Passion Earset And Programming Notes

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1. Audiological bulletin no. 50 (Rev.A) Passion ã Ear-Set ã Programming Notes ã Troubleshooting News from Audiological Research and Communication. Revision A -…
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  • 1. Audiological bulletin no. 50 (Rev.A) Passion • Ear-Set • Programming Notes • Troubleshooting News from Audiological Research and Communication. Revision A - Widex Canada, December 2009. 9 502 1209 001 – 12-09
  • 2. 2 Passion - RIC (Receiver-in-Canal) Table of Contents Glossary .............................................................................................................................................. 2 Acoustic Identities: Instant or Custom Open, Instant or Custom Flex .................................... 3 Ear-tip Styles ...................................................................................................................................... 3 Flex Ear-Tip Vent Selection ............................................................................................................. 4 Assembling the Ear-Set .................................................................................................................... 5 Finding the appropriate EarWire length............................................................................ 6 Connecting the receiver to the EarWire and attaching the NanoCare wax guard...... 7 Attaching the receiver ear-tip .............................................................................................. 8 Connecting the EarWire to the hearing aid ...................................................................... 11 Anchor configurations.......................................................................................................... 12 Adding Left and Right Colour Markers ........................................................................................ 16 Placing the Hearing Aid on the Ear ............................................................................................... 17 Ear-Set Maintenance ........................................................................................................................ 18 Disconnecting the EarWire from the Hearing Aid ..................................................................... 19 Replacing the Receiver ..................................................................................................................... 20 Replacing the Receiver Housing ..................................................................................................... 20 Connecting Programming Cables to a Passion Hearing Aid..................................................... 21 Fitting Passion with iP5 Portable Programmer............................................................................ 22 Troubleshooting ................................................................................................................................ 23 Note: New Passion orders will be shipped with the ear-set pre-assembled if the EarWire size is specified. Glossary CRET Hard – Custom Receiver Ear-Tip Hard CRET Soft – Custom Receiver Ear-Tip Soft Ear-set (Passion) – assembled EarWire, receiver, and ear-tip EarWare – components used to assemble an ear-set Flex ear-tip – ear-tip with vent options, including closed Open ear-tip – ear-tip with large vent
  • 3. 3 Acoustic Identities: Instant or Custom Open, Instant or Custom Flex The Passion hearing aid is flexible and can be configured as an instant/custom open fitting or an in- stant/custom flex fitting with a vent. When fitting Passion, ensure the physical and acoustic identities are the same. Select the correspond- ing acoustic identity in Compass to ensure the correct data is loaded into the hearing aid. Fitting type Acoustic identity Ear-tip styles Fitting Range Open fitting Wire open • Instant receiver ear-tip open • Custom receiver ear-tip open: soft or hard Flex fitting with Wire flex • Instant receiver ear-tip flex -10 dB 0 optional vent • Custom receiver ear-tip flex: 10 20 soft or hard, specify vent size 30 40 50 60 70 80 90 100 110 120 125 250 500 1k 2k 4k 8kHz Ear-Tip Styles Ear-tip styles Size Instant Receiver • Large (10mm) Ear-Tip Open • Small (6mm) • The ‘umbrella’ can be removed to create a 4mm ear-tip Instant Receiver • Size 11 (11mm) Ear-Tip Flex • Size 10 (10mm) • Size 9 (9mm) • Size 8 (8mm) Custom Receiver • Custom Ear-Tip Hard Custom Receiver • Custom Ear-Tip Soft
  • 4. 4 Flex Ear-Tip Vent Selection To achieve a vent effect similar to a traditional classic earmould with a Passion custom or instant re- ceiver ear-tip flex, find the corresponding vent size for a classic earmould and translate this to the vent diameter for a Passion ear-tip as shown in the table below. Vent size for Classic Custom receiver ear-tip Custom receiver ear-tip Instant receiver ear-tip earmould flex (hard) - vent flex (soft) - vent flex - vent diameter (mm) diameter (mm) diameter (mm) (closest option) 1.0 No vent No vent No vent 1.5 0.8 1.1 1.0 2.0 1.0 1.4 (1.7) 2.5 1.2 1.8 1.7 3.0 1.4 2.2 (1.7) 4.0 1.7 2.9 n/a How to read this table Example 1: If you decide on a 2.0mm vent in a classic earmould, you would select a 1.0mm vent diam- eter in a Passion CRET Hard flex, a 1.4mm vent diameter in a Passion custom soft flex, or 1.7mm in an instant receiver ear-tip flex to achieve the desired vent effect.
  • 5. 5 Assembling the Ear-Set Passion EarWare Kit The Passion EarWare kit contains all the tools and accessories to assemble a Passion ear-set. Contents include: EarWires in three lengths (1,2,3) for left and right ear, instant receiver ear-tip open and instant receiver ear-tip flex in several sizes, lock rings, anchors, wax guards, vent tubes, vent blocks, receiver housings, an assembly tool, a measurement tool, a measurement dummy, a spare receiver and an instruction sheet showing how to assemble the ear-set. EarWires - 3 lengths Receiver Spare Vent tubes Vent blocks Wax guards for left and right ear housings Receiver (6 lengths available) Anchors Lock rings Measurement tool Measurement Assembly tool dummy Instant Receiver Ear-Tip Flex Instant Receiver Ear-Tip Open (size 11, 10, 9, 8mm) (Large, Small) The Passion supplemental kit includes 3 less common EarWire lengths: 0, 4, 5. EarWires for the right ear are marked with red numbers and EarWires for the left ear are marked with blue numbers. Note: Do not use m or 9 ear-tips with Passion hearing aids or vice versa.
  • 6. 6 Step 1: Finding the appropriate EarWire length Start the fitting process by finding the appropriate EarWire length. A) Measurement Dummy Place the measurement dummy on the client’s ear. Count the beads from the top to the centre of the tragus. They correspond to available EarWire lengths from 1 to 5. The bend above the first bead is size 0. The ear in the photo will be best fit with a length 2 EarWire. — OR — B) Measurement Tool Place the measurement tool on the client’s ear. Align the dot/number with the centre of the tragus to find the cor- rect EarWire length. The ear in the photo to the left needs a length 2 EarWire.
  • 7. 7 Step 2: Connecting the receiver to the EarWire and attaching the NanoCare wax guard Before attaching the receiver, the black protective housing must be re- Place the white receiver housing moved. Place the EarWire with the black housing in the assembly tool. (with receiver inside) in the assem- The number printed on the end of the EarWire must face upwards. Pull to bly tool with the number facing up. disconnect the EarWire from the housing and dispose of the housing. Place the EarWire in the assembly tool with the number facing up. Place a finger over the housing and EarWire to hold them in place. Push the tool together until you hear a click. Remove the EarWire by lifting it upwards and out of the tool. Attach the NanoCare wax guard into receiver opening. Important: A new receiver housing must be used every time the housing is removed from the EarWire. Reuse may result in the housing detaching from the EarWire and remaining in the ear. (See page 20 for instructions on changing the receiver housing.)
  • 8. 8 Step 3: Attaching the receiver ear-tip Instant open For open fittings select an instant Slide the ear-tip onto the receiver Ensure the ear-tip is securely open ear-tip. This receiver ear- housing. fastened to the receiver housing. tip is available in Small (6mm) or Large (10mm). The umbrella can be removed to create a 4mm ear-tip. Select the appropriate size for the client’s ear canal. Instant flex For vented or closed fittings select Push the receiver housing into the Ensure the blue/red number on the an instant flex ear-tip, available in larger of the two openings of the flex EarWire and the anchor holes are four sizes: 8, 9, 10, 11mm. ear-tip until it locks. still visible. The wax guard will rest slightly below the tip. Using Vent Blocks in the Instant flex ear-tip Sound bore The instant receiver flex ear-tip has two openings: • The sound bore for the receiver housing (larger opening) • The vent canal (smaller opening) The vent diameter can be set by using a vent tube/block. • 1.7mm vent: no insert • 1mm vent: insert the vent tube • 0mm vent: insert the vent block Vent
  • 9. 9 Step 3: Attaching the receiver ear-tip Custom Receiver Ear-Tip (CRET) Hard A lock ring is used to attach the Once installed, the ring must rotate Insert the receiver and EarWire in receiver assembly securely to the freely. the CRET starting with the hear- CRET Hard. To install lock ring, ing aid end of the EarWire and pull hold the receiver assembly in one through the custom tip. hand. With the index finger from your other hand, start at a 45 de- gree angle and push the ring onto the receiver, stretching it over the housing. (This requires significant pressure.) Do not use a hard surface to try and push the ring on as it will distort the ring. Push the receiver into the custom tip with your finger. This will require some pressure. Note: Do not use a hard surface to try to push the ring on as it will distort the ring. Ensure the receiver is firmly secured by the lock ring by gently pushing and pulling the EarWire.
  • 10. 10 Step 3: Attaching the receiver ear-tip Custom Receiver Ear-Tip (CRET) Soft Push the receiver housing into the soft tip until the wax guard is flush with the end of the soft tip.
  • 11. 11 Step 4: Connecting the EarWire to the hearing aid The EarWire is connected to the hearing aid by plug- ging it into the socket on the top of the hearing aid. The EarWire is attached correctly when a click is heard and the collar of the EarWire is flush with the hearing aid.
  • 12. 12 Step 5: Anchor Configurations To ensure proper retention of Widex RIC and thin tube hearing aids, we recommend using one of the four anchor methods listed. In the majority of fittings the new Tragus Anchor configuration will be most ef- fective. If, however, it is necessary to try one of the other three methods, we recommend trying the Heart Shaped Anchor first, followed by the Concha or Loop Anchor. Tragus Anchor (recommended for most ears) A Insert the anchor in the upper hole Pull the anchor until it is stopped by Guide the anchor around the Ear- on the EarWire. The angled grip (A) the angled grip. Wire. After a few days of use the at the end of the anchor should point anchor will retain its shape. towards the hearing aid. Trim the anchor length for comfort, When using the tragus anchor, the leaving enough length to maintain anchor should be placed in the retention. client’s ear so it rests in the concha.
  • 13. 13 Step 5: Anchor Configurations Heart Shaped Anchor Insert the anchor in the upper hole Now bend the anchor up and over Cut off any excess leaving only the on the EarWire. Pull the anchor un- guiding the pointed end through the loop. Use the tip of your finger to til it is stopped by the angled grip. lower hole from the opposite side as check for sharp edges. shown, forming a heart-shaped loop. The heart shaped anchor fits in the ear canal entrance.
  • 14. 14 Step 5: Anchor Configurations Concha Anchor A Insert the anchor in the upper hole Pull the anchor until it is stopped by When using the concha anchor, the on the EarWire. The angled grip the angled grip. anchor should be placed in the at the end of the anchor should be client’s ear so that it rests in the pointing away from the hearing aid concha. Trim the anchor length for (A). comfort, leaving enough length to maintain retention.
  • 15. 15 Step 5: Anchor Configurations Loop Anchor Pull the pointed end of the anchor Bend the anchor down guiding the Cut off any excess leaving only the through the upper hole until the pointed end through the lower hole loop. Use the tip of your finger to anchor is stopped by the grip at the to form a small loop. check for sharp edges. end. The loop anchor fits in the ear canal entrance.
  • 16. 16 Adding Left and Right Colour Markers The colour marker (blue for left, Remove the insert tool from the Bend down the protective por- red for right) is inserted above package. tion of the insert tool to expose the battery door hinge. the marker. Firmly press marker into slot. Twist the tool to detach it from the marker.
  • 17. 17 Placing the Hearing Aid on the Ear Place the hearing aid behind the client’s ear and manoeuvre the ear-tip into the ear canal. When the hearing aid with the receiver ear-set is positioned correctly on the ear, the EarWire should closely follow the contour of the ear and the hear- ing aid should not pull on the ear-tip.
  • 18. 18 Ear-Set Maintenance Replacing the NanoCare wax guard The receiver remains in the receiver housing when changing the NanoCare wax guard. For Custom receiver ear-tips (hard/soft), exchange the NanoCare in the same way as you would with an ITE or CIC hearing aid. See Passion user’s instructions for details. Cleaning Never use water or cleaning solutions to clean the EarWire. Do not use ethanol to clean ear-tips. Replacing the receiver If the receiver stops working properly, it should be replaced. See page 20 for instructions on how to re- place the receiver for each Passion receiver ear-tip type. Replacing the receiver housing To ensure a stable and secure connection, the receiver housing must be replaced each time it is removed from the EarWire. Reuse of the receiver housing may result in the housing disconnecting from the Ear- Wire and remaining in the ear.
  • 19. 19 Disconnecting the EarWire from the Hearing Aid Grip hearing aid firmly between your index finger and thumb. Using your other hand, curl the index finger under the EarWire as illustrated. Pinch EarWire between thumb and index finger. Do not use your finger nails. Firmly pull straight apart.
  • 20. 20 Replacing the Receiver Instant Open/Flex Ear-Tip Disconnect the EarWire from the hearing aid (see page 19). Pull the tip off of the receiver housing. Proceed to ‘All receivers’ below. CRET Hard/Soft Disconnect the EarWire from the hearing aid (see page 19). Push the receiv- er through the ear-tip as shown. Remove and discard the lock ring if using a CRET Hard tip. Proceed to ‘All Receivers’ below. All Receivers Place the EarWire and the receiver housing in the closed assembly tool with the number printed on the receiver housing facing up. Hold the receiver housing in place while pulling the assembly tool open. Remove the EarWire and the receiver from the tool. Place the white receiver housing (with receiver inside) in the assembly tool with the number facing up. Place the EarWire in the assembly tool with the number facing up. Place a finger over the housing and EarWire to hold them in place. Push the tool together until you hear a click. Remove the EarWire by lifting it upwards and out of the tool. Replacing the Receiver Housing Remove the NanoCare wax guard. Press the receiver housing into the hole with the pin of the assembly tool. The receiver will eject from the old hous- ing. Place a new receiver housing into the other hole in the assembly tool. Align the grid side of the receiver with the numbered side of the receiver housing and press the receiver into the new housing. See page 7 for receiver and EarWire assembly.
  • 21. 21 Connecting Programming Cables to a Passion Hearing Aid The Widex CIC programming cables are used to program Passion. Before connecting the cable, re- move the battery drawer, by following the procedure below, to avoid damaging the hinge. Step 1: Removing the Battery Drawer Open the battery drawer to it’s Hold the cable in place and push Remove the battery drawer. The fullest extent. Place the thin the battery drawer as if to close Passion hearing aid is now ready portion of a programming cable it. to be connected to the Widex (or something similar) across programming cables. the hinge. Step 2: Attaching the Programming Cable The programming adaptor is attached at the hinge like a battery drawer. The two projections on the programming adaptor are placed on the hinge pin of the battery compartment. The adaptor must be closed firmly and flush with the housing. Pull the blue or red sleeve away from the hearing aid and fit on patient. Step 3: Attaching the Battery Drawer When you have finished programming, remove the programming adaptor by opening it fully and pulling straight off. To replace the battery drawer, hold it at an angle of 45 degrees and push it firmly onto the hinges as shown above.
  • 22. 22 Fitting Passion with iP5 Portable Programmer Fitting Passion with iP5 To fit Passion hearing aids with the iP5 programmer you need iP5 e-prom version number V4.7* or higher. iP5 Programmer and Acoustic Identity The acoustic identity cannot be converted when fitting Passion with the iP5. When using iP5, make sure that Passion has the desired acoustic identity, i.e. wire open or wire flex (using Compass). Note: The factory default acoustic identity is wire flex. Limitations when fitting Passion hearing aids with the iP5 programmer The following features cannot be accessed or fine tuned with the iP5 programmer: • Sound Diary • Conversion of acoustic identity from wire flex to wire open and vice versa • Use of individual RECD data • Less flexibility in fine tuning options • Hearing aid options • Compass solution guide • No record of selected ear-set tubing, ear-set tip and vent sizes. *PA-105/110/115 can be programmed using e-prom V4.4 or higher.
  • 23. 23 Troubleshooting Symptom Cause Possible remedy Hearing aid hanging EarWire too long Choose a shorter EarWire above the ear EarWire pulling at the EarWire too short Choose a longer EarWire ear and hearing aid EarWire protruding EarWire too long Choose a shorter EarWire from ear EarWire protruding Loop or heart shaped anchor too Make the anchor smaller from the ear canal large Anchor choice is not ideal Try another anchor style Discomfort or itching Loop or heart shaped anchor not Check that the anchor is trimmed flush in the ear canal trimmed appropriately with the EarWire EarWire too short Choose a longer EarWire Ear-tip incorrectly sized Choose a different size of ear-tip Loop or heart shaped anchor size Resize anchor inappropriate Ear-tip detaches from Ear-tip not firmly pressed Check that the ear-tip is firmly attached the EarWire onto receiver housing to the ear-set Ear-tip size is too large and diffi- Choose a smaller ear-tip cult to remove from ear canal Hearing aid falling off Anchor not providing adequate Try another anchor style or resize loop or client’s ear retention heart shaped anchor Ear-tip too small Choose a larger size of ear-tip Incorrect size of EarWire Choose another EarWire size No sound coming from Wax guard blocked by wax Replace NanoCare the hearing aid Black receiver housing has not Remove black housing and connect white been removed housing with receiver EarWire/hearing aid connection Remove then reinsert EarWire firmly into faulty hearing aid EarWire/receiver connection faulty Replace receiver housing and reconnect EarWire defective Replace EarWire Receiver defective Replace receiver Ear-tip works out of the Anchor choic
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