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        Tremetrics RA650 Operations Manual
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1.                                A              i    A              7           EARPHONE HANDSWITCH     SERIAL NO  e o A Audiometer  xa P  Ofa o      K Module 4  8    EARPHONE HANDSWITCH     O SERIAL NO  4 e _ 8 Ok Audiometer  XXXX XXXXX o    o Module 3  7   SERIALNO EARPHONE HANDSWITCH Audiometer   S y e o seo ls   A XXXX XXXXX a Dn   0 O Module 2  6    M SERIAL NO  EARPHONE HANDSWITCH    Audiometer   O Lesl on ot Of Module 1  5    MSG    gt     MC O e mic 4x4 COMPUTER   Control  O     in o w  cee O E  Eve RJ 45  RS 232 Module  90 240 VAC  50 60 Hz  ON OFF  11 a             Figure 1    RA650 Audiometer Chassis with Installed Controller  and Four Audiometer Modules      Tremetrics RA650 Operations Manual    1 3 RA650 Audiometer Control Module  Refer to Figure 2 below which displays a RA650 Audiometer Control Module     1     DNA A 9    Stations 1 4    Ensure that the Control Module is installed in Chassis A and is connected to the computer via an RS 232  cable     Stations 4 8  Optional    Ensure that the Control Module in Chassis A is connected to the Control Module installed in Chassis B  using a cable with RJ 45 connectors attached to the 4 4 jacks     Ensure that the Line jack is connected to the multimedia connector on the computer   Ensure that the MIC jack is connected to the microphone   Use a screwdriver to adjust the microphone volume at the MIC set screw     Confirm that the MSG and PWR lights are working                 MSG a 1  MIC o   4x4  A pS o LINE MIC COMPUTER
2.   2 1 6 Right Ear Testing Display  2 1 7 Examiners SSN Display  2 1 8 Subject SSN Display  2 1 9 Control Buttons    2 1 1 Menu Commands   See the separate section in this document describing the various tool bar menus and their commands    2 1 2 Station Number   This part of the Main window displays the active testing station numbers  Inactive testing stations are shown  grayed out  You can right click the mouse button on any active station number to display the Station Popup menu   which allows you to select station specific functions     2 1 3 Pulse or Continuous Tone Display    This part of the Main window displays whether the hearing test pulse for a specific station is pulse  P to the left of  the station number  or continuous  C        Tremetrics RA650 Operations Manual    2 1 4 Status Display    This part of the Main window displays the current status of a specific testing station  At any time  each station has  one of the following statuses     Offline The station has been removed from the list of available testing stations    Paused The station is in a temporary pause state    Reset This station has just been reset and is ready for the next hearing test    Testing This station is currently testing a subject    Saved This hearing test data for this station has been saved    Error An error condition has occurred at the station  See Fault Code Instructions and Responses for    further explanation     2 1 5 Left Ear Testing Display    The left ear is usually tested first
3.   Failed to validate at three frequencies    Individual Instructions  None     Response  Re instruct the individual on the entire test procedure  Press the Reset button  then press  Start  You will need to reassign the individual to a station     Group Instructions     Sit quietly and I will retest you when the group finishes        Response  Re instruct the individual on the entire test procedure  Press the Reset button  then press  Start  You will need to reassign the individual to a station     20      Tremetrics RA650 Operations Manual    Error EA  Contralateral of 40 dB recorded     Response  Will not stop the test  Automatically re tested at the end of the test   No operator intervention required     Error EB  Difference between the current test and baseline data is  gt  15 dB     Response  Will not stop the test  Automatically re tested at the end of the test   No operator intervention required     Error EC  Difference between adjacent frequencies is  gt  50 dB     Response  Will not stop the test  Automatically re tested at the end of the test   No operator intervention required     Error ED  HTL  gt  90 dB  or 500 Hz  gt  30 dB     Response  Will not stop the test  Automatically re tested at the end of the test   No operator intervention required     Error EE  No responses at frequencies other than 1000 Hz  Test     Response  Will not stop the test  Automatically re tested at the end of the test   No operator intervention required     Error EF  No validation at frequ
4.   Tremetrics RA650    MICROPROCESSOR GROUP AUDIOMETER  OPERATIONS MANUAL        jelelel     A it  IIA          ma Ss        uai  a    AR    p ni    TELLE             IKEZMETRICS       Tremetrics RA650 Operations Manual    WARRANTY    TREMETRICS     Seller     warrants the goods sold will conform to all pertinent specifications including  performance specifications  drawings and approved samples  as furnished     Seller also warrants said goods to be free of defective materials and workmanship     This warranty is in lieu of all other warranties  express or implied  SELLER MAKES NO  WARRANTY THAT SAID GOODS ARE FIT FOR ANY PARTICULAR PURPOSE  NOR ANY  WARRANTY AS TO THE MERCHANTABILITY OR QUALITY OF GOODS SOLD EXCEPT AS  HEREIN STATED     All claims for alleged defects of goods under this warranty shall be deemed waived unless made in  writing and delivered to Seller within twelve  12  months after date of shipment  unless otherwise  specified herein below  and on any such claims  Seller has the option of inspecting the goods claimed  defective at the Buyer   s place of business or having them returned to Seller for inspection     Instrument parts that have been repaired or replaced during the warranty period are themselves  warranted only for the remaining un expired portion of the original warranty     This warranty shall not apply where goods have been subject to misuse  neglect  accident or improper  application or have been repaired or substantially altered by others  nor
5.   e    2 O O O o  PWR RJ 45 RS 232  Figure 2    RA650 Audiometer Control Module    1 4 RA650 Audiometer Module    Refer to Figure 3 below which displays a RA650 Audiometer Module     1   2   3     Confirm that the Audiometer Serial Number matches the headphone serial number   Confirm that the Earphone with the same serial number is plugged into the Earphone jack     Confirm that the station Handswitch is plugged into the Handswitch jack and activates the LED for the  Audiometer module     Repeat Steps 1 through 3 for each station audiometer module        RESPONSE EARPHONE HANDSWITCH  SERIAL NO  o 0 C       ON q  10  6 0          XXXX XXXXX XXX                   Figure 3  RA650 Audiometer Module      Tremetrics RA650 Operations Manual    2  Software Operation    This section describes the operation of the following seven software features     2 1 All Station Display Main Window  2 2 Station Popup Menus   2 3 Menu Commands   2 4 Control Buttons   25 Dialog Boxes   2 6 Procedures   2 7 Fault Codes    2 1 All Station Display Main Window    The Main window displays all stations and provides full control of the functions and features of the RA650 Group  Audiometry System  In addition  it allows the operator to monitor the testing progress of test subjects at all  stations simultaneously     This window contains the following controls and displays   2 1 1 Menu Commands  2 1 2 Station Number  2 1 3 Pulse or Continuous Tone Display  2 1 4 Status Display  2 1 5 Left Ear Testing Display
6.   one for each chassis   and eight audiometer modules to accommodate eight testing stations     Computer and Monitor                                           RA650 RA650  Microprocessor Microprocessor  Audiometer Audiometer  Rack 2 Rack 1  Printer  4 id  3 Audiometer  4 Modules RE  COM 1 LPT 1  oo oo                                                       To 90 240 VAC  Power Strip with 50 60 Hz Outlet  Surge Protection       Figure 6    Power Connections of Two RA650 Group Audiometer Chassis with Installed Controllers and Eight  Audiometer Modules    25      Tremetrics RA650 Operations Manual    4 1 2 Control Module Connections    Figure 7 presents an illustration of the RA650 Audiometer Control Module     1     Connect the 9 pin RS 232 cable from the Control Module on RA650 Chassis 1 to the available  communication port on the computer     Connect the stereo multimedia cable from the RA650 Control Module Line jack to the sound card on the  computer  if the sound card is available        4x4 COMPUTER                RS 232    Figure 7  RA650 Control Module  Connect the microphone cable to the MIC jack on the RA650 control module   Optional  If you are installing two RA650 chassis to accommodate more than four testing stations  connect    the RJ 45 cable from the 4 4 RJ 45 port on the control module of Chassis 1 to the 4 4 RJ 45 port on the  control module of Chassis 2     4 1 3 Audiometer Module Connections    Figure 8 displays the RA650 Audiometer Module     l     Connect the
7.   then the right ear  This display allows you to monitor the hearing thresholds at  each frequency as data are captured automatically by the RA650 system  As the test proceeds  the AA in the  screen changes to the level being tested  For example the level detected for station 1 may be 35 dB at 1K  1000  Hz   A level displayed with a green background signifies  a bad  or no response at that level  while a blue  background signifies a good response  The operator can monitor the progress of the test  As thresholds are  established  the results are stored for the frequency specified  The test results usually proceed from left to right on  the display  However  the right ear can be tested first by using the    Right Ear First    command from the Stations  menu     2 1 6 Right Ear Testing Display  See Left Ear Testing Display above   2 1 7 Examiners SSN Display    The examiner must enter his or her social security into the database before saving a test  To change the current  social security number  left click the mouse button on the Examiners SSN text box to open the Enter Examiners  SSN dialog box     2 1 8 Subject SSN Display    The social security number of each test subject must be entered into the test records prior to the saving of a  hearing test  To change the current social security number  left click the mouse button on the station number to  the left of the subject social security number to open the Enter SSN for Station dialog box     2 1 9 Control Buttons    See separ
8.   turn the Oscar power switch to the off position     Note  Your biological audiometer check is considered acceptable if the variation in threshold readings is less than  10 dB  deviations of 10 dB or greater are not acceptable  If the difference for any frequency is greater than 10 dB  than inspect the placement of the earphones on the Oscar couplers  ensuring that the cushions are properly seated   Also ensure that outside noise is not erroneously triggering the Oscar  Re run the test  then if the problem persists   you should contact your technical support resource and report the problem  DO NOT USE THE STATION     The baseline for the Oscar is typically between 60 and 80 dB  This baseline should be established immediately  after audiometer calibration  Battery replacement should occur at the same time  A blinking low battery light  indicates that battery replacement is necessary       Tremetrics RA650 Operations Manual    1 2 RA650 Audiometer Chassis    Refer to Figure 1 below which displays a RA650 Audiometer Chassis with an installed controller and four  audiometer modules     1  Stations 1 4    Ensure that the Control Module is installed in Chassis A and is connected to the computer via an RS 232  cable     2  Stations 4 8  Optional    Ensure that the Control Module in Chassis A is connected to the Control Module installed in Chassis B  using a cable with RJ 45 connectors attached to the 4 4 jacks     3  Turn the Audiometer Chassis on off switch to on                  
9.  2 3 3 Functions Menu    The Functions menu provides the following commands     Key    Starts the audiometry test  for all test subjects  or resumes all paused  Start Resume audiometer tests     command Alternatively  you can use the Start Resume button  Double clicking the left  mouse button on the desired station will also start or resume a test     Play and Start F4 Allows you to play multimedia instructions prior to the start of a test  When  command the instructions are completed the hearing test is initiated     Temporarily stops the selected audiometry test s   This command can be   used if a problem occurs during the administration of one or more audiometry  Pause command F6 tests    Alternatively  you can use the Pause button  Double clicking the left mouse   button on the desired station will also pause a specific test in progress     Talk over Pauses the test and allows you to talk over the microphone to a single  Individual F5 audiometry test subject   command    command    Alternatively  you can use the Talk Over All button     Pauses the test and allows you or the multimedia to talk over the microphone  Talk over All Alt  F5   to all audiometry test subjects simultaneously     Clears all subject information and all audiometry testing information so that  you can start another group of subjects     Save Test  command    Resets audiometry test data for the selected test subjects  but does not change  Restart command F7 subject information that has been previously 
10.  Earphones and Handswitches to their respective jacks in each of the sound rooms  Ensure that  the station number tag on each handswitch  HS  X  and earphone  EAR  X  wire  from Step 3  correlates  with the audiometer module station number  as defined by the placement in the RA650 chassis s      a    RESPONSE EARPHONE HANDSWITCH  SERIAL NO  o o      XXXX XXXXX XXX o O e         Figure 8  RA650 Audiometer Module    Note  Each set of earphones must be matched to its respective audiometer  Match the Serial Number tag on  each audiometer to the Serial Number tag on each earphone package  Assign each earphone to the corresponding  testing station     26      Tremetrics RA650 Operations Manual    4 1 4 Completed Wiring  Figures 9 and 10  below  illustrate all connections of a typical RA650 Group Audiometer  Installation with one    chassis  one controller  and four audiometer modules to accommodate four testing stations  and all connections of    a typical RA650 Group Audiometer installation with two chassis  two controllers  and eight audiometer modules  to accommodate eight testing stations     Computer and Monitor                                                                                                                                                                                                                   RA650  Microprocessor  Audiometer  Rack 1    Y Printer     014 A EJ  pe       si e 3 Audiometer A    2 Modules  TE   Microphone 4  e com 1 LPT 1         Line f t
11.  bl   LJ  Sa Se hh  V To Sound  Room  Stations 1 4  Figure 9  Complete Connections of One RA650 Group Audiometer Chassis with Installed Controller and Four  Audiometer Modules  Computer and Monitor  RA650 RA650  Microprocessor Microprocessor  Audiometer Audiometer  Rack 2 Rack 1  Printer  8 EJ  al7     4  o 6  o 5    COM 1 LPT 1  a a E LJ S LJ  E J  V To Sound Y To Sound  Room Room    Stations 5 8 Stations 1 4    Figure 10    Complete Connections of Two RA650 Group Audiometer Chassis with Installed Controllers and Eight  Audiometer Modules    27      Tremetrics RA650 Operations Manual    4 1 5 Software Installation    Install the RA650 operating software as directed in the Software Installation section of this manual     4 1 6 RA650 Chassis Power On    Turn on power to the RA650 Chassis s  using the power switch in the back  Confirm that the PWR light on the  Control Module s  comes on     4 1 7 Computer Power On and Boot    1     Turn on power to the computer  monitor  and printer  The computer should boot and the Windows  95 98 ME XT starting screen should appear     Because the RA650 is Plug and Play compatible  the computer should recognize that the RA650 is on line  and ask that the driver be loaded   This should happen only once      Use the Start button to navigate to the RA650 program  and double click to start the RA650 software  program  Alternatively  double click on the earphone icon  The RA650 main control window will appear     The RA650 software will locate all
12.  command  If this command is disabled  no check mark appears to the left of  the menu command     Allows you to administer the hearing test with either pulsed or continuous  tones sent to the earphones     This command is a toggle between the two modes of operation     Pulsed    Continuous  Command    The pulsed tone character is 0 2 second on and 0 2 second off  corresponding  to a 50  duty cycle with three pulsed tone presentations     The continuous tone character is 1 0 seconds in duration     If pulsed is enabled  a check mark appears to the left of the menu command   If continuous is enabled  no check mark appears to the left of the menu  command     effectively reduces the time required to administer the hearing test     Delete 8K    Command If this command is enabled  a check mark appears to the left of the menu    command     This command results in a test subject   s right ear being tested first  followed    Right Ear by testing of the left ear  This is the opposite of normal convention     First command If the Right Ear First is enabled  a check mark appears to the left of the menu    command     This command allows you to remove an enabled station from the testing  group or to add a previously disabled station to the testing group  This  ensures that no sounds are emitted from unused headphones during group  testing     Enable   Disable  Station Command    If the Stations are enabled  a check mark appears to the left of the menu  command        E Allows you to del
13.  does this warranty apply to  items consumed in the ordinary course of use of the goods  such as  but not limited to  fuses or  batteries  This warranty shall not apply to calibration of the earphone transducers  which is subject to  change through normal use     Transportation charges covering returned goods are the buyer s responsibility  No returns will be  accepted unless authorized by Seller     SELLER   S LIABILITY SHALL BE LIMITED TO SELLER   S STATED SELLING PRICE PER  UNIT OF ANY DEFECTIVE GOODS AND SHALL IN NO EVENT INCLUDE BUYER   S  MANUFACTURING COST  LOST PROFITS  GOOD WILL OR ANY OTHER SPECIAL OR  CONSEQUENTIAL DAMAGES     Seller may  at its discretion  repair with new or factory refurbished parts  replace  or give Buyer credit  for  such defective items     Items produced by third party manufacturers shall carry that warranty provided to Seller by said third  party manufacturers  Seller shall pass such warranty to the Buyer     Tremetrics  9675 West 76  Street  Eden Prairie  Minnesota 55344  Telephone 800 825 0121      Tremetrics RA650 Operations Manual    TREMETRICS RA650 AUDIOMETER    This pure tone air conduction Audiometer manufactured by TREMETRICS was designed primarily for  use in determining hearing threshold levels in comparison with standard reference threshold levels  The  Audiometer is a screening device that  if properly operated  maintained  and calibrated  will allow the  operator to screen subjects for shifts in hearing acuity  The Audiometer i
14.  installed audiometers and display each installed station on the screen   Note that the assigned station number is defined by the placement of each RA650 audiometer in its RA650  chassis     4 1 8 Microphone Volume Adjustment    l     Ze    Turn on Talk Over using the RA650 software     Plug in the matching earphone to a station and speak into the microphone  Use a screwdriver to adjust the  volume using the MIC adjustment     Turn clockwise to turn volume up and counter clockwise to turn volume down   Repeat to confirm volume level for all stations     Use Operation instructions to perform audiometer testing     28      Tremetrics RA650 Operations Manual    4 2 Software Installation  Note  The diskettes that are used with the computer warrant special considerations  The disks are covered in a  flexible housing for protection  Nevertheless  they can vary in quality so the prudent user will always use the very  highest quality diskettes  Do not store the diskettes in an area near magnets or large motors  Always store them in  their proper containers  Even with these precautions  data on the disks can be destroyed  so be sure to use your  computer to make backup copies  copy to another disk  of the installation disks  These limited precautions  if  followed  will help to ensure good results with your computer system   Completion of the RA650 Group Audiometer system installation requires one of the following operating systems   Windows 95 98 ME XT  or Windows NT 4 0   Windows 20
15.  station error     on Error Test  command    Frequency Order Not used at this time     command    RS232 Allows you to specify the Com Port that is being used     Configuration  command    iminy Not used at this time   Parameters  command    Displays station diagnostic messages   Station Summary  command       12      Tremetrics RA650 Operations Manual    2 3 5 Calibrate Menu    The Calibrate menu provides the following commands     Key    Acoustic   Calibration  command    Verification  command    Remote  Verification  command    Daily Biological     Run Test    Functional  command    Memory  command    Allows you to calibrate each audiometer module     Allows you to test the rise and fall times of each tone as it is turned on and  off  the linearity of the audiometer attenuation from 100 dB to  10dB  check  the total harmonic distortion signal  tone  on to off ratio  and check the  crosstalk from one ear to the other ear     Allows you to verify the operation of an audiometer channel from the sound  room  remotely   The audiometer module will automatically step through a  70 dB test tone frequency sequence  starting at 500 Hz  Activation of the  handswitch steps to the next tone of the verification sequence     Disables the check for HTL over 30 dB  This is intended for the daily  verification of the audiometer     Performs part of the daily check  The technician listens for unusual clicks or  noises in the earphone at a listening station  Each time the handswitch is  depres
16. 00  To install the RA650 software  use the following procedure   1  Insert the RA650 software disk   2  From the Windows Start Menu  click Run     3  Type into the window D  SETUP   where    D    is the letter of your CD ROM drive      4  The Setup program will automatically start and prompt you through the remainder of the installation process     29    mm Tremetrics RA650 Operations Manual    n   INDEX  90 Day option button 17 Enable Disable Station command 6  10  Acoustical Calibration 22 Enter Data command 6 9  Adaptive Mode command 11 Enter Examiners SSN dialog box 16  18  Adjacent Frequencies command 11 Enter SSN for Station      dialog box 16  17  Annual option button 17 Error 5  11  12  19  20  21  audiometer module 1 2 3 Examiners SSN 5  Audiometer Module 2 3 Exit command 7  audiometer modules 25  27 Fault Code 4  5  18  19  Automatic Retest 19 File Menu 7  baseline 1 17 Follow Up No  1 option button 17  Biological Calibration 22 Follow Up No  2 option button 17  Calibrate Menu 13 Frequency Order command 12  Calibrating Station H    dialog box 16 Functional command 13  Calibration command 13 Functions Menu 8  Calibration dialog box 16 Group Testing command 10  Cancel option button 17 handswitch 1  19  20  26  Check All Stations command 9 Handswitch jack 3  Computer 23  28 hardware 23  24  25  Contents command 14 Hardware 23  Contralateral of 40 dB command 11 Help Menu 14  Control Buttons 5 How to Use Help command 14  Control Module 2  3  26  28 HTL  gt  90dB or 500 H
17. E3   The first ear fails the 1000 Hz re test  A validity check is performed by testing each ear twice  at 1000 Hz  The threshold values must be within   5 dB  If this is achieved  the lower of the  two threshold levels is retained  If this is not achieved  the test is stopped  the technician is  summoned  and the entire test is repeated        e Error E4   There is no release of the hand switch button   e Error E5   More than one response per frequency is given without additional tone presentations     e Error E6   The retest did not validate the HTLs at the required one or two frequencies  A maximum of  20 tone presentations or 60 seconds are allowed at each test frequency     e Error E7   There is no validation of HTLs at three frequencies     For each of the above errors  the appropriate operator responses  either through Talk over or the multimedia  function provides additional instructions to the test subject  as follows     Error El  No Response at 1000 Hz  Test    Instructions     You are not pushing the handswitch when you hear the tone  I will restart the test  remember  to push and release the handswitch as soon as you hear the tone        Error E2  No validation of 1000 Hz  Test    Instructions     Press and release the handswitch button as soon as you hear a tone  even if the tone is very  soft        19      Tremetrics RA650 Operations Manual    Error E3  Failed 1000 Hz  Retest     Instructions   Single Test  First Time  First Ear     Press and release the handsw
18. K option button dialog box        E Reference Following   To complete a new hearing baseline reference test in which future  Exposure option button   hearing tests will be compared       Select the Cancel button to ignore all entries and to return to the  Cancel option button        previous dialog box or window     2 5 5 Select a Subject dialog box  This dialog box allows you to select the Last Name  First Name  and Social Security Number of a test subject who    has been entered into the hearing test database  The alternative entry method is to enter the social security number  using the Enter SSN for Station      dialog box  Scroll to select a subject and choose the Select button     17      Tremetrics RA650 Operations Manual    2 6 Procedures    This section describes the procedures for the following audiometer tests     2 6 1 Standard Audiometry Test  2 6 2 Automatic Retest  2 6 3 Daily and Yearly Calibrations    It also includes a description of the Fault Codes that may arise during audiometer testing  and the appropriate  operator responses     2 6 1 Standard Audiometry Test Procedure    Ne    10     Prepare for next test subjects    SAVE THE CURRENT TEST  Then  click on the Reset button to clear all previous data and get ready  for the next hearing tests  Tests can be started at this time    Enter operator   s social security number    Left click the mouse button on the Examiners SSN number displayed in the Main window to open the  Enter Examiners SSN dialog box  Ente
19. SERIAL NO     x    e Ok Audiometer  XXXX XKXKK op oa Module 4  8   SERIAL NO  a ean   Audiometer  XXXX XXXKX On ON   Module 3  7   7   EARPHONE HANDSWITCH   Audiometer  TRA a er O Module 2  6   SERIAL NO  pedi o Audiometer  xx  A oa eL O Module 1  5   MSG  Me O uNe mic  Xe COMPUTER     Control  ae    R  AS RS 232 Module  90 240 VAC    A     ON OFF   Gg  tl Ad  ES  d               Figure 4  RA650 Audiometer Chassis with Installed Controller and Four Audiometer Modules    24      Tremetrics RA650 Operations Manual    4 1 1 Configuration and Power Connections    1  Configure the computer  printer  and RA650 hardware  as shown in the following figures   2  Plug in each component  but do not turn them on at this time     Figure 5 shows the power connections of a typical RA650 Group Audiometer installation with one chassis  one  controller  and four audiometer modules to accommodate four testing stations     Computer and Monitor          RA650  Microprocessor  Audiometer  Rack 1  Printer                                                                                                                aa a    t 2 3 Audiometer  E s A Modules  E  COM 1 LPT 1  RET m  de i mi        To 90 240 VAC  Power Strip with 50 60 Hz Outlet  Surge Protection  Figure 5    Power Connections of One RA650 Group Audiometer Chassis with Installed Controller and Four  Audiometer Modules    Figure 6 shows the power connections of a typical RA650 Group Audiometer installation with two chassis  two  controllers
20. aa A  2  Software Operation  2 1 All Station Display Main Window             ccccccsccsssseesseceseceseeeeecenseecsaeccsaeceeeseneeeseeesaeens    1     3  Calibration Procedures  4  Hardware and Software Installation  lr DR DD Bante READ O DESDE RS RR  4 1  Hardware Instala ctas ata  4 1 1 Configuration and Power Connections    ccooconoccnnoccnoncconnconnnonononnnocono cnn nono cconncconncnss  4 1 2 Control Module Connections di  4 1 3 Audiometer Module Connections     ccccocooooccconononccononancnonnnnoncnnnnnanonnonnnnnnronannnnccnnnnass  ATA Completed a  41 5  Software Installation di aos aks  ANG RAGSO Chassis P  wer OM E A A AR aa  4 1 7 Computer Power On and Bossa indias  4 1 8 Microphone Volume AdjustMeDt   oooooonocococccoocnconnconnnconocnnn nono nooo ncco no conc nonn crono ncnnncnns  4 2  Soriware Instala ns pass UE RCE aa naa esas SE SS      Tremetrics RA650 Operations Manual    Table of Contents    2 20 Station Popup MCN int ae aaa peat aaa gados ndo SEU Ty ana  2 3  Men   CommandS  enesis ree adegas ai Sa DU dE O da a  238  Contool B  ttonss n kaa la CR A E  25r Dialogs Box sa aa n a a a a a a a Sado gees teste  26  O E 329   2 6 1 Standard Audiometry Test Procedure    ooooooccnoccconccconoconnconnnonnconnnoconocnnn cono connncconncnos  2 7  cl Retest A a aa ns EN oe ca rea mae ii  28 Fault Code Instructions and RESPONSES     sci c seessscasaescassvaceansicassasveresdccasararacteatunsveness    mm Tremetrics RA650 Operations Manual         LIST OF FIGURES   Figur
21. ate section in this document containing descriptions of the various Control Button functions       Tremetrics RA650 Operations Manual    2 2 Station Popup Menu    This popup menu is activated by right clicking the mouse button on one of the station numbers   1 8  in the Main  window  The following commands in the menu are then active only for the selected testing station                                            Commands Function Key  Start Resume F2  Play and Start F4  Pause F6  Talk over F5  Reset F8  Save F10  Print F11  Restart F7  Manual F9  Enter Data F3  Enable Disable Station   Daily Biological                 2 3 Menu Commands    The following menus are provided in the RA650 operating software     2 3 1 File Menu   2 3 2 Edit Menu   2 3 3 Functions Menu  2 3 4 Setup Menu  2 3 5 Calibrate Menu  2 3 6 Help Menu     m Tremetrics RA650 Operations Manual       2 3 1 File Menu    The File menu provides the following commands     uke  Key  This command prints a report of the stations that are currently being tested   Print command F11 Use the Print Setup command to open the Print Setup dialog box so that you  can set printing parameters     Print Setup Allows you to set printer type  orientation  paper size  and paper source     command    Beond   Allows you to close the RA650 software application     2 3 2 Edit Menu       The Edit menu provides the following commands     uke    Not active at this time   EE    opy command               Tremetrics RA650 Operations Manual   
22. ates a switch that compares the HTL for the same frequency of the  opposite ear and  if greater or equal to 40 dB  then the higher level is re   tested  An EA Error is displayed and the frequency is re tested  automatically     Compares the levels of the current hearing test to the reference baseline  hearing of the subject  If the baseline data is stored with the subject  demographics  the baseline data is downloaded to the audiometer when you  enter the subjects social security number  An EB Error is displayed if the  difference between the current test and the baseline data is 15 dB or greater     If any of these commands is enabled  a check mark appears to the left of its  menu command  If any of these commands is disabled  no check mark  appears to the left of its menu command        Automatically plays an error specific multimedia recording when an error  occurs during a test     If this command is enabled  a check mark appears to the left of the menu  command  If this command is disabled  no check mark appears to the left of  the menu command        Error Handling   Military Error  Processing  command    Allows you to enter the number of times that a prerecorded message will be  played        11      Tremetrics RA650 Operations Manual       Pro  ess Errorsin Activates multimedia announcements while operating in manual mode     Manual Mode  command       Allows you to specify the number of times that the system will automatically    Reset Error Count  gt   start after a
23. e 1 RA650 Audiometer Chassis with Controller and Audiometer Modules    2  Figure 2 RA650 Audiometer Control Mods GS pa 3  Figure 3 RA650 Audiometer Module aio dla dei 3  Figure 4 RA650 Audiometer Chassis with Controller and Audiometer Modules                             24  Figure 5 Power Connection  Single RA650 Chassis               ccsscssseesesecesecescesseeeeceeseacecceseesseeseseeesessens 25  Figure 6 Power Connection Multiple RA650 Chassis    cecesceseesesseeseeeeeceseceaeceeeeeeesaecaecaeeaeeeneeeees 25  Figure 7 RA650 Control Modis iii A A a ia 26  Figure 8 RA650 Audiometer Module miii A det in 26  Figure 9 Single RA650 Group Audiometer Chassis vai itiaseona anais Ra Uia 27  Figure 10 Multiple RA650 Group Audiometer Chassis     oooooninocononooncnnnnnnnononncnonanoononn conocieron nncnnnnn nono nns 24      Tremetrics RA650 Operations Manual    Introduction    This operations manual is intended as a guide in using the RA650 Microprocessor Group Audiometer  It includes  detailed descriptions of the operation of all hardware and software components  as well as procedures for  audiometer testing and calibration  If major difficulties arise  it is recommended that you contact Customer  Service at TREMETRICS  Please be ready to give a complete and accurate detail of the problem encountered     1  Hardware Operation    This section describes the operation of the following hardware component   1 1 Electro Acoustic Ear  Oscar        This section also describes the final pre o
24. encies other than 1000 Hz  Test     Response  Will not stop the test  Automatically re tested at the end of the test   No operator intervention required     Error NR  No response at any level of frequency presented     21      Tremetrics RA650 Operations Manual    3  Calibration Procedures    Two different types of calibration procedures should be performed on the RA650 Audiometer  Biological  Calibration and Acoustical Calibration     3 1 Biological Calibration   Biological Calibration provides an electronic calibration monitor that tests the acoustic output of each test station  for 500 to 8000 Hz  inclusive  Calibration is provided with the Tremetrics Oscar    instrument  See the section in  this document  which describes the operation of the Electro acoustic ear Oscar  Also the operator  to verify pure  tones without odd or distorted sounds should perform a daily functional check     3 2 Acoustical Calibration    Acoustical Calibration is a password protected calibration mode in which the earphones are controlled using a 70  dB continuous tone beginning at 500 Hz     The calibration date in YYMMDD format is required before the calibration is completed  Y year  M month  and  D day     Certified calibration should be performed approximately once per year or as required  This procedure requires the  use of a calibrated sound level meter     Note  Only qualified personnel should perform this calibration procedure     See the RA650 Microprocessor Group Audiometer Service Manua
25. entered  Alternatively  you can    Alternatively  you can use the Reset button     Allows you to save the current audiometry test data to the computer hard    use the Restart button     Allows you to administer the hearing test manually  This is accomplished by  specifying the ear  frequency  and initial presentation level  You can use the  keyboard or mouse  to present the first tone  You can also initiate subsequent  tones  The level of the tone is a function of the response of the subject in  accordance with the Hughson Westlake procedure  Test completion is  indicated on the Main window and the HTL is stored with an M to indicate  that the test results were derived using the manual method     Manual command         Tremetrics RA650 Operations Manual    Enter Data F3 Allows you to enter social security information for test subjects   command    This command allows you to print a hearing test report   Print command Use the Print Setup command to open the Print Setup dialog box so that you  can set printing parameters     Retrieve Status Allows you to display all data from all stations   command  Check All Stations Allows you to verify that a station is installed in the module chassis   command         Tremetrics RA650 Operations Manual    2 3 4 Setup Menu    The Setup menu provides the following commands     Key    Allows you to conduct group test in a common sound room     Group Testing    If this command is enabled  a check mark appears to the left of the menu  Command   
26. ete the 8 000 Hz  8K Hz  part of the hearing test  This    10    mm Tremetrics RA650 Operations Manual    ER    Set Lower HTL to  00 dB command    Adaptive Mode  Command    Check and  Retest on   Adjacent   Frequencies  command    HTL  gt  90dB or  500 Hz  gt  30 dB  command    Contralateral  of 40 dB  command    STS of 15 dB  Command    Multimedia   Play Instructions  on Error command    Sets the lower hearing threshold level tested to 00 dB  instead of    10 dB     If 00dB is the lowest level to test  a check mark appears to the left of the  menu command     Automatically extends the length of the hearing test to accommodate slow  responses  This mode increases the response acceptance window time     If Adaptive is enabled  a check mark appears to the left of the menu  command     Activates a switch that enables or disables the comparison of adjacent  frequencies looking for a difference of 50 dB or greater  If the difference is  greater than 50 dB  the frequency of the higher HTL of the adjacent  frequencies is re tested  An EC Error is displayed and the frequency in error  is automatically re tested     Allows you to automatically retest the subject in the event that the HTL was  equal to or greater than 90 dB for any frequency  This result will generate a  ED Error condition     This command allows you to also automatically retest the subject in the event  that the HTL was greater than or equal to 30 dB at 500 Hz  This result will  generate a ED Error condition     Activ
27. etup Menu 10  software 23  28  29  sound card 26  Standard Audiometry Test 18  Start Resume button 8  15  Start Resume command 6  8  15  Station Number 4  Station Popup Menu 4 6  Station Summary command 12  Status Display 5  STS of 15 dB command 11  Subject SSN 5  Talk Over All button 8  15  18  Talk Over Each button 15  TalkOver All command 8  TalkOver Individual command 8  Termination option button 17  Testing 5  testing station 25  26  27  threshold 1 5  11 19  Verification command 13    IKEZSMETKICS     Information disclosed herein may not be reproduced in any  form without the express permission of TREMETRICS  Copyright O 2002 TREMETRICS  1162 0203 Rev  A 7 02    
28. itch button as soon as you  hear a tone  even if the tone is very soft        Response  Start the test over      Single Test  First Time  Second Ear     Press and release the handswitch button as soon as  you hear a tone  even if the tone is very soft         Single Test  Second Time  Second Ear     Press and release the handswitch button as soon as  you hear a tone  even if the tone is very soft        Response  Start the test over      Group Test  First Time  First Ear     Sit quietly and I will retest you when the group finishes   Press and release the handswitch button as soon as you hear a tone  even if the tone is very  soft        Response  Start the test over      Group Test  Second Time  Second Ear     Sit quietly and I will retest you when the group  finishes  Press and release the handswitch button as soon as you hear a tone  even if the tone  is very soft        Response  Start the test over   Error E4  No release of handswitch button     Instructions     You are not releasing the handswitch quickly enough  Remember to press and release the  handswitch quickly  as soon as you hear the tone        Error E5  Responding when no tone is present     Instructions     You are pushing the handswitch when no tone is present  Be sure you hear the tone and press  and release your handswitch quickly        Error E6  No validation on one or two frequencies    Instructions  None    Response  Switch to manual mode and administer a manual test at the missed frequencies   Error E7
29. ively  click on the text box to open the Select a Subject dialog box so that you can  select a previously entered subject by Last Name  First Name  or Social Security Number  To be a valid entry  the  subject SSN must already be in the database  Choose OK when you have completed your entry     The Enter SSN for Station      dialog box also includes a section which allows you to enter the purpose of the  exam  The following Purpose of Exam selection option buttons are offered     16      Tremetrics RA650 Operations Manual    Annual option button   To complete an annual hearing test     Reference Baseline To complete a hearing baseline test in which future hearing tests will  option button be compared     Follow Up No  1   slat aaus  SN Up No To complete a hearing test as a follow up to a previous incident or test   option button    Follow Up No  2 To complete a hearing test as a second follow up to a previous incident  option button or test     90 Day    To complete a hearing test every 90 days   Re established Baseline   To complete a new hearing baseline test in which future hearing tests  option button will be compared     Termination option To complete a final hearing test upon the completion of an assignment  button and subsequent termination of a position       To complete a hearing test for a reason not covered by the other   Other option button ERE f  options in this list of option buttons    Select the OK button to store the selected options and close the current    O
30. l for this procedure     22      Tremetrics RA650 Operations Manual    4  Hardware and Software Installation    Introduction    This installation manual provides a qualified technician with sufficient information for the installation of both the  hardware and the software components of the RA650 Microprocessor Group Audiometer  If major problems are  encountered  it is recommended that the technician contact Customer Service at TREMETRICS  giving complete  and accurate details  such as serial number  date of purchase  description of part  and TREMETRICS part number   The reader should refer to the illustrations of this manual to aid in the installation process     4 1 Hardware Installation    The RA650 Group Audiometer System should be installed in a well lighted  well ventilated area near the  audiometric sound room  The table space required for a 4 station installation is five feet by three feet  The table  space required for an 8 station installation is six feet by three feet     The RA650 requires power connection to 90 264 VAC at 47 to 63 Hz with a 500 VA  voltage ampere  rating   The power receptacle should be marked    Hospital Grade    or    Hospital Only    to comply with safety regulations   Outside the continental United States  usage must comply with European standards     Hardware requirements for the RA650 Group Audiometer System are as follows     Computer   IBM compatible PC  486 or higher   8 MB RAM  340 MB hard drive  3 5    floppy drive  EGA VGA monitor  Ke
31. ms    Retest as required    Provide special additional testing  as required    Save test data    Select Functions   Save to save all data for the testing group    Store data in Hears database    Select Functions   Print to save all data to the Hears Database     18      Tremetrics RA650 Operations Manual    2 7 Automatic Retest Procedure    2 7 1 Automatic Retest Criteria    The RA650 Group Audiometer automatically performs a retest of the subject under the following circumstances   if Check and Retest has been selected         e Error EB   A threshold change of   15 dB HTL or greater occurs at any frequency  during testing   relative to the reference     e Error ED   Any frequency has an HTL of 90 dB or greater   e Error ED   The HTL at 500 Hz is greater than 30 dB   e Error EA   There is an HTL difference of 40 dB or more between ears at the same frequency   e Error EC   There is a difference of 50 dB or greater for an adjacent frequency   2 8 Fault Code Instructions and Responses  A fault code is an immediate warning  including both an on screen visual and auditory signal  The intensity of the  auditory signal is controlled by the RA650 Group Audiometer   A fault code is generated under the following conditions   e Error El   A listener response is not obtained for the first ear tested at 1000Hz     e Error E2   There is no validation for the first test ear response at 1000 Hz  This can occur if too much  time has elapsed without achieving threshold validation     e Error 
32. peration check of the following three hardware components     1 2  RA650 Audiometer Chassis  1 3 RA650 Audiometer Control Module  1 4 RA650 Audiometer Module    1 1 Electro Acoustic Ear  Oscar        Oscar M is a portable Electro acoustic ear  Oscar performs the daily biological check for audiometer quality  assurance  Oscar serves as a substitute subject with a known hearing threshold level  When connected to the  RA650 Group Audiometer station  the unit automatically provides reference audiogram for comparison to the  baseline established during installation and calibration  The test data establishes a permanent running log  verifying the audiometer   s calibration     To perform a biological check of a RA650 Group Audiometer station  perform the following procedure     1  Turn the Oscar power switch to on position   Confirm that the earphone to be tested has the same serial number as the audiometer module to be tested   3  Place the earphones in the proper coupler on either side of the Oscar  making sure that they are firmly  seated   Confirm that the left  blue  ear of the earphones is matched with the Left Ear side of the Oscar   Confirm that the right  red  ear of the earphones is matched with the Right Ear side of the Oscar   4  Substitute the handswitch cord from the Oscar for the handswitch of the station to be tested   5  Perform an Electro acoustic test on the selected station   6  Save the test for comparison to the baseline audiogram   7  When testing is complete
33. r your social security number in the Examiner SSN text box   Choose OK to save your entry    The new examiner   s social security number is displayed in the Main window    Enter subject   s social security number and purpose of exam    Left click the mouse button on 000 00 0000 to the right of the subject   s assigned station number to  open the Enter SSN for Station     dialog box  Enter the subject   s social security number in the Station  SSN text box  The SSN must already be entered in the database   and select the appropriate Purpose of  Exam option button  Repeat as required for other subjects    Alternatively  you can select the number from the database  Left click the mouse button on the Station  SSN text box to open the Select a Subject dialog box  Scroll to the appropriate row and click to select  the subject   s Last Name  First Name  and Social Security Number  Choose the Select button to save the  selection and return to the Enter SSN for Station     dialog box    Choose OK to save entries and return to the Main window    The new subject   s social security number is displayed  Repeat as required for other subjects at other  stations    Talk to test subjects    Click the Talk over all button  or select Functions   Play and Start  to provide instructions to all  testing subjects    Start hearing test    Click the Start button to start all hearing tests    Monitor test    Monitor the progress of all tests    Respond to problems    Respond to error codes and proble
34. resumes all paused audiometer tests  Alternatively   you can use the Functions   Start Resume command  or the F2 key     2 4 2 Pause button   This button temporarily stops the selected audiometry test s   This command can be used if a problem occurs  during the administration of one or more audiometry tests  Alternatively  you can use the Functions   Pause  command  or the F6 key     2 4 3 Reset button    This button clears all subject information and all audiometry test information so that you can start another group  of subjects  Alternatively  you can use the Functions   Reset command  or the F8 key     2 4 4 Restart button    This button resets audiometry test data for the selected test subjects  but does not change subject information that  has been previously entered  Alternatively  you can use the Functions   Restart command  or the F7 key     2 4 5 Talk Over All button    This command allows you to talk over the microphone to all audiometry test subjects simultaneously   Alternatively  you can use the Functions   Talk Over Group command  or the Alt F5 key combination     2 4 6 Talk Over Each button    This button allows you to talk over the microphone to a single audiometry test subject  Alternatively  you can use  the Functions   Talk Individual command  or the F5 key     15      Tremetrics RA650 Operations Manual    2 5 Dialog Boxes    The following dialog boxes are provided in the RA650 operating software     2 5 1 Calibrating Station      dialog box  2 5 2 Calibra
35. s used to record the subject   s  current threshold  which may be affected from day to day by noise exposure  colds  sinus infections  or  other problems     Testing  as referred to in this manual  is the screening procedure used to establish thresholds  hearing  levels  and is in no way trying to diagnose  monitor  or treat any medical problem  disease or injury  If  a problem is suspected  the subject should be referred to an audiologist or medical doctor for  evaluation     The audiograms obtained from this screening procedure provide a way for records to be maintained for  the subject and for the company where the subject works  in order that an audiologist or medical doctor  may more fully evaluate and prevent major hearing problems     To guarantee accuracy  each audiometer must be re calibrated at least once each year and receive an  exhaustive calibration every two years  Daily biological tests through the use of an Electro Acoustic  Ear  for daily comparisons to acoustic ear baseline obtained at time of calibration  and the operator  listening to each frequency and verifying the attenuator operation  ensures accuracy and purity of the  audiometer tones     WARRANTY  TREMETRICS RA650 AUDIOMETER  Introduction   Hardware Operator  Lull       Electro conste Har  Oscars e a  1227 SR AGO  Auidiometer C Wassis a een aes  1 3 RA650 Audiometer Control Module i 2c 0 55 cs6sedessccesshscrssesnceessdeacsdenedensesessevessdedurdeedens  1 4 RA650 Audiometer Modules sensata arara a
36. sed  the frequency of the tone changes     Requests that the selected audiometer module station performs a RAM and  ROM memory test  If the system is operating correctly  nothing is  displayed  If a problem is detected  an E8 message is displayed for the  station with the memory problem        13      Tremetrics RA650 Operations Manual    2 3 6 Help Menu    The Help menu provides the following commands     Key    Opens RA650 Group Audiometer online Help at the Contents tab  You can  then use the contents  index  or find functions to find the topic s  of interest     Contents  command    Opens RA650 Group Audiometer online Help at the Find tab  You can then  use the find function to find topic s  of interest by searching all online Help  topics     Search for Help  On command    On Main  Window    Opens a Help file that describes the main window functions and features     Displays RA650 developed by Tremetrics  Version number  and copyright  message        How to Use Help Opens a Help file that describes how to use the Online Help provided with  command your RA650 Group Audiometer System     14      Tremetrics RA650 Operations Manual    2 4 Control Buttons    The following control buttons are provided in the RA650 operating software     2 4 1 Start Resume button  2 4 2 Pause button   2 4 3 Reset button   2 4 4 Restart button   2 4 5 Talk Over All button  2 4 6 Talk Over Each button    2 4 1 Start Resume button    This button starts the audiometry test for all test subjects or 
37. tion dialog box   2 5 3 Enter Examiners SSN dialog box  2 5 4 Enter SSN for Station      dialog box  2 5 5 Select a Subject dialog box    2 5 1 Calibrating Station      dialog box   Refer to the RA650 Microprocessor Group Audiometer Service Manual   2 5 2 Calibration dialog box   Refer to the RA650 Microprocessor Group Audiometer Service Manual   2 5 3 Enter Examiners SSN dialog box    This dialog box allows you to enter the social security number of the current hearing test examiner into the  database records     The Enter Examiners SSN text box displays the social security of the current examiner  To change the current  social security number  type the social security number using the format xxx xx xxxx into the text box   Alternatively  left click the button beside the SSN dialog box to select an Examiner from the Examiner database   The Examiner must already be in the database to be selected in this way  Choose OK when you have completed  your entry     2 5 4 Enter SSN for Station      dialog box    This dialog box allows you to enter the social security number of the hearing test subject assigned to a specific  testing station and to enter the purpose of the hearing test examination into the subjects records     The Enter SSN for Station      text box displays the social security of the subject assigned to the selected testing  station  To change the current social security number  type the social security number using the format xxx xx   xxxx into the text box  Alternat
38. yboard  Mouse  Windows Office Professional  An available communication port  to communicate with the RA650     Printer   A parallel printer is required to print reports     23      Tremetrics RA650 Operations Manual    To install the RA650 hardware  use the following procedure     1     Locate sound room jack panels     Locate the exterior jack panels for each subject location  If necessary  label the jack panel with the provided  labels     Position RA650 components     Locate the RA650 chassis s  and computer near the sound room jack panel  A 30 ft  cable is provided for  connecting the RA650 to the Sound Room     Confirm module installation   Verify that all modules are installed properly in the chassis s    Connect audiometer modules to jack panel     Connect each audiometry module to the corresponding sound room earphone and handswitch jack panel  location     RA650 Chassis Installation     See Figure 4  which displays an RA650 Audiometer Chassis with installed controller and four audiometer  modules     Note that your installation may have from 1 to 8 audiometers  The first chassis contains audiometers for up to 4  stations  Stations 1 through 4   An optional second chassis contains audiometers for additional stations  Stations 5  through 8   Also note that the station number is defined by the location of the audiometer in the RA650 chassis  as  shown in the figure 4                                                  A A  Ze  A          Z     Vlas  EARPHONE HANDSWITCH    
39. z  gt  30 dB command 11  controller 2 Left Ear Testing Display 5  Copy command 7 Main Window 4  Cut command 7 Manual command 6 8  Delete 8K command 10 Memory command 13  EA Error 11 Menu Commands 4 6  earphone 1  10  22  26  28 microphone 3  8  15  26  28  Earphone jack 3 Military Error Processing command 11  EB Error 11 multimedia 8  EC Error 11 Multimedia 11  ED Error 11 Offline 5    30    mm Tremetrics RA650 Operations Manual       OK option button 17  Oscar 1  22  Other option button 17  password 22  Paste command 7  Pause button 8 15  Pause command 6 8 15  Paused 5  Play and Start command 8  Play Instructions on Error command 11  power connection 25  power switch 28  Print command 7 9  Print Setup command 7 9    Printer 23    Process Errors in Manual Mode command 12    Pulse or Continuous Tone Display 4  Pulsed Continuous command 10  Purpose of Exam 16  rack 24  25  26  27  28  Rack 2 3  Re established Baseline option button 17  Reference Baseline option button 17    Reference Following Exposure option button 17    Remote Verification command 13  Reset 5  Reset button 15  18  20  Reset command 6  8  15  Reset Error Count on Error Test command 12  Restart button 15  Restart command 6  8  15    31    Retrieve Status command 9  Right Ear First command 5  10  Right Ear Testing Display 5  RS232 Configuration command 12  Run Test command 13  Save Test command 8  Saved 5  Search for Help On command 14  Select a Subject dialog box 16  17  18  Set Lower HTL to 00 dB command 11  S
    
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