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1. Specifications are subject to change without notice Copyright GN Otometrics 2010 10 7 26 80000 EN 01 EIEN Accuscreen Technical specifications Measurement techniques TEOAE Evaluation method Noise weighted averaging counting of significant signal peaks Stimulus Non linear click sequence Stimulus level 70 84 dB SPL 45 60 dB HL self calibration depending on ear canal volume Click rate Approx 60 Hz Frequency range 1 5 to 4 5 kHz Display Statistical waveform measurement progress TEOAE detection level noise level DPOAE Evaluation method Noise weighted phase statistics Stimulus Primary tone pair f2 f1 1 24 Available test frequencies Configurable f2 range 1 to 6 kHz Default test frequencies f2 2 3 4 and 5 kHz PASS at 3 out of 4 Test level 11 12 59 50 dB SPL Display DPOAE level test progress noise level DP Gram Result display Overall PASS REFER DP Gram with DPOAE and noise level ABR Evaluation method Noise weighted averaging and template matching Stimulus 35 40 or 45 dB nHL click Click rate Approx 80 Hz Impedance sense signal 1 kHz square wave Impedance test range 1 to 99 kQ Impedance accepted for test lt 12 kQ Impedance control Before test periodically during test stimulus continues during impedance control Display Statistical graph test progress EEG level ABR detection probability Electrodes Disposable hydrogel electrodes Dimensions Approx 202 x 73 x 30 m2. Standards Otoacoustic emissions EN 60645 6 Type 2 Auditory evoked potentials EN 60645 7 Type 2 Patient Safety e EN 60601 1 Internally Powered Type BF IPXO e U2601 1 CAN CSA C22 2 NO 601 1 90 e IEC 60601 2 26 e IEC 60601 2 40 EMC EN 60601 1 2 Power supply and battery Battery type Rechargeable Li ion 3 7 V 1800 mAh 6 7 Wh fully charged Estimated battery life 8 hours of continuous use based on a typical use scenario Actual use can influence the battery life time Battery level indicator 5 step battery level indicator Charge time in AccuScreen docking station 80 charged 4 hours Fully charged 6 hours PC interface Interface type USB 2 0 Full speed USB Power Uses lt 100 mA of current from the USB interface Printer interface Interface type RS232 Connector type 6 pol Mini Din DC power input Input voltage 5 V DC 5 Max power consumption when AccuScreen is docked 5VA 5V 1 0 A Max power consumption when AccuScreen is not docked 0 25 VA 5V 50 mA Power adapter Input voltage range 100 240 V AC 50 60 Hz Output voltage 5 0 V DC min 1 0A Mains plug types US UK Europe and Australia Probe Flexible shielded cable approx length 120 cm approx 55 inches Dimensions Probe body 20 mm x 23 x 11 mm 0 8 x 0 9 x 0 43 Probe tip 3 3 mm x 10 mm 0 13 x 0 4 Weight Probe incl probe tip Approx 4 5 grams Eartips Standard cylindric 4 sizes 3 7 5 mm
3. Dual density earcoupler design for more reliable results User login option for data security Low maintenance costs Breaktrough touch screen display Easy and intuitive data entry Easy and intuitive navigation Detailed test and result screens On screen help menu AccuLink software Patient management User management Device management Test management Comprehensive settings menu MADSEN AccuScreen docking station Upload patient lists to the instrument Download patient data including test results comments and risk factors to the AccuLink software Transfer instrument settings defined in the AccuLink PC software Transfer firmware updates Charge battery Connect label printer Store instrument More than 36 000 000 newborns tested with AccuScreen Question Answer The AccuScreen 1 What is AccuScreen AccuScreen is a handheld newborn hearing screening device that features any combination of TEOAE DPOAE and ABR It has been developed by the same people that developed the old AccuScreen and builds on our reputation of having one of the most trusted infant screeners in the world The new AccuScreen is fast accurate and intui tive and features a touch screen for intuitive navigation a docking sta tion for data transfer instrument updates and charging and an angled probe for easy probe handling while the powerful software secures administrator control 2 What is d
4. Tree tip 1 size 4 7 mm Foam tip 1 size 13 mm ABR electrode cable Flexible shielded cable approx length 140 cm approx 55 inches ABR ear coupler cable optional Flexible shielded cable approx length 145 cm approx 57 inches Device class lla according to Council Directive 93 42 EEC Appendix IX Standard accessories The MADSEN AccuScreen comes with customized Carrying case Docking station including Power Adaptor and USB Cable Starter kit OAE probe DPOAE TEOAE or TEOAE only Battery ABR electrode cable ABR version only ABR Tester ABR version only Cleaning cloth and User Manual Optional accessories Label Printer with printer cable ABR ear coupler cable and External battery charger Standard accessories and optional accessories may vary from country to country please consult your local distributor otometrics MADSEN AURICAL ICS Specifications are subject to change without notice Copyright GN Otometrics 2010 05 7 26 81000 EN OUT Accuscreen Newborn Hearing Screening gets a touch more intuitive otometrics MADSEN AURICAL ICS MTN Accuscreene Your workflow has never been so simple The new MADSEN AccuScreen Developed by the same people who developed the first MADSEN AccuScreen N Combined OAE ABR device enabling two step screening Quality tests Small and lightweight Angled probe for better fit Probe and ear couplers for ABR
5. probe tip Before testing a baby remove the probe tip from the probe Use the cleaning wire to clean the sound channels of the probe tip from the rear Note remember to clean the cleaning wire when it protrudes from the probe tip When you have finished using the cleaning wire remember to disinfect it Make sure that the sound channels are completely dry before fitting the probe tip on the probe body Yes you can use both the probe and ear couplers for ABR testing The transducers are colored to make sure the ABR test results are given for the correct ears The coloring is according to the interna tional standard BLUE for left ear and RED for right ear NO The red and blue transducers SHOULD NEVER be placed in the ear canal They are to be used with the AccuScreen ear couplers only The ear couplers should be placed with the transducer entry hole pointing upwards over the baby s ears To ensure the fastest test results it is important to record as little noise as possible When cables are shielded they obtain less external noise from e g baby movements Question Answer Eartips 39 What ear tip sizes are available for the AccuScreen The ear tip range covers 4 cylindrical silicone ear tips in 3 7 4 0 4 5 and 5 0 mm 1 tree tip silicone ear tip covering 4 7 mm 1 foam ear tip covering 8 12 mm 40 What material are the ear tips made of There are 5 ear tips made of silicone and one made of foam 42 How is
6. via AccuLink s device management Battery 20 What is the battery operating time When fully charged the AccuScreen battery lasts for 8 hours of con tinuous use based on a typical use scenario 21 How is the battery charged The AccuScreen battery is automatically charged in the docking sta tion if this is connected to mains The battery should not be removed from the device for charging Testing is not possible during charging It is possible to charge the battery with an external charger optional PC Software 22 Does the AccuScreen come with PC software Yes the AccuLink software is delivered with the AccuScreen 23 Which features does AccuLink software provide The enhanced AccuLink software delivers several new benefits includ ing a comprehensive settings menu that lets you define settings on the PC and transfer them to the device simply by placing the device in the docking station Via the docking station you can also easily upload patient lists to the device and download patient data includ ing test results comments and risk factors for convenient data processing User profiles are easily managed with AccuLink and the test manage ment functionality ensures that only the required tests are available and performed by the users Comments and risk factor lists are main tained and managed in AccuLink and a special mandatory field system is used to make sure all required patient details are recorded AccuLink prov
7. Newborn Hearing Screening gets a touch more intuitive sj ee EE a KLEED AccuScreen MOTT Accuscreene otometrics MADSEN AURICAL ICS Another giant step for Newborn Hearing Screening Allow us to present the new MADSEN AccuScreen a complete redesign of the AccuScreen that thousands of hearing care professionals around the world have used in their Newborn Hearing Screening NHS programmes Easy to charge anywhere Say goodbye to messy cables with a convenient new docking station for charging transfers and more Designed by you You might say that the new AccuScreen was designed by you We started with all the great feedback you gave us during the first wave of NHS programmes Then we incorporated what we learned into the new device making improvements in everything from the device s physical size and charging system to the user interface navigation system and administrator control capabilities Fast accurate and intuitive Brought to you by the same people who developed the first AccuSceen the new version of this legendary NHS device is fast accurate and intuitive The new touch screen user interface helps speed up the whole screening process while delivering all the More than accuracy you expect from the AccuScreen name A proud heritage As different as the new AccuScreen looks it offers the Same precision and workflow integration that
8. cal staff EHIN Accuscreen Se otometrics MADSEN AURICAL ICS Question Answer Test methods 13 Which test methods are available with AccuScreen The AccuScreen is available with any combination of TEOAE DPOAE and or ABR 14 What ABR levels are available in AccuScreen 30 35 AO and 45 dB The default ABR level is 35 dB 15 How do I add other ABR levels than the default 35 dB Via AccuLink s device management other ABR levels can be uploaded to AccuScreen The default ABR level can also be removed via AccuLink s device management 16 What is the stimulus level with TEOAE 70 84 dB SPL 45 60 dB HL AccuScreen is selfcalibrating depending on ear canal volume 18 What frequency range is covered with DPOAE There are 4 different protocols available for DPOAE on AccuScreen Protocol 1 default protocol 5 4 3 2 KHZ Pass Refer criterion 3 4 Test stops when 3 frequencies pass or 2 refer Protocol 2 6 5 4 3 5 3 2 KHZ Pass Refer criterion 4 6 Test stops when 4 frequencies pass or 3 refer Protocol 3 4 3 2 1 KHZ Pass Refer criterion 3 4 All frequencies are tested Protocol 1 6 5 4 3 2 1 KHZ Pass Refer criterion 4 6 All frequencies are tested L1 L2 levels are 60 50 dB SPL for all protocols 19 How do I add other DPOAE protocols than the Via AccuLink s device management other DPOAE protocols can be default protocol uploaded to AccuScreen The default DPOAE protocol can also be i removed
9. elivered with the AccuScreen The following items are supplied with all versions of Accuscreen AccuScreen device Probe EP TE or EP DP depending on AccuScreen version Docking station Battery AccuLink software on DVD AccuScreen manual USB cable for data transfer Power supply and adaptor plug kit Starter kit including e g ear tips and probe tips Cleaning cloth For ABR versions the following is supplied also Electrode cable Electrodes ABR tester Carrying case 3 Which optional accessories are available Ear coupler cable for ABR tests Ear couplers Label printer and labels External charger Spare battery 4 Which age groups can be tested with AccuScreen The algorithms for AccuScreen have been optimized for newborns up to 6 months of age However AccuScreen can be used for patients older than 6 months A longer test time and a slightly higher refer rate caused by test time out should be expected 5 How many patients can be stored on the AccuScreen You can store up to 250 patients on the AccuScreen and approx 500 tests 6 Does the AccuScreen need calibration Yes it is recommended to perform a yearly calibration of the AccuScreen to ensure reliable test results Please contact your local sales representative to learn more about Otometrics service offers 7 What is the docking station used for The docking station is used data transfer to from the PC AccuLink software battery charging and label printer connectio
10. g on the combina tion of test methods TEOAE DPOAE and ABR For TEOAE and ABR only one speaker is needed to generate the stimu lus whereas two speakers are needed for DPOAE stimulus Therefore there are two versions of the AccuScreen probe version EP TE for all AccuScreens with TEOAE and or ABR and version EP DP for all AccuScreens including DPOAE Yes Please note that for TEOAE ABR testing it is sufficient to have the EP TE probe whereas for DPOAE testing the EP DP probe is needed The improved angled probe ensures a secure and stable fit in the ear canal and even allows screening of infants in car seats and bassinets To ensure the fastest test results it is important to record as little noise as possible When cables are shielded they obtain less external noise from e g baby movements The probe can be inserted with the probe cable pointing either up wards or downwards depending on which direction fits best To fit the probe gently pull the pinna back and slightly down and insert the probe in the ear canal twisting the probe slightly as you insert It NEVER insert the probe without an ear tip fitted on the probe tip The probe tip usually does not come into contact with the skin or secretion from the ear canal as it is covered by the ear tip but always check the sound channels in the probe tip every time you have used the probe Even small amounts of cerumen or vernix can block the probe channels or be deposited on the
11. heek white on the forehead and red on the neck The correct placement and clip connection is illustrated on the electrode cable If the nape of the neck is difficult to reach it is possible to place the electrode behind the ear on the mastoid The other electrodes are still placed on the cheek and forehead Please note that if both mastoid and cheek electrode are placed on the same side of the face testing of the ear on that side will be faster than testing of the other ear due to the electrodes being closer together The optimal placement of the electrodes is illustrated on the electrode cable It is possible to place the cheek electrode on either mastoid keeping the other electrodes on the forehead and neck However the test time will be extended since the 3 electrodes are not placed optimally The shorter the distance between the electrodes the faster the response is recorded The optimal placement of the electrodes is illustrated on the electrode cable 48 Can the cheek electrode be placed on either mastoid If everything else is impossible the cheek electrode can be placed on either shoulder but the test time will be extended since the 3 elec trodes are not placed optimally The shorter the distance between the electrodes the faster the response is recorded The optimal placement of the electrodes is illustrated on the electrode cable 49 Can the cheek electrode be placed on either shoulder 50 What material are the elect
12. ics design really means usability and the way a given tool fits into and supports your unique workflow Breakthrough touch screen The first thing you ll notice about the new AccuScreen is its striking touch screen display Touch screen technology has enabled us to take a quantum leap in user friendliness You always have an overview of all the main commands right at your fingertips and tasks like Your workflow has never been so simple accessing test results entering data and adding comments have never been easier allowing you to focus on the infants you re screening instead of the technology Easy to learn guess and remember With easy access to all functions and big bright icons providing strong visual cues learning to use the new AccuScreen is fast and easy This means you can get new screening personnel up to speed very quickly and without costly training courses And if a user ever does get stuck Accu Screen offers a comprehensive on screen help menu to resolve the problem on the spot Quality tests Checking to make sure your Accu Screen is working properly is easy and fast saving time and improv ing the validity of test results Vastly improved workflow AccuScreen s convenient docking station takes the hassle out of battery charging data transfers device settings and firmware updates and label printer connections by handling all of it while also keeping your device right whe
13. ides easy update of AccuScreen when new free of charge firmware updates are available Question Answer Printing 24 How is printing done with AccuScreen 25 Is the label printer supplied with AccuScreen The AccuLink software offers a number of basic and detailed reports that are printed on the printer connected to the PC Basic reports include patient demographics and test results whereas the detailed reports also include waveforms and test details Smaller label prints including basic patient details and test results can be printed via the docking station on a label printer The AccuLink software is not needed for this Probe 26 Why are there two versions of the AccuScreen probe 27 Can the DPOAE probe EP DP be used for TEOAE testing 28 Is it possible to test both OAE and ABR with the same probe 29 Why is the new AccuScreen probe angled 30 Why is the probe shielded 31 How should the probe be placed in the baby s ear 32 How is the probe fitted properly 33 How should the probe tip be cleaned Ear couplers and ear coupler cable 34 Can I have ear couplers for ABR testing 35 Why are the transducers on the ear coupler cable colored 36 Can the transducers be placed directly in the ear canal 37 How should the ear couplers be placed on the baby 38 Why are the cables shielded The label printer is an optional accessory AccuScreen comes in 7 different versions dependin
14. ions AccuScreen Full size 5 Monitor test progress with easy to read graphical displays POWER Ez USB otometrics 6 Get answers you understand with no need for interpretation 7 The comprehensive on screen help menu is always ready to z Leaders In paediatric hearing care Audiometry Tympanometry EP ASSR MADSEN Astera MADSEN OTOflex 100 ICS Chartr EP 200 Is a two channel clinical Is a compact immitance device Is Otometrics system for audiometer based on state of that provides both tympanom Auditory Evoked Potential the art technology and modern etry and acoustic reflex testing testing and was built with the paediatric audiology practice using the recommended 1000Hz paediatric population in mind infant probe tone MADSEN Astera MADSEN OTOflex 100 ICS Chartr EP 200 Otometrics is the world s leading manufacturer of hearing and balance instrumentation and software providing solutions rang ing from infant screening applications and audiologic diagnostics to balance testing and hearing instrument fitting For more information about MADSEN AccuScreen please visit www otometrics com accuscreen 50 YEARS IN AUDIOLOGY Hearing Assessment OFitting Systems Balance Assessment GN Otometrics Europe 45 45 75 55 55 info gnotometrics dk GN Otometrics North America 1 800 289 2150 sales gnotometrics com www otometrics com O O f eC r C S MADSEN AURICAL ICS
15. m 8 x 2 8 x 1 2 inches Weight Approx 240 g 8 5 oz excluding battery 280 g 9 9 oz including battery Display Type Color TFT touch screen with adjustable LED backlight Dimensions 89 4 mm 3 5 inches Resolution 240 x 320 pixels Keystroke durability min 1 million repetitive strokes per screen point Keypad Resistive Touch Screen can be used with gloves Memory Patient memory capacity Max 250 patients Min 500 tests Connectors OAE probe connector 14 pin ODU Medisnap For OAE Probe or ABR ear coupler cable ABR ABR version only 4 pin ODU Medisnap For ABR electrode cable Real time clock Integrated real time clock for time stamping of measurements The clock is automatically synchronized with PC clock when docked Backup Min 5 days when battery is removed from unit Data interfaces PC IR data transmission to Docking Station USB interface from Docking Station to PC Transport and storage environment Temperature range 20 60 C 4 140 F Humidity range 20 80 rel non condensing Air pressure 500 hPa to 1060 hPa Operating environment Temperature range 10 40 C 50 104 F Humidity range 30 80 rel non condensing Air pressure 600 hPa to 1060 hPa Hearing Assessment OFitting Systems Balance Assessment GN Otometrics Europe 45 45 75 55 55 info gnotometrics dk GN Otometrics North America 1 800 289 2150 sales gnotometrics com www otometrics com 50 YEARS IN AUDIOLOGY
16. n Furthermore it serves the purpose of storing the AccuScreen when not in use 8 Can the touch screen be used with gloves Yes 9 What is the durability of the touch screen display The touch screen display used on the AccuScreen is also used in sev eral GPS devices Each screen point withstands a minimum of 1 million repetitive strokes 10 What are the quality tests To make sure your AccuScreen is working properly the quality tests offer very fast testing of the probe ear coupler cable and electrode cable This saves time and improves the validity of the test results The probe is tested in the built in test cavity on the back of the AccuScreen The electrode cable and ear coupler cable are tested with the supplied ABR tester 11 How often should the quality tests be performed It is recommended to run probe and cable tests before starting the daily tests and at the end of the day to make sure the probe and cables are working correctly 12 What if the built in test cavity is contaminated It is recommended always to replace the probe tip with a clean one before inserting it in the test cavity If the test cavity has been contaminated with debris from the probe tip make sure that the test cavity cannot be used for instance by sticking a piece of tape across the entry hole and contact your authorized service department for cleaning and or replacement of the test cavity Spare test cavities are available for replacement by techni
17. omprehensive support and service offerings help you bring down costs even further Powerful software Enhanced AccuLink software delivers several new benefits including a comprehensive settings menu that lets you define settings on the computer and transfer them to the device simply by placing the device in the docking station Via the docking station you can also easily upload patient lists to the device and download patient data including test results comments and risk factors for convenient data processing Enhanced governance and security features AccuScreen and the AccuLink software make it easy to manage user protiles with test management functionality ensuring that only the required tests are performed and a deletion management system taking care that no child s test results are lost The optional mandatory field system is used to make sure all required patient details are recorded allowing administrators to easily customise patients demographic data setup in the device All this and more at your fingertips MADS EN AccuScreen 1 Daily probe and cable tests have never been easier thanks to new quality tests 2 Entering patient details is far less cumbersome with the large touch screen keypad Handling probes is much easier thanks to new angled probes that ensure easy placement and optimal fit 4 The intuitive test menu gives you a clear overview of the different testing opt
18. re you need it An improved angled probe ensures a secure fit and even allows you to screen infants in car seats for example La Angled probe for better fit Based on your feedback we ve redesigned the AccuScreen probe to make testing a smoother experi ence for all concerned Dual density ear couplers A new dual density ear coupler design adapts to the shape of the baby s head ensuring an easy fit optimal sealing and accurate stimulus presentation for more reliable results Intuitive touch screen The breakthrough touch screen interface puts patient setups test ing printing and much more right at your fingertips Improved workflow It s now much easier to transfer data upload patient lists to the device and download patient data including test results comments and risk factors It s got all the functions you had in the first AccuScreen and then some But what like best is that it s so much easier to use The intuitive solution for a more efficient NHS program i N Se ma il Instrument Management Patient Management Test Management rar Cost effective two step screening The new AccuScreen isn t just intuitive for everyday users It also makes better sense for your NHS programme as a whole Having ABR and OAE testing combined in a single device can help you lower costs The device s low maintenance costs a reduced need for training and our c
19. rodes made of The surface that gets in contact with the skin is a biocompatible hydrogel approved to be used on babies skin GN Otometrics Europe 45 45 75 55 55 info gnotometrics dk GN Otometrics North America 1 800 289 2150 sales gnotometrics com www otometrics com Se otometrics MADSEN AURICAL ICS Specifications are subject to change without notice Copyright GN Otometrics 2011 02 7 26 8800 EN 00 Part no 7 26 88000 EN
20. s made MADSEN AccuScreen a first choice tor NHS programmes around the world In fact doctors nurses and hearing care professionals have screened more than 36 million newborns using AccuScreen making our name one of the most trusted in the industry And at Otometrics we re more than just device manufacturers We re an experienced partner in NHS programmes and our products come with a full range of support and service options 30 000 000 newborns tested with AccuScreen AccuScreen dip rA O 0 O 0 6666 MADSEN Accuracy Phenomenal track record Preferred by leading screening programmes Combined OAE ABR device enabling two step screening More than 36 000 000 newborns screened Low maintenance costs Durable probe Probe and ear couplers for ABR MADSEN AccuScreen Se otometrics lt Intuitive accuracy Breakthrough touch screen display Easy and intuitive data entry Detailed test and result screens On screen help menu Reliable and faster screening Small and lightweight Docking station for data transfer instrument updates and charging Angled probe with improved probe tip New improved ear couplers Quality tests of probe and cables Comprehensive software offering patient test and device management With its slimmed down profile intuitive touch screen display new probe and convenient docking station the new AccuScreen is all about design But at Otometr
21. the correct ear tip size selected for a baby 43 Should the ear tip be replaced between ears Selecting the correct ear tip is a matter of training but in general one of the 4 cylindrical ear tips should fit the ears of a newborn baby If you are in doubt choose a smaller ear tip rather than a bigger one For TEOAE and ABR you don t need a tight seal as long as the environ ment is quiet For DPOAE however a tight seal is needed but the AccuScreen checks the fit during the calibration If it is difficult to get a test through try replacing the ear tip with a smaller or bigger one and retest the baby No it is not necessary as long as the sound canals in the probe tip are clean and it is used on the same patient Remember to follow local screening procedures as they might require replacing ear tips between ears 44 Should ear tips be replaced between patients Yes always replace with a clean ear tip between patients 45 Can the ear tips be cleaned No the ear tips are single use items and should be disposed after use Electrodes 46 What is the optimal electrode placement 47 Can the neck electrode be placed on either mastoid The shortest possible distance between the three electrodes ensures the fastest testing for both ears Therefore it is recommended to place the electrodes on the cheek high on the forehead and on the nape of the neck The three clips on the electrode cable are attached as follows black on the c
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