Fitting Guide - For professionals
Contents
1. PART 1 Inspection of the abutment area 1 Try rotating the abutment to check that it is stable If the abutment connection seems loose refer the patient to a trained healthcare professional to have it tightened 2 Inspect the skin around the abutment before the sound processor is connected 3 Any skin debris from around the base of the abutment should be removed This prevents infections Skin debris may be found inside the abutment itself and this should also be removed Should there be any sign of a skin irritation around the abutment area apply a mild antibiotic cream ointment The clinic should provide counseling to the patient on how to treat skin reactions and which ointments to use Make it clear that should soreness persist the patient must contact the clinic Training with the snap trainer Use a dummy sound processor for this training to avoid damaging the patient s sound processor Have the patient practice connecting and disconnecting the sound processor to a snap trainer to avoid damage to the snap coupling Instructions for the patient 1 Hold the sound processor so that the snap coupling is accessible Tilt and push the unit carefully in and it will connect to the abutment on the snap trainer2. All of these items are available in the Baha Aftercare Kit PART 5 Care of the abutment and sound processor PART 5 Care of the abutment and sound processor Cleaning brushes Signs of problems 1 Advise the patient that the sound processor brush 1 for snap coupling and the Instruct the patient to clean the skin and apply a mild antibiotic cream ointment if abutment cleaning brush 2 for abutment and surrounding area should be cleaned any redness and or soreness should occur around the abutment Additional instruction each time they are used When the patient has finished with the brush it should be may be required on how to properly treat skin reactions and which ointments should rinsed in soap and water and left upright to dry The brushes should also be be used changed at regular intervals Cochlear recommends every 3 months Make it clear that should redness and or soreness persist the patient must contact the 2 Explain to the patient that it is also important that different brushes are used for clinic If in any doubt the patient should always contact the clinic A skin reaction is cleaning the abutment and the snap coupling respectively If the patient is bilaterally easier to treat at an early stage once it becomes an infection it will require more care fitted different brushes should be used for each side NOTE Water should not be used when cleaning the sound processor Should you require any additional
3. 22 Audio adapter The audio adapter allows direct input from personal stereos TVs MP3 players and other external audio equipment The audio adapter also works as an isolator protecting the sound processor from sudden power peaks WARNING It is extremely dangerous and potentially fatal to connect any equipment that is plugged into a 110 and or 220 V power supply without using the Audio adapter Only connection cables supplied by Cochlear should be used Non standard connection cables can cause damage to the sound processor and injury to the patient Cochlear is not liable for any damage resulting from incorrect use or connecting incorrect equipment FM receiver FM systems are primarily used in the classroom and other settings where there is a primary speaker that needs to be heard clearly in spite of background noise There are various FM receivers that are compatible with Cochlear Baha Sound Processors Telecoil unit The telecoil unit is specifically designed to improve sound when using telephones In addition it enables access to loop facilities in homes and public buildings with the head worn devices Body worn devices have a built in telecoil For Cordelle Il Intenso Divino Compact Processors For Baha 3 Processors For Intenso Divino Compact Processors For Baha 3 Processors For Intenso Divino Compact Processors For Baha 3 Processors 23 PART 7 Accessories PART 8 Patient kit and doc
4. 2 To release the sound processor put one finger under the device and tilt it until it releases Training on the patient s abutment When the patient is comfortable with the tilt technique have the patient practice connecting and disconnecting the sound processor on their own abutment Instructions for the patient 1 Move any stray hair away from the abutment 2 Use the same technique that you practiced with the snap trainer to tilt and push the device on to your abutment 3 To release the sound processor put one finger under the device and tilt it until it releases IMPORTANT Use the tilt technique to avoid pushing the sound processor straight in or out This reduces pressure on the snap coupling and abutment preventing any discomfort PART 3 Fitting PART 3 Fitting JEJEJ Fitting Initial settings The new generation Baha 3 Sound Processors are programmable The factory setting may be a starting point for a quick demonstration in some cases but it is suggested that a processor is custom programmed using Baha Fitting Software for optimized performance Once the sound processor is programmed please see page 9 further evaluate patient feedback on sound quality and fine tune the processor using the Hearing Mentor feature of the Baha Fitting Software Basic programming steps for Baha 3 BP100 and Baha 3 Power BP110 Programmable Sound Processors Program the Cochlear Baha Sound Processor usi
5. All surgical procedures include an element of risk and it is impossible to guarantee success The device may fail to osseointegrate for a number of reasons including physiological and surgical issues as well as traumatic impact to the implant site On rare occasions the skin around the abutment may become inflamed from a mild infection or the skin may grow back towards its original thickness For complete information regarding the risks and benefits of a Baha procedure please refer to the instructions for use for the Baha implant available at ww CochlearAmericas com Bahaindications www CochlearAmericas com Cochlear Americas 13059 East Peakview Avenue Centennial CO 80111 USA Tel 1303 790 9010 Fax 1303 792 9025 Cochlear Canada Inc 2500 120 Adelaide Street West Toronto ON MSH 1T1 Canada Tel 1416 972 5082 Fax 1416 972 5083 KY Pl BY peo Baha Baha Divino and Baha Intenso are trademarks of Cochlear Bone Anchored Solutions Cochlear and the elliptical logo are trademarks of Cochlear Limited The names of actual companies and products mentioned herein may be the trademarks of their respective owners Cochlear Bone Anchored Solutions 2011 BUNO27 ISS1 DEC11
6. information on the cleaning of devices please contact your local Cochlear office NOTE Cochlear does not recommend using a standard toothbrush for the cleaning of the abutment area as it may be too abrasive Please use a an abutment cleaning brush as supplied with the Baha Sound Processor 17 PART 6 Troubleshooting PART 6 Troubleshooting GUIES Troubleshooting No sound weak sound Buttons not working Weak or dead battery try a new battery e Keylock enabled Visual Indicator will flash 6x on start up In DAI program try a different program BLUE indicator gives three short flashes ORANGE indicator gives three short flashes Volume too low increase volume Activating keylocks Clogged microphone cover change battery door Press the two volume buttons at the same time and hold for five seconds BLUE indicator gives three short flashes Programming mode enabled if the LEDs are flashing alternatively remove battery to reset device e Deactivating keylocks Press the two volume buttons at the same time and hold for five seconds ORANGE indicator gives three short flashes NOTE Programming adjustment should not be performed by the patient Distorted intermittent sound Volume is set too high decrease volume setting Weak or dead battery try a new battery Battery door not closed completely use instructions in the user manual to close the battery door properly Battery door damaged replac
7. processor to the NOAHlink or HI PRO USB box and then to the patient s abutment 1 Patient gt Audiogram Enter the patient s personal data and thresholds in the audiogram or click the Import button to import the patient s personal information and kai audiogram data from where you have the data 52 Finaize gt stored on your computer EP2 Sound Processor Select sound processor and press the Detect button EP3 BC Select To match the patient s individual profile be sure to choose parameters that best describe your patient in each of the following items 1 Patient 2 Indication 3 Connection Evaluation by the patient 1 Upon completion of initial fitting using Baha Fitting Sofware let the patient keep the processor connected to his her abutment 2 Ensure the processor is on and connected to the computer hosting the Baha Fitting Software through the programming cable 3 Click on the menu Hearing Mentor in the Baha Fitting Software 4 Have the patient describe the sound quality Is it too loud soft What about the patient s own voice Is their voice too low or too high pitched 5 Adjust the slider controls according to the patient s comments on sound quality in the Hearing Mentor screen 6 Repeat step 4 and 5 until the patient is satisfied with the sound P 4 Fitting recommended Make adjustments to match the patient s needs a BC Direct Measure the patient s bone
8. FOR PROFESSIONALS Cochlear Baha A BONE CONDUCTION HEARING SOLUTION Fitting Guide Hear now And always Cochlear Fitting Guide Products in this manual are protected by the following patents US 5 735 790 US 5 935 170 EP 0715839 EP 0715838 and corresponding patents in other countries and pending patent applications No part of this publications may be replaced stored in a retrieval system or transmitted in any form by electronic mechanical photocopying recording or other means without the prior consent of the publisher CAUTION Federal law USA restricts this device to sale by or on the order of a medical practitioner Cochlear 2011 All rights reserved Contents 12 15 18 22 25 28 Vas 33 34 Introduction PART 1 Inspection of the abutment area PART 2 Connecting the sound processor PART 3 Fitting PART 4 Using the sound processor PART 5 Caring for the abutment and sound processor PART 6 Troubleshooting PART 7 Accessories PART 8 Patient kit and documents PART 9 Follow up PART 10 Pediatric fitting with Baha Softband References Notes Hear now And always Fitting Guide Cochlear Introduction Introduction Introduction This guide covers the steps required for the successful fitting of a Baha Sound Processor for both adult and pediatric patients It also provides information on the aftercare required and the acce
9. build up around and inside the abutment and it is u ive or fri n help th ient make r r vi important that it is removed Demonstrate to the patient how to use the abutment Se SURE E O E Dw ET E yeu l checks around the abutment for signs of infection as there may be parts of the cleaning brush to keep the abutment area clean l abutment area that are hard for the patient to see for themselves EL eee ee ee Es eee eee DE SE ee un 5 If the patient does not want to involve anyone else in the care of the abutment they could use a mirror to check the site If it is hard to see all angles in the mirror a digital camera can be used to take pictures of the abutment Using the pictures the site can be seen from all angles Instructions for the patient 1 Bristles should be aimed at the side of the abutment rather than at the skin The focus is to remove crust and debris from the base of the abutment rather than on brushing the skin You can demonstrate the proper cleaning brush technique using the snap trainer NOTE Inform the patient that the snap coupling is a sensitive part of the sound processor Patients should not put excessive force on the snap coupling during 2 Using a mild soap with plenty of warm water is recommended Cleaning the cleaning as this may damage the sound processor abutment is commonly done in conjunction with taking a shower or a bath oeoeeeeese se e eee ee ege eeeeeee 8 e eeoeeee eege e e eee8ee8ee8e 8 8 08
10. comfortable level If the sound is still perceived as weak repeat this step Ask the patient what kind of sounds soft or loud sounds are too low and then adjust the respective trimmer D N To save your selected side or to move on to the next step press the Program button Two long flashes are followed by a series of short alternating flashes steps Adjusting gain by 5dB Press left decreases the gain 5dB the blue indicator illuminates Press right increases the gain 5dB the orange indicator illuminates Press left and right returns to the default setting the blue orange indicators illuminate Left Right Sound too loud Check the volume Decrease the LB If soft sounds become too low increase the TK slightly To save your selection or to move on to the next step press the Program button Three long flashes are followed by a series of short alternating flashes Let the patient adjust the volume to the most een comfortable level If the sound is still perceived as Adjusting the low cut setting _ loud repeat this step Ask the patient what kind of a ms sounds soft or loud sounds are too loud and then Press left sets the default frequency response the orange and blue adjust the respective trimmer indicator illuminate Press right sets low cut orange indicator illuminates To save your setting or to move on to the next step press the Pr
11. conduction responses directly through the sound processor b Hearing Mentor Make adjustments to meet individual patient needs 25 Finalize gt Save Click the Save button to download settings to the sound processor You also have the option to click the Export button to export the patient s personal information and audiogram data to where you would like to save it on your computer If needed click Session Report for a printable PDF document that includes useful information for both the patient and the clinician Hearing Mentor task lets you quickly and easily make overall changes to the sound processor for the typical patient comments Loudness Adjusts overall loudness of the chosen program in the patient s sound processor Sound Quality For a brighter sound with high frequency emphasis increase the setting For a fuller sound with a flatter frequency response decrease the setting Own Voice Increase or decrease to make the patient s voice louder or softer Performance in Noise For a clearer sound with greater emphasis on softer high frequency speech sounds in a noisy environment increase this setting For a more comfortable sound with less high frequency emphasis decrease this setting PART 3 Fitting PART 3 Fitting Alternate fitting option Button programming for Cochlear Baha 3 Sound Processors Fine tunning for Cochlear Baha Cordelle II Sound Processor Please note that the steps below
12. ctors affecting battery life Hours of use per day Program setting Volume setting Sound environment Battery brand Use of an FM receiver NOTE If the patient connects an FM receiver battery life will decrease even when the device is switched off as the FM receiver uses the sound processor as its power source Care of the abutment and sound processor PART 5 Care of the abutment and sound processor First weeks Weekly cleaning Explain that the patient should clean the inside of the abutment on a weekly basis If the inside of the abutment is not clean it can prevent a smooth fitting of the Baha Sound Processor onto the abutment and can also affect the sound quality During the first weeks after surgery once the dressing is removed cleaning the T abutment with the abutment cleaning brush may feel a little rough for the patient A strip of alcohol free wet wipe can be used around the abutment until the skin becomes less sensitive and the brush can be used 2 Describe how to keep the sound processor clean by wiping it regularly with an alcohol free wipe Da ly clea ni ng 3 Make sure the patient knows that the snap coupling of the sound processor must always be kept visibly clean Use the sound processor brush to clean the l a ing n r when cleaning th r i Explain that the abutment area must be cleaned on a daily basis in order to keep SUE DIES BU NE POMOCU WATE UNE Eau 2 it reaction free Skin debris may
13. e battery door Loose abutment tighten abutment Programming adjustments may be needed NOTE Abutment tightening should be performed by authorized professional only Programming adjustment should not be performed by the patient PART 6 Troubleshooting PART 6 Troubleshooting Feedback If the sound processor has become damp wet Battery door in the wrong position 1 Immediately open the battery door and remove the battery Objects in contact with sound processor 2 Put the sound processor in a container with drying capsules Leave the device to dry out overnight Drying kits are available from most hearing healthcare professionals Volume is set too high Battery door damaged NOTE The sound processor is not waterproof Instruct the patient not the get the sound processor wet Programming adjustments may be needed NOTE Programming adjustment should not be performed by the patient Should any problem persist after the recommended actions have been taken return the device to your local Cochlear office for repair inspection 20 21 PART 7 Accessories PART 7 Accessories WN aia Accessories A number of accessories have been developed for Baha Sound Processors The accessories are designed to maximize access to technologies that make listening easier in specific environments Specify which accessories are available discuss how they are used and how the accessories meet the patient s possible needs
14. ee ice ieee Regular aftercare is needed for the abutment area the inside of the abutment sing the manual to review these steps will familiarize the patient with the document and the sound processor This care is crucial to the best outcomes for the EEE patient It is important that the patient understands the need for aftercare and 1 Demonstrate how to use the volume control including switching the device on and off Explain that moving the volume control wheel from position 0 to 1 or can comply to the requirements needed to maintain their Baha 3 System vice versa turns the sound processor on or off in anon programmable processor In a programmable processor LEDs flash to confirm when the processor turns on BP100 BP110 Power 2 Review all the available programs and how they should be used CHANGING PROGRAM A Baha 3 Sound Processor can hold up to 3 programs To switch programs quickly press and release the middle button Audio and visual signals let you know which program you have switched to 3 Show how to connect accessories to the sound processor 4 Explain how to change the battery and where the patient can obtain new batteries for the sound processor 5 Describe the different factors that can affect battery life Recommend that the patient uses powerful batteries when high current consumption is common The batteries delivered with the sound processor reflect the Cochlear latest battery recommendations Fa
15. intment with the patient within 6 weeks after initial fitting for evaluation and final adjustment of the sound processor It is very important to make a new adjustment of the settings once the patient has become accustomed to the sound of the Baha device PART 10 Pediatric fitting with Baha Softband D Pec atric fitting gt with Baha Softband Pediatric fittings are particularly challenging because the results can often be difficult to verify When using a Baha Softband the sound signal from a Baha device is reduced by approximately 10 dB compared to the sound from a device fitted to an osseointegrated implant Therefore Cochlear recommends that you use a stronger sound processor for the test than the child s audiogram indicates This will have a greater impact on the higher frequencies High frequencies are weakened by passing through skin more than low frequency signals The new Baha Fitting Software offers features such as BC Select and BC Direct that may help in best optimizing a Baha 3 Sound Processor fitting with Baha Softband 28 2 PART 10 Pediatric fitting with Baha Softband Fitting the Baha Softband Try to make the first moments with the Baha Softband a
16. ng the Cochlear Baha Fitting Software Launch this software from NOAH or start it directly in stand alone mode Before launching the software install it on a computer as described in the Installation Instructions NOAH 1 Start NOAH dh Cion 2 Select or add a patient in NOAH For a returning patient select a session 3 If needed enter hearing thresholds in the audiogram 4 Click the NOAH module selection button and choose Cochlear Baha Fitting Software 5 Connect the sound processor to the NOAHIink or HI PRO USB box and then to the patient s abutment P3 Fitting recommended Make adjustments to match the patient s needs a BC Direct Measure the patient s bone conduction responses directly through the sound processor b Hearing Mentor Make adjustments to meet individual patient needs EP1 Sound Processor 4 Finalize gt Save Select sound processor and gt press the Detect button Click the Save button If needed click Session Report for a printable PDF document that includes useful information for both the patient and the clinician EP2 BC Select To match the patient s individual profile be sure to choose parameters that best describe your patient in each of the following items 1 Patient 2 Indication 3 Connection Stand alone Mode 1 Start the Cochlear Baha Fitting Software by double clicking the icon on your desktop or from the Start menu 2 Connect the sound
17. occur sequentially i e in order to perform step 4 steps 1 3 must be completed first NOTE If the sound processor has been programmed using the Baha Fitting Software adjustments made using Button Programming will be cumulative Initial settings ser Activating programming mode sutton programming tool Trimmers LB Loudness boost L TK Threshold knee Tone selector N Normal H High frequency emphasis L Low frequency emphasis Volume Sound too weak Telecoil selector Make sure the sound processor is set to the following SAA initial settings LB Minimum TK Maximum Tone N and Telecoil in the M position The TK trimmer will adjust the gain for soft sounds and the LB trimmer LB Minimum TK Maximum will adjust loud sounds Program Press preferably using the tool the Volume buttons and the Program button at the same time and hold for three seconds The orange and blue indicators will then emit a long flash followed by a series of short alternating flashes to indicate that programming mode is active Program Increase the LB slightly E deere and telecoil Selecting the left or right side If feedback occurs or the patient feels that soft sounds awe T _Telecoil i are too loud decrease the TK slightly e Press left to select the left side the blue indicator illuminates e Press right to select the right side the orange indicator illuminates Let the patient adjust the volume to the most
18. of the Baha Softband for a couple of days or until the soreness is gone Safety line Important Cochlear recommends that the safety line is used to attach the device securely to the child s clothing NOTE Ensure that infants have adult supervision when wearing the Baha Softband For children who have been fitted with a Baha on an implant or with a Softband it is important that the parent or caregiver help with inspection cleaning and maintenance of the abutment area Softband and sound processor Provide the parents or caregivers with the following information Demonstrate the sound processor using the test rod Review care and maintenance of the abutment area and the sound processor Go through troubleshooting the sound processor Advise the parent caregiver that the test rod or Baha Softband can also be used to check that the sound processor is working properly A demonstration may be needed NOTE The Baha Softband can also be used by older children who are contraindicated for surgery References 1 32 B H kansson A Tjellstr m U Rosenhall Hearing thresholds with direct bone conduction versus conventional bone conduction Scandinavian Audiology 1984 13 1 3 13 Gr nder Seidl RO Ernst A Todt I Relative value of Baha testing for the postoperative audiological outcome HNO 2007 Sep 20 Hodgetts WE Scollie SD Swain R Effect of applied contact force and volume control setting on output force le
19. ogram button l z Four long flashes are followed by a series of short alternating flashes Default Low cut i Too much bass problem N setae with own voice 5 Activating or disabling visual indicators gerhard H i Press left turns off the visual indicators the orange indicator illuminates Press right turns on the visual indicators the blue indicator illuminates Toom uch treble To save the indicator status or to move on to the next step press the Program Satih Hat button Five long flashes are followed by a series of short alternating flashes s z eL TNE TONE COMMOULO k N For more information on the effect of the tone switch see the Baha Cordelle Il data sheet H L lt stepe Exiting the programming mode Press preferably using the tool all three buttons and hold for three seconds The indicators will stop flashing 11 The illustrations used for describing the process of Button Programming applies to both the Cochlear Baha 3 BP100 and Cochlear Baha 3 Power BP110 processors PART 4 Using the sound processor PART 5 Care of the abutment and sound processor aE Using the sound processor YN aCe Care of the abutment and sound processor Part 4 8 pages 12 27 are particularly important for the patient Going through these parts carefully will help ensure that patients get the maximum benefit from Baha Many of the points covered in part 4 8 are included in the Patient User Manual u on et
20. older Baha Sound Processors are marked with a red dot mark beside one of the pin plugs On the sound processor there is a corresponding mark beside one of the three DAI holes C The marks on the sound processor and the marks on the telecoil audio adapter must match up when connecting 24 23 26 PART 8 Patient kit and documentation Patient kit Abutment cover An abutment cover is included in the kit It can be attached when the device is not being worn It counteracts reflection of light from the abutment and keeps the inside of the abutment clean The patient should use the abutment cover during hair treatments such as coloring Safety line The safety line prevents the sound processor from being lost if it is inadvertently knocked off for example during sporting activities Cochlear recommends that children wear the safety line at all times The safety line is also considered useful for new users Abutment cleaning brush The abutment cleaning brush included in the kit is important for aftercare Read more about it under Caring for the abutment and sound processor see page 13 17 Inform the patient where new brushes can be purchased Share the Experience A modified test rod is delivered along with the Baha Sound Processor The purpose of the test rod is to encourage the patient s relatives and friends to share the experience of bone conducted hearing It is also useful for checking that a child s sound proces
21. s contain natural rubber latex that may cause allergic reactions The newer generation Baha Softbands are latex free 8 Make sure the sound processor does not touch the auricle or have any other contact with the skin to prevent feedback 9 Present some noise and observe the child Verify that there is adequate gain via soundfield audiometry or other age appropriate testing 10 If necessary increase the volume monitoring the child to check that the sound is not too loud NOTE The amount of sound that gets transferred is based on both the volume setting and the contact area of the plastic snap connector disc PART 10 Pediatric fitting with Baha Softband 31 PART 10 Pediatric fitting with Baha Softband References Period of use Pediatric considerations 1 Keep the Baha Softband on for very short periods 10 15 minutes for the first few occasions 2 Use for longer periods once the child accepts the Baha Softband 3 Rotate the position of the plastic snap connector disc regularly 4 Reduce the time of use if there is any sign of discomfort This is to ensure that the child maintains positive associations with using the Baha Softband NOTE Cochlear recommends rotating the position of the plastic snap connector disc regularly to avoid discomfort and soreness If soreness arises avoid placing the plastic snap connector disc on this area for a couple of days Should the soreness persist discontinue use
22. s pleasant for the child as possible It is very important that the child has positive associations with using the Baha Softband 1 Program the sound processor for patient s individual bone line using the Baha Fitting software Optimize the sound processor fitting for use with Baha Softband by selecting suitable parameters in the BC Select screen Also whenever possible conduct BC Direct measurements which are in situ bone conduction thresholds using patient s processor Attach the sound processor to the plastic snap connector disc on the Baha Softband Test that the Baha Softband works by putting it on yourself plugging your ears and introducing sound Put the Baha Softband around the child s head quite loosely at first Place the plastic snap connector disc against the mastoid or another bony location of the skull Avoid placing it on the temple as this may be uncomfortable Check that the entire snap connector disc is in contact with the skull bone Tighten the Baha Softband until it is close fitting enough to ensure effective sound transmission but loose enough not to cause the child any discomfort TIP Make sure your finger fits between the skull and Baha Softband this will ensure that the Baha Softband is not too tight 30 NOTE Once the Baha Softband is tight enough to transmit sound effectively additional tightening will only increase the sound marginally u CAUTION The older Baha Softband
23. sor is working Demonstrate using the test rod First snap the patient s sound processor onto the test rod using the same tilting motion that is used when attaching the processor to their abutment Then hold the test rod firmly against the skull bone behind the ear without touching the sound processor housing Have the person listening to the Baha plug their ears so they can fully appreciate the sound Documentation Patient User Manual Go through the Patient User Manual together with the patient Device Registration Card Fill in the Device Registration Card together with the patient and send this to Cochlear Warranty service and repair Explain warranties Warranties for Baha differ from country to country For information about the warranty in your country please consult your local Cochlear office The requirement for service and repair of the sound processor depends on the patient s use of the device as well as hygiene and the environment Make sure that the patient is aware of how the sound processor should be used and maintained PART 8 Patient kit and documentation 2 PART 9 Follow up GUIRI Follow up Cochlear recommends scheduling a follow up appo
24. ssories that are available for the Cochlear Baha 3 System Each part of the fitting process included in this guide should be covered during a fitting session Demonstrating care of the implant site and care and use of the sound processor are of particular importance However the order of the steps involved in the fitting process can be modified to suit individual preferences The Fitting Guide is part of a range of Baha audiology documents designed to guide you through the process of identifying patients selecting a suitable sound processor for patients fitting the chosen device and providing follow up support PART 1 Inspection of the abutment area PART 2 Connecting the sound processor
25. uments INH Patient kit and documents __ Bluetooth accessories Cochlear Baha Sound Processors are delivered in a kit that includes useful Bluetooth accessories allow wireless connection between a Baha and a Bluetooth components and important documentation The kit includes abutment cover compatible device such as a cell phone Bluetooth accessories are connected to the Baha Sound Processor by using a telecoil and the neck loop provided with the safety line soft cleaning brush Share the Experience test rod Patient User Bluetooth accessory Manual Device Registration Card and Warranty Card and a pack of recommended batteries Introducing the kit and its contents will help ensure your patient NOTE Cochlear recommends testing any Bluetooth device with the Baha Sound gets the maximum benefit from their Baha Processor and the patient s mobile phone before purchase as the signal strength and sound quality differ between mobile phones Connection 1 Explain that all accessories plug into the Direct Audio Input DAI on the sound processors 2 Explain that accessories must be correctly connected to the sound processor Pe Instructions for the patient A Accessories for the new Baha 3 Sound Processors use a 3 pin connector One of the 3 pins are thicker than the others The thicker pin should be aligned with the thicker hole in the processor before connecting an accessory B The telecoil and the audio adapter for the
26. vels of the Baha Softband Int J Audiol 2006 45 5 301 8 33 34 35 Hear now And always This is the Cochlear promise to you As the global leader in hearing solutions Cochlear is dedicated to bringing the gift of sound to people all over the world With our hearing solutions Cochlear has reconnected over 250 000 cochlear implant and Baha recipients to their families friends and communities in more than 100 countries Along with the industry s largest investment in research and development we continue to partner with leading international researchers and hearing professionals ensuring that we are at the forefront in the science of hearing For patients receiving any Cochlear hearing system our commitment is that for the rest of your life we will be here to support you As your patient s partner in hearing for life Cochlear believes it is important to convey not only the benefits but also the potential risks associated with a Baha procedure Not everyone with hearing loss is a candidate for a Baha Baha is contraindicated in patients with inadequate bone quality or quantity to provide stability and support for the implant or in patients who will be unable to maintain and clean the skin around the abutment In the U S use of the implanted fixture is also contraindicated in children under age 5 years
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