SMART TONE User`s Manual - SMART DIAGNOSTIC DEVICES
Contents
1. Safety and Audiometer Care POWER OLD Y AE EY sa elele damak a A dometer CALE e EM A MR Ees Daily Calibration Check Daily Calibration Check Using the Bio Acoustic Simulator InstalingtheBio AcowsticSimulator Key to Number mi EE N esner EA Annual Calibration Mode Postponing the Annual Calibration Warning Trademarks Warranty Abbreviations Audiometer Specifications 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual Installation Welcome Congratulations on your purchase of the SMART TONE automatic audiometer an advanced easy to use pure tone threshold audiometer The intelligent features and user friendly controls of the SMART TONE streamline the testing process to efficiently collect hearing thresholds at seven frequencies The SMART TONE stores audiograms and can print results to an optional external printer or transfer them to third party software Audiometer Installation To install the audiometer Refer to the figure below 1 Insert the blue headset connector into the blue LEFT jack and the red headset connector into the red RIGHT jack on the back panel 2 Insert the connector for the response switch into the RESPONSE jack on the back panel If you are using an audiometric test booth use patch cords to make connections through the booth patch panel 3 Connect the cord of the power supply to the POWER2. Right iS 15 1B 1B ib 5 M Findel Smartlore Serial Number GERBRE Calibration Date 1711728909 AMS amp SS 6 1989 Examiner Date Subs ect Date Sample Audiogram Report At the top of the report is the date on which the report was printed The Subject ID is shown if an ID was entered for this audiogram The Examiner ID is shown if an Examiner ID was entered 2010 SMART DIAGNOSTIC DEVICES 33 SMART TONE User s Manual The Audiogram Date and Time using the 24 hour clock are given The time shown 1s the time that the test was first saved printed or transferred either manually or automatically The hearing threshold levels are provided If an error occurred and a threshold could not be determined an error code appears in place of a hearing threshold level NR MR CR SE PT RN See the Errors section on page 27 for more information NT Not Tested can also appear if an ear frequency was not tested The audiometer model and serial number are listed The Calibration Date is the date of the audiometer s last annual calibration Space is provided at the bottom for the examiner and subject to sign and date the printout if desired 2010 SMART DIAGNOSTIC DEVICES 344 SMART TONE User s Manual Typical Procedure of Operation Verifying Correct Audiometer Setup To verify correct audiometer setup 1 On the main screen press the Menu toolbar button and choose Setup 2 In the Setup dialog box
3. 40 User Font Back up OFF Character Select Normal Zero Slash International Character Det 8 OFF ZUSA 7 Press ONLINE once more to enter the settings for DIP SW3 8 Press the buttons and verify the message Press button ONLINE FEED FEED ONLINE FEED ONLINE ONLINE FEED Verify message 1 ON OFF ON OFF S 2 OFF 3 OFF 4 ON gt OFF 6 ON 7 ON ON 8 OFF Data Length 8 bits Parity Setting Yes Parity Condition Even Busy Control H W Busy Baud Rate Select 19200 bps 9 Press ONLINE one more time to finish Settings are saved to memory and the entire list of current settings will print out Double check the re printed 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual settings against the above steps If the settings do not match perform the procedure again beginning with step 1 Data Transfer Data transfer of one or more audiograms sends a copy of the audiogram s to the database management system that you are using on the computer The database management system that you are using must support the RA500 communication protocol which is the communication protocol used by the SMART TONE audiometer for data transfer Transfer is initiated using the database For transfer the audiometer must be connected to the computer with a cable In addition the data transfer software on the included CD must be installed on t
4. SMART TONE User s Manual St imu lus Subject ID Ee M enu Response Examiner IDs Status 5k ik 2k 3k dk 6k Bk Idle LIHAT AT HT MT MT MT AT RINT AT NT NT MT MT HT Aud iogran H SAH 1468 2k 4688 SHEE Save Print toolbar button showing menu Menu Item Function Section reference Save Audiogram Saves Current Audiogram Print Prints current Audiogram audiogram to optional external printer Test Toolbar Button The Test toolbar button on the main screen when pressed displays a menu shown below The menu items are listed with their function and a section reference in the table below St tru lus i Subject ID Ele 4 enw Response Examiner IDs Status 5k ik 2k 3k dk k Sk ite Mle LJMAT AT AT MT MT MT MT RY AMT MT NT NT AT HT HT a The Clear Exe Manuals a Ea Sistecar ma Enter sor Start ee igp l men Test toolbar button showing menu 2010 SMART DIAGNOSTIC DEVICES 18 SMART TONE User s Manual Function Section reference Mark for Retest Automatically retests a Audiometer Control given ear freq at the end Functions page 19 of an auto test Manual Manually re test a Manual Testing page 31 subject Enter Subject Enters a Subject ID for Subject ID page 24 ID the current audiogram Stop Audiogram Stops or pauses the Audiometer Control audiogram Functions page 19 Clear Clears the audiogram Audiometer Control Audiogram from the audiometer Funct
5. Storage dialog box allows you to view print or delete stored audiograms tag audiograms for batch transfer or clear tags or check memory usage The menu items are listed below with a description of their function 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual Displays the currently selected audiogram Prints the currently selected audiogram Deletes the currently selected audiogram Delete All Deletes all the audiograms currently present in the Audiograms list Tag All Tags all the audiograms currently present in the Audiograms list Clear All Tags Clears the tags from all audiograms currently present in the Audiograms list Memory Usage Shows the number of stored audiograms and the maximum number possible Storage Menu To see the Storage Menu 1 Press the Menu toolbar button on the main screen and choose Storage The Storage dialog box appears 2 Press the Menu toolbar button Tagging Audiograms Batch transfer will send only tagged audiograms Audiograms are automatically tagged when they are saved and untagged when transferred Audiograms can also be tagged manually either individually or all at once A tagged audiogram is displayed in blue text on a white background or in white text on a blue background if it is currently selected The Tag All menu item in the Storage Menu tags all the audiograms that are currently present in the Audiograms list in the Storage dialog box
6. You can also move the control by touching it near the desired frequency The HL Hearing Level Up and HL Down buttons will move the stimulus intensity control You can also move the control by touching it near the desired hearing level Left ear hearing levels appear in blue right ear hearing levels appear in red The Stimulus light will ight up when there is a stimulus presented The Response light will light up when the subject presses the response switch The frequency and ear currently being tested is highlighted Refer to the table below for a description of the manual audiogram controls 2010 SMART DIAGNOSTIC DEVICES 31 SMART TONE User s Manual Present presents the specified stimulus when your finger is lifted from the Stimulus button Mic enables talk over microphone to disable the microphone press Mic Off button in the Microphone On dialog box Set Thresh records the threshold as the current setting of the knobs Set NR records the threshold as No Response on the current frequency and ear Set NT cancels test results on the current frequency and ear and returns the setting to Not Tested To determine a threshold manually 1 Enter manual mode by pressing the Test toolbar button on the main screen and choosing Manual from the menu In the Manual dialog box select the ear to test by pressing either the Left Ear or the Right Ear button By touching the frequency and hearing level controls near th
7. a message about printer setup appears winter Setup The external printer must be properly configured in order to successfully print Please refer to the audiometer Help Manual for Further asslistanos Don t show this message Cancel Print again Printer Setup dialog box The Don t show this message again button will disable the dialog box so that it will never appear again The Print button will exit this dialog box and print Cancel exits this dialog box and does not proceed to printing It is possible to print while an automatic audiogram is in progress The report will reflect the current test data as displayed on the screen If Automatic Print on Test Complete has been selected for the test configuration an audiogram will be printed automatically when it 1s finished See the Test Configuration section on page 27 The procedure below is for printing audiogram data that are currently on the main screen For information on printing a stored audiogram see Printing a Stored Audiogram on page 43 To print the current audiogram gt Press the Save Print toolbar button on the main screen then choose Print Audiogram 2010 SMART DIAGNOSTIC DEVICES 37 SMART TONE User s Manual Procedures for Data Transfer Data transfer of one or more audiograms sends a copy of the audiogram s to the database management system that you are using on the computer Transfer is initiated from the computer Procedu
8. an audiogram is described in the section below Before beginning an audiogram make sure the audiometer calibration 1s current Whenever an audiogram is started an Annual Calibration Warning 2010 SMART DIAGNOSTIC DEVICES 35 SMART TONE User s Manual will appear if the current date 1s 30 or fewer days prior to the annual calibration anniversary or if the current date is more than one year after the last calibration See the Annual Calibration Mode section on page 50 for more information Beginning Automatic Testing To begin automatic testing 1 Seat the subject comfortably and fit the headset for his or her head The ear cushion should be placed directly over the subject s ear canal The subject should not place or adjust the headset since this may result in incorrect placement of the headset 2 Start the automatic test by choosing the Test toolbar button on the main screen then choosing Start Audiogram You may enter a Subject ID for this audiogram while the test is in progress by choosing the Test toolbar button on the main screen then choosing Enter Subject ID from the menu Saving an Audiogram In order to save an audiogram to Storage follow the procedure below For information on Storage see the Storage section starting on page 39 If Automatic Save on Test Complete 1s selected in the Setup dialog box the audiogram will be automatically saved when it is finished See the Test Configuration section on p
9. box appears in dialog boxes that allow you to enter numbers using the keypad 2010 SMART DIAGNOSTIC DEVICES e1 SMART TONE User s Manual lt 4 Keypad Moves left one space without deleting Moves right one space without deleting Moves cursor to the previous edit box Moves cursor to the next edit box Moves left one space while deleting If the cursor is at the leftmost position then the number to the right is deleted Utilities The Utilities menu accessed by pressing the Menu toolbar button on the main screen then choosing Utilities displays the following items The menu items are listed in the table below along with their function and a section reference 2010 SMART DIAGNOSTIC DEVICES 22 SMART TONE User s Manual St imu lus i Subject ID Response a ma ed E Set Display Calibrate S Brightness Aud tometer Calibrate it Fe ae pare Touch eH Lal Site SCrEEN sas 36 46 CA Upgrade BE Firmware Close re oe 3 188 f p Test EHH 16h z h 46H She Utilities menu Menu Item Item Function Section reference Section reference Set Display Adjust brightness of Setting the Display Brightness Brightness the screen display page 45 Set Date Time Set the correct date the Date and Time page and time Upgrade Allows loading new For authorized service center use Firmware firmware see service manual Calibrate Puts the audiometer For authorized service c
10. g randomly pressing the response switch If an error occurs the technician is notified by the appearance of an error code in that ear and frequency in the Test Display Certain errors under certain circumstances as detailed below cause the test to stop immediately an alarm to sound unless the error alarm has been set to Off see the Alarm Mode section on page 26 and the word Error to be displayed in the Status box e if a Continuous Response CR Multiple Response MR or Subject Error SE occurs 2010 SMART DIAGNOSTIC DEVICES e7 SMART TONE User s Manual e if No Response NR is detected at 1 kHz during the initial determination attempt or during the first determination attempt after a re start e after the determination of any threshold if the audiometer determines that the number of test sequence frequencies having NR is greater than or equal to twice the number of times the error alarm has previously been triggered due to NR The table below lists the possible test errors their codes and the conditions under which they occur Error codes appear in the test display Name Error Description code No Response NR The subject did not respond to two stimulus presentations at the maximum intensity Multiple Response MR The subject responded more than once to a single stimulus presentation Subject Error A threshold was not determined within twenty stimulus presentations Continuous Response The response switch w
11. Avoid using caustic chemicals on the touchscreen For information on care of the audiometer see Audiometer Care and Cleaning Setting the Display Brightness The display brightness of the audiometer screen can be adjusted by the user Refer to the procedure below To set the display brightness 1 On the main screen choose the Utilities menu toolbar button and choose Set Display Brightness from the menu 2 The Set Display Brightness dialog box appears 3 Use the controls to set the display brightness to the desired level and press OK Touchscreen Galibration The touchscreen will require calibration if there seems to be an offset between the finger touch point and the place where the touch 1s registered by the audiometer for instance if the press of a button is not registered directly under your finger Calibration is also necessary if your touch is not registered at the edges of the screen The touchscreen calibration utility automatically terminates any audiometer activity Therefore any audiogram that is currently in progress will be stopped and discarded if you choose Calibrate Touchscreen from the Utilities menu Likewise any audiogram that has been completed but not saved will be discarded if the touchscreen calibration utility is launched It is recommended that you use a stylus such as the tip of a pen cap instead of your finger for touchscreen calibration 2010 SMART DIAGNOSTIC DEVICES 45 SMART TONE Us
12. NOSTIC DEVICES 11 SMART TONE User s Manual Changing the Audiometer s COM Port on the Computer In some database management systems the COM port assigned to the audiometer must be between COM1 and COM4 This section explains how to change the COM port on a Windows PC To change the audiometer s COM port on the computer 1 gt Open the Device Manager Under Ports right click on the audiometer s COM port and choose Properties from the menu The Properties dialog box appears Choose the Port Settings tab Choose the Advanced button The Advanced Settings dialog box appears In the COM Port Number combo box choose the desired COM port Choose OK 2010 SMART DIAGNOSTIC DEVICES 12 SMART TONE User s Manual Audiometer Gontrols Main Screen The main screen of the audiometer is pictured below The audiogram information fields are at the top with the test display underneath and the toolbar is to the right The audiogram graph is at the bottom St imu lus di Subject ID Ee M enu Response Examiner IDs Status 5k ik 2k Bk 4k Ek Bk TE L HT HT NT HT HT HT HT Mic R NT NT NT NT NT NT NT Frequency Hz Saye Print 0 Boo he ee ee me co iaa t s sal Test GAR iga ZARA SERE OEBEE Main Screen of the Audiometer shown in Idle status Test Display The on screen display gives information on the stimulus presented subject response test status and progress Subjec
13. OGRANS Ele lari SUBJ ID DATE TIME 02715716 09 E Free o Hel LE giz Tag m e Cam Cam am Can an ai a H b Ae 15 16 He 16 18 89 88 He 16 18 69115 BH2 1l6 16 89 28 He 16 18 69 26 H2 16 168 Bae AH2 16 16 amp Storage dialog box The Subject ID box displays the word ALL if no Subject ID filter has been set If a filter has been set that Subject ID appears in the Subject ID box Go oo gt R ifiR pl The Audiograms List shows stored audiograms with their Subject ID Gf an ID has been associated with them and their date and time The audiograms that appear in the list are those whose Subject ID matches the current filter The audiogram that is currently selected in the list appears in white text on a black background or blue background if the audiogram is tagged To select an audiogram in the list use the arrow buttons and the Page Up and Page Down buttons to move to it The Menu toolbar button displays the Storage Menu The Filter button allows you to filter the audiograms by Subject ID The Tag button tags an untagged audiogram that is currently selected in the list or clears the tag from a tagged audiogram that is currently selected Check to see how many audiograms you have stored by pressing the Menu toolbar button in the Storage dialog box and choosing Memory Usage The Memory Usage dialog box will list the number of audiograms stored out of the maximum number The number given r
14. SMARI TONE Automatic Audiometer User s Manual fg SMART DIAGNOSTIC DEVICES Firmware v 1 0 April 2010 SMART TONE User s Manual Table Of Contents Installation 1 A e e e as Seen RTE e Ren ERERKEN NER 1 Audiometer Installadon 1 Key te N mbers 1m Diacrisia herdaim in 2 Connecting the PrintertotheAudiometer 3 Pantero ol 6 e e ie ame am E EE 3 er ami EAER rn ER ne ee NN kd 5 Installing the Windows DriverforDataTransfer 5 Changing the Audiometers COM Port on the Computer 12 Audiometer Controls 13 14 e ke ie RR AE a e Mn GPM er crete 13 e AE GN kel 13 Pa aa os rain Grap MP ETE meee 15 T GOIB ar B WE GIS sise a a ai le ea ir yaa ae 15 MenuToolbarButoan 16 Mierop hone e Mp e e 16 Save Print Toolbar Button 17 Test TOODI DUO chosen eea nee ele ii killi 18 AudiometerControlFunc ons 19 Instructions for Common Audiometer Tasks 21 EA 0 cen e a eS ne a ee ee yi 21 1 EE MOM AMME FEY AM ee ok Geese Eda ES 2 eanna ci l ismini am ll ala eee d n ea Bimeks E 29 Ul 8 ke D Ee E EYE KRM E MRK Tener Sr Ar e DT AE 24 Audiometer Setup 25 FAVIG TONIC UCT Oe bio Pei SEP GR EY KERR e ee ee eee 25 elena e i a e Diteand TIN e iieiaei iaae 25 eke a CC ME ME ENR NEDE AYAN ME e SA a MEZDEKE 26 Au
15. Therefore if you have set up a Subject ID filter choosing Tag All will tag only the audiograms with that ID In order to tag all the stored audiograms at the same time clear any Subject ID filter that you have in place ALL should appear in the Subject ID box Refer to the procedure below for tagging audiograms For information on clearing tags see the following section To tag one or more audiograms 1 Press the Menu toolbar button on the main screen and choose Storage 2010 SMART DIAGNOSTIC DEVICES 411 SMART TONE User s Manual 2 In the Storage dialog box select the audiogram in the list that you wish to tag and press the Tag button 3 Repeat as necessary To tag all audiograms currently present in the Audiograms list gt In the Storage dialog box press the Menu toolbar button and choose Tag All Clearing Audiogram Tags The Tag button in the Storage dialog box toggles the selection That is when it 1s pressed the button affects the currently selected audiogram as follows gt if the audiogram is not tagged the Tag button will apply a tag to it gt if the audiogram is already tagged the Tag button will clear the tag The Clear All Tags menu item in the Storage Menu clears the tags from all the audiograms that are currently present in the Audiograms list in the Storage dialog box Therefore if you have set up a Subject ID filter choosing Clear All Tags will clear t
16. a threshold the audiometer presents a tone as specified by the test sequence If no response is recorded the stimulus level increases by 20dB until a response is obtained The audiometer then follows the modified Hughson Westlake procedure 10dB down 5dB up until a threshold is determined as defined above At the completion of an audiogram the audiometer will perform an automatic retest of all thresholds that could not be determined due to subject errors 2010 SMART DIAGNOSTIC DEVICES 30 SMART TONE User s Manual Mianual Testing The Manual menu item in the Test menu accessed by pressing the Test toolbar button allows you to control the audiometer like a manual audiometer You may use the manual mode to test subjects who are difficult to test with an automatic test or to present tones and watch for responses as part of explaining the test to the subject Talk over is available in this mode The Manual dialog box is shown below 5k ik 2k 3k dk bk Bk 5k ik 2k 3k dk Gk Bk MT MT NT MT NT NI NT NI NT ORT MI NT OAT ak Freq ss ae J Present HL E J Down St Lau lus Bown ve pi Th on F a x Cancel Manual dialog box After manual testing is finished pressing OK in this dialog box will cause all manual test results to be shown in the thresholds table and graph in the Test Display Pressing Cancel discards all thresholds that were determined manually The Freq Up and Freq Down buttons will move the frequency control
17. abled To temporarily postpone the annual calibration warning 1 When the Annual Calibration Warning dialog box automatically appears press the Remind me again in two weeks button 2 Choose OK 2010 SMART DIAGNOSTIC DEVICES 50 SMART TONE User s Manual Trademarks Solo is a trademark of Benson Medical Instruments Co Windows is a trademark of Microsoft Corporation in the United States and other countries All other product names mentioned herein may be trademarks of their respective companies Warranty Smart Diagnostic Devices warrants that all hardware products will be free from defects in material and workmanship for a period of one year from date of purchase We will repair or replace at our option hardware that is returned freight prepaid to us during this period You must obtain return authorization by contacting Smart Diagnostic Devices before returning any products Smart Diagnostic Devices warrants that all software drivers will perform substantially in accordance with these electronic instruction files for a period of one year from date of purchase We will replace software that does not perform as described above as your sole remedy In no case will Smart Diagnostic Devices be responsible for damages beyond the replacement of software or beyond the purchase price of the instrument Smart Diagnostic Devices does not warrant these products fitness for use for any particular application It is your responsibi
18. age 27 If you wish to enter a Subject ID before saving the audiogram press the Test toolbar button on the main screen then choose Enter Subject ID and enter the Subject ID in the dialog box that appears For more information see the Subject ID section on page 24 If you wish to enter an Examiner ID before saving the audiogram press the Enter Examiner ID toolbar button on the main screen and enter the Examiner ID in the dialog box that appears The test time is the time that the test was first saved printed or transferred either manually or automatically To save a audiogram 1 When the test status indicates Finished press the Save Print toolbar button on the main screen then choose Save Audiogram The audiogram is now saved in Storage 2010 SMART DIAGNOSTIC DEVICES 36 SMART TONE User s Manual 2 If you wish to print the audiogram on the external printer press the Save Print toolbar button and choose Print Audiogram 3 If you wish to clear the audiometer for testing another subject press the Test toolbar button and choose Clear Audiogram Printing the Gurrent Audiogram In order to print the audiogram that has just completed and is currently on the main screen the optional external printer must be connected For information on the printer see the sections beginning with Connecting the Printer to the Audiometer on page 3 The first time Print Audiogram is chosen from the Test menu a dialog box with
19. ags only from the audiograms with that ID In order to clear tags from all the stored audiograms at the same time clear any Subject ID filter that you have in place ALL should appear in the Subject ID box To see the Storage dialog box press the Menu toolbar button on the main screen then choose Storage To clear audiogram tags follow the procedure below To clear the tag from an audiogram In the Storage dialog box select the tagged audiogram in the list Press the Tag button To clear all tags gt In the Storage dialog box press the Menu toolbar button and choose Clear All Tags Deleting an Audiogram The action of deleting an audiogram cannot be undone To delete an audiogram 1 Press the Menu toolbar button on the main screen and choose Storage 2 In the Storage dialog box select the audiogram you wish to delete 3 Press the Delete Audiogram button 2010 SMART DIAGNOSTIC DEVICES 42 SMART TONE User s Manual 4 When finished with the Storage dialog box choose Close To delete all audiograms 1 Press the Menu toolbar button on the main screen and choose Storage 2 In the Storage dialog box press the Delete All Audiograms button You will be asked to confirm your choice 3 When finished with the Storage dialog box choose Close Printing a Stored Audiogram To print a stored audiogram follow the procedure below To see the Storage dialog box press the Menu toolbar button on the
20. as not released since the start of the previous stimulus presentation Retest Not Valid The threshold of a IkHz programmed retest varies by more than 5 dB Presentation Timeout More than sixty seconds have elapsed from the start of a threshold determination without a threshold being established The error alarm can be set to Off On or Continuous in the Setup dialog box see the Alarm Mode section on page 26 Test Sequence The test sequence is shown below 8000 Hz will be tested only if the Test 8000 Hz button is selected in the Setup dialog box To see the Setup dialog box press the Menu toolbar button on the main screen and choose Setup 2010 SMART DIAGNOSTIC DEVICES 208 SMART TONE User s Manual Ear Frequency Start Left 1000 500 VSL 1000 VSL 2000 VSL 3000 VSL 4000 VSL 6000 VSL 8000 VSL Right 500 1000 VSL 2000 VSL 3000 VSL 4000 VSL 6000 VSL 8000 VSL Test Sequence tested only if Test 8000 Hz button is selected in the Setup dialog box VSL stands for Variable Starting Level VSL is used to determine the starting level relative to the previous threshold Using a variable starting level in determining each threshold reduces the time needed to complete an automatic test Rather than presenting the initial stimulus of a threshold determination at a predetermined level the audiometer begins by presenting a tone that is 5dB above the previous threshold Exce
21. button 2 In the Select Subject dialog box delete the numbers from the Subject ID edit box 3 Choose OK OR gt Close the Storage dialog box and reopen it Data Validation Dates and times will be validated each time the OK button is chosen in a dialog box that contains Date and Time edit boxes Ifa field contains invalid data a message box appears asking you to enter a valid date or time Click OK in the message box to return to the dialog box The date format is mm dd yyyy month day year and the time format is hh mm ss hours minutes seconds Miemory Usage The Memory Usage feature allows you to see how many audiograms you have stored out of the maximum number To see the memory usage in Storage On the main screen press the Menu toolbar button and choose Storage The Storage dialog box appears Press the Menu toolbar button and choose Memory Usage A maximum of 300 audiograms may be stored 2010 SMART DIAGNOSTIC DEVICES 44 SMART TONE User s Manual Touchscreen Gare and Galibration Touchscreen Use and Gare The touchscreen is designed to be operated by fingertip Devices such as pens should not be used Plain water or a 50 50 solution of isopropyl alcohol and water is recommended for cleaning the touchscreen Pour the solution onto a soft cloth rather than pouring it on the screen then clean the screen with the cloth Take care to follow the alcohol manufacturer s precautions and directions for use
22. e desired settings or by using the Up and Down button controls select the frequency and the initial stimulus intensity Press the Present Stimulus button to present the stimulus The Stimulus indicator flashes to show stimulus presentation The Response indicator flashes as the subject responds Use the controls to vary the intensity and present stimuli until you have determined the threshold Press the Set Thresh button The threshold is recorded in the appropriate position near the top of the dialog box It is highlighted inverted in color To determine another threshold manually go to step 2 above When finished with the test press OK to accept the manually determined thresholds Pressing Cancel will cause the thresholds to be lost 2010 SMART DIAGNOSTIC DEVICES 32 SMART TONE User s Manual Printout Audiograms can be printed using the optional external printer A sample audiogram printout is shown below To print the audiogram that has just finished see the section called Printing the Current Audiogram on page 37 To print a stored audiogram see the section called Printing a Stored Audiogram on page 43 For information on the printer see the sections beginning with Connecting the Printer to the Audiometer on page 3 liv6 26RBS a a a mmm SYS Subiect ID B gga Examiner ID 00009200A Audiowram Datars 5 28 2009 g Time 15 03 43 Frea Hz 5k ik gk Sk dk 6k Bk Left SE 15 i 5 10 1B i
23. ection on page 31 Alarm Off The Alarm Off toolbar button on the main screen turns off the alarm that sounds when a test is complete or when an error occurs 2010 SMART DIAGNOSTIC DEVICES 20 SMART TONE User s Manual Instructions for Gommon Audiometer Tasks The following table lists common audiometer functions in the left column and shows how to perform these functions in the right column The toolbar buttons mentioned in the table are on the main screen To re start an automatic test Test toolbar button gt Start Audiogram To stop or pause the test Test toolbar button gt Stop Audiogram To clear the audiometer Test toolbar button gt Clear Audiogram To automatically retest a given Test toolbar button gt Mark for Retest in ear freq at the end of an auto the Mark Unmark for Retest dialog box test press the ear freq to be retested To manually re test a subject Test toolbar button gt Manual To turn on the microphone Mic toolbar button during an automatic audiogram To turn on the microphone Mic button in the Manual dialog box during a manual audiogram To turn off the microphone Mic Off button in the Microphone On dialog box To turn the alarm off Alarm Off toolbar button Keypad Several dialog boxes contain a numeric keypad with a backspace key and arrow keys pictured below The table below shows the non numeric keys with a description of their function A cursor a blinking blue
24. ed within the printer and will not be lost if power is removed from the printer If any mistakes are made while executing the procedure below simply switch the power to the printer OFF then restart the procedure Further information can be found in the DPU 414 Operation Manual configure the printer 1 Switch off the printer 2 Press and hold the ONLINE button while switching the printer back on Release only after a list of current settings starts to print out Beyond the following step configuration settings must be entered sequentially It is not possible to undo the settings without restarting the procedure If a mistake is made start the procedure beginning with step 1 3 Press the ONLINE button once to begin entering settings for DIP SW1 4 Press the buttons EXACTLY according to the following sequence and check that the resulting message is correct Press button Verify message FEED 1 OFF Input Serial 2010 SMART DIAGNOSTIC DEVICES 3 ONLINE ONLINE ONLINE ONLINE FEED ONLINE ONLINE SMART TONE User s Manual Printing Speed High Auto Loading ON Auto LF ON Setting Command Enable Printing Density 8 ON 100 5 Next press ONLINE again to begin entering settings for DIP SW2 6 Press the buttons similar to step 4 and verify the message Press button ONLINE FEED ONLINE FEED ONLINE ONLINE ONLINE FEED Verify message 1 ON Printing Columns
25. efers to all audiograms contained within the Storage database without respect to the the current Subject ID filter To see the Storage dialog box press the Menu toolbar button on the main screen and choose Storage 2010 SMART DIAGNOSTIC DEVICES 39 SMART TONE User s Manual Audiograms Audiograms may be stored with or without a Subject ID The time associated with the audiogram is the time that the test was first saved printed or transferred either manually or automatically Times are given using the 24 hour clock for example 4 00 PM appears as 16 00 00 Viewing a Stored Audiogram You can view a stored audiogram by choosing View from the Storage Menu To see the Storage dialog box press the Menu toolbar button on the main screen and choose Storage The View Audiogram dialog box is pictured below St ppi Fo URES 2 sssr t Siew Audiogran Re Subjec J Date Subject IO Sti AUDIO 83 82 2818 CEEE Til Time Examiner ID as 19 31 EE 5k ik 2k Sk dk Gk Bk Left fo fo fe Je fe fie fis Right fo fe fa fa je fe feo Serial Number ETE Page Calibration Date OK E Up es 61 2010 Gow oo 0h AN E oo a e pi View Audiogram dialog box To view a stored audiogram 4 In the Storage dialog box select the audiogram in the list that you wish to see 5 Press the Menu toolbar button then choose View Storage Menu The Storage Menu accessed by pressing the Menu toolbar button in the
26. enter use Audiometer into Annual only see service manual Calibration Mode Calibrate Launches Touchscreen Touchscreen Calibration page 45 Touchscreen Calibration Examiner ID The Enter Examiner ID menu item accessed by pressing the Menu toolbar button on the main screen displays the Enter Examiner ID dialog box To enter the Examiner ID the procedure below Since the same examiner may be performing multiple audiograms the Examiner ID will remain on the screen even if an audiogram is cleared If an Examiner ID is entered it will remain on the screen until it 1s changed or removed or until the audiometer is turned off and re started Use the keypad to enter numbers in the Examiner ID edit box The Examiner ID edit box can contain up to 9 numeric characters 2010 SMART DIAGNOSTIC DEVICES 2 3 SMART TONE User s Manual To enter an Examiner ID 1 On the main screen press the Menu toolbar button and choose Enter Examiner ID 2 In the Enter Examiner ID dialog box use the keypad to enter numbers in the Examiner ID edit box 3 Choose OK Subject ID A Subject ID is a unique identifier for a subject that can be associated with audiograms It can be entered for an audiogram before during and after the test before saving and as long as the audiometer has not been cleared by pressing the Test toolbar button then choosing Enter Subject ID Use the keypad to enter numbers in the Subject ID edit box The Sub
27. er s Manual Touchscreen calibration is initiated by choosing Calibrate Touchscreen in the Utilities menu accessed by pressing the Utilities menu toolbar button on the main screen During calibration icons appear one after another on the screen The first icon will appear on the left side of the screen Press the stylus firmly on the icon for three seconds then take it off the screen Another icon will appear elsewhere on the screen Press the stylus firmly on that icon for three seconds then lift it up Continue to press on the icons until calibration is complete Safety and Audiometer Gare Power Supply Safety The power supply is intended for indoor use only When using an electrical appliance basic safety precautions should always be followed including the following Read all instructions before using power supplies WARNING To reduce the risk of burns fire electric shock or injury to persons e Do not allow to be used as a toy e Use this power supply only for its intended use as described in this manual Use only attachments recommended by the manufacturer as contained in this manual e Never operate this power supply if it has a damaged cord or plug if it is not working properly if it has been dropped or damaged or fallen into water In such cases return the appliance to the nearest authorized dealer or service center for examination repair electrical or mechanical adjustment e Use only the supplied power
28. erform this check is to use the optional D Check bio acoustic simulator Daily Calibration Check Using the Bio Acoustic Simulator To perform a daily calibration check using the Bio Acoustic Simulator 1 Set up the simulator s Configure the system as described in the section called Installing the Bio Acoustic Simulator on page 48 below Remove the response cord from the simulator jack and place the headphones on the simulator Extend the headband as necessary so that the ear cushions are centered 2 Begin the automatic testing by pressing the Test button then choose Start Audiogram 3 When the audiometer Status field indicates Finished print the test Compare this test to your reference test to ensure that no more than the allowed shift has occurred at all frequencies 4 To prepare for subject testing plug the response cord into the Response jack of the simulator The power indicator will go out signaling that the simulator is out of the circuit and will not affect subject testing Installing the Bio Acoustic Simulator The Bio Acoustic Simulator can be left installed at all times for additional convenience and time savings and may either sit on a table or shelf or be mounted on the wall with the included wall mounting bracket The simulator Operates with power supplied from the audiometer so there is no need to check that the unit is switched off when not in use or change batteries Refer to the figure below The s
29. ftware Choose Browse my computer for driver software a Update Driver Software SmartTone Virtual Communications Port How do you want to search for driver software Search automatically for updated driver software Windows will search your computer and the Internet for the latest driver software for your device unless you ve disabled this feature in your device installation settings Browse my computer for driver software Locate and install driver software manually Cancel 4 The drive location of the CD must be selected manually Insert the CD that came with the audiometer Enter the drive letter or browse to the CD drive using the Browse button 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual G Update Driver Software SmartTone Virtual Communications Port Browse for driver software on your computer Search for driver software in this location M3 ene W Include subfolders gt Let me pick from a list of device drivers on my computer This list will show installed driver software compatible with the device and all driver software in the same category as the device nee 5 Click Next then Close on the final dialog box Installing driver software 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual Wwe Update Driver Software SmartTone Virtual Communications Port COMI Windows has successfully updated your driver software Windows has finished i
30. g a new subject If talk over was in use it is disabled Microphone Mic The Mic toolbar button on the main screen enables the talk over microphone during an automatic audiogram If an automatic test was in progress when the Mic button is pressed the test is first stopped before the talk over 1s enabled The audiometer is left idle after talk over is disabled To disable talk over press the Mic Off button in the Microphone On dialog box Use Start Audiogram press the Test toolbar button to restart an automatic test that was stopped with the Mic toolbar button Mark for Retest The Mark for Retest menu item press the Test toolbar button allows the marking of a given ear and frequency for automatic retesting If an automatic test is in progress when the frequency is marked the retest occurs after all frequencies have been tested If the audiometer status is Idle the retest occurs immediately after a test is re started The retests are handled in order from left to right on the display Any hearing level that has been marked for retest 1s highlighted in the hearing thresholds table with white text and black background Even if a frequency that was marked for retest had a previously determined threshold the threshold that is determined during the retest is the one that 1s retained Manual The Manual menu item press the Test toolbar button allows you to control the audiometer like a manual audiometer See the Manual Testing s
31. he Menu toolbar button and choose Setup In the Setup dialog box if the Require Subject ID button is selected the Enter Subject ID dialog box will be automatically displayed when a test is started The audiometer can present a pulsed or continuous stimulus If the Pulse Tone button 1s selected the audiometer will present a pulse stimulus during testing A pulse stimulus is three short beeps of 200ms duration with 200ms between pulses A pulse tone can often allow subjects with tinnitus to distinguish the stimulus from ringing in the ears If this button is not selected a continuous tone will be presented Continuous stimulus is a single tone of one second duration If the Test 8000 Hz button is selected the test sequence will include 8000 Hz If the Automatic Save on Test Complete button is selected the audiogram will be automatically saved to Storage when it is finished If the Automatic Print on Test Complete button is selected the audiogram will be automatically printed when it is finished The printer must be already installed and set up as described in the sections beginning with Connecting the Printer to the Audiometer on page 3 When finished with the dialog box choose OK Errors An error is an indication that the test may be producing inaccurate results Potential sources of these inaccuracies are subject errors in following instructions e g not releasing the response switch or trying to outsmart the test e
32. he computer See the next sections In your database management system select the RA500 as the audiometer with which the computer will communicate The audiometer is already set up for data transfer No adjustments are necessary Data transfer is initiated from the third party software Set the communication parameters in the third party software to 9600 baud 8 data bits no stop bits no parity In some database management systems the COM port assigned to the audiometer must be between COM1 and COM4 A procedure for changing the COM port is supplied in the section called Changing the Audiometer s COM Port on the Computer on page 12 Installing the Windows Driver for Data Transfer To connect the audiometer to third party software on the computer you will need to install the driver on the included CD onto the computer which makes the audiometer appear as a COM port on the computer Windows XP Vista 32 bit or 64 bit and Windows 7 32 bit or 64 bit operating systems are supported The connection uses one USB port Refer to the procedures below The instructions differ depending on which Windows operating system your PC is running 2010 SMART DIAGNOSTIC DEVICES 5 SMART TONE User s Manual To install the driver on a computer using Windows 7 1 With the computer running connect the audiometer to the computer using a cable and turn on the audiometer power switch The mall Gm box appears Device driver software was no
33. ime field For example 4 00 PM would be entered as 16 00 00 The date format is mm dd yyyy month day year and the time format is hh mm ss hours minutes seconds Entries are validated when you press the OK button To set the date and time 1 On the main screen choose the Utilities menu toolbar button and choose Set Date Time from the menu The Set Date Time dialog box appears Enter the date in the Date edit box Enter the time in the Time edit box Press OK an ae er g 2010 SMART DIAGNOSTIC DEVICES 25 SMART TONE User s Manual Alarm Mode The Alarm Mode setting controls the duration of both the alarm which sounds when an error occurs when a test is finished You can set the alarm to sound continuously until turned off to sound for only a few seconds or not to sound at all The alarm is controlled by the Alarm Mode combo box in the Setup dialog box To see the Alarm Mode combo box press the Menu toolbar button and choose Setup The choices are Continuous On and Off The Alarm Off button on the main screen turns off the alarm when it is triggered and resets it You may also turn off the alarm by restarting an audiogram clearing an audiogram entering manual mode or turning on the microphone Errors are discussed in the Errors section on page 27 2010 SMART DIAGNOSTIC DEVICES 26 SMART TONE User s Manual Automatic Testing Test Configuration To see the test configuration settings press t
34. ions page 19 Start Audiogram Re starts an automatic Audiometer Control audiogram Functions page 19 Audiometer Gontrol Functions This section describes in detail the audiometer controls A table of common testing tasks with instructions for performing them 1s included in the next section Start Audiogram The Start Audiogram menu item press the Test toolbar button commences automatic testing If the thresholds are all NT Not Tested the automatic test performed is the one specified in the Setup dialog box see the Test Configuration section on page 27 If one or more frequencies are marked for automatic retest indicated by inverse coloring of display those frequencies will be tested first in order from left to right This is followed by testing of all frequencies without thresholds in order from left to right This button also restarts an automatic test that was stopped with the Mic toolbar button Stop Audiogram The Stop Audiogram menu item press the Test toolbar button stops the automatic test if the audiometer status 1s Testing Otherwise this menu item has no effect You can restart a stopped test with no loss of the thresholds that have been determined 2010 SMART DIAGNOSTIC DEVICES 19 SMART TONE User s Manual Clear Audiogram The Clear Audiogram menu item press the Test toolbar button stops testing removes all marks for retest and clears the audiogram from the audiometer to make it ready for testin
35. jack on the back panel of the audiometer 4 Plug the power supply into a wall outlet 5 Turn on the power switch on the back panel of the instrument The LCD display on the instrument s top panel will illuminate indicating that the audiometer is on 2010 SMART DIAGNOSTIC DEVICES 1 SMART TONE User s Manual Audiometer with optional printer Key to Numbers in Diagram Power supply audiometer Response switch Audiometer Serial cable Headset Thermal printer Power supply printer a AU REN PA 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual Connecting the Printer to the Audiometer To The supported external printer for the audiometer is a Seiko DPU 414 using 4 inch thermal paper For information on purchasing this printer contact your Smart Diagnostic Devices distributor To find the distributor nearest you contact Smart Diagnostic Devices at 612 548 5556 connect the printer to the audiometer gt Using a cable connect the printer to the port on the audiometer back panel labeled PRINTER Printer Setup To If the printer has been purchased from Smart Diagnostic Devices or a Smart Diagnostic Devices distributor it has already been configured according to the following procedure Otherwise follow the procedure below to set up the printer The printer must be properly configured before it can operate with the audiometer When completed the configuration is stor
36. ject ID edit box can contain up to 9 numeric characters The Require Subject ID button in the Setup dialog box when selected will cause the Enter Subject ID dialog box to be displayed automatically when an audiogram is started for the first time You can enter the Subject ID while the audiogram is in progress If the audiogram is saved this Subject ID will be saved along with it in Storage See the Test Configuration section on page 27 Stored audiograms can be filtered for a certain Subject ID making it easy to see all the audiograms of a given subject See the section on Filtering Audiograms by Subject ID on page 43 2010 SMART DIAGNOSTIC DEVICES 23 SMART TONE User s Manual Audiometer Setup Audiometer Setup To see the Setup dialog box press the Menu toolbar button on the main screen and choose Setup from the menu The items in the Setup menu are listed below with a section reference Require Subject ID Test Configuration page 27 Test Test 8000Hz Hz Test Te Configuration page 27 Test Configuration page 27 27 ee Save on Test Test Configuration page 27 Complete Automatic Print on Test Test Configuration page 27 Complete Alarm Mode Alarm Mode page 26 Setting the Date and Time It is necessary for the user to set the correct date and time so that the audiograms will be associated with the date and time when they occurred and the correct date appears on print outs Use the 24 hour clock for the T
37. lity to determine fitness for use for your particular application 2010 SMART DIAGNOSTIC DEVICES 51 SMART TONE User s Manual Abbreviations The table below shows the abbreviations that are used in the audiometer and in this instruction manual Descriptions are given in the right column Abbreviation Explanation L left ear NR No Response NT not tested R right ear RN Retest Not Valid SE Subject Error 2010 SMART DIAGNOSTIC DEVICES CR Continuous Response dB SPL decibel Sound Pressure Level dB HL decibel Hearing Level MR Multiple Response PT Presentation Timeout o SMART TONE User s Manual Audiometer Specifications The audiometer meets or exceeds ANSI S3 6 1989 Composite aluminum ABS Color PC Bone 14 1229 F 10 50 C Test Frequencies 500 Ik 2k 3k 4k 6k 8kHz crystal controlled Stimulus Continuous 1 second or Pulsed 200ms pulse 2 5 pulses second Output Level 0 95 dBHL 3dB 5dB step Output Rise Fall Time Not greater than 50msec nor less than 20msec 30msec typ Distortion Less than 3 at full output Output On Off Ratio Greater than 70dB 95dB typ Transducer Telephonics TDH39 10 ohm earphones with MX41 AAR cushions Power requirements 120VAC nominal 23 Watts max 2010 SMART DIAGNOSTIC DEVICES 03
38. main screen and choose Storage To print a stored audiogram 1 Select the test in the Storage dialog box 2 Press the Menu toolbar button in the Storage dialog box and choose Print Filtering Audiograms by Subject ID The Filter by Subject ID button in the Storage dialog box allows you to see only the stored audiograms of one subject When you set up a filter for a certain Subject ID the list box will show only the audiograms that are associated with that ID and the Subject ID edit box in the Storage dialog box will display the ID When there 1s no filter the Subject ID edit box will contain the word ALL and the list box will show all the stored audiograms Any filter that is currently in place is automatically cleared when you close the Storage dialog box To see the Storage dialog box choose Storage from the Menu toolbar button on the main screen To filter the audiograms by Subject ID 1 In the Storage dialog box press the Filter button 2 In the Select Subject dialog box use the keypad to enter the ID of the subject whose audiograms you wish to see You cannot filter audiograms without a Subject ID 3 Choose OK In the Storage dialog box the ID you entered will appear in the Subject 2010 SMART DIAGNOSTIC DEVICES 43 SMART TONE User s Manual ID box and the audiograms associated with this Subject ID will appear in the list To turn off a filter 1 In the Storage dialog box press the Filter
39. make sure the desired test configuration features are selected If not select the desired features See the sections beginning with Test Configuration on page 27 for information on features 3 Choose OK 4 Set the Examiner ID by pressing the Menu toolbar button on the main screen and choosing Enter Examiner ID then entering the ID and pressing OK Verifying Correct Audiometer Operation The accuracy of the tests results 1s dependent on the correct functioning of the audiometer as well as the correct technique The electronic circuitry of the audiometer is state of the art and very stable However the headset transducers and cabling can become faulty while still appearing to be in good repair In order to ensure that the audiometer is correctly functioning the operator should test a person with known stable hearing and compare the results with a previously performed test on this individual Shifts of more than 5 dB from the previous results or any unwanted sounds during the test call into question the operation of the audiometer and may indicate that the audiometer s calibration should be checked by an authorized service technician This check should be done each day that the audiometer is used and before testing is done that day As an alternative the optional bio acoustic simulator may be used to do this daily operational check See Daily Calibration Check p 48 Performing an Audiogram The typical method of performing
40. matic test in progress Finished automatic test is complete Error the test has stopped because of an error that occurred during automatic testing Mic On talk over microphone is enabled 2010 SMART DIAGNOSTIC DEVICES 14 SMART TONE User s Manual Audiogram Graph A graph displaying the audiogram thresholds for the left and right ears appears on the main screen Left ear hearing levels are marked with an X and plotted in blue Right ear hearing levels are marked with an O and plotted in red Stimulus Subject ID Ee enu Response i Examiner IDs Status 5k ik 2k Sk dk amp k Ek L 5 66 65 65 65 65 65 Hic Testing aos oo ea ag ce ce E Frequency Hz H SAH 1668 2k 4688 Shae Main Screen with Audiogram Graph showing Left Ear and Right Ear plotted Toolbar Buttons The toolbar buttons on the main screen are listed below together with an explanation of their function and a section reference Enter Examiner ID Menu Toolbar Button page 16 access to Storage audiometer setup and Utilities Menu Turns on the Microphone page 16 E aiti microphone Mic gi ane Turns off the alarm Microphone page 16 OF Alarm Off ka Save ee an Saving an Audiogram page 36 d Save Print Printing the Current Audiogram page 37 Testing controls Test Toolbar Button page 18 m Test Test 2010 SMART DIAGNOSTIC DEVICES 15 SMART TONE User s Manual Menu Toolbar Button The Men
41. nd New Hardware mart Tone Virtual S COM1 The software for this device has been successfully installed Windows has finished installing the driver software for this device SmartT one Virtual Communications Port 2010 SMART DIAGNOSTIC DEVICES 10 SMART TONE User s Manual To install the driver on a computer using Windows XP 1 With the computer running connect the audiometer to the computer using a cable and turn on the audiometer power switch The Hardware Update Wizard appears asking you to insert a disk Hardware Update Wizard Welcome to the Hardware Update Wizard This wizard helps you install software for SmarkT one Virtual Communications Port If your hardware came with an installation CD lt or floppy disk insert it now What do vou want the wizard to do 3 Install the software automatically Recommended Install from a list or specific location Advanced Click Next to continue 2 Insert the CD that came with the audiometer into the computer s CD drive and click Next The software will be automatically installed A dialog box appears informing you that the installation was successful Hardware Update Wizard Completing the Hardware Update Wizard The wizard has finished installing the software for F Smartt one Virtual Communications Port Click Finish to close the wizard lt Back Finish Cancel ee el 3 Click Finish 2010 SMART DIAG
42. nstalling the driver software for this device Smart one Virtual Communications Port Close To install the driver on a computer using Windows Vista 1 With the computer running connect the audiometer to the computer using a cable and turn on the audiometer power switch The Found New Hardware dialog box appears 4 1 Found New Hardware Windows needs to install driver software for your SmartTone Virtual Communications Port Locate and install driver software recommended Windows will guide you through the process of installing driver software for your device gt Ask me again later Windows will ask again the next time you plug in your device or log on Don t show this message again for this device Your device will not function until you install driver software Cancel 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual 2 Choose the option called Locate and install driver software A dialog box appears asking you to insert the disc that came with the audiometer mym re MEME tu al Communi ations Por oa Ca H Insert the disc that came with your Smartlone Virtual Communications Port If you have the disc that came with your device insert tt now Windows will automatically search the disc for driver software Idon t have the disc Show me other options 3 Insert the CD in the drive and clock Next 4 When the installation is complete click Close mi Fou
43. pt in cases of abnormal hearing loss this feature reduces the overall duration of the test considerably After an error the starting intensity will be 40dB HL To see the Setup dialog box gt Press the Menu toolbar button on the main screen then choose Setup 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual Automatic Retests At the completion of a test the audiometer will perform an automatic retest of all thresholds that could not be determined due to subject errors The automatic retest will take place at the end of the normal automatic test sequence if errors have occurred The test sequence for an automatic retest contains only those frequencies which have previously registered an error For information on errors see the Errors section on page 27 These errors are highlighted in the hearing thresholds table in the Test Display with white text and black background and are automatically retested at the conclusion of the audiogram If errors occur during the automatic retest the alarm sounds according to the conditions described in the Errors section on page 27 Threshold Determination The procedure used to define a hearing threshold is the modified Hughson Westlake method The hearing threshold at a frequency 1s defined as the lowest level at which a response occurs in at least half of the ascending trials with a minimum of two out of three or two consecutive responses at a single level To determine
44. rently being determined is reset in the Test Display to the previous threshold determined or NT When the microphone is disabled the automatic test remains stopped and the word Idle appears in the Status box In order to continue testing after using the microphone choose Start Audiogram from the Test toolbar button menu The Microphone On dialog box contains a slide volume control adjust this control either by touching the desired setting or by pressing the arrow keys The Volume box shows the current level The dialog box also contains a Mic Off button which will turn off the microphone when it is pressed Refer to the procedures below for microphone controls To enable the microphone during an automatic audiogram gt On the main screen press the Mic toolbar button This action also stops the test To enable the microphone during a manual audiogram gt Inthe Manual dialog box press the Mic button at lower left To turn off the microphone gt Inthe Microphone On dialog box press the Mic Off button To adjust the volume of the microphone gt In the Microphone On dialog box move the slide control by touching the desired setting or by pressing the arrow keys Save Print Toolbar Button The Save Print toolbar button on the main screen when pressed displays a menu shown below The menu items are listed with their function and a section reference in the table below 2010 SMART DIAGNOSTIC DEVICES 17
45. res for both real time transfer and batch transfer are given in the following sections The setup requirements for data transfer are described in the sections beginning with Data Transfer on page 5 Real Time Transfer Real time transfer will copy the audiogram data that is currently displayed on the main screen to the computer Data will not transfer when the Calibrate Touchscreen utility 1s running Follow the procedure below To do a real time transfer of an audiogram to the computer gt In the database management system on the computer select Get Audiogram or the equivalent The audiogram data will be transferred to the computer Batch Transfer To do a batch transfer of audiograms to the database management system on the computer follow the procedure specified in your third party database software The transfer 1s initiated from the computer no action is necessary on the audiometer Data will not transfer when the Calibrate Touchscreen utility is running Batch transfer will copy only tagged audiograms to the computer For information on tagging see the sections beginning with Tagging Audiograms on page 41 2010 SMART DIAGNOSTIC DEVICES 38 SMART TONE User s Manual Storage The Storage dialog box pictured below allows you to store audiograms in the audiometer After audiograms have been stored you may view print or transfer them to a PC running appropriate software Re Subject IO ALLI Sti AUDI
46. supply with this instrument e Never drop or insert any object into any openings e Do not use outdoors e Do not operate where aerosol spray products are being used or where oxygen is being administered Audiometer Gare Recommendations for care of the audiometer are given below For information on touchscreen care and calibration see the sections beginning with Touchscreen Use and Care on page 45 2010 SMART DIAGNOSTIC DEVICES 46 SMART TONE User s Manual e Clean connections with LPS1 Greaseless Lubricant or equivalent e Make sure the audiometer has adequate ventilation and is not surrounded by equipment or furniture e Do not use the recommended touchscreen cleaning solution a 50 50 solution of isopropyl alcohol and water on any other surfaces of the audiometer e Avoid using caustic chemicals on the audiometer case or screen e Do not use liquids or chemicals on or near headset transducers e Do not rest objects on top of the touchscreen Heavy objects can damage it and certain materials that contact the touchscreen may chemically interact with it causing stains We recommend saving the original packaging for use 1n shipping or storage 2010 SMART DIAGNOSTIC DEVICES 4 SMART TONE User s Manual Daily Calibration Check Users complying with certain occupational hearing conservation regulations are required to check the operation of the audiometer each day it is used for testing A convenient method to p
47. t ID and Examiner ID Hearing threshold levels determined manually will be updated in the Hearing Thresholds table and the graph on the main screen provided that the OK button not Cancel is chosen in the Manual dialog box 2010 SMART DIAGNOSTIC DEVICES 13 SMART TONE User s Manual The sections displayed are described below Threshold in dB HL Number current stimulus in dB HL being presented white on blue background Z H Not tested Indicates that a frequency has not been tested or was not selected for test R No response The subject did not respond to two stimulus presentations at the maximum intensity R Multiple response The subject responded twice or more to a single stimulus presentation Subject error A threshold was not determined in 20 stimulus presentations R Continuous response The hand switch was not released since the start of the previous stimulus presentation Retest not valid The threshold of the 1kHz programmed retest varied by more than 5 dB Presentation time out More than sixty seconds have elapsed from the start of a threshold determination without a threshold being established Z a YN tri ys Z E Right Displays test data or progress by frequency for the right ear with red used instead of blue See above for explanation of contents Status Displays current audiometer status One of five messages 1s displayed Idle not testing Testing auto
48. t successfully installed Smart one Virtual Communications Port MNo driwer found What can do if my device did not install properly 2 In order to install the driver open the Device Manager as shown below and double click on SmartTone Virtual Communications Port The Properties dialog box appears File Action View Help amp 9 m ri S a RGEROUOL 4 amp Computer Ga Disk drives BS Display adapters ei DVD CD ROM drives uz Floppy drive controllers Human Interface Devices Cg IDE ATA ATAPI controllers gt Keyboards P Mice and other pointing devices Mu Monitors aY Network adapters gt Other devices ip SmartTone Virtual Communications Port KA Processors Sound video and game controllers SN ee cs pen eS AAE lt gt Storage controllers q amp System devices Universal Serial Bus controllers eso ess eE 2010 SMART DIAGNOSTIC DEVICES 6 SMART TONE User s Manual gt SmartTone Virtual Communications Port Properties F i Smart Tone Virtual Communications Port Device type Other devices Manufacturer Unknown Location Port_H 0004 Hub 0004 Device status The drivers for this device are not installed Code 28 There is no driver selected for the device information set or element To find a driver for this device click Update Driver Cine Over 3 Click the Update Driver button A dialog box appears asking you the location of the driver so
49. tomatic Testing 21 ESSE O LE LEE Bae a lal Salmo me ni aaa ilanen 21 ET ame Re e e a b b ke pl Gi alen Salad 27 e rate e Bh cia e FE A MN oP 28 Automat cRetests 30 IbresholdDeterminatlon 30 Manual Testing 31 Printout 33 Typical Procedure of Operation 35 Verifying Correct Audiometer Setup se ime adada ete 35 2010 SMART DIAGNOSTIC DEVICES SMART TONE User s Manual Verifying Correct Audiometer O peratlon Perrormine alm AUOT AI seee a become Automate Testina selda Ay el elli ea cn UNO hoe hits RR EK ve AMA oka Printing the Current Avid OE Alm al 201 nlainledelai len isle ll meeneel Procedures for Data li MSC sea aca m almam men Real Time e ez e MR M Bate a Rl i va e SRMN ass ee E a a Storage Ve ak be ksa yi EEE sees cee tones dees E E a heal eat aaah teeta E te Vie wine a Stored ACE AIT yese anana ila dk inme delen SE OTA SVC aaa a ala a dan doi Teone AUO ri NE RE PARE e Mi eN MA Clearing Audio ai AES een lella isek held alm alli MES FS E110 an AI Ie en A asec sees Printinie a Stored And OSTAN PAN OR AN Filtering Audiograms by Subject ID yccct cictescuesa tae e AOA E PE E E E eda Memon NIG A RM YE ER Touchscreen Care and Calibration Touchscreen UseandCare Setting the Display Brichtness Ac salsa ekli eeeeaenereaeesaked lTouchscreenCalibratlon
50. u toolbar button on the main screen when pressed displays the following menu items which are listed with their function and a section reference in the table below St tru lus dg Sub Response i Ex ami OO 0 OO E a Po e D D ka a D 0 A A Menu Toolbar Button with menu items Menu Item Function Section reference Enter Examiner ID Enter Examiner ID Examiner ID page 19 Storage Access to stored Storage page 39 audiograms Setup Access to test Audiometer Setup page 25 configuration and error alarm settings Utilities Annual calibration Annual Calibration page 53 R Setting the Date and Time page touchscreen ae 25 calibration and adjust display Touchscreen Calibration page 45 settings Setting the Display Brightness page 45 Microphone The talk over microphone enables you to speak to the subject in a test booth through the headset For automatic audiograms the microphone is enabled by the Mic toolbar button on the audiometer s main screen For manual audiograms the microphone is enabled by the Mic button in the lower left 2010 SMART DIAGNOSTIC DEVICES 16 SMART TONE User s Manual corner of the Manual dialog box In both cases the Microphone On dialog box appears This dialog box will remain on the screen until the microphone is disabled When the microphone is enabled an automatic test is stopped and the Status box in the Test Display shows Mic On The threshold that was cur
51. upplied interconnect cable 1s plugged into the RESPONSE jack of the audiometer and the AUDIOMETER Jack of the simulator For daily calibration checks the response switch is disconnected from the simulator For subject testing the response switch is inserted into the RESPONSE jack of the simulator Internal switching removes the simulator from the circuit so that it may be left installed at all times with no effect on testing 2010 SMART DIAGNOSTIC DEVICES 45 SMART TONE User s Manual Audiometer with optional printer and simulator Key to Numbers in Diagram a ee ee li Power supply audiometer Simulator interconnect cable Response switch Simulator Audiometer Serial cable Thermal printer Power supply printer Headset 2010 SMART DIAGNOSTIC DEVICES 49 SMART TONE User s Manual Annual Calibration Mode Annual Calibration Mode is for use by an authorized service center It is described in the service manual Postponing the Annual Calibration Warning The Annual Calibration Warning can be postponed by the user for a two week period using the following procedure After the two weeks have elapsed if the warning conditions as described in the section Performing an Audiogram on page 35 are still in effect the Annual Calibration Warning will be automatically displayed If the warning conditions are no longer in effect two weeks after the warning was postpone the Annual Calibration Warning is automatically re en
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