User Manual - For professionals
Contents
1. Replace the coll Have a hearing person use the monitor earphones to check if sound is being received Refer to the Monitor earphones section following for further information Change your Controller 6 Nucleus Freedom Speech Processor 3 Uncomobrtable sound If the sound level is not comfortable for example when the volume s low and the background noise Is too high Check if the microphone sensitivity or volume level is as recommended Change the level Speak into the microphone and watch how the indicator light responds If tt is on in that program Change to another program to check if that program Is more comfortable or to use a SmartSound function better suited for the sound Wash or replace the microphone protective cover Use the lapel microphone and or monitor earphones to monitor the sound being received Ask your clinician to check your program setting s and discuss whether you need a different program setting 4 Disply not sheing The speech processor may still operate when the display is not showing Stop the power to the Processing Unit and then restart rt To stop the power you can either 62 Hold down the Select button until the speech processor IS off Twist the Processing Unit and either the BIE Controller or the Bodyworn Controller shoe until they no longer connect then twist them back into place again Slide the battery holder out then in again Nucleus Freedom Spe2. 2 Nucleus oe freedom User Manual for the Nucleus Freedom BTE and Bodyworn speech processors Part Number N31018F Issue 2 Contents ntroductiOn ssssssssssocsssocsoocosooosoeossosoooo000000000 CIVET NEW ieee E A EE 5 Warranty registration and patient identif cation card 8 Serial number esesecsscerst soscaescceteseecisseeuceneccestioesssterscaeastetonecsiss 8 Other Information ctnctcseeciecdsecseecdoncseeeseeiseccorsdoncaeesseedsacesrcderwa 9 Program options available essscsssteecesceesecesceseeeecees 9 Nucleus SmartSound seesseseseessesseseesesseesessessessesessessesseseesees I0 Speech Piocessor COMPONE NEG cccccccccccccccceed 2 Processing WIIG scssceseencseetscvencecacietsazecaereeeaceeecxtcuecpetenaccosesnaees 2 PA NOOK ena aE E E A A N O 3 Tavs fee io gil 19 coe ee EE EAE 5 Changing the Controllers ccccisucscesnsvesecensssnceaccsnsetecdescsuseasver l6 CO e AE E E EA 20 OIE ORCC ONY merre ae E EE 20 Freedom Controllers sesccscccpssncanerescrseveesnszezenensseceetersvecoeeerseayers 22 By Cs E E EN E E A NE ere 23 OA ING EE i E S AE E E A 25 Program selection seseseseseseseseseseseseseseseseseseseseseseseseseses 26 Listening COMEVONS sectpesececcaseyscovsepsesacceasexcvoreesespeeeeareyeesetcveas 27 In built Telecoil specoctcepecseveruceeceps ee evetecvecactocteeaeeseeccaetoecsesedeees 30 UICC ONT OK creeccectece eyed sect screcteceeaietsczceeecteaacteecesacseepueseuact
3. In noisy situations decrease the sensitivity to reduce background noise In quiet situations increase the sensitivity to hear very soft sounds To change the microphone sensitivity level Push either the lncrease Decrease button The display will show the current microphone sensitivity level 2 Continue pushing the Increase Decrease button until you reach the microphone sensitivity level you want Push either The microphone sensitivity is shown as a number between O and 20 The recommended level is 2 If you f nd you often set the sensitivity higher or lower than this level consult your clinician 28 Nucleus Freedom Speech Processor Autosensitivity Autosensitivity automatically adjusts the microphone sensitivity and prevents the background noise from becoming too loud It may be included as an option within one or more of your programs You can use It by changing to the program where It Is available Volume contpl The volume controls your perception of loudness Reduce the volume if sounds are uncomfortably loud Increase the volume If speech including your own voice Is too soft The volume level is shown as a number between O and 9 If you are adjusting the volume setting often or if adjusting the volume causes you discomfort consult your clinician To change the volume level Push either the Increase or Decrease button 2 Push either the Increase or Decrease button a
4. a variety of lengths Nucleus Freedom Speech Processor To attach the Bodyworn Shoe and Cable to the Controller line up the dot mark on the plug with the dot mark at the top of the Controller and push the plug into the socket Note Never poke anything into Microphone ports the microphone ports on the spine of the Processing Unit Earhook Two earhooks are available to f t differently sized ears One is designed for use by adults the other by children That is one is for use on larger ears the other on smaller ears Smaller earhook for use by an adult Larger earhook for use by a child Nucleus Freedom Speech Processor In addition the earhook can be shaped to better ft or be more comfortable on your ear To shape the earhook remove it from the Processing Unit place it in hot water for a few minutes and then bend it to the shape you want To change or remove the earhook pull t away from the Processing Unit Replace the earhook by pushing it back into place Pull earhook to remove gt Pull earhook to remove Avoid twisting the earhook It may become loose when twisted too much Microphone pptector Microphone Always use the microphone protector that covers the microphone ports It is designed to protect your speech processor from dirt and moisture The microphone protector should be replaced when it becomes dirty or the sound quality deteriorates For
5. regulations Never dispose of batteries in f re Bodyvorn Contoller Your Freedom Bodyworn Controller holds two AAA batteries Cochlear recommends rechargeable nickel metal hydride NiMH batteries or disposable alkaline batteries For optimum battery life of rechargeable batteries use NIMH batteries of at least 800mAh capacity Replacing the batteries To replace the batteries Turn off your speech processor 2 Firmly hold the cover and slide it down to reveal the battery compartment 37 Nucleus Freedom Speech Processor 3 Remove the old batteries and replace with new ones Make sure the and symbols on the batteries match the and symbols in the compartment 4 Slide the cover back until rt clicks Into place Note Dispose of used batteries in accordance with your local regulations Never dispose of batteries in f re Recharging NiMH batteries Use the charger supplied to charge NiMH batteries for use with your body worn battery pack For more information on how to use it see the instructions supplied with the charger Caution Do not use the charger for zinc carbon alkaline lithium or any other disposable batteries 38 Nucleus Freedom Speech Processor Always ensure the batteries are placed so the and symbols on the batteries match the and symbols in the compartment Generally the following precautions apply so you can get the most out of your rechargeable batteries En
6. for a few seconds until an M shows on the display except when using a lapel microphone or you hear sound through the microphone 47 Nucleus Freedom Speech Processor From microphone to accessor To move back to the accessory push both the Increase and Decrease buttons at the same time for a few seconds until you can hear the accessory again Make sure your f nger presses both sides of the button area 48 Nucleus Freedom Speech Processor Care and Foubleshooting Care Your speech processor should work well even when used in very cold or hot outdoor temperatures Generally in cold temperatures your body heat Is suff cient to keep the speech processor warm and working well In very cold weather wear a hat or headband over the BIE speech processor or Processing Unit If worn in hot temperatures it should work well However when not worn do not leave your speech processor In very hot areas for example in sunlight behind a window or in a car For information on the temperatures the speech processor Is tested to see Technical information Environmental conditions Do not wear your Nucleus Freedom speech processor while bathing or swimming If your speech processor does get wet wipe it dry and place it in the dry aid kit for at least twelve hours If t then does not work return it to your clinician Cochlear cannot guarantee that they will be able to repair any water damaged part Take off your speech p
7. has been programmed for use with your implant only It is important to only use your own speech processor to never swap yours with another person and if you have two implants to correctly match the speech processor to the correct implant Warranty registration and patient identifcation cad Your warranty Is enclosed Please complete the registration card and return rt to Cochlear within 30 days of receiving your product You should also complete the supplied patient identif cation card and carry it with you at all times Serial rumber The serial number is 101005 plus the number found on the spine of the Processing Unit under the microphone protector for example Q1005 1234579 We suggest you make a note of the full serial number for future reference Nucleus Freedom Speech Processor For more information on how to remove the microphone protector see Care and Troubleshooting Other Ino rmation For future reference keep this manual in a safe place For information about the H or Help messages see Care and lroubleshooting or a Freedom speech processor Quick Reference Guide Your Freedom speech processor stores your f rst name last name implant family MAP identif er and recipient identif er This allows you to e attend another clinic for programming when you wish e identify a speech processor as your Own Access to this information occurs when the clinician opens the program Ihat is tt is
8. indicate the program selected For example when you move from program 2 to program 3 three sounds will be heard two low sounds when the battery Is low four low sounds when the batteries are f at a high then low sound when the wrong key Is pressed If you have diff culty hearing the private tone ask your clinician to adjust it at your programming session Public tones The public tone is only available with the Bodyworn Controller It is heard by both you and people around you It allows people around you to assist you when there Is an alarm for example when the batteries are going f at When the public tone is activated in the program a tone sounds with 58 a low sound when e the process or function has been successful or e the buttons have been locked or unlocked a number of low sounds to indicate the program selected For example when you move from program 2 to program 3 three sounds will be heard two high sounds when the battery is low four high sounds when the batteries are f at a low then high sound when the wrong key Is pressed Indicator light The red indicator light can also be turned on by the clinician in the program When the indicator light is turned on It Nucleus Freedom Speech Processor four high sounds which repeat every minute when H3 coil error or H4 audio error occurs f ickers when Incoming sounds are being received Indicator light shows a slow f ash rate as a low ba
9. more information on how to change the covers see Care and lroubleshooting 14 Nucleus Freedom Speech Processor Indicator light The red indicator light on the Processing Unit can be used as a visual indication of normal function or to indicate situations which require attention such as help messages Indicator light It can be turned on or off in any program when the clinician establishes each program Indicator light indications e fickering when responding to incoming sounds e low fash rate when warning the battery is low e high fash rate when all other warning indications for example when the coil is not in position over the implant Nucleus Freedom Speech Processor Changing the Contellers To remove the Processing Unit from either the BTE Controller or the Bodyworn Shoe and Cable twist the BTE Controller or shoe side facing you to the left and the Processing Unit to the right until the parts separate te Nucleus Freedom Speech Processor To attach the BTE Controller or Bodyworn Shoe and Cable to the Processing Unit Hold the BTE Controller or shoe and the Processing Unit so they touch with the Controller or shoe side facing you to the left and the Processing Unit to the right of the f nal position 2 Twist the Controller or shoe and the Processing Unit until the two parts click into place Nucleus Freedom Speech Processor Mic Lock A Mic Lock can be used to hold t
10. private tone operating or with the Bodyworn Controller either the private or public tone when you change to another program the number of tones heard relates to the program you are moving to For example if you are on P2 and press Select three sounds will be heard as you move to P3 If you wish to move to P4 or P you need to wait until the sounds f nish before brief y pushing the Select button again Repeat to move to PI If the private tone or public tone is not operating no tone will be heard when the Select button Is pressed However there will be a slight gap in sound between the programs If you wish to continue to move on to another program walit until you hear the sound from the new program before you press the button again That is pressing the Select button when the sound gap Is occurring will not move the speech processor on to the next program You need to wait for the sound f rst before you again press the Select button Continue further brief pushes until you reach the program you want It will skip the setting where there Is no program For example if you only have two programs it will only move through two settings The program selected operates until you press the Select button again When you switch your speech processor off and on again It will remember the last active program including the microphone sensitivity and volume settings you were USING 26 Nucleus Freedom Speech Processor Listening contel
11. the microphone signal change together Generally the volume control level should be set at 2 or more To change the sound level when using volume Push either the Increase or Decrease button 2 Push either the Increase or Decrease button again holding tt down for a slightly longer time until you either hear a beep and or see a f ashing V appear on the display The balance between the amount of sound heard from the accessory as compared with that heard from the speech processor microphone will be set for each program when the clinician establishes that program If the sound level is unsatisfactory when you are using an accessory ask your clinician to change It at your next programming session Alternatively your clinician may give you different sound level options on different programs 45 Nucleus Freedom Speech Processor Accessories and the telecoil When you are using an accessory with your speech processor It Is possible to change to use the in built telecoll or the microphone only setting with the accessory still attached to your speech processor For example if you are using your V Hi Fi cable and then wish to use a telephone with a telecoil induction loop you can switch to the in built telecoil setting while the TV HI Fi cable is still attached This set of actions Is part of a cycle Each time you push both the Increase and Decrease buttons at the same time for a few seconds you move on to the next sett
12. Be careful to keep batteries dry and free from moisture Keep clean the contacts where the Processing Unit and either the BTE Controller or Bodyworn Shoe connect use a swab dampened with medicinal alcohol to gently clean the contacts To clean external parts of the system wipe gently with a cloth slightly dampened with mild detergent Regular cleaning prevents dirt from building up 50 Nucleus Freedom Speech Processor Disposal Dispose of electrical components in accordance with your local regulations Warnings and pecautions For more details on warnings and precautions refer to the Warnings and Precautions leaf et included in the documents you received with your speech processor Microphone pptector The Freedom speech processor Is designed to be used with the microphone protector in place at all times The microphone protector can be replaced when it becomes dirty or the sound quality deteriorates You may frst ask a hearing person to check the sound quality by using the monitor earphones Refer to Monitor earphones for further information To remove the microphone protector from the Processing Unit Switch off your speech processor and remove it from your head 2 Remove the coil from the 7 Processing Unit 2 3 Remove the BIE Controller a or the Bodyworn Shoe and f Cable from the base of the tA Processing Unit 1 5 Nucleus Freedom Speech Processor 4 Starting at the base slide you
13. Do not use force on any of the components After each step check if you hear any sound You may f nd the frst H message Is replaced with another Take the action suggested to rectify that problem Continue until no H messages are displayed If there is still a problem indicated after you have made all the checks contact your clinician he speech processor should only be repaired by a person authorised by Cochlear Limited Alternatively you may experience other problems which are listed under Other problems 55 Nucleus Freedom Speech Processor Help messges The following help messages may show on your speech processor display Help Meaning Action to taki Repeating help mess e mess e Flat battery Change all the batteries Note you will stop hearing sound and only be able to turn off the speech processor Be prepared to change all the batteries Push any button to return to the normal display Check e coil position e cable connections e for cable damage If H3 still shows replace the coil Follow the steps in the Other problems section to try to f x the problem The help message will show for about f ve minutes or until the speech processor is turned off The normal display will continue until the HI message shows If you don t push any button H2 will continue until H I message shows The help message will return if the coil connection is restored and then
14. The public tone is only available with the Bodyworn Controller It is heard by both you and people around you It allows people around you to assist you when there Is an alarm for example when the batteries are going f at When using the Bodyworn Controller both the private and public tones can operate or ether one If you wish to use one or both of the tones ask the clinician to Include them In your programs To stop the tone press any button For more information on what the tones indicate see Troubleshooting 33 Nucleus Freedom Speech Processor Batteries Batteries should be replaced when any of the following occur e low or fat battery warning tones are heard e low or fat battery help message shows on the display HI or H2 e ow battery warning the half It battery shows on the Bodyworn Controller display e you stop hearing sound e the sound you hear becomes intermittent For information on the warning sounds or indicators see Troubleshooting Remove batteries when they are f at or when the battery pack Is to be stored for a period of time Use only battery types recommended by your clinician or Cochlear Other types may not have suff cient energy to allow your Nucleus Freedom speech processor to either function properly or last for a long time Never mix fully charged batteries with partially charged ones It only takes one low or f at battery to stop the processor from working Similarly never mix bra
15. apel miciophone When using a lapel microphone you will only hear sounds through the lapel microphone Adjusting either the microphone sensitivity or volume changes the level of sound heard through the microphone Audio mixing and other accessories The sound from the speech processor s microphone will be mixed with that from the e personal audio cable e TV Hi Fi cable e FM cable or e FM system With the accessory activated both an M and X show on the Bodyworn Controller display ricci M X SASL The microphone sensitivity button varies the level received by the microphone while the sound from the accessory remains constant To hear more environmental sound press the Increase button To hear less environmental sound press the Decrease button If you only want to hear the signal from the accessory press the Decrease button until the microphone sensitivity Is zero 0 This will switch off the external sounds received by the microphone When the accessory has a sound level control t can be used to change the level of sound being heard from the accessory 44 Nucleus Freedom Speech Processor To change the sound level when using microphone sensitivity press either the Increase or Decrease button If not pressed again within a short time the display will revert to the program display When you change the volume level the total sound signal changes that is the level of the accessory and
16. e level to the original position If you leave it at the higher level and change to use the in built telecoil or connect an accessory then if heard the sound will be very loud e Try using the speech processor either with the in built telecoil or an accessory when available If sound is heard and the indicator light f ickers if activated when the in built telecoil or accessory Is used then there Is probably a problem with the speech processor s microphone If you can hear sound while using any of these options for continuing short term use you can use the lapel 60 Nucleus Freedom Speech Processor microphone with your speech processor Return It to your clinician for repair Have a hearing person use the monitor earphones to check if sound Is being received Refer to the Monitor earphones section following for further information 2 Intermittent sound If sound is intermittent If you are in a quiet place move to where there is a little more noise It may be the sound level is very low Turn the speech processor off and then on Change the batteries make sure they are fresh and of the same type and make Check the batteries are correctly inserted Check the battery terminals are clean Wash or change the protective cover on the base of the BTE battery holder Change your battery holder Check the coil and tts cable for broken or twisted wires Check the coil is properly connected to the Processing Unit
17. ech Processor After you have done one of the above hold down the Select button to turn the speech processor back on that is until you either hear sound or the display shows Repeat the above steps If the display is still not showing follow the checks suggested for when the sound Is intermittent Continue to use your speech processor until you are able to return the Processing Unit to your clinician for repair 5 Electromagnetic inter rence Try moving away from any electronic device that may be causing interference for example buzzing sounds or distorted speech Most electronic devices produce electromagnetic f elds Headset cables like antennae pick them up Common sources of interference include e radio and IV transmission towers e mobile phone towers e shopping centre and airport security systems e some digital mobile phones e battery chargers fuorescent lighting e mains power boards The electromagnetic interference EMI will be no louder than your programmed levels and will neither hurt you nor damage your speech processor If you still hear buzzing or distorted speech turn off your speech processor take off your coil and consult your clinician 63 Nucleus Freedom Speech Processor Monitor earphones Monitor earphones can be used by a hearing person to listen to the sound signal from either e microphone e in built telecoll e microphone and in built telecoil together e lapel micr
18. eeeseecses 3 Resetting the Freedom speech processor 32 Private and public tones civcsscsecscssesssesncxessacvensserseenseccnaceoonsaanses 33 PIETOSA E ESE O TEE EE 34 PEE COMTOIGT seniais E AEE 35 Bodyworn Controller s sensseesesesssesesesososereseserssesesosssssese 37 General precautions for the use of batteries 40 Acces sories EE EAO EAEE EAA P I Connecting accessories sesesesesesesesesesesesesesesesesesesesesesesesese 42 Using accessories 0 0 eecessecssseceecsecseeeceecsececesceesecesceeseccsceeseeeees 44 Lapel microphone ns sssssssssssesesesssesesesesssesesesesesesesesesesesesesee FA Audio mixing and other accessories sesessssseseses000 44 Accessories and the telecoil cc eeeessceeseeeeceteeeeeeeees 46 I NE E A EES A A E AE ciency 49 SEE EE AAE OAT E T eee N 49 CIGANINE ica coast sseceeena sce neetcz sate desaeesesscctacescaqese Eia 50 DIC slo 72 Deere E Serre ee ene ne eer re eee 5 Warnings and precautions cccececcssseeecsecsecescesceseeeees 5 Microphone protector scc tcnencececussecdessi sexs cadtaueseccuestesesaneense 5 Protective COV CI ste cares este cea senss see ASER an SAEN Si 52 TROUBICSHOOENNS iunie 55 Help messages se soso scercreste shes aseencesceenseatectdeeacaecccenereeasereestana 56 Private and public toneSs eesesesssesessesssssesesesesessesesesesee 57 Indicator light sesesesssssssesesssesesesesesesesesesesesesesesesesese
19. ery Is low The Bodyworn Controller display will light up backlight for a few seconds when a button is pressed or a Help message f rst shows on the display In addition help messages may show either as a warning or sign that action needs to be taken for example H2 for low batteries or H3 if the coil is not in place or is not working For more information on help messages see Care and Troubleshooting 24 Nucleus Freedom Speech Processor When the microphone sensitivity or volume is changed the symbol S or V will show on the display This lets you know which function you are changing The sound level will show as a number while the change is occurring Microphone sensitivity Volume setting setting f 1515 cy SOI aed TT The display will return to the normal P status when no further changes to the level occur On and off To turn on push the Select button for a few seconds until you either hear sounds if the speech processor is In place on your head or the active program PI P2 P3 or P4 shows on the display Note the number of programs available is set by the clinician during programming up to a maximum of 4 To turn off push the Select button for a few seconds until the sound stops or the display is off 25 Nucleus Freedom Speech Processor Program selection To change to another program push the Select button brief y to move to the next program If you have the
20. gain holding it down for a slightly longer time until you either hear Push a beep and or see a either f ashing V appear on the display FUN 29 Nucleus Freedom Speech Processor 3 Continue to repeatedly push either the Increase or Decrease button until you reach the volume level you want in built dlecoil The in built telecoil allows you to receive signals from a e hearing aid compatible telephone e room ftted with an induction loop or e personal Induction loop such as a neck loop or cushion loop commercially available The sound signal from an amplif en TV or Hi Fi can also be sent from an induction loop to the telecoll To select the in built telecoil push both the Increase and Decrease buttons at the same time for a few seconds until a T shows on the display Make sure your f nger presses both sides of the button area mii TT V ka NIN Your clinician can establish your program 4 to operate as either a telecoil alone m1 MT or as a mix of your in built telecoil and _ NOII speech processor microphone 30 Nucleus Freedom Speech Processor When you are using the in built telecoil and you change either the microphone sensitivity or volume level the total sound will change That is the combined sound from both the microphone and in built telecoil will change For information on using your in built telecoil when an external accessory Is attached see Access
21. he Processing Unit in place behind the ear The tube version can be used on both the BIE Controller and Bodyworn Shoe The stirrup is for use with the Bodyworn Shoe and Cable To ft the Mic Lock For the tube Mic Lock thread the earhook and Processing Unit through the Mic Lock tube and move it down the unit until it f ts f rmly For the BTE Controller position the Mic Lock between the buttons so the transparent band covers the display Alternatively clip the stirrup Mic Lock into the two holes towards x the base of the Bodyworn Controller shoe 2 Put the processor on your ear 3 Bring the tubing around to the front of your ear and up to the earhook Erther sized earhook can be worn with the Mic Lock If the tube Mic Lock does not feel comfortable for a better f t rotate the band around the base of your speech processor Nucleus Freedom Speech Processor 4 Hold your speech processor f rmly in place and determine where the tubing should be cut 5 Mark the tubing allowing for an additional few millimetres so t can attach to the earhook 6 Cut the tubing ONLY when you are certain the length will allow a secure and comfortable f t 7 Feed tt on to your earhook To wear the Processing Unit with the Mic Lock in place fold your ear down and gently pass your ear lobe through the Processing Unit and Mic Lock until It Is In position on your ear Alternatively bring the tubing to the front
22. ing Starting from where you can hear the accessory by pushing the buttons you move to the in built telecoil then to the microphone Speech processor on Plug in accessory Push Increase and Decrease buttons at the same time for a few seconds to start the accessory Accessory Push Increase and Push Increase and Decrease buttons Decrease buttons at the same time at the same time for a few seconds for a few seconds In built Microphone telecoil only Push Increase and Decrease buttons at the same time for a few seconds 46 Nucleus Freedom Speech Processor and fnally return to the accessory Io skip a setting push the buttons a second time Note VVhen an accessory Is not attached the cycle Is microphone telecoil microphone From accessoy to telecoil To move to the in built telecoil when the accessory is attached push both the Increase and Decrease buttons at the same time for a few seconds until a T shows on the display From telecoil to accessor To move back to the accessory twice push both the Increase and Decrease buttons at the same time for a few seconds until you can hear the accessory again From accessoy to miciophone Alternatively you may wish to move from using your accessory to using your microphone only while leaving the accessory attached When using an accessory to move to the microphone only setting twice push both the Increase and Decrease buttons at the same time
23. l Signal Processing DSP Programmability Eatures In built Flash memory for storage of user programs Signal Piocessing The audio signal processing is implemented digitally using Digital Signal Processing DSP technologies Digital AGC amp ASC with options such as ADRO BEAM and Whisper Programmable speech coding strategies ACE SPEAK and CIS with a wide range of programmable parameters available for user s selection on the same speech processor Up to 22 high resolution bandpass f Iters provide spectral energy estimates over the frequency range 00 to 8000Hz depending on the program settings Filters with the maximum outputs can be selected These can be varied The program determines the f Iters selected and hence the electrodes stimulated Environmental conditions Storage Temperature 20 C 4 F to 50 C 122 F Storage Relative Humidity 0 to 90 Operating Iemperature COA tora ETIO F Operating Relative Humidity 0 to 90 RH Splash proof design Note Check manufacturer s recommended operating conditions for batteries used in the speech processor Equipment classi ation The speech processor Is internally powered equipment Type B as described in the international standard IEC BSI BS EN 60601 1 1990 01 01 Medical Electrical Equipment Part General Requirements for Safety Certif cation and plied standags The Nucleus 24 cochlear implant system fulf Is the essential requirements listed i
24. lost again The help message will return after f ve seconds if there is still no sound and or the steps taken to try to f x the problem have not been successful Refer to the Batteries section for further information 56 Program corrupted Nucleus Freedom Speech Processor Help Meaning Action to taki Repeating help menge mess ge Continue to use an alternate program where it is available until you are able to return the speech processor to your clinician so a new program s can be installed Private and pubic tones The help message shows brief y when another program is available to automatically replace the corrupted program The help message shows permanently when no other programs are available or all available programs have been corrupted Private and or public tones can be activated on by the clinician when the program is devised to indicate particular situations To stop either the private or public tone press any button If you have diff culty hearing the private tone ask your clinician to adjust it at your programming session Private tones The private tone is heard by you and nobody else It can be used with either Controller When activated in the program a tone sounds with e a high sound when e the process or function has been successful or e the buttons have been locked or unlocked 57 Nucleus Freedom Speech Processor a number of high sounds to
25. me Processing Unit Warning The Freedom speech processor contains small parts that may be hazardous if swallowed or may cause choking If ingested or inhaled Infants and young children should wear the Bodyworn Controller in a Cochlear provided tamper resistant pouch Nucleus Freedom Speech Processor Freedom speech processor with BTE Controller Coil Processing Unit Indicator light lt Earhook ii BTE Controller Disp f with three zinc H K a air batteries contro buttons Accessories connection Select button Display Increase button Decrease button Cover for accessories connection Nucleus Freedom Speech Processor Freedom speech processor with Bodyworn Controller Magnet Processing Unit Indicator light Coil Earhook Bodyworn Shoe and Cable connection Display e Bodyworn Controller with two AAA batteries Control buttons Select button Increase button Decrease button Nucleus Freedom Speech Processor Sound received by either the microphone in built telecoil an accessory or a mix of microphone sound and sound from the in built telecoil or an accessory Is coded by the Processing Unit and transmitted through the coil to the cochlear implant The implant s electrodes stimulate the cochlea s hearing nerve f bres which relay the signals to the brain to produce hearing sensations Your speech processor
26. mfort and or irritation to the skin infants and young children should always wear the Bodyworn Controller in a Cochlear provided pouch If an infant or young child cries without reason or exhibits other behaviors consistent with discomfort parents and caretakers should check the Bodyworn Controller and verify that it has not overheated Nucleus Freedom Speech Processor Display The display generally shows the program in use for example P and whether the microphone in built telecoil or both are operating varies according to the program in use and the functions being used Bile Program 3 in use Program 2 in use Microphone only Telecoil only oO M mT cm MT J CUNO U 1 AQIN SII Program 3 in use Program 2 in use Program 2 in use Microphone only Telecoil only Microphone and telecoil together When the lapel microphone is used with the BTE Controller no M or T shows on the display 23 Nucleus Freedom Speech Processor The Bodyworn Controller display has some indications additional to those on the BTE Controller gt L showing that an accessory has been activated This may occur in combination with the microphone m7 xX TL SOU a sound level indicator that Ty X responds to sounds picked up i M A by the microphone telecoil or accessory e battery level indicator e both battery segments are lit when the battery is full e one battery segment Is lit when the batt
27. ming from the direction in which you are looking It can be used for example when you are talking with someone in a crowd where there is a lot of distracting noise behind or beside yOu Whisper is better able to detect soft sounds in quiet situations It can be used for example when you are in a lecture or meeting where tt is diff cult to hear from a distance ADRO makes automatic adjustments where there are large changes In sound between loud and soft It can be used for example where there Is a lot of noise Nucleus Freedom Speech Processor soft sounds are better detected loud sounds are more comfortable and speech Is clearer Discuss with your clinician how you want these options applied to your programs lo use them select a program where they have been included Nucleus Freedom Speech Processor Speech Processor Components This section of the manual describes the component parts of your Nucleus Freedom speech processor Processing Unit The Processing Unit incorporating Nucleus SmartSound technology is the brain of the speech processor where sound signals are encoded for transmission via the coil to the implant Processing a 2 Processing Unit nit BTE Controller Bodyworn Shoe and Cable It is worn on the ear with i either the BIE Controller or with the shoe that connects tt to the Bodyworn Controller Both the coil cable and Bodyworn Shoe cable are available in
28. n Annex of the EC directive 90 385 EEC on Active Implantable Medical Devices as last amended by EC Directive 93 68 EEC It was approved for CE Mark according to Annex 2 by Notif ed Body 0197 in 1993 1996 2001 2004 and 2005 69 Nucleus Freedom Speech Processor Labelling symbols The symbols below are found on the Freedom speech processor components and packaging Symbol Meaning See Instructions bd Fragile 50 C 122 F Temperature Limit 20 C2 4 F O 90 CE 0197 CE Registration Mark Type B Equipment o IP Rating IP44 Protected against solid foreign objects greater than or equal to 0mm diameter and protected against splashing water Rx Only This device restricted to sale by or on the order of a physician The statements made in this guide are believed to be true and correct as of the date of publication However specif cations are subject to change without notice Nucleus cochlear implant systems are covered by one or more international patents Cochlear Limited 2005 70
29. nds or battery types for example zinc air with alkaline batteries Warnings Flat batteries may leak corrosive f uids and cause damage If left inside your Freedom Controller Dispose of used batteries in accordance with your local regulations Never dispose of batteries in f re 34 Nucleus Freedom Speech Processor Do not let children replace batteries without adult supervision Make sure that batteries are kept out of reach of young children Batteries can be harmful if swallowed If swallowed seek prompt medical attention at the nearest emergency center or Poisons Information Center BTE Contooller Your Freedom BTE Controller uses three high power 6 5 zinc air batteries Silver Oxide or alkaline batteries can also be used in very humid conditions your Freedom BTE speech processor will only operate for a few hours when Silver Oxide or alkaline batteries are used Do NOT use rechargeable NiMH button cells HB 16 054 High Power 675 zinc air batteries are sealed usually with a tab Always remove the seal or tab at least one minute before using to allow air access to the battery so it can operate To change the batteries WWe 752 009927 Remove the new set 4 1043752 009927 of batteries from their ocho pty ena e amie pack and make sure Hans pee mietoa yor Gebrauch the seals are removed 2 Letthe new batteries Seal stand for one minute outside of their packaging with their seals removed to all
30. o a different Controller Dual microphone architecture microphones protected by a replaceable hydrophobic mesh The connection between the Processing Unit and any Controller or Bodyworn Controller shoe Is splash proof Processing Unit and BTE and Bodyworn Controllers are protected against solid foreign objects greater than or equal to Omm diameter and protected against splashing water classif ed IP44 as described by the international standard IEC 60529 2001 02 01 Degrees of Protection Provided by Enclosures IP Code Materials Processing Unit and BTE Controller ABS plastic is used for all components that come into contact with the user s skin apart from the earhook which is made out of EVA material Sealed internal epoxy f breglass and polyimide printed circuit boards with electronic circuitry Bodyvworn Contoller PC PBT plastic case Coil amp Cables ABS plastic is used for all components that come into contact with the user s skin Sealed internal epoxy f breglass and polyimide printed circuit boards with electronic circuitry Cable attached to the coil Dimensions Ypical Processing Unit 30x 24x 2 mm lO x 074 047 in BTE Controller 375 22 5 40 mm 1 48 x 0 89 x 0 57 in Bodyworn Controller 78 x 35 x 7 mm 307 x 1 38 x 0 67 m Coil 41x 328 7 mm Lel x 129 0 26 m 67 Nucleus Freedom Speech Processor Weight pical Processing Unit 4 2 9 0 15 oz BTE Controller 9 9 0 35 oz include
31. of your ear and feed it on to your earhook Your speech processor with the Mic Lock in place should f t securely To remove the Processing Unit with the Mic Lock attached fold down your ear lobe and reverse the process Alternatively ease the tubing off the earhook Nucleus Freedom Speech Processor Coil The coil transmits the encoded information to your cochlear implant A magnet holds the coil in place over the implant Magnet Turn the magnet in either direction to adjust how tightly it is held to your head The closer the magnet is to the head the more f rmly it is held in place and vice versa If the magnet strength is too weak the coil may fall off If it is too strong It may cause discomfort or skin irritation Warnings Consult your clinician if you wish to change your magnet strength Store spare magnets safely Store them away from credit and other cards that have a magnetic strip Small parts may be hazardous if swallowed or may cause choking if ingested or inhaled Coil connection The coil plugs into the Processing Unit as shown Always hold the plug securely with two f ngers when removing the plug from the Processing Unit You may damage the plug cable or processing unit if you either pull the cable or twist the plug 20 Nucleus Freedom Speech Processor Note If you plug the coil cable into the Processing Unit when the speech processor is turned on the speech processor ma
32. only able to be accessed In a programming session Program options wailaHe Up to four speech processing programs P to P4 are available for your use The program components are selected at the programming session when your clinician includes the features you want By including different features the programs can be varied to help you hear better in different listening situations e Programs can Include ways to improve your hearing using Nucleus SmartSound and autosensitivity e While you are normally able to vary settings for microphone sensitivity or volume programs can also have them set at a f xed level Nucleus Freedom Speech Processor Either the microphone sensitivity or volume function may be disabled that is turned off The indicator light and private tones can be activated or turned on at the programming session In addition users of Bodyworn Controllers can have public tones and backlighting to the display activated or turned on For more information on Nucleus SmartSound see the next section autosensitivity microphone sensitivity and volume see Controllers how to change between and vary programs see Controllers Accessories and Care and Troubleshooting the indicator light private and public tones see Processing Unit and Care and Troubleshooting Nucleus SmatSound The following functions may be included as options within a program Beam allows you to focus on the sounds co
33. ophone e accessory other than the lapel microphone and microphone together To use the monitor earphones Make sure the speech processor Is on 2 Lift the socket cover and push the monitor earphones into the socket at the base of the BTE Controller or Bodyworn Controller shoe Caution Do not use force 64 2 5 Nucleus Freedom Speech Processor If you wish to test an accessory plug it into the monitor earphone connector Press both the Increase and Decrease buttons for a few seconds to activate the earphones Have the hearing person listen to the sound Note that monitor earphones only indicate that sound can be heard they do not indicate the quality of the sound heard by the speech processor user If you attach the accessory after you have pressed the Increase and Decrease buttons press them again to activate the accessory 65 Nucleus Freedom Speech Processor Press any button to continue the sounds through the monitor earphones Ihe sound will stop when no buttons have been pressed for 90 seconds lo re start the sound in the monitor earphones press both the Increase and Decrease buttons again for a few seconds 66 Nucleus Freedom Speech Processor Other Indrmation Technical in drmation Specifcations Physical confguration Modular architecture BTE Controller or Bodyworn Shoe and Cable is detachable from the Processing Unit allowing connection of the Processing Unit t
34. ories and the telecoil Button lock The button lock can be used to prevent children trom changing the controls or to avoid accidental button presses changing the speech processor settings To lock or unlock the buttons push both the Select and Decrease buttons for a few seconds Push both to lock or unlock Push both to lock or unlock 3 Nucleus Freedom Speech Processor The display will brief y show L to indicate the buttons are locked If you press any button when locked an L will brief y show on the display You will need to unlock the buttons before turning off the speech processor To unlock the buttons press the Select and Decrease buttons together for a few seconds The display will brief y show L to indicate the buttons are unlocked Resetting the feedom speech pecessor To reset the micrphone sensitivity or volume levels to return to the default settings press all three buttons Select Increase Decrease together for a few seconds Make sure your f nger presses both sides of the Increase Decrease button area You will hear a sound and the display will go blank for a moment 32 Nucleus Freedom Speech Processor Private and pubic tones Private and public tones can be used to hear when certain Freedom speech processor functions are started and warnings occur The private tone Is heard by you and nobody else It can be used with either Controller
35. ors e Ifa battery has leaked f uid don t allow the f uid or liquid to come in contact with skin or eyes If contact is made wash with a lot of water and seek medical attention It is always a good idea to wash your hands after you have handled batteries For more information see Care and Troubleshooting 40 Nucleus Freedom Speech Processor Accessories The following accessories or wired assistive listening devices can be connected to your Freedom speech processor e Lapel microphone to improve communication In noisy environments e FM cable to send sound signals from a commercially available FM listening system to your speech processor For a list of the FM cables available and for information on the one suited to your needs contact your clinian e TV HI Fi cable to connect a TV Hi Fi or stereo personal computer or other mains powered sound source to your speech processor e Personal Audio cable to connect personal music systems handheld games or other battery powered equipment to your speech processor Caution Do NOT use the Personal Audio cable to connect to equipment using a wall outlet that Is to a mains powered device Note The above accessories may not be available in all countries Contact your clinician for further information In addition commercially available wireless technology assistive listening devices you may want to try include e Induction loop systems e FM systems Y
36. our in built telecoil operates with induction loop systems 4 Nucleus Freedom Speech Processor Connecting accessories Your accessories plug into the socket either at the base of the BTE Controller or the Bodyworn Shoe To attach the accessory 42 Use your f ngernail to lift the socket cover Push the accessory plug into the socket Push both the Increase and Decrease buttons at the same time for a few seconds to activate the accessory Nucleus Freedom Speech Processor EA external accessory shows brief y on the display while the change Is happening A short tone if the private or public tone Is turned on in that program conf rms the accessory s connection The tone also sounds when the accessory Is disconnected Press either the Increase or Decrease button to adjust the sound level If not pressed again within a short time the display will go back to the program display An gt C on the Bodyworn Controller display shows the accessory has been activated To stop hearing the accessory remove it from either the base of the BTE Controller or the Bodyworn Shoe When NOT using an accessory ALWAYS keep the socket cover in place over the socket to protect your speech processor An accessory can be monitored by a hearing person using the monitor earphones For more information see Care and Troubleshooting 43 Nucleus Freedom Speech Processor Using accessories L
37. ow the air to activate the batteries Battery 3 Turn off the speech processor and take it off 35 Nucleus Freedom Speech Processor 36 With your f ngernail in each side of the base of 1S the battery holder pull the battery holder down ancl out Ja out CO Battery holder 7 Remove the f at batteries by tipping the battery holder to one side They slide out from one side only The end of the BIE Controller can be used to push the batteries out Alternatively use your coils magnet to pull the batteries out Positive battery terminal With the positive battery terminal the side with the holes facing down slide the fresh batteries into place Push them in from the right hand side when viewed from the back of the battery holder Do not force the batteries into place They should ft easily Take care all the batteries have the holes facing down Your speech processor will only work for a very limited time if a battery is put in the wrong way and then all three batteries will need to be replaced Nucleus Freedom Speech Processor The bottom battery stands out a little from the battery holder and appears not to be in position This is normal 7 Replace the battery holder by sliding it up from the bottom until the BTE Controller clips into place The bottom battery will be correctly placed when the battery holder is in place Note Dispose of used batteries in accordance with your local
38. r f ngernail or a narrow blunt edge along the side edge of the microphone protector until it lifts off the Processing Unit Do NOT use sharp pointed items to remove the microphone protector il 5 Replace the microphone protector by clipping it back into place 6 Replace either the BTE Controller or the Bodyworn Shoe and Cable Note Always use the microphone protector It protects your speech processor from dirt and moisture Protective cover A protective cover is attached to the base of the battery holder of the BTE Controller under a rubber plug If you f nd the batteries are not lasting as long as normal the protective cover may be dirty 52 Nucleus Freedom Speech Processor To clean the protective cover f Turn off your speech processor and remove it from your head Battery holder Remove the battery holder rd with your f ngernail or a narrow blunt edge in each qu side of the base of the battery holder pull the battery holder down and out Remove the batteries from the battery holder Wash the battery holder without the batteries in warm soapy water Rinse the battery holder in clean water and dry well Place it overnight in the drying kit Insert the batteries and replace the battery holder in the speech processor Turn on the speech processor If battery life is still limited you may need to replace the protective cover Itself It is under the plug at the base of your bat
39. rocessor when applying powder makeup or hairspray hese substances can get into and damage your speech processor Avoid getting sand or dirt into any part of the system If this happens shake out as much as possible and if necessary contact your clinician to arrange for its repair Storage Store the speech processor overnight or when you are not using tt in a dry aid kit or drying pack Moisture or humidity may cause the speech processor to cut out or stop 49 Nucleus Freedom Speech Processor working Before using the dry aid kit read the manufacturer s instructions for use To store your speech processor overnight you may either leave your batteries in the Controller or remove the battery holder from the Controller and place it separately with the batteries in the holder in the drying kit Warning Keep the drying chemical material away from young children Swallowing this material can cause serious internal injuries For long term storage remove the batteries from the Controller Remember to store them separately to avoid them from shorting each other You can also buy dry aid kits or drying packs that are able to be used with your speech processor from an electronics store or pharmacy Cleaning Keep battery contacts clean use a moist cotton bud or swab to gently clean the battery contacts lake care not to apply force that may damage the contacts If batteries are dirty wipe them with a clean DRY cloth
40. s You can use the microphone sensitivity and volume controls to change the level of the sounds you hear You can adjust both the microphone sensitivity and the volume levels for any program unless they have been set at a f xed level by your clinician when the programs were established Generally you are most likely to vary the microphone sensitivity as you adjust to environmental sounds The microphone sensitivity and volume settings are saved with the particular program If you change to a new program the level will be the same as previously used with that program that is the last saved value for that program Once you fnd the level you want and you stop making changes the display will go back to the normal display after a few seconds Whenever you wish to again change the level repeat the process To change between adjusting the microphone sensitivity and volume when both are available press either the Increase or Decrease buttons for at least a few seconds If your clinician has chosen to disable the microphone sensitivity in a program it will not operate and you will go immediately to the volume setting when you press either side of the Increase Decrease buttons Similarly if your clinician has chosen to disable the volume control t will not be available 27 Nucleus Freedom Speech Processor Microphone sensitivity The microphone sensitivity controls the softest level of sound picked up by the microphone
41. s 3 x ZnAir batteries Bodyworn Controller 25 g 0 88 oz excluding batteries Coil and cable 4 8 0 17 oz Electronic citcuitry Custom analog and digital integrated circurt with Digital Signal Processing DSP capabilities Dual microphone system Internal lelecoil Visual indicator of system function via a top indicator light Visual indicator of system functional status via a display Operating characteristics Batteries BTE Controller PR44 675 Zinc Air or SR44 Silver Oxide or LR44 Alkaline batteries Bodyworn Controller AAA size LRO3 Alkaline or HRO3 NiMH batteries Power consumption 60mW typical External Audio Inpat Four pin custom connector for connection to external audio accessories Accessories Lapel microphone TV HiFi cable for mains power equipment Personal audio cable for battery operated equipment Monitor earphones Transmitting cake and coil connection Four pin connector at the point of connection with the Processing Unit sealed when mated cable permanently connected to the coil Controls Push button sealed 3 button interface allowing Power On Off P P2 P3 P4 program switching and Microphone sensitivity Volume control The functional status is displayed at all times via a display Bodyworn Controller display has a backlight 68 Nucleus Freedom Speech Processor Audio Amplitation Three audio inputs for dual microphones and AUX inputs or Telecoil All audio processing is done using Digita
42. seseseses 59 Bodyworn Controller battery indicator eee 59 Other problems eset aeesecezsarstceteeucaciortacaaene atouasnstsesauseeten 60 Monitor earphones cctiecstcoensnen ore tetoncceteeaeacn sted 64 Other Inrmation cccccccccccccccccccccccccccccccccccccccccecOd Technical information seeeseeesesesesesesesesesesesesesesesesesesesesesesesesd 67 SPECI CIONS isror rari A E E E 67 Operating characteristics eeeseeeeeeeeseeeseseseseseseseseseseses 68 Environmental conditions eseesesesesessseseseseseseseseseseseseses 69 Equipment classif cation seeseeesesessseseseseseseseseseseseseseseses 69 Certif cation and applied standards ceeeeseeecesseeeeeees 69 Labelling Sy GIN ONS scree cepcs couse tes caes tape ctezeeseet ce ataeageastenecestueseceretse 70 Introduction Overview The Nucleus Freedom speech processor is used together with a Nucleus Freedom implant to transmit sound to the cochlea The Freedom speech processor consists of a Processing Unit coil and a choice of two Controllers The smaller BIE Controller allows the speech processor to be worn behind the ear as a BIE speech processor It Is powered by three 6 5 zinc air batteries The larger Bodyworn Controller is worn on the body as a body worn speech processor It uses either two AAA nickel metal hydride NIMH batteries or disposable alkaline batteries The two Controllers can be used interchangeably with the sa
43. sure your battery charger is suitable for the type of battery you are using Only charge rechargeable batteries Do not recharge disposable batteries e g zinc carbon or alkaline batteries After storing rechargeable batteries for an extended period It may be necessary to charge and discharge them that is use them until they are fully f at several times to obtain maximum performance Remove rechargeable batteries from the charger immediately after they are charged As you use rechargeable NIMH batteries their battery life will fade VVhen batteries no longer last for a reasonable period of time dispose of them carefully in accordance with local regulations 39 Nucleus Freedom Speech Processor General precautions 6r the use of batteries Generally the following precautions apply so you can get the most out of your batteries e Carry spare batteries in a closed plastic bag for safety making sure they do not come into contact with either each other or metallic objects for example coins or hairclips Any of these situations may accidentally short circuit and thus discharge the battery which may heat up and even crack open e Store batteries in cool places e Do not heat batteries for example never leave batteries in sunlight behind a window or in a car Never immerse batteries in water e Do not deform batteries For example do not force them into your speech processor Do not drop batteries on hard f o
44. tery holder To replace the protective cover Turn off your speech processor and remove it from your head Remove the battery holder with your f ngernail in each side of the base of the battery holder pull the battery holder down and out 53 Nucleus Freedom Speech Processor 54 Lift the straight back edge of the rubber plug from the base of the battery holder Peel off the protective cover from the base of the battery holder Peel the new protective cover off its paper backing Attach the sticky side of the protective cover to the base of the battery holder Protective cover with sticky side facing up Push the rubber plug f rmly back into place over the protective cover Replace the battery holder with batteries in the BTE Controller Warning Take care with the batteries and the protective cover Small parts may be hazardous if swallowed or may cause choking if inhaled Nucleus Freedom Speech Processor Troubleshooting There are a number of indicators that something Is not working on your Freedom speech processor e HH message shows on the display e battery level indicator shows on the display e indicator light changes its f ashing pattern if activated e tone sound is heard if activated e sound stops H4 e sound becomes intermittent or is not at a good or comfortable level e the display does not operate Take the action suggested when a problem arises or Is indicated
45. ttery warning shows a fast f ash rate for all other warnings For example when the coil is off tts position over the implant or there Is a sound error H4 The H message shows on the display to match the f ashing light warning Take the action suggested for the displayed H message Bodyvorn Contopller Aa battery indicator M NIIIN The display on the Bodyworn Controller includes a battery level Battery full indicator mn When the battery Is rt WON Mill full both battery segments are lit Battery low low one battery segment is lit f at the the HI Help message Hi shows Battery f at 59 Nucleus Freedom Speech Processor Other pioblems You may encounter some other problems that the H messages indicator light and tone don t directly refer to Take the following steps to try to fx the problem If there is still a problem after you have made all the checks contact your clinician he speech processor should only be repaired by a person authorised by Cochlear Limited I No sound If sound stops check which H message is showing and follow the suggestions in the Help message table If the H4 message Is showing e Turn the speech processor off and then on e Increase the microphone sensitivity or volume level If the level is very low that is at around QO and you are in a very quiet room the H4 message may show If no sound Is heard and the H4 message remains reset th
46. y turn off If this occurs hold down the Select button to turn the speech processor back on that Is until you either hear sound or the display shows Alternatively the display may not show anything while the speech processor continues to operate If this occurs stop the power to the Processing Unit and then restart it lo stop the power you can either e Hold down the Select button until the speech processor IS off e Twist the Processing Unit and BTE Controller or Bodyworn Shoe and Cable until they no longer connect then twist them back into place again e Slide the battery holder out then in again After you have done one of the above hold down the Select button to turn the speech processor back on that is until you either hear sound or the display shows 2l Nucleus Freedom Speech Processor Freedom Contpbllers In addition to the batteries both the BIE Controller and Bodyworn Controller have Increase Decrease button gt a display that indicates the operations occurring and buttons that operate your Freedom speech processor Select button Select button gt Increase Decrease button Display gt The Bodyworn Controller can be worn in a pouch on a harness or attached to a belt or held in a pocket or secured to your clothing 22 Caution Although very unlikely the Bodyworn Controller may malfunction and overheat lo prevent disco
Download Pdf Manuals
Related Search