User guide - MelMedtronics
Contents
1. Play Pause Button Stop Button the counting of the words in order to show you which word is playing Also here there are the Save Button pushing this button the test will be saved adding it to the patient s record see Section 11 Report Button this button allows you to create a report of the test see Section 5 8 2 PI PB Function Test In Figure 22 the PI PB FUNCTION TEST Pei F ce a T Back to Main Menu PI PB Tost Headphone TDH 29 100 SPEECH TEST SETTINGS List Of Words GUN JUG SHEEP we Number of Words Played of Words set Correct FIGURE 22 With iAudiometer you can use your Speech Material uploading it through iTunes Here http youtu be VJZVSahgPWY you can see how upload your audio files into iAudiometer The Settings Panel in Figure 21 allows you to choose which speech material do you want to use If you choose your own material you have to indicate in which channel the noise and the speech are located and if the first word of the audio file has to be excluded in the counting of the words On the left in Figure 22 there is the Master Settings Panel of the test allows you to choose Which ear is to be tested Which Stimulus is to be used Air Bone or Sound Field 97 GD M If the test is performed with or without Masking you can adjust the amplitude You can also select the type of Noise e Noise from Audio files e White Noise2. 30 MIN MASKING LEVEL WB HL 30 Fress Pee fadbies O earl Pee bee Pe ward wl fe CON foe AO oarn eet CF be 0 gece Age a f e oathert how free irua sounds aud select Megetiws sounds Ae bane Portal softer o bogar cheruped fascie baxter Pooltve trwwus h got oF barsi rocedi FIGURE 26 Pressing the Next Button on the top right the Report of Evaluation will be displayed Figure 27 It is possible for you to Enter Recommendations Save tapping Save Button the test will be saved adding it to a patient See Section 11 2 send tapping the Report Button it will create a report of the test see Section 5 32 Eo T Nii 4010 6404 30 Noise Masking amp Residual Inhibition Frequency 4010 6404 Mirimum Mashing Level Residual Inhibition Level Residual inhibition Efect Recommendations E xray D cat e E ooe G Premacoiogy G avctioiogy treatments Oy rer vr i 0O Psychitric 0O or El oner E None at this time FIGURE 27 10 Transducers On each Test on the top right are a list of the ONLY transducers that you can use pressing the GEAR Button a new view becomes visible Figure 28 in which it is possible to change the transducer The supported transducers are 1 Headphone TDH 39 1022 Headphone TDH 49 10 Insert Earphone ER 3A 109 Insert Earphone ER 5A 109 Headphone DD 45 109 Bone Vibrator B 71 es Headphone TDH 39 102 O SELECT THE AC TRANSDUCER eee Inse
3. CPT 2651 Pure tone audiometry threshold r orty CPT 92552 Pure tone audiometry theeahold ar and bone CPT 92553 audometry reshad evalaton and speech CPT 92557 LowIness balance tee alternate Leneural of monaural CPT 925062 FIGURE 7 9 The selection of the tests Figure 8 can be done by choosing a date using the picker on the left in this case all tests performed on a specific date can be selected or you can select one by one each of the tests to include Pes 9 tro TOREJ Back Creal Report DONE SORT BY DATE OF EVALUATION Add a Comment g Clinician 3 novembre 2014 Clinician Signature e vootte Tympanometry D veate OAE D Yexmo SELECT FROM LISTS O7 sev2014 26 Teb 2014 26 TeD 2014 26 Teb 2014 O7 sev2014 AC BC TOT ABLB STENGER O6 set 2014 O6 set 2014 27 sev 2014 26 teb 2014 26 feb 2014 27 sev 2014 PI PB PSSTI 26 fet 2014 FIGURE 8 On the right it is possible to add a comment add Tympanometry and OAE results add Clinician Information see Section 12 add the Clinician s Signature See Section 12 For all the reports tapping the top right button DONE the Report will be generated and it is possible to choose EMAIL allows you to send an email with the attached report OPEN IN allows you to open the report in other apps installed on your device This function allows you to archive
4. WN e Speech Noise SN e Pink Noise PN the counting of the words in order to show you which word is playing Play Pause Button Stop Button On the top center there is the list of words if you have chosen the default speech material or the list of audio files if you have chosen the default speech material to be presented tap on a word or on a file and press Play Button In Result Panel there are The Correct Wrong and Skip Buttons each time a word is played you can set it as Correct or Wrong or you can skip it the word will be not counted in the number of Words Played Draw Button this button allows you to record the results For each amplitude tested you have to Tap this button in order to Save the results Here are the other buttons Save Button tapping this button the test will be saved adding it to the patient record see Section 11 Report Button this button allows you to create a report of the test see Section 5 28 8 3 Psst In Figure 23 the Psst stimuli are shown SRT and SD Buttons to choose if you want to perform the SRT Test or the SD Test FIGURE 23 On left panel are the Left and Right Buttons to choose which ear is to be tested Bone and Air Buttons to choose which conduction will be used Amplitude Buttons to choose the amplitude Record Button Results Note On the top panel it is possible to hide
5. a patient s name and all of their information and prior tests will be listed by Date 5 o MP Pe Seated ESR sou Oe Back to Main Menu Patients Add New Patent S Antonio Curci Ma Errebo Scagione Sep 24 1987 Napo ha a na Tel 3333922452 Gianna Lardaro N email antomo curcr melmedtroc n Sep 24 1987 Tinnitus Ves Mar 2 2014 Feb 27 2014 Feb 26 2014 Feb 25 2014 gt 3 T FIGURE 4 On the top you will see all of the patient s information Tap on the REPORT Button and a full patient report will be created see Section 5 Tap on the EDIT Button and the patient information can then be edited On the left are test types you have administered On the right are tests of that type They can be sorted by date of evaluation Tap on a date and the corresponding test results will be displayed Figure 5 It is possible to create a report for any of the chosen tests Tap on the VIEW ALL Button and all of the test results of the type selected can be viewed Figure 5 by scrolling down Tap on EXPORT Button to select the Export function see Section 6 6 bo M Frequency tz Vs 7a oe 61 oe Oe PTA U 40 JBHL PTA fH 30 dBHL Date Feb 26 7014 Chevcian FIGURE 5 3 PATIENT TOOLS On the top right of the Patient interface there are ADD NEW PATIENT tap on it and a form will be shown so you can enter all new patient information TOOLS Button Allows you to select the export type se
6. available in Engish and Italian or your own speech material f you choose the option Audio Files Imported then you nave to indicate how the audio fles are recorded for example you can set on the Left Channel of the audio files there are VMinevic onei an tho Cink nano thoro ic Rinican Speech Material Detaul FIGURE 21 On the left in Figure 20 there is the Master Settings Panel of the test allows you to choose Which ear is to be tested Which Stimulus is to be used Air Bone or Sound Field If the test is performed with or without Masking you can adjust the amplitude You can also select the type of Noise e Noise from Audio files e White Noise WN e Speech Noise SN e Pink Noise PN Immediately below it is possible to choose if you want to perform the SRT Test or the SD Test clear Results panel or Words panel 25 beo once On the top center there is the list of words if you have chosen the default speech material or the list of audio files if you have chosen the default speech material to be presented tap on a word or on a file and press Play Button In Result Panel there are the Correct Wrong and Skip Buttons each time a word is played you can set it as Correct or Wrong or you can skip it the word will be not counted in the number of Words Played Pressing the Record Button you will record results on the panel on the left Below there are
7. Which ear has to be selected as the Better ear Which ear has to be set as the Questionable ear No GM mo Li b re lt Back to Main Menu Stenger Test Headphone TOH 39 10 Record o POSITIVE NEGATIVE The amplitude of the Better Ear FIGURE 17 In the panel below you can find Play Button allows you to present a continuous tone to the Questionable ear while decreasing the amplitude until the patient stops responding Positive and Negative Buttons will allow you to record the positive or negative outcomes of the test which will be shown in the Result Panel below 19 bo MP N B It is not necessary to perform the test for each frequency before proceeding Here are some additional buttons Save Button tapping this button will save the results and add it to the patient record see Section 11 Report Button this button allows you to create a report of the test see Section 5 7 4 Screening Test Figure 18 is the SCREENING TEST On the top you can choose if you are going to perform screening tests to a school s children or to a company s employees Pus F oo me lt Back to Main Menu ADD CHILD S INFORMATION Ful Name SET PARTIAL RESULTS Pass Fa tH H H am H ool 6 lt Prenn to S40 fe Part 1 Dea ma oo on for rert Paete FIGURE 18 20 G2 ee j On the left you will see a list of the children employees that have
8. the left panel in order to show the full screen with the pictures 29 beo ee In addition it is possible Show the first panel Play words when the word is playing the pictures are shown When the child touches a picture it will automatically record the response as either correct or incorrect Save Tapping this button the test will be saved adding it to a patient s record see Section 11 Send this button allows to create a report of the test see Section 5 9 Tinnitus Evaluation Program In Figure 24 the first part of the TEP are shown No SN Y va AN lt Back to Main Menu Tinnitus Evaluation Program Next PATIENT INFORMATION IMPORT DATA FROM PATIENT 7 QGarety Aotceatte aod 10 wheat Patent ID How long has patient had Tinnitus E 3 moors First Name Is patent s Tinnitus constant or intermittent Go nce Does Tinnitus pulsate No Dizziness or vertigo in the last 90 days Yes Sudden hearing loss in the last 90 days cw Vhat does tinnitus sound like Vihere is tinnitus located Tone ICOC Noise GE bet come rion Possitie causes of tinnitus I Medication J mness E Other FIGURE 24 30 There are Patient Information Panel here it is possible to enter Patient s data or import Data from the iA database see Section 2 Patient History Panel Pressing the Next Button on the top right takes you to the second part of the evaluation where there are three
9. to Main Menu Settings Example Report Clinic Information Clinician Information ADO NEW First Name Name MeiMedibonies he Address 5358 Old Bullard Ad Suite 609 186 Tyler Tel 1 17 201 479 Fax 1 903 750 7450 email _ntcalmelmactroncs com Add Logo a Siew Nn FIGURE 30 13 Calibration This section in figure 31 is strictly intended for the Calibration Technician On the top right you or your technician can set a password Figure 32 to protect the right calibration values saved This is a simple method to verify the conformity to the ANSI 3 6 2010 and if the outputs are not within the tolerances of the ANSI Standard then it allows you to adjust the SPL values in order to bring the output within the Standards On the top panel it is possible to choose which transducers will be used in the measurements which sound will be verified which channel will be verified 36 bo once Pe F co me Back to Main Meru Calibration Panel Set Password a D o TES E on Headphone TOH 39 100 T increment dB SPL en Hz adapter Select the type of output to be tested 125 To present the tone press the PLAY button and press again to STOP Note Do not the change 1500 2000 3000 Boa 4000 6000 8000 Output level dB HL 70 FIGURE 31 On the Frequency Panel it is possible to select which frequency has to be verified and at what amplitude
10. 45dB BC e 500Hz 10 110dB AC 10 60dB BC e 750 Hz 10 110dB AC 10 60dB BC e 1000 Hz 10 110dB AC 10 70dB BC e 1500 Hz 10 110dB AC 10 70dB BC e 2000 Hz 10 110dB AC 10 70dB BC e 3000 Hz 10 110dB AC 10 70dB BC e 4000 Hz 10 110dB AC 10 70dB BC e 6000 Hz 10 110dB AC e 8000 Hz 10 100dB AC ee ill lS These are the functions of the buttons Figure 14 Play Button the stimulus turns ON Releasing the button the signal turns OFF Draw Button this button allows you to record the result on the audiogram To record a no response from the patient on the top of the audiogram you can press on No Response Button Save Button this button will save the response and add it to the patient record see Section 11 Report Button this button allows you to create a report of the test see Section 5 FIGURE 14 lf you want to Delete a single recorded value on the audiogram just tap on the recorded value and confirm that you want to delete it If you want Clear the Audiogram you have to swipe on it and confirm nn bd m Pi Ii 7 2 Tone Decay Test Figure 15 is the TONE DECAY TEST No SN Y to 18 Pw oes ore lt Back to Main Menu Tone Decay Test Headphone TOH 39 100 x Press Play to start the tone and the Timer LO Press again to pause the test FIGURE 15 The Master Settings Panel of the test allows you to ch
11. PATIENTS PURE TONE TESTS SPEECH TESTS TEP CALIBRATION SETTINGS Powered by MELME FIGURE 2 3 Information Section Tap on the 9 Section shown in Figure 3 Here you can find the Technical Specifications it can be sent by email opened in another application installed app on your device or printed the User Guide Each it can be sent by email opened in another application installed app on your device or printed links to iAudiometer s video tutorials Pe gt co Hn E Back to Main Menu Info Sari iAudiometer iPad Technical Specification EMC For the certificates and compliame Sean Standards e s choose on device Settings gt Goacral gt About gt Regelstory Calibration Cahen an ata ited Aa Tents ae be amed n the Later amen m on Re Amna e Teen Als Conduction TOUS 180 3991 1998 ANSI S34 D0 p0 TO 4 101891 1997A ANSI SIA T00 DO 45 PTR DTY report D009 LAN Tome MAJJA 150 ELTI ANSI 516 7000 Ralicsar BT 150 309 319 AUST OD A DO t Oe OO wee wet 0864 86 44 FIGURE 3 4 Patient Section The Patient Section shown in Figure 4 can be divided into four parts 1 PATIENT LIST all patients saved are listed On the top there is a search Bar It is possible to search for a specific patient by First Name Last Name Patient ID Address including street address Zip Postal Code City and State or All of these 2 PATIENT FORM once you have chosen a test tap on
12. been tested and on the right is the Main Panel that allows you to select stimulus characteristics First of all add child s information and then you can customize the tone that will be presented You can choose Which ear is to be tested Which Stimulus is to be used Which Type of Tone Steady Warble 5Hz freq modulation and 10 of modulation index Pulsed 200 ms pulse duration The threshold that is be used Which frequency is to be used Then to play the tone press the PLAY button and to stop the tone just release the PLAY button You can take note of the results choosing between for Pass and for Fail Once the test is completed you can add a recommendation in the Recommendation field and set the result by tapping on Pass or Fail check button on the upper part of the screen To save the results press the SAVE button on the bottom You can then proceed to testing this child If you need to EDIT the information in any of the tested children left panel tap on the child s name make your changes and then tap on the SAVE button On the top you can use two important functions of the Screening Test section Measure Ambient Noise Level by pressing this button you can access to the built in sound level meter to measure the actual noise level in dbSPL Figure 19 Generate Parent Letter by pressing this button you can generate a parent letter Yo
13. e Section 6 5 Report Function With iAudiometer it is possible to to create a 1 Single Test Report 2 More than one test Report 5 1 Single Test Report In Report View Figure 6 it is possible to choose your settings for the report 1 Patient Information Here it is possible to enter Patient data or import data from the iA database tapping on Import Data from Patient the patient list appears and by selecting a patient all of their data will be loaded 2 Report Panel Here it is possible to add a comment 4 add on the report Clinician Information see Section 12 4 add the Clinician Signature see Section 12 select the test results and include them in the report this option depends of which tests you are reporting PATIENT INFORMATION IMPORT DATA FROM PATIENT Clinician Signature oe VYea No FIGURE 6 5 2 More than one Test Report In this case it is possible to choose between two types of reports 1 Clinical Report Form 2 Clinical Report with Audiogram In the first example Figure 7 before going to the selection of the tests to include in this report it is required that you select Which complaints you want to include in the patient s report Which complaints you do NOT want to include in the report Which procedures were administered Recommendations may include Refer to so you can refer to another specialist Sereereng test pure tone ordy
14. he iAudiometer it is possible to synchronize two or more iAudiometers on the same device or two or more different devices With the Export function the iAudiometer can 1 Export test in the Exporting panel Figure 10 it is possible to select one or more tests the listed tests are of type previously selected in Patient View 2 Export patient in the Exporting panel Figure 10 it is possible to select one or more patients Bact Exporting Panel Select One or More Test Select one or r oun 10 export Once vou choices tyi Select Ono or More Patients Select one or more patients Mar T 2014 vou can sand t 1 pon Orne you makun Wt hande tres i Curci Antonio your chocas tap on SEND trom other inst Sen 24 1987 You can send by email or Mar 2 2014 application Ht nande tes Gocuwnen You can also o fom otter instaiied Lardaro Gianna appecation your Oewce or Dec 6 1986 You can aso open in Feb 27 2014 devices another version of A on your Govea or On other ery at es aoe versio Feb 26 2014 Feb 25 2014 FIGURE 10 Once you have selected what you want to export then tap the SEND Button and a file will be created and it can be exported by email and opened in another installed application If it has been received as an iAudiometer file tap on it and open it in iAudiometer You will then be asked what kind of IMPORT and then it will ask if you want to continue with the importing N B You can use this function
15. iAudiometer an User Guide amp _ Index 1 Installation 3 2 Main Menu 4 3 Information Section 4 4 Patient Section 5 5 Report Function T 5 1 Single Test Report 8 5 2 More than one Test Report 9 6 Export Function 12 7 Pure Tone Tests 13 7 1 AC BC Test 13 7 2 Tone Decay Test 16 7 3 ABLB Test 17 7 4 Stenger Test 19 7 4 Screening Test 20 8 Speech Tests 24 8 1 Speech Reception Threshold SRT and Speech Discrimination Test SD 24 8 2 PI PB Function Test 27 8 3 Psst 29 9 Tinnitus Evaluation Program 30 10 Transducers 33 11 Save Function 34 12 Settings 35 13 Calibration 36 iAudiometer 1 Installation For the correct use of the iA it is required that you connect the iPad with the recommended transducers in the way shown in Figure 1 Headphones jack Adapters RCA Male to 6 3mm Mono Jack Female Audio Adapter 3 5mm Stereo Jack Male to 2 RCA Female FIGURE 1 You will also need an Audio Adapter a 3 5mm Male Stereo Jack to 2 RCA Females and two adapter RCA Males to a Female 6 3mm Mono Jack It is crucial that you connect the transducers correctly You must plug the red plug of the headphones in the red RCA plug If the transducer is the bone vibrator then its plug has to be connected to the black white RCA plug 3 Eo TRON CS 2 Main Menu In Figure 2 the Main Menu is shown The following are explanations of each section No SIM 12 54 PM 32 C4
16. oose Which ear is to be tested Which Stimulus will be used Which procedure will be selected e Olsen amp Noffsinger procedure Present the tone at 20 dBSL As soon as they hear it the finger goes up and down when it disappears Record how long they hear it at 20dSL and increase level by 5dB without interrupting the tone Continue in this way until they hear it for a full minute or until 30dB above the starting level has been reached 16 bo ae e Carhart procedure Start at 5 dBSL and present continuous tone for 60 seconds increasing 5 dB each time patient reports not hearing the tone On the Timer Panel it is possible to Choose the timer count between 40 50 60 70 80 seconds Reset timer to start the test over See the count down of the timer In the below panel you can find Play Button that allows you to start the tone and the timer Pressing this button will turn the stimulus ON and the timer starts to count down Pressing the button again the signal turns OFF and the timer stops Positive and Negative Buttons will allow you to record the positive or negative outcomes of the test which will be shown in the Result Panel below N B It is not necessary to perform the test for each frequency before proceeding Here are explanations of the other Buttons Save Button pushing this button the test will be saved adding it to the patient record see Section 11 Report Button this button all
17. ou can proceed with a new test or return to the main screen lf the measured value output is outside the limits specified by the standards you can adjust the value by adjusting the output by selecting the step increment and then pressing the or if the value is less or greater than the limits included in the Standards If the new measured value is within the limits you can save this value by pressing the Save button Then you can proceed with further measures or return to the main screen Below is an Example of a calibration using a TDH 39 Pure Tone Left 1000HZz 1 Tone is presented at 70 dB HL corresponding to the ANSI 3 6 2010 of 77 dB SPL 2 If the measured dB SPL is 82 4 then 82 4 dB SPL gt 77 3 and therefore the selected step size is lt 2 dB SPL gt so you would press the button 3 Now the SPL measures 80 4 dB SPL Since 80 4 gt 77 3 it is still above the Standard so now you select the step lt 0 5 dB SPL gt increment proceeds to press the button 4 The SPL now measures 79 9 dB SPL so the output meets the ANSI standard sp To save tap on lt Save gt button 6 Repeat the same procedure for the remaining frequencies Special Note Certificate of Calibration You will need the Serial Number of the iPad
18. ows to create a report for the test see Section 5 7 3 ABLB Test Figure 16 is the ABLB TEST In the Master Settings Panel of the test you can choose which ear has to be set as the Fixed ear choose which ear has to be set as the Variable ear choose the tone amplitude of the Fixed Ear Play Button pressing this button starts the tone and it begins to alternate between the two ears with a pulse duration of 500ms Pressing this button again stops the tone 17 S amp S TONIC No SM 1746 BON core Back to Main Menu LB Headphone TOH 39 100 29 49 a o o Hearing tweshotd evei in dN ML Draw Button this button allows to record the result on the graph This Button must be pressed to save the results Save Button pushing this button will save the results and add it to the patient record see Section 11 Report Button this button allows you to create a report of the test see Section 5 FIGURE 16 On the Results Panel the results for each frequency tested will be displayed Each graph has a Clear Button that allows you to cancel the recorded results To record the results on a specific graph it is necessary to press the button for that graph It is not necessary to perform the test for each frequency before proceeding 18 amp _ m 7 4 Stenger Test Figure 17 is the STENGER TEST The Master Settings Panel of the test allows you to choose
19. panels Figure 25 Tone Panel this is hi lighted only if the patient said that their tinnitus sounded like a Tone Noise Panel this is hi lighted only if the patient said their tinnitus sounded like Noise Display Panel displays either the Tone and or Noise frequency and amplitude Wo SA Y t 40 AN 900 pe lt Back Tinnitus Evaluation Program Headphone TOH 39 100 D Left Tone Match AMPLITUDE dB HL 30 m A AL Center Noise Match BAND Hz 4010 6404 O S L AMPLITUDE dB HL v FIGURE 25 amp TT 31 This evaluation part is divided into three phases Figure 26 1 Matching it is necessary to match the frequency and the amplitude until it sounds like their tinnitus 2 Masking it is necessary to increase the intensity until they no longer hear their tinnitus 3 Residual Inhibition pressing the PLAY Button the signal will automatically be presented at an intensity that is 10 dB above their Minimum Masking Level and will be presented for 60 seconds At the end of 60 seconds the sound will turn off and the timer will count down for another 60 seconds At the end you must ask the patient to describe their tinnitus Left Tone Mask Set Minimum Masking Level FREQUENCY Hz 10009 AMPLITUDE dD ML 39 gt VEN MASKING LEVEL dB HL 30 Center Noise Residual Inhibition Conduct Residual Inhibition Test BAND He 4010 6404 AMPLITUDE GB HL
20. reports using cloud 10 ae storage For example if Dropbox is installed on your device choosing OPEN IN and report will be saved in the Dropbox app It is also possible to move it to a desired folder in order to synchronize all connected devices with the same account automatically In addition by choosing OPEN IN it is also possible to share the report by AirDrop in order to send it to other iOS7 devices using Bluetooth or WIFI PRINT to print the Report by an AirPrint printer for more detail on AirPrint visit www apple com TO MelMedtronics Inc i ee O B a As Sune 6 ast Tie cote Facet i MelMedtronics Inc e ee ae n E LISA ao Aaima Ag ete 0O tG Tyi C S 4 eo Nami res ot m Fret Namme Awu ios M Paen O Omot COUTSETSCVORCS CON Lasi Heme De on 24 10 Date vatia frut Name Amore Sea M P adent ID CUNICAL REPORT Lenten id ai anka Aoi o gt 4 i a S kan dii Len Pag SS Ge a A i i O SO it PPD tear o i j Stesje at pone eee Bleed a m M Preteare gt LY al wre d i Devid W Holmes PhO Say l Boat Certified Auchotogy Dawid W Hoimes P oO Saraturo hoard Certfed in Auctotogy In Figure 9 there is an example of the Clinical Report showing both the Narrative and Graphic Data of your evaluation FIGURE 9 11 amp RONICS 6 Export Function With t
21. rt Earphone ER 5A 10 FIGURE 28 11 Save Function In Save View in figure 29 it is possible to add a comment to enter Clinician Information See Section 12 that will be associated to the test to choose to add test to a patient s Report that had already been saved in a prior iA database or add a new patient to the database Tapping the Save Button on the top right the patient and their tests will be saved 34 _ Add a Comment Clinician Add to existing Patient Add New Patient Patient ID Antonio Curci First Name Sep 24 1987 Lai Dineen Gianna Lardaro Sa M t Dec 6 1986 Li Date of Birth March 8 2014 FIGURE 29 12 Settings In this Setting View Figure 30 it is possible to enter all Clinic Information and its logo in order to retrieve them automatically on the Clinical Report To insert your logo tap on the box and choose from the iPad album the logo you want to use Drag and zoom to center logo If the logo is not on your iPad album then it is possible to import it into the iPad album by an email attachment or surfing on web In addition it is possible to add all of the clinicians that will be using the iAudiometer In this way once the clinician performs a test and wants to report it they can add their information and signature To draw the signature it is possible to use your finger or a compatible stylus for the iPad 35 GA MP No SM t27 AN 100 mye lt Back
22. ter with a AirPrint printer In addition if you select the option EXPORT A ROSTER FORM WITHOUT RESULTS you can generate a PDF without results and use the letter to fill it by hand N B Your screening session will be saved automatically each time you make some changes but if you press CLEAR button on the top of the CHILDREN EMPLOYEES TESTED list the current session will be cleared of all the results obtained 8 Speech Tests 8 1 Speech Reception Threshold SRT and Speech Discrimination Test SD Figure 20 are the SRI SD TESTS FT oo HREJ lt Back to Main Meru SRT SD Tost Headphone TDH 39 100 WORDS m o o o SPEECH TEST SETTINGS Sidor a OO B nat OF worde Amplitude Maret ords e PLAYGROUND hi DAYBREAK 50 SIDEWALK a E D ON sor Number of Words Played of Words set Correct FIGURE 20 With iAudiometer you can use your Speech Material uploading it through iTunes Here http youtu be VJZVSahgPWY you can see how upload your audio files into i Audiometer The Settings Panel in Figure 21 allows you to choose which speech material do you want to use If you choose your own material you have to indicate in which channel the noise and the speech are located and if the first word of the audio file has to be excluded in the counting of the words 24 _ Done Speech Material in this Section you can choose to use or the built in speech material
23. the sound will be generated On the bottom left panel there are the main controls Increments Buttons and Buttons Play Button Save Button On the Right there is a panel in which the calibration procedures are explained as below Select the type of transducers and then select the Output Left or Right Connect the transducer to the iPad using a stereo adapter 37 bao M Change the Password for Calibration Section Now Password Confern Paseword FIGURE 32 select the type of output to be tested To present the tone press the PLAY button and press again to STOP Note Do not the change Frequency while the signal is in playing If you chose the Pure Tone select the frequency and the tone will be presented at the level shown in the bottom of panel lt Frequency gt lf you chose the White Noise it will not be possible to select the frequency but the noise will be presented at the level shown in the bottom of panel FREQUENCY lf you chose Speech 1000 Hz will automatically be selected and the Reference output will be displayed in the bottom of the panel FREQUENCY If you chose NBN select the center frequency of the noise The value of the reference output will be shown under lt Output level dB HL gt For the specifications of the NBN see the data sheet Calibration Tolerances 38 GD nae If the output value is within the limits included in the Standards y
24. to make a backup of your database 40 Eo TRON CS 7 Pure Tone Tests 7 1 AC BC Test Figure 11 is the AC BC The functions of each panel are explained below Seen Ve Tee Perrine is he ke Be Ae ek wa Sp ap TPE Sider i Tae OF a vate to delete it o swipe on the audiogram to clear it FIGURE 12 13 In Figure 12 there is the Master Settings Panel for the tests It allows you to choose Which ear is to be tested Which stimulus is to be used Which type of tone is to be presented e Steady state e Warble generated by a modulated sine wave with a rate of 5 10 20 Hz and a modulation index of 5 10 20 e Pulsed the pulse duration can be set between 0 2 0 5 and 1 0 s If the test is performed with or without Masking and you can decide if it has to be continuos or presented with the tone and adjust the amplitude You can also select the type of Noise e White Noise e Narrow Band Noise NBN the center band is the frequency of the selected stimulus with a band 12 and filtered at 12dB oct FIGURE 13 Frequency and Amplitude of the tones can be changed with sliders or buttons as shown in Figure 13 The choice of frequency and amplitude is shown also on the audiogram with two green bars corresponding the amplitude and the frequency chosen 14 MN The following are the parameters for frequency and amplitude e 125Hz 10 70dB AC e 250Hz 10 85dB AC 10
25. u can set the scheduled date for the Hearing Screening that will be included in the letter and the name of the clinician and the clinician s signature Then press on SEND on the top right to email the letter open the PDF with another application installed on your iPad print the letter with a AirPrint printer Measure Ambient Noise Level 30 FIGURE 19 Pressing the EXPORT button on the bottom right you can choose to generate Individual Hearing Screening Report first of all you have to select the child of which results you want to export then you can enter additional information such as the Tympanometry Screening results and the Otoacustic Emissions Screening results You can change or confirm the Screening Result based on the other results Also you can add a comment and a recommendation Before you generate the report you can choose if you want to include a Parent Letter as first page or to not include it by checking or unchecking the check button on the bottom When you are ready press the DONE button on the top right to email the letter open the PDF with another application installed on your iPad print the letter with a AirPrint printer Classroom Roster Form you can add the School name the Teacher s name and the Grade and the Room Then press on DONE on the top right to email the PDF open the PDF with another _ 22 application installed on your iPad print the let
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