase Transition Programmed to Phase One Right Le 250 500 750 IK 15K 2K 3K 10 10 10 10 15 20 25 ee 18 Sep 2013 06 26 W eee eeeeBeeeeee nl When the Phase Transition box is UNCHECKED the device is programmed in Phase One When the Phase Transition box is CHECKED the
12. w Neuromonics The Tinnitus Company Type text Neuromonics Fitting 1 Neuromonics Clinic Software and NOAH 4 New Patient et up How to Install the NeuroFit Software NB Do not connect your device to the computer prior to installing the software for the first time Noah 4 must already be previously installed on your PC Log in to www neuromonicsprofessional com and enter your details if you are doing this for the first time click on Register below the log in box and enter your email address and username a password will then be emailed to you Click on the Software and Firmware Download tab Click on NeuroFit Installer which will run the setup wizard then follow the prompts 8 NeuroFit e R elcome to the NeuroFit Setup Wizard The installer will guide you through the steps required to install NeuroFit on your computer WARNING This computer program is protected by copyright law and international treaties Unauthorized duplication or distribution of this program or any portion of it may result in severe civil or criminal penalties and will be prosecuted to the maximum extent possible under the lav When the installation has completed click on Close Installation Complete NeuroFit has been successfully installed Click Close to exit Please use Windows Update to check for any critical updates to the NET Framework Type text CL10 0006 Imp
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