ActO FITTING GUIDE

Transcription

ActO FITTING GUIDE
THE OTICON ACTO SUCCESS MANUAL
The Complete Guide to Fitting Oticon Acto using Genie 2010.2
Table of Contents
Reading this manual
Introducing the Oticon Acto Family
Fitting Oticon Acto instruments is easy
and full of possibilities
Genie 2010.2 or a later version must be used to program
Oticon Acto instruments.
The broad range of versatile hearing solutions comprises
instant fittings and customized options across virtually all
known styles for most common hearing losses. All is described
in this manual.
The first sections take you through the selection, handling and
configuration of instruments, Receivers and earpieces. These
are important matters to consider in order to provide the best
possible care and make a successful fitting.
For RITE and miniRITE solutions, these first product oriented
sections are especially relevant. MiniRITE and RITE instruments
can be programmed with 3 different Receivers; expanding the
possibilities and granting the flexibility to meet client needs.
When information is specific to the RITE Power solution, it is
noted by a blue header.
The next section takes you through the instrument
­programming step by step.
Alternatively to the standard programming process,
a “Quick Fit” flow can be selected in Genie. If selecting “Quick
Fit”, the programming section in this manual is only advisory.
The “Quick Fit” programming is a fast track taking you through
the most basic top level settings.
The programming section also includes a description of ­how
the ConnectLine applications are ­programmed, and later the
ConnectLine concept is explained.
The last section of this manual covers miscellaneous service
instructions and guidelines relevant to the various instrument
styles.
This manual is made to help you achieve success with
the Oticon Acto family.
Customising miniRITE and RITE
RITE Power Fitting
BTE 13 with Corda2
Connecting Oticon Acto to Genie
Programming Oticon Acto
ConnectLine Concept
Enjoy.
Service and Maintenance
FAQ’S
1
Contents
2
Introducing the Oticon Acto family
6
Style overview of Oticon Acto
8
Feature-Style Quick Overview
The Complete Oticon Acto fitting Range
CIC to Power
3
9
10
Customising the miniRite and Rite
11
Selecting and Fitting Receiver Units
Receiver markings
Measuring the ear for correct
Receiver length
Attaching the Receiver Unit
Replacing the Receiver Unit
Attaching the Ear Grip
Removing the Ear Grip
Inserting and placing the device on the ear
Shaping the Receiver Unit
13
14
15
16
17
17
19
19
20
3
4
Earpieces
Dome and Micro Mould selection for
Standard, Medium and Power Receiver
Selecting Dome
RITE Micro Moulds for the Standard
or Medium Receiver
Alternative Custom Moulds for Standard
and Medium RITE Receivers
Short Vents
Long Vents
Attaching the Micro Mould
Taking off the Micro Mould
22
RITE Power Fittings
Measuring Considerations for Power Fits
30
30
RITE with Power Mould
Attaching the Power Mould
Removing the Power Mould
31
31
33
Power Micro Mould
34
4
22
23
24
25
26
26
27
29
5
6
7
Power Adapters
Changing from Mould to Dome 35
36
BTE 13 with Corda2
Custom Mould
Fitting Corda2 with Moulds in Genie
38
39
40
Connecting Oticon Acto to Genie
Custom Products
nEARcom
41
43
44
Programming Oticon Acto
Structure in Genie
46
46
Family Step
47
Selection Step
48
Fitting Step
49
End Fitting
63
8
9
ConnectLine Concept
75
Streamer and mobile phones
80
Streamer and the TV Adapter
83
Streamer and the Phone Adapter
85
Audio Streaming
87
Streamer Firmware upgrade tool
How and when to upgrade Streamer
90
90
Service and Maintenance
92
miniRITE top shell exchange
96
Changing battery door on miniRITE
10 FAQ’s
100
102
Introduction the Oticon Acto family
2
Oticon Acto Pro Oticon Acto
Main Features
Binaural Synchronisation
Oticon Acto is the high performance mid-market hearing
instrument. Available in the miniRITE style and built on the
RISE 2 platform, Oticon Acto empowers people with hearing
loss to communicate freely, interact naturally and participate
actively.
Acto is powered by Oticon’s industry leading RISE 2 platform
and 8 kHz of bandwidth. Acto delivers superior sound quality,
wireless connectivity and balanced sound via binaural synchronisation and Decision Maker2, which optimizes directionality and noise management to changing environments.
fitting rationales
Oticon Acto supports NAL NL1 and DSL v5.0a fitting
rationales.
Binaural Coordination
NAL NL1 is prescribed for adults.
MultiBand Adaptive Directionality
Oticon Acto is the first mid-market Oticon hearing instrument
to offer binaural synchronisation as just one best in class feature in a full technology package. We believe that in terms of
sound quality, connectivity and flexibility, Oticon Acto is the all
together better option for your clients and your business.
flexible Receiver system
With miniRITE and RITE instruments, a new flexible Receiver
system is introduced and allows configuring these instruments
to gradually become more powerful. The system builds on
three different types of Receivers (S, M and P) thereby creating
three different output levels from the same instrument style.
For kids, Oticon Acto instruments are prescribed with the
DSL v5.0a rationale.
Fitting Options (Genie 2010.2)
the Oticon Acto family comprises a full range of
instruments:
— CIC and CIC Power
— ITC and ITC Power
— ITE
— miniRITE and RITE with Power options
— BTE with hook and Corda thintube options
— Dedicated compact BTE Power
6
OticOn ActO FITTING GUIDE
CAUTION: It is critical that the Receiver selected in the
selection step is the one attached to the actual instrument.
If not, the output level of the instrument will not match the
programmed settings and may cause damage to the client’s
hearing.
Binaural Dynamic Feedback Cancellation 2 (DFC2)
DecisionMaker2TM
Tri-State Noise Management
nEARcom enabled
In-situ audiometry
NAL NL1 and DSL v 5.0a m[i/o]
Identities
3
3
Fitting Bands
8
6
8 kHz
8 kHz
Memory
More
Bandwidth
3 RITE receivers (S, M and P)
RISE 2 platform
Connectivity
ConnectLine enabled
DAI and FM
7
Style overview of Oticon Acto
Feature-Style Quick Overview
Styles
miniRITE
Battery 312
RITE
Battery 312
BTE 13
Battery 13
BTE 13 Corda
Battery 13
BTE Power
Battery 13
Features
Rationales
CIC/MIC
Battery 10
CIC/MIC Power
Battery 10
ITC
Battery 312
ITC Power (Omni & Dir)
Battery 312
ITE
Battery 312
Colours
Silver
44
8
OticOn ActO FITTING GUIDE
Steel Grey
92
Diamond Black
63
Chestnut Brown
93
Terracotta
94
Chroma Beige
90
RITE
BTE 13
CIC/MIC
BTE Power
CIC/MIC Power
ITC/ITE
ITC Power
NAL / DSL
NAL / DSL
NAL / DSL
NAL / DSL
NAL / DSL
NAL / DSL
T-coil
No
Yes
Yes
No
Optional
Optional
ConnectLine
Yes
Yes
Yes
No
Yes
No
Auto Phone
Yes
Yes
Yes
No
Optional
Optional
Push button
Single
Double
Double
None
Single (optional)
Single (optional)
Yes*
Yes
Yes
No
Optional*
Optional
FM/DAI
No
Yes
Yes
No
No
No
Battery size
312
312
13
10
312
312
Cordless fitting
Yes
Yes
Yes
No
Yes
No
Directional
Yes
Yes
Yes
No
Yes
Optional
Volume Control
Silver Grey
91
miniRITE
* Volume control option via the push button for the standard ITC requires binaural fitting (2 instruments).
9
The Complete Oticon Acto fitting Range CIC to Power
Customising the miniRITE and RITE
Fitting Range
-10
0
10
20
30
40
50
60
70
80
90
100
110
120
10 OticOn ActO FITTING GUIDE
3
To get the best performance, best cosmetics
and most comfortable fit consider the following:
dB HL
• Determine whether the miniRITE or RITE is the best
style solution based on features (T-coil, FM option, etc.),
handling and cosmetics
• Select correct Receiver specifications including power
and unit length
• Select correct dome size or whether a custom mould is
needed
S
125 250 500 1k
2k
4k
8k
M
P
• Ensure proper insertion of the Receiver in the canal when
placing the instrument on the ear
• Using the ear grip for retention, if necessary
Hz
11
Selecting and Fitting Receiver Units
The Oticon Acto Receiver selection allows for 6 fitting
possibilities using just two instruments
Open Dome – Plus Dome
Oticon Acto Receiver specifications.
-10
0
10
20
30
40
50
60
70
80
90
100
110
120
dB HL
125 250 500 1k
2k
4k
8k
Standard: MPO (711) 119 dB
(2cc) 108 dB
Gain (711) 57 dB
46 dB
12 Oticon Acto FITTING GUIDE
Hz
-10
0
10
20
30
40
50
60
70
80
90
100
110
120
dB HL
125 250 500 1k
Medium: Five Receiver lengths are available for Standard, Medium
and Power Receivers. No. 1 is the shortest and No. 5 is the
longest. The lengths most commonly used are size 2 and 3.
Custom Mould – Power Dome
2k
4k
8k
MPO (711) 126 dB
(2cc) 116 dB
Gain (711) 61 dB
(2cc) 51 dB
Hz
-10
0
10
20
30
40
50
60
70
80
90
100
110
120
Power:
The Power Adapter is attached to the Power Receiver
and is used when domes are preferred.
(Standard and Medium receivers in size 0 are available for
pediatric use).
dB HL
125 250 500 1k
Power:
2k
4k
8k
1
2
3
4
5
Hz
MPO (711) 132 dB
(2cc) 124 dB
Gain (711) 65 dB
(2cc) 55 dB
13
Receiver markings
Measuring the ear for correct
Receiver length
Power:
The Receiver has a small blue/red band to indicate which
ear the device is programmed for.
Receiver type
The Receiver length is marked as
shown 1, 2, 3, 4, or 5.
L (blue)/R (red)
marking
Power Receivers are marked with a black circle and a white P.
The L/R markings are on the other side. These markings are
visible when the Adapter is attached.
Power marking
The power specifications is shown
by a coloured circle and S, M or P.
P
Where to find Receiver markings
When fitting a NON Power Receiver the correct measurement
corresponds to the top of the ear canal as shown using the
measuring tool. The measurement is the same for all domes
and non power custom earpieces.
The goal is for the Receiver to sit comfortably and be
hidden in the ear canal, and for the wire to be flush with
the skin.
Power:
The length of Power Receivers with Power Domes are measured the same way as for Standard and Medium receivers.
Power Custom Mould
When fitting a Power Receiver with a Power Custom Mould,
(Power Moulds) select the next size up as the Receiver fits
more centered in the ear canal.
Example: if the size is measured to 2, order receiver size 3.
M
P
The power specification is selected in Genie in
the Selection Step. When the ­mini­Rite or Rite is
selected, a pull down menu appears so the ­fitter
can assign the proper Receiver to the ­instrument.
14 Oticon Acto FITTING GUIDE
2
Size and L/R marking
2R
S
S
Power Custom Mould is
marked P and includes serial
number
15
Attaching the Receiver Unit
The Receiver attachment is the same for all three Receivers.
Insert the Receiver into the shell until it snaps into place.
1
Power:
2
Replacing the Receiver Unit
Attaching the Ear Grip
The best way to replace the Receiver is by using the Multi tool
with the dedicated extension point. The extension point is
placed on the screwdriver tip.
The Ear Grip can be used for better Receiver retention when
using the “ S ” or “ M ” Receiver. The Ear Grip is designed to work
for either the right or left ear. Insert the Ear Grip in the slot in
the Receiver.
Press the Receiver locking lever through the hole to release
the Receiver unit and gently pull the Receiver unit out.
Receiver with Adapter
3
16 Oticon Acto FITTING GUIDE
17
If the ear grip is too long in the concha it may be trimmed.
Use caution not to leave a pointy end as this may irritate
the ear.
Removing the Ear Grip
Inserting and placing the device on the ear
Use a finger nail to dislodge the ear grip and push from
the other side.
1. Insert the earpiece into the ear canal.
2. Place the hearing device behind the ear. The Receiver unit
with the correct earpiece should be placed far enough into
the canal so that the wire lies flush with the client’s head.
When looking at the client face to face you should not see
the Receiver wire sticking out.
3. If necessary add the ear grip for extra retention.
1
2
3
Pull the ear grip until its top is positioned
in the slot. During insertion, the top should
point away from the dome as illustrated.
18 OticOn ActO FITTING GUIDE
19
Shaping the Receiver Unit
To better customizehow the hearing device fits on the ear
it may be necessary to manipulate the Receiver. This is
especially true if the Receiver wire is too short and the
­client reports that the earpiece tends to slip out or it can’t be
­inserted deep enough in the ear canal.
One check for this situation is to try another dome size.
­Sometimes a smaller dome size will allow the Receiver unit to
move further in the canal.
If the wire is still not flush, you might want to change the curve
of the Receiver wire to either straighten it a l­ ittle or to change
the insertion depth. This is not difficult, but the ­following
steps are important to avoid damaging the Receiver unit:
20 Oticon Acto FITTING GUIDE
• Use a hair dryer or spectacle instrument at low heat ­setting.
• Heat for a short time – a matter of seconds.
• Bend into desired shape and keep shape until wire
is cooled off.
• Do not use excessive heat and do not exceed 130°C.
Lengthening the Receiver
Bend into the Canal
• To add length to the Receiver straighten the S portion
of the Receiver wire as marked.
• Adjust this bend to stop the wire from bowing out from
the side of the client’s ear, or to increase the depth of
­Receiver insertion.
S-curve
Bend into the canal
21
Earpieces
Selecting Dome
Dome and Micro Mould selection for Standard,
Medium and Power Receiver
The Open Dome is available in three different sizes:
6 mm, 8 mm and 10 mm. The most commonly used is
the medium sized 8 mm Dome.
Power:
Standard or Medium
Open Dome
6 mm
5 8 mm
10 mm
Micro Mould
Custom Fit
Power Mould
For power custom
fittings only
Plus Dome
One Size
Plus Dome
One Size
Power Dome
8 mm
10 mm
12 mm
Power Dome
8 mm
10 mm
12 mm
22 Oticon Acto FITTING GUIDE
Power Micro
Mould
For power custom
fittings only
The Open Dome is suitable for hearing losses up to 70 dB in
the high frequencies and is the best option for most users.
The Plus Dome allows more mid-frequency gain and e
­ xtends
the fitting range to 80 dB HL in the high frequencies. It is suitable if the user wants more loudness or more mid-frequency
gain. Genie will automatically prescribe Open or Plus Dome.
The Plus Dome is available in one size.
You also have the possibility of selecting Power Domes
for close instant fittings up to 80 dB flat hearing losses.
The Power Dome is available in three different sizes:
8 mm, 10 mm and 12 mm.
The oval tip of the Plus Dome
should always be placed on the
Receiver unit as illustrated.
The Dome should sit comfortably
in the ear canal and support and
hold the Receiver.
23
RITE Micro Moulds for the Standard
or Medium Receiver
Alternative Custom Moulds for Standard
and Medium RITE Receivers
The Micro Mould is an acrylic custom solution that can be used
instead of a dome for a RITE fitting.
Micro Moulds and RITE Moulds are produced from a traditional,
deep impression. The Adapter clearly indicates R (red) /L (blue)
colour marking.
The Moulds are a Micro Mould produced from a traditional,
deep impression and is a good choice in cases with retention
problems.
Custom RITE Moulds can be ordered in the following styles:
Canal, canal with lock, skeleton or half shell.
Up/Down Indicator
Canal
Canal lock
Skeleton lock
Half shell
WaxStop
Adapter
24 OticOn ActO FITTING GUIDE
25
Short Vents
Long Vents
Attaching the Micro Mould
Micro Moulds use tube-shaped vents, as in traditional ear
Moulds, but the length is shorter than standard vents. Therefore, the Micro Mould vent effect is much larger compared to
a standard vent with the same diameter. Genie prescribes the
vent size, when Micro Mould is selected.
Canal RITE Moulds use tube-shaped vents just like Micro Moulds.­
However, the vent is a little longer. Still, the canal’s vent effect
is a little larger compared to a standard vent with the same
diameter. Genie prescribes the vent size (from X Large to No
Vent) when Micro Mould is selected.
To reflect the actual diameter select the vent size for long
vents, e.g. Large (long).
When fitting Oticon Acto RITE hearing devices with Micro
Moulds ­follow the i­ nstructions below:
Check the Micro Mould vent size under Acoustics in Fitting
step. For further information about selecting vent sizes and
effective vent sizes please refer to the Genie helpfiles under
Acoustics.
Micro Mould
X-Large
Large
Medium
Small
No Vent
26 Oticon Acto FITTING GUIDE
Actual vent size (mm)
>2.4
2.4
1.4
0.8
0
Micro Mould
X-Large
Large
Medium
Small
No Vent
Actual vent size (mm)
>2.4
2.4
1.4
0.8
0
Find the correct Receiver unit length and attach it to the
­instrument (see Selecting and Fitting Receiver Units).
1. Carefully insert the Receiver into the Micro Mould and
push until you hear/feel a click.
2. When inserting the Receiver into a modified Micro Mould
with a longer canal, use the Mould tool to snap the R
­ eceiver
more deeply into the Mould, as illustrated on the following
page.
3. The Mould can rotate axially to ensure maximum comfort.
Before placing the Mould in the ear, turn the Mould until
the up indicator points upwards.
27
Taking off the Micro Mould
Micro Mould Receiver Insertion
1
The Mould can’t be detached from the Receiver
without the Micro Mould tool
Canal Receiver Insertion
2
3a
3b
When detaching the Micro Mould follow the instructions
to the right:
1
1. Remove the WaxStop.
2. Place the Micro Mould in the tool as illustrated making sure
that the cross in the Adapter is matching the tap of the tool.
3. Press the tool into the Mould to release the Receiver unit.
4. Now the Micro Mould can be removed from the Receiver unit.
5. Never remove the existing wax top from the Receiver.
It is part of the locking mechanism.
2
3
Note: Make sure that the Receiver is not angled when inserted into the Mould. An odd angle will prevent the Receiver from
­engaging the Adapter. The click sound indicates that the Receiver is placed correctly, and it should be done with only a l­ ittle
force. Don’t force the two units together!
28 Oticon Acto FITTING GUIDE
29
RITE Power Fittings
RITE with Power Mould
Measuring Considerations for Power Fits
Attaching the Power Mould
RITE Power uses a high performance Receiver which requires
ample room in the ear canal. To determine if your client’s ear
canal can accommodate this Receiver and an additional 2 mm
vent, please use the measurement gauge supplied.
Using the measurement gauge
Size indicator
3. If the size indicator does not fit in the ear canal but is hidden
behind the tragus when viewing from a 45 degree angle,
the Power Mould can be fit. If the size indicator is visible
when viewed from a 45 degree angle, the client is not a
­candidate for a Power Mould.
Use a Power Receiver without an Adapter housing.
If the R
­ eceiver has an Adapter, see page 35 for instructions
on how to remove this. Hold the Receiver unit in one hand
and the Power Mould in the other hand, positioned as
­illustrated.
Insert the Receiver unit into the Mould until it is fully c­ overed
and recessed to approx. 1 mm. Use the back of the removal tool
if needed.
Note: The gauge must be cleaned and sterilised before
­re-use. First clean any visible cerumen from the gauge with
a dry or moist tissue. Next soak the gauge in a cold sterilant
for at least 6 hours.
Plane side
Handle
1-2
3
1. Hold the handle of the measurement gauge so that
the plane side of the handle is up.
2. Insert the gauge into the ear canal (with the plane side up)
until the size indicator is fully surrounded by the ear canal.
If the size indicator fits easily within the ear canal, the client
is an excellent candidate for RITE Power.
30 Oticon Acto FITTING GUIDE
31
4
Removing the Power Mould
Place the locking plate on the Receiver housing and use the
special screwdriver provided in the kit to turn the locking plate
approx. 45 degrees clockwise until it locks into the grooves of
the shell.
Next snap the Receiver cover into the faceplate, covering the
Receiver housing and surrounding the base of the tubing for
reduced visibility.
To remove the Receiver unit, first remove the cover by very
gently sliding the screwdriver between the tube and the cover
and applying a slight upward pressure.
Grasp the Receiver unit as illustrated and pull straight out from
the Power Mould.
Using the screwdriver, turn the locking plate counterclockwise
by approx. 45 degrees. You will feel a slight release and then
remove the plate.
32 Oticon Acto FITTING GUIDE
33
Power Micro Mould
Power Adapters
As an option to the Power Mould, a transparent Power Micro
Mould is available. In Genie, the Power Micro Mould is selected
as “Power Mould”.
When replacing the Receiver unit in a Power Mould:
1. First remove the cover by very gently sliding the screwdriver between the tube and the cover and applying a slight
upward pressure.
2. Using the screwdriver, turn the locking plate counterclockwise by approx. 45 degrees. You will feel a slight release
and then remove the plate.
3. Pull the Receiver unit out from the adaptor.
4. Attach new Receiver gasget as shown on page 36.
5. Follow instructions on page 31 to attach a new Receiver
to Mould.
1
Attaching this to the Power Receiver requires a Power Adapter
to be mounted on the Receiver.
Before clicking the Power Micro Mould onto the Power
Receiver, the WaxStop filter must be removed from
the Power Adapter (1 and 2).
2
1
2
A WaxStop filter is placed in the Power Micro Mould.
Insert the Power Receiver into the Power Micro Mould
until a click is heard (3).
Notice: The Power Micro Mould is a cosmetically good alternative. It is easy to maintain and very robust. Due to the Adapter
placed inside the Mould, the minimum size will be larger than
the Power Mould. Therefore the candidacy of clients must be
assured by judging sufficient ear canal space.
34 OticOn ActO FITTING GUIDE
3
3
35
Changing from Mould to Dome
1. Remove Receiver unit from Power Mould as shown
on page 33.
2. Attach dome housing to the Receiver unit as shown.
First, insert the gasget on to the Receiver unit
as shown.
2
4
3
5
A new Receiver gasget seal must be used each time
the Receiver unit is attached to the shell.
Slide the Receiver gasget along. Do not roll it.
3. Mount the transparent dome housing onto Receiver unit.
4. Fix the Receiver unit by a locking plate.
5. Place the transparent cover on the dome housing.
36 Oticon Acto FITTING GUIDE
37
BTE 13 with Corda2
Custom Mould
BTE 13 can be adapted for use with Corda2 thin tube fitting.
A Micro Mould is an option for Corda2 solutions on BTE 13.
589-25-100-00 (10x)
589-25-130-00 (5x)
the corda2 kit contains all elements for success with
thin tube fittings including:
Plus
890-21260-00
(20x)
890-21250-00
(1x)
Additional Micro Moulds are also available in e.g. canal lock
and skeleton canal for improved retention, when necessary.
0-0.9
Left and right tubes in four lengths
Three sizes of Corda Open Domes
Corda Plus Domes
Measurement tool and cleaners
Corda2 Quick guide
Adapter for RISE instruments
Adapter for older instruments
Service tool and extra pins for Adapter/hook attachment
0-0.9
570-07-430-00 (10x)
589-25-141-00 (5x)
Micro Moulds in all shapes or canal Moulds are produced from
a traditional, deep impression.
S
1-0.9
570-07-431-00 (10x)
589-25-132-00 (5x)
M
2-0.9
589-25-142-00 (5x)
589-25-150-00 (10x)
2-0.9
589-25-120-00 (10x)
570-07-432-00 (10x)
589-25-133-00 (5x)
589-25-143-00 (5x)
L
890-22-270-00 (1x)
Please refer to the corda2
information.
Quick guide for complete
5
Canal Lock
1-0.9
3-0.9
502-15-191-00 (3x)
3-0.9
911 49 500 00/ 02.08
•
•
•
•
•
•
•
•
589-25-131-00 (5x)
Micro Mould
589-25-140-00 (5x)
Skeleton Canal
Half Shell
38 OticOn ActO FITTING GUIDE
39
Connecting Oticon Acto to Genie
Fitting Corda2 with Moulds in Genie
1. Select Corda2 instead of ear Mould.
2. Go to the fitting step and verify the vent size of the Moulds.
Select “Open Dome” for an Open Mould with 4 mm vent or
“Plus Dome” for a 3 mm vent.
Note: Fine tuning might be necessary when working
with Moulds.
40 Oticon Acto FITTING GUIDE
Oticon Acto is programmed using the Genie fitting
software compatible with NOAH 3.0 and Oticon
programming cable #3 (right and left)
The table shows how to connect
the different styles when fitting with cables
Instrument Style
Programming Interface
miniRITE
Flex Connect
BTE/RITE
Programming Shoe
ITC/ITE
Programming Adapter
CIC/MIC
Flex Connect
6
41
Custom Products
Connecting Flex Connect to miniRITE
1. Open the battery door on the instrument and slide
the Flex Connect into the instrument as shown
(pointing the black dot on the cable upwards).
Insert a fresh battery.
2. Close the battery door and attach the HI-PRO or
NOAHlink cable.
Connecting the Programming Shoe
to BTE and RITE
Connecting the Programming Adapter
to ITE and ITC
1. Open the battery door on the instrument and slide
the programming shoe into the guide as shown.
Insert a fresh battery.
2. Close the battery door and attach the HI-PRO or
NOAHlink cable.
1. Open the battery door and slide the programming Adapter
into the battery door as shown. Make sure the red arrow
marking on the Adapter is next to the + marking on the
guide and that the flip is inserted correctly.
2. Close the battery door and attach the HI-PRO or
NOAHlink cable.
1. Open the battery door and insert the Flex Connect
into the open space next to the battery door as shown
(pointing the black dot on the cable upwards).
Insert a fresh battery.
2. Close the battery door and attach the HI-PRO or
NOAHlink cable.
1
1
1
Connecting CIC/MIC
2
2
42 OticOn ActO FITTING GUIDE
2
43
nEARcom
For greater flexibility and comfort use nEARcom without
cables to fit Oticon Acto instruments.
Detect the instruments
1. Switch on the instruments using fresh batteries.
2. Lay nEARcom on the table and place the instruments
in the middle of the neck loop.
Instruments which have never been programmed must be
assigned to the correct side – left and right – in Genie.
Use a BEEP test as follows:
To identify the instrument place it in the middle of the
neck loop and click BEEP. The instrument will beep for
6 seconds.
While the instrument is beeping, remove it from
nEARcom and listen to it.
3. Click Detect for cordless programming.
If the instrument does not beep, return it to the middle of
the neck loop, click Change side icon 1 and click the same
BEEP. Listen to the instrument again.
Cordless programming
Click Continue and proceed with the programming.
1
Wired programming
(CIC/MIC and ITC Power instruments cannot be programmed
by nEARcom).
44 OticOn ActO FITTING GUIDE
45
Programming Oticon Acto
Family Step
Structure in Genie
Click ‘Detect’ to detect connected instruments. Genie will
display what has been detected. Click Continue to go to the
selection screen.
1
2
3
4
5
6
The Organizer – Horizontal Navigation
Main programming steps
1.
2.
3.
4.
Client: Appears only when running Genie outside NOAH.
Counselling: Appears only if Gateway has been installed.
Family: Selection of all hearing instrument families.
Selection: Select instrument styles and features
(incl. Streamer).
5. Fitting: Verifying and fine tuning of settings.
6. End Fitting: Verify and set user operated buttons
and link Streamer(s).
46 OticOn ActO FITTING GUIDE
Note: You can simulate a fitting by selecting ‘Oticon Acto’ from
the Family circle. Select Oticon Acto or Oticon Acto Pro from
the second level screen that opens.
Task Pane – Vertical Navigation
7
In each organizer step there is a Task Pane that gives access to
tools and links related to where you are in the fitting process.
47
Selection Step
Fitting Step
The Adaptation Manager provides easy access to a gradual
acclimatisation process in three steps. Changing steps effect
gain, compression and the frequency response.
selected, select the relevant features you want and Genie will
display available instruments that match your criteria.
Auto Phone will ensure that the instrument automatically
switches to a dedicated phone program (either telecoil or
microphone) when a phone is held to the ear.
Instruments can be fine tuned in each of 10 independent
frequency channels. By default, the 10 channels are gathered
in three frequency regions: LF, MF and HF.
If you are fitting ConnectLine or just adding one or two
Streamers as remote controls to the Acto instruments, select
Streamer in the feature list.
Soft (45 dB SPL), Moderate (65 dB SPL) and Loud (80 dB SPL)
input levels can be adjusted. Select all three LF, MF or HF
controls by clicking the LF, MF or HF button in the table.
By selecting “All”, all gain controls will be selected, the colours
of the control values are blue (left) and red (right) when the
device is at prescribed settings.
If you are working with Corda2, select or detect the BTE 13
and select Corda2 under Earpiece.
Oticon Acto comes in all styles from CIC to BTE Power including
RITE (Receiver In The Ear).
Oticon Acto has a number of options. Not all options are
available in all styles. If a style is selected, only the options
available in that style will be visible. If a style has not been
48 OticOn ActO FITTING GUIDE
In the Personal Profile you can provide extra information
and thereby get a more individualized fitting for your client.
The connection bar indicates whether the instrument is either;
Not connected (grey) – data changed in Genie but not saved in
the instrument. Connected (yellow) – connected and settings are
programmed and stored in the instrument (green).
If the control value is no longer at prescribed settings,
the value turns black.
49
Controls
Program Manager
Adjusting the fitting controls
Reserve Gain
By clicking the <> each or all of the three regions (LF, MF and
HF) can be expanded to display all the underlying frequency
channels.
The VC Reserve Gain displays the volume range between the
preferred level and the instrument’s possible maximum gain in
the range of 0-10 dB, at 2.5 dB steps. To modify the Reserve
Gain, adjust the instrument’s gain or change the feedback
limit.
Click to display the MPO controls for each region or channel.
Adjust the gain controls in 1 dB steps in the selected fields.
MPO is displayed in dBHL while gain is displayed in dB (IG).
RITE/Corda2 only:
For RITE instruments and BTE 13 instruments with Corda2 with
domes no low-frequency gain is provided in the initial setting
due to the dominating natural sound.
Therefore the LF region is disabled (greyed out) in the fitting.
If you want to make adjustments in the LF region, expand the
region and you will get access to the underlying frequency
channels.
50 OticOn ActO FITTING GUIDE
If you have an Auto Phone in the instrument, you can activate
the automatic functionality in the lower right corner. You do
not have to add a Phone program in P2 – P4. You can choose
whether the program should be a Microphone or a Telecoil program (when Telecoil is available). This program is configured
either here or in the End Fitting Step.
If you are fitting ConnectLine to your Oticon Acto instruments,
adjustments to ConnectLine programs are done in the
End Fitting step.
The volume control ranges 30 dB: -20 dB to maximum + 10 dB
from the preferred level.
Compression Ratios
Click on the ‘CR’button between the right and left graphs to
check the compression ratio.
In the Program Manager you can activate, configure, delete, and
change the order of the programs. For general programs you can
choose between the NAL NL1 and DSL v5.0 fitting rationales.
Two phone programs exist, Microphone (M) or telecoil (T). You
choose whether you want to activate the phone program on the
left or right ear. By default a copy of P1 reduced will be placed in
the other instrument.
RITE and BTE instruments are compatible with DAI and FM
shoes. When the shoe is attached to the instrument, you will
automatically have access to two extra programs:
• DAI/ FM + Microphone (default) and
• DAI/FM only.
The two programs are based on the settings in P1.
Any adjustments are handled in the End Fitting step.
51
Automatic Adaptation Manager
Automatic Features
The three step Adaptation Manager helps clients gradually
adjust to the full response of hearing instruments.
the Multiband Adaptive Directionality in Oticon Acto Pro is
synchronized between right and left hearing instruments.
Set the Adaptation Manager
triState noise Management uses VoiceFinder to detect if
speech in present or not. Noise Reduction will be applied to
provide comfort in noisy situations without compromising
important speech cues. Binaural Broadband will ensure that
the information in Oticon Acto Pro is synchronized between
right and left hearing instruments to ensure best possible
speech understanding in any environment.
1. New users
2. Semi-experienced and experienced users
3. Experienced users.
Verify the prescribed setting, for example by using the various
built-in sounds and sound environments in Genie.
Automatic Adaptation Manager
Specifying the transition time between steps allows for
an automatic and smooth acclimatisation period.
1. Check to activate the Automatic Adaptation Manager.
2. Set the initial and final step for the adaptation process.
3. Specify the adaptation time.
52 OticOn ActO FITTING GUIDE
In the Automatics section you can enable or disable the Automatics in Oticon Acto instruments.
Binaural Broadband is available for Oticon Acto Pro only
and controls the synchronisation between the two hearing
instruments. Binaural Broadband is default on. If disabled
this will also disable the binaural coordination of push button
operations.
Multiband Adaptive Directionality is designed to provide
benefit from Directionality in situations where the Speechto-Noies can be improved. Through Binaural Broadband
53
Other Tools
Measure feedback and adjust the feedback limits in the Feedback Manager. Compare previous and current feedback limits.
Run the Feedback Manager from P1. The feedback limits will
be applied to all programs in the hearing instrument. When you
go back to Controls in Fitting the current feedback limits will be
available at the curves displaying simulated insertion gain and
gain, 2cc when clicking on the ‘Show feedback limit’ button between the right and the left graphs (marked with a key note).
Identity Selector:
In the Identity Selector you can change between the different
identities while the client is listening. If any fine tuning has
been done in the current Genie session, it is also possible to
change between fine tuned and prescribed identities.
For RITE Power fittings only:
In order to achieve best possible sound quality and avoid
feedback, run the Feedback Manager before ending the fitting
session.
Acoustics:
Use the Acoustics tool to change vent size or dome type.
Feedback Manager:
The greater the hearing loss, the higher the risk of feedback.
Therefore, Genie sets the Feedback Manager at a suitable level
to prevent feedback when you enter the Fitting step.
54 OticOn ActO FITTING GUIDE
Note: It is not possible to adjust the controls above the new
feedback limit. Gain limits applied to the control setting depend
on whether the DFC2 system is active or not. This means that
gain can be increased more when the DFC2 is enabled.
All Oticon Acto instruments have Dynamic Feedback Cancellation2 that contributes to the instruments’ superb sound
quality.
55
Live Demonstration
Live Demonstration is designed to show in real time how
Oticon Acto evaluates the listening environments in several
dimensions. Live Demonstration consists of three elements:
Amplification, Directionality and Noise Management.
Live begins automatically once an instrument is connected.
You can pause Live by clicking the On/Off button on the left.
To demonstrate the response for one ear at a time, select
L or R to switch between ears. Play the relevant sound
environments suggested in the tabs to support your
demonstration.
56 OticOn ActO FITTING GUIDE
The Amplification tab shows the actual aided response
(output) vs. the unaided input, as well as both (input and gain).
Use the ear icons to switch between ears when demonstrating
one ear at a time. Use the mute button to temporarily let the
client compare the sound of the instrument with an unaided
response.
noise Management shows how much noise is reduced by
the Noise Management system in each fitting channel and
how speech is preserved. The right and left panels show the
sound environment (Quiet, Speech, Speech in Noise, Noise or
Wind) as it is detected by each instrument.
The Directionality tab displays the current directionality mode
of both instruments: Surround, Split or Full. The icons on each
side indicate what directionality mode each instrument is in.
57
Memory
Oticon Actos Memory displays instrument usage and environmental data. After the instruments are programmed in Genie
and switched on, they start to collect data and learn.
At a follow-up visit you can open Memory and see the acquired
statistics.
Oticon Acto does not log information while connected to
Genie.
Summary provides an overview of the data and learning
collected in the instrument.
Life Learning is a feature that helps the instruments adapt
to user preferences and sound environment over time.
The instruments will register the preferred volume setting in
specific situations dependent on level (Soft, Moderate and
Loud) and content (Speech, Speech in Noise and Noise) and
automatically adapt to the preferred setting.
configuration: Under configuration you can disable Life
Learning and Memory by deselecting the checkboxes.
Usage displays total instrument and program usage.
Volume control is active for instruments with a volume control
and analyses the use of it.
Signal processing the Envirogram summarizes the overall
sound levels for all general programs.
58 OticOn ActO FITTING GUIDE
59
Fitting Assistant
In-situ Audiometry
How to use in-situ audiometry
The Fitting Assistant is a tool designed to deal with common
problems that require adjusting the hearing instrument at
the fitting or follow-up visit.
The layout of the tool resembles a standard audiometer.
In the Audiogram graph, you can see the normal audiogram
represented as a faded grey curve. If the instruments are connected, you can conduct in-situ audiometry by using the fields
below the graph to set the frequency and level of the tone.
To operate the Fitting Assistant, select the tab that expresses
the client’s complaint and then a control (such as Loudness).
Click the control to adjust it.
Click the Play Tone button and the stimulus is played in
the instrument as long as the button is activated.
The adjustments made in the Fitting Assistant are immediately
visible in the graphs. When you open the tool in the future,
you can see how far from the starting point (the middle) the
controls have been moved.
During measurements, instrument microphones are muted.
Click the Talk-Over button to switch on microphones and talk
to the client; click again to switch off.
The Fitting Assistant can be used individually for each program
in the instrument.
With Oticon Acto instruments, Genie supports in-situ audiometry for making precise fittings using the client’s own Moulds
and hearing instruments during threshold measurements.
In-situ audiometry can be conducted between
250 Hz – 8 kHz, except for Open and Plus Domes where
the frequency range is 750 Hz – 8 kHz.
60 OticOn ActO FITTING GUIDE
Ambient noise level is measured by the instrument
microphones. In case of too much noise, the red noise level
indicator will light up.
The buttons in the lower right corner select whether you want
to use the in-situ audiogram to calculate settings in Genie or if
you wish to continue using the normal audiogram.
61
End Fitting
Real Ear Measurements
The Genie REM tool lets you verify your fitting by comparing
your Real Ear Measurement equipment with Genie.
The End Fitting step covers all tools that are related to user
operations of the instrument as well as Streamer.
Click Save, Program a
Use the tool to activate or deactivate advanced features to
match the purpose of the measurement.
The Save and Exit screen contains information about the
Oticon Acto instruments. It also gives you the possibility to link
one or two Streamers to the instruments.
In order to compare your measurement to target and simulated
curves in Genie, make sure that the Genie curves are based on
the same signal type and level as measured.
Note: For custom instruments you cannot verify the Directionality when the programming cable is in the instrument.
Also, the response in REM can be affected by interference
of the programming cable.
connecting the heari
To link a Streamer to the instruments, click “Read serial
number” and follow the instructions provided on the screen.
It is possible to link two Streamers to the same instrument.
If only one Streamer is in use, leave the second serial number
field empty.
If your instruments are connected via HI-PRO you cannot use
the automatic read-out. Instead you need to type in the serial
number of your Streamer.
You find the number in the silver area on the back of Streamer.
Click Save, Program and Exit before disconnecting the hearing
instruments.
62 OticOn ActO FITTING GUIDE
63
Buttons and Indicators
Double Button on BTE and RITE
In the Button and Indicators you define the functionality of
the available buttons, volume control and beeps on the
instruments.
This is the place where you choose whether you want the
buttons to affect both instruments at the same time by clicking
the Binaural Coordination button next to the operation you want
handled.
You have the option of including a Mute function in the buttons.
By default this is set to off. When turned on, the Mute function
can be activated by the client with a very long push on
the button.
This switch can move the program cycle forward or backward or
the volume control louder and softer for each instrument.
Genie gives you the flexibility to program the switch for program
changes, volume changes or both. You can also decide with the
client if the switch control should be programmed the same to
both hearing instruments. Some clients prefer to have one ear
be for volume while the other is for program changes. What ever
option is chosen, “binaural coordination” must be enabled in
Genie to ensure the changes are applied to both instruments.
Beeps
The Beeps tab is used to define the audible indication for
program and volume control changes as well as decide when
there should be audible indication in the instruments.
Note: Remember to fill out the programmed button controls in
the Instructions For Use before handing it out to the client.
Instruct your clients to use a short push for program changes
or volume changes. If the instrument has been programmed
for both functionalities instruct the client to use a short push
for volume changes and a medium long push for program
changes.
In the User instruction task you can print the button configuration and include it into the Instructions For Use to provide
the information for your client.
64 OticOn ActO FITTING GUIDE
65
Single Button on miniRITE
The miniRITE instrument has a single push button.
Having one instrument, the push button can be used for
switching forwards in the program cycle.
Having two instruments where the binaural coordination is
activated, the push button can be used for both adjusting the
volume and switching between programs. When the push
­button on one instrument is activated it will change the status
on both hearing instruments.
Volume control is only available with miniRITE when fitting
two hearing instruments binaurally.
When binaurally fitted, the single button on the RIGHT
instrument will ­increase the volume and switch forwards in
the ­program cycle and the single button on the LEFT instrument will ­decrease the volume and switch backwards in the
­program cycle.
Discuss with your client which operation should be i­ ncluded
in the instruments.
66 Oticon Acto FITTING GUIDE
Push Button on ITC (optional)
If you choose to have either the program change OR a ­volume
control in the button, this is activated by a short push on the
button.
If you choose to have both functionalities in the instruments,
then the volume control is activated by a short push on the button while a program change is activated by a medium-long push.
In the User Instruction task you can print the button
­configuration and include it into the Instructions For Use to
provide the information for your client.
Beeps
The Beeps tab is used to define the audible indication for
program and volume control changes as well as decide when
there should be audible indication in the instruments.
Note: Remember to fill out the programmed button c­ ontrols in
the Instructions For Use before handing it out to the ­client.
ITC instruments may have a push button. This page explains
the possible functions of the ITC push button. Having one
­instrument, the push button can be used for switching
­forwards in the program cycle.
Having two instruments where the binaural coordination is
activated, the push button can be used for both adjusting the
volume and switching between programs. When the push
­button on one instrument is activated it will change the status
on both hearing instruments.
A volume control via the push button is possible when fitting
two standard ITC hearing instruments (ITC Power instruments
support a volume wheel option in stead). When binaurally
fitted, the push button on the RIGHT instrument increases the
volume and switch forwards in the program cycle and the push
button on the LEFT instrument decreases the volume and
switch backwards in the program cycle.
Discuss with your client which operation should be included
in the instruments.
If you choose to have either the program change OR a volume
control in the button, this is activated by a short push on the
button.
If you choose to have both functionalities in the instruments,
then the volume control is activated by a short push on the button while a program change is activated by a medium-long push.
In the User Instruction task you can print the button configuration and include it into the Instructions For Use to provide the
information for your client.
Beeps
The Beeps tab is used to define the audible indication for
program and volume control changes as well as decide when
there should be audible indication in the instruments.
Note: Remember to fill out the programmed button controls
in the Instructions For Use
67
ConnectLine
The ConnectLine tool gives access to the three dedicated
programs used for streaming applications. The applications are
organized under 3 tabs; tV, Phones and Music/Audio where
you can adjust several controls in order to fine tune the sound
experience according to client preferences. For each application, you can also set the preferred level and the relationship
between Streamer and microphone signals.
In the ConnectLine tool the following features can be adjusted
for each streaming application.
General Perception
Here, the general level of the streamed application is set and
also the hearing instrument microphone (M) level relative to
the application.
The ‘sound quality’ trimmer is used to correct the emphasis
of the audio response by adjusting the tonal balance.
The response can be made brighter (more HF) or fuller
(more LF) according to client preferences.
68 OticOn ActO FITTING GUIDE
69
TV Program Tab
Phones Program Tab
The TV Program Tab enables fine tuning of the ConnectLine
TV application.
The Phones Program Tab enables fine tuning of the
ConnectLine phone or/and mobile phone applications.
General Perception
M rel. to TV:
The adjustments are applied to the instrument phone program
used for streaming and will be used for all ConnectLine phone
and mobile phones connected to the client’s Streamer.
Normally, the levels for the hearing instrument microphone
and the TV should be equal (0 dB) in order to easily hear
conversations when watching TV.
General Perception
M rel. to Phone:
Normally, the level for the hearing instrument microphone
should be lower (softer) than the phone in order to focus on
the phone conversation.
.
70 OticOn ActO FITTING GUIDE
71
Music/Audio Program Tab
Phone and DAI/FM
The Music/Audio Tab enables fine tuning of the wired input
and wireless applications, e.g. music players.
General Perception
M rel. to Music:
Normally, the levels for the hearing instrument microphone
and the music application should be the equal (0 dB) in order
to hear other relevant information from the surroundings
when listening to music.
72 OticOn ActO FITTING GUIDE
The Phone and DAI/FM tool provides an overview of the phone
programs and it helps you to define the functionality of Auto
Phone programs and DAI/FM programs when relevant.
For Auto Phone programs you can enable or disable the functionality and choose whether the program should be a Microphone or a Telecoil program (when Telecoil is present).
On the DAi/fM tab you can choose to boost the DAI/FM signal
in situations where both DAI/FM and the microphones on the
instruments are active.
73
ConnectLine Concept
User Instructions
This tool indicates how the buttons are configured on
the Oticon Acto instruments. Use this tool to instruct the client
in the operations possible on each instrument. It is possible
to print the information.
8
74 OticOn ActO FITTING GUIDE
75
ConnectLine is an integrated system which enables HI users to
take advantage of, and benefit from, entertainment and communications better than ever before.
The TV Adapter wirelessly transmits sound from the TV
to Streamer.
The Phone Adapter acts as wireless connection between
Streamer and a landline phone in effect turning the HI and
Streamer into a wireless headset for domestic use.
Streamer is both the remote control and the connection point
for all ConnectLine Adapters. Streamer connects directly –
through Bluetooh – to practically all modern mobile phones.
• Handsfree phone conversation on mobile phones
• Handsfree conversation on landline phones
• Sound and music from TV, radio, music players, computers
and other devices
• Operate the volume control and program change on
the Oticon Acto instruments
Streamer wirelessly transmits sound from phones, TV etc. to
both hearing instruments thereby improving the overall sound
quality and speech understanding.
Streamer has a build-in microphone, enabling users to communicate on mobile and landline phones.
76 OticOn ActO FITTING GUIDE
77
Pairing Guide and Daily Use
Before using Streamer it has to be paired to the device it
should connect to. A wireless link is established between the
two units, enabling them to identify each other and communicate whenever they are turned on and within range of each
other. Pairing is done by placing both units into pairing mode.
The units automatically will search and find each other.
(please see the following pages for detailed pairing
­instructions).
The neck strap is an antenna
Please pay particular attention to the fact that the neck strap
supplied with Streamer is an antenna which is part of the
advanced wireless system. For all other purposes than using
Streamer as a remote, the neck strap should be worn around
the neck.
Please note that the neck strap should never be opened.
The safety lock in the back is a feature designed to break if the
neck strap is caught in something. If the neck strap breaks it
must be replaced.
78 Oticon Acto FITTING GUIDE
Generally, by daily use the neck strap eventually becomes
frayed and dirty and should be replaced regularly.
Pressing the Volume button for 2 seconds again activates
the hearing instrument microphones.
Adjusting Volume
Note: the microphone state is memorized for each streaming
application by Streamer. Next time your client is watching
TV/making a phone call, the memorized microphone state will
be used.
Use the Up/Down button on Streamer to adjusting the phone
volume level in the hearing instruments. To adjust the volume,
press Up or Down shortly. Repeat the short press to do further
adjustments.
Note: The volume level when streaming set by Streamer is
memorized. Next time your client is watching TV/making
a phone call, the memorized volume level will be applied.
The memorized microphone states are reset when the
­“Connect” function is turned off.
The memorized volume level is reset when the “Connect”
­function is turned off.
Muting the hearing instrument microphones
When streaming an audio application, the hearing instrument
microphones are default active. To mute the microphones e.g
to pay full attention to a phone conversation press and hold
the Volume button for 2 seconds (up or down).
79
Streamer and mobile phones
Pairing
Prepare the mobile phones:
1. Refer to the manual of the mobile phone for detailed
instruction on how to conduct the pairing (normally, it is
­referred to as “find new Bluetooth device”). Set up the
­mobile phone as instructed.
Note: For further information refer to the pairing guide l­ ocated
on www.oticon.com
6. You will now be prompted for a pincode: all Streamer pincodes are four zeros (0 0 0 0) – note, that just like for other
pincodes the 0’s most probably will appear as asterisks (*).
7. Streamer and the mobile phone are now paired.
The pairing is done only once. If the phone is switched off or
Streamer is out of battery, the units will remained paired when
turned on again.
Prepare Streamer:
Daily Use
2. Assure that the key lock is deactivated.
3. Press Streamer Connect button for 5 seconds until
the blue light starts flashing rapidly.
Streamer must be within 10 meters of the mobile phone.
The two devices are now establishing a connection to each
other.
Mobile phone handling:
4. When the mobile phone has received Streamer ­information,
‘Streamer x.y’ will appear in the display.
5. Go to ‘Streamer x.y’ in the mobile phone display and
press select.
80 Oticon Acto FITTING GUIDE
Phone calls with Streamer
To turn off the blue light immediately, activate the key
lock slider.
Incoming calls
A ringing tone is heard in the hearing instruments and
the green rim light around the Phone button flashes.
Make a call
Use the mobile phone to make the call (assuming that C
­ onnect
is on the mobile phone will automatically ­connect to Streamer).
When the call goes through, talk into S
­ treamer – do not press
the Phone button on Streamer.
Answer
Press Streamer’s Phone button shortly. Streamer answers
the call and the green rim light will switch to constant light.
The call is now directed into the hearing instruments.
Talk in direction of the microphone on Streamer.
The connection must be active in order for Streamer and
­mobile phone to work:
Reject call
Press and hold the Connect button for 2 seconds until the blue
light turns on. After one minute the blue light will automatically go into sleep mode (slowly fading on/off every 5 seconds)
to prolong battery lifetime.
Hang up
Long press on the phone button will reject the call.
Press Streamer’s Phone button shortly. Streamer hangs up the
call, the green rim light turns off and the hearing i­ nstruments
return to the previous program.
81
Streamer and the TV Adapter
Microphone
(Volume/program change) Up/Down
Key Lock
Phone
Audio (TV, music)
Connect
Battery Indicator
Music Connection e.g. MP3
Power
82 Oticon Acto FITTING GUIDE
(For installation of the TV Adapter refer to the Installation
Guide and Genie Instruction Videos.)
Pairing is done only once and will normally not have to
be repeated.
Pairing
Daily Use
1. In order to prepare the TV Adapter and Streamer as a pair, the
devices must be placed close together. Place Streamer right
next to the empowered TV Adapter (less than 30 cm /1 ft
between devices. TV Adapter turned on).
2. Assure that Streamer’s key lock is deactivated.
3. Press Streamer Connect button for 5 seconds until the blue
light starts flashing rapidly.
4. The two devices are now establishing a connection to
each other.
5. Within one minute the TV Adapter connects to Streamer
and pairing is complete.
Wear Streamer around the neck in the neck strap. Streamer
must be within 10 meters from the TV Adapter.
—— The orange STATUS indicator on the TV Adapter shows
a solid light.
TV listening
START sound
—— Press the Audio button shortly. Streamer connects to
the TV Adapter.
—— After a few seconds orange solid light is shown on Streamer
and the TV Adapter.
—— The hearing instruments will receive the TV sound.
STOP sound
—— Press the Audio button shortly.
—— Streamer disconnects from TV Adapter.
—— All orange lights turn off and the hearing instruments
­return to the standard program (P1).
83
Streamer and the Phone Adapter
Accepting phone calls while watching TV
An incoming call either mobile or from the Phone Adapter will
be indicated by a ringing indicator. When the phone call is over
Streamer will return to the TV sound.
Note: The Connect function on Streamer must be activated
to allow transmission from the TV. If not active, it automatically turns on when starting the TV listening. Deactivating
the ­Connect function must be done manually on the ­Connect
button.
(For installation of the Phone Adapter refer to the Installation
Guide and Genie Instruction Videos).
Pairing
1. Assure that Streamer’s key lock is deactivated.
2. Press Streamer Connect button for 5 seconds until the blue
light starts flashing rapidly.
3. Press the red Phone button on the Phone Adapter for
5 s­ econds until the red status indicator flashes.
4. Within half a minute the Phone Adapter connects to
Streamer and pairing is complete.
5. The red status indicator of the Phone Adapter gives
­constant red light.
6.The blue light in Streamer Connect button gives ­constant
light for 5 seconds and then shows slow fading light.
Daily Use
Phone calls with Streamer
Wear Streamer around the neck in the neck strap, and make
sure that the Connect function is active:
Streamer must be within 10 meters of the Phone Adapter
and the red status indicator on the Phone Adapter must show
constant light.
Incoming calls
A ringing tune is heard in the hearing instruments and
the green rim light around the Phone button flashes.
Answer
Press Streamer’s Phone button shortly. Streamer answers
the call and the green rim light will switch to constant light.
Pairing is done only once and will normally not have to
be repeated.
84 Oticon Acto FITTING GUIDE
85
Audio Streaming
The call is now directed into the hearing instruments. Talk in
direction of the microphone on Streamer. The red status indicator on the Phone Adapter flashes during the call.
2. Pick up the phone/phone Receiver and dial the phone
­number.
3. Put the phone Receiver back down.
Hang up
—— The red status indicator on the Phone Adapter flashes
­during the call.
Press Streamer’s Phone button shortly. Streamer hangs up the
call, the green rim light turns off and the hearing instruments
return to the previous program.
Hang up
—— The red status indicator on the Phone Adapter switches
to constant light.
Press Streamer’s Phone button shortly. Streamer hangs up
the call and the green rim light turns off and the hearing
instruments return to the previous p
­ rogram.
Make a call
1. Press Streamer’s Phone button shortly (or shortly press the
red Phone button on the Phone Adapter). You will now hear
the dial tone in the hearing instruments. The green rim light
shows constant light in Streamer’s Phone ­button.
—— The red status indicator on the Phone Adapter switches
to constant light.
Make sure that the phone is turned off, or the Receiver is
back on!
Streamer can receive audio signals from radio, PC, MP3 p
­ layers
or other devices.
paired to Streamer – then a short push on the Audion button
will also start streaming.
Audio sources using Bluetooth (A2DP) can be paired to
Streamer to stream music etc. wirelessly. Other audio sources
can be connected by means of the Audio Cable. Communication from Streamer to the hearing instruments will always be
wireless.
Note! This feature is only available in Streamer 1.3 or later.
To upgrade Streamer firmware to a later version please see
page 89 – 90.
Wireless Audio Input
Music from a stereo Bluetooth device is connected to Streamer
when:
—— the two devices are paired
—— inside the Bluetooth range (10 meters)
When the music player (or other stereo audio source) is turned
on, streaming is automatically started via Streamer and played
in the hearing instruments.
Starting wireless audio streaming
Audio streaming can always be started from Streamer with
a long push on the Audio button. If no TV Adapter has been
86 Oticon Acto FITTING GUIDE
Stop wireless audio streaming
The audio streaming is ended by pressing Streamer’s Audio
button. The hearing instruments will return to the General
program (P1).
Wired Audio Input
When the jack wire connects from an audio player to ­Streamer,
Streamer will start streaming sound after the Audio button is
pressed.
Stop audio streaming
When the jack is removed or the Audio button is used to end
the audio transmission, the hearing instruments will return to
the General program (P1).
87
Accepting phone calls during audio streaming
(wired or wireless)
If a phone call is accepted while the audio signal is ­activated,
the phone call will have priority.
When the phone call is over Streamer will automatically return
to audio streaming.
Wearing Streamer
Key lock
Streamer should be worn with the neck strap. This enables
handsfree operation and undisrupted sound quality.
Battery
You can lock the keys to avoid unintended activation of the
buttons. The slider button on the top of Streamer locks and
unlocks the keyboard. This will also turn off the blue Connect
indication and reduce the other indicators light intensity.
Streamer has a built-in rechargeable battery. The battery will
last up to 8 hours when audio streaming is active.
Important! How to use the neck strap
When the Connect function is active the battery will last for
60 hours. The battery indication will start blinking when the
­battery is close to empty (about 5 minutes left) and an a
­ udible
signal will be sent to the hearing instruments.
Recharging the battery from empty takes approximately
4 hours. Streamer will work while being charged. When fully
recharged the battery indicator lights solid green.
As a safety device, the neck strap has a plastic shell that
­automatically breaks if the strap gets caught in anything.
This safety shell is NOT a lock, and under normal use will
not be broken.
If the safety shell is separated or broken, the neck strap
must be replaced.
Do not shorten or modify the neck strap in any way,
for example, do not tie a knot in it to shorten it.
Note: The green light disappears when Streamer is
­disconnected from the charger.
88 Oticon Acto FITTING GUIDE
89
Streamer Firmware upgrade tool
How and when to upgrade Streamer
Please note! It is only recommended to upgrade a Streamer
for the purpose of providing additional client benefits.
If a client has a well functioning ConnectLine system an
upgrade is not advised.
Connecting Streamer to the PC
Charging
1. Connect the large end of the USB cable to an available
USB port on the computer.
2. Press and hold the Up button on Streamer,
3. Connect the small end of the USB cable to Streamer.
Note! Streamer battery cannot charge while the upgrade is in
progress. If Streamer battery this level is too low, upgrading
can’t be started (UPGRADE button is disabled).
When Streamer is connected, the current firmware version
in Streamer is displayed and whether this firmware can be
upgraded to a newer version.
When Streamer is connected, sufficiently charged and the
firmware in Streamer is older than the newest available, it is
possible to start the upgrade. Press the UPGRADE button.
During the upgrade, the green bar expands to the right and
when completed a window pops up.
In the bottom of the upgrade window there is a link to
“Upgrade Information”. This will open a .pdf with up-to-date
information about the differences between Streamer FW
releases on the market today. The document also has an
overview of the different push button functions in the latest
release.
Upgrading
Before you start the upgrade
note the following:
• The upgrade may take up to
20 minutes. The PC and
Genie can still be used
during the upgrade.
• Do not disconnect the USBcable during the upgrade.
• Do not let your computer go
into standby or shut down
during the upgrade.
• If you are using a laptop, run
it on AC power during
the upgrade.
• No existing pairings will be lost.
Selecting “Streamer Firmware upgrade” in the tools menu
gives access to upgrade a Streamer to the latest available
version, without losing existing pairings.
90 OticOn ActO FITTING GUIDE
91
Service and Maintenance
Domes
Damper
A wax filter is integrated into all types of domes.
The domes must be replaced regularly or whenever needed.
Replacing the dome is easy
The Damper is placed in the hook on BTE instruments.
Take off the old dome using your finger nails. Push the new
dome onto the Receiver. Give it a push to secure it safely.
Make sure that clients have extra domes when relevant.
1
2
3
It mainly works as an acoustic filter, shaping the frequency
response, but also has a function of preventing moist and
cerumen from entering into the instrument.
1
2
3
4
If there is no sound in the instrument or the sound output is
reduced, it may be caused by a clogged Damper and it must be
replaced.
Replace the Damper as shown.
Notice: The Damper is not used with BTE Power instruments.
9
92 Oticon Acto FITTING GUIDE
93
NoWax
WaxStop
Wax protection system for:
Wax protection system for:
——
——
——
——
——
——
CIC instruments
ITC instruments
ITE instruments
RITE Power Moulds
Standard Receivers
Medium Receivers
1
2
1
A
—— Power Receiver Adapters
—— RITE Micro Moulds
—— RITE Power Micro Moulds
Replace the wax filter in case it is
clogged or if there is no sound in
the instrument.
2
B
3
4
1800
Replace the wax filter in case it is clogged
or if there is no sound in the instrument.
3
94 Oticon Acto FITTING GUIDE
4
5
6
95
miniRITE top shell exchange
Necessary tools
1. Push locking pin
Push pin out with multi tool.
2. Remove locking pin
Remove the locking pin with tweezers.
Tweezers
Multi tool
New top shell
(pre-assembled with push button)
Oticon Acto miniRITE
96 Oticon Acto FITTING GUIDE
97
3. Removal of top shell
Remove the top shell.
4. Mount new top shell
Mount the new top shell. It’s important to mount the top
shell in the bottom end first and then rotate the top shell
in place.
5. Insert locking pin
Insert the locking pin with tweezers.
6. Position locking pin
Finally push the pin in position, use the back end
of tweezers.
2
1
98 Oticon Acto FITTING GUIDE
99
Changing battery door on miniRITE
Battery door oN:
The battery door can be exchanged if damaged or if
a ­tamper-resistant door should be installed.
Battery door ofF:
1
100 Oticon Acto FITTING GUIDE
2
3
1
2
3
4
101
FAQ’s
1. How often should the Domes be changed? If the Dome is
not replaced from time to time it will get clogged with wax.
Replace whenever needed. For most ­users this will be once
every one or two months. A package of Domes is enclosed
with the device. Advise your clients how they can obtain
replacement domes.
2. When should I change the NoWax in the Receiver unit?
Visually inspect the NoWax filter for wax. Replace if wax
is present or no sound is coming from the device. See No
Wax package for instructions. Oticon recommends that the
Hearing Care Professional replaces the NoWax filter.
3. How often should the WaxStop in custom RITE Moulds
be changed? The WaxStop should be changed whenever
needed. For most users this will be once a month.
If the ­client complains that there is no sound, replace
the ­WaxStop first.
4. Why does the Receiver unit need two different wax
filter systems when using a Custom Mould? The WaxStop
on the Receiver unit is part of the locking mechanism for
102 Oticon Acto FITTING GUIDE
RITE Moulds and does not need to be changed or removed.
The client need only change the WaxStop.
5. How frequently should the Receiver unit be changed?
The Receiver unit is designed to function for a long time
(several years), if it is cleaned properly. The Receiver is
an integral part of the device and should be removed
or ­replaced if broken. The user should not remove the
­Receiver.
6. Can the hearing instrument be damaged if an “M”
­Medium Receiver is attached to EPOQ, VIGO or HIT
­instruments? The Receiver will fit however you will not be
able to program it in Genie. There will be a greater output and you could damage the client’s hearing. It is very
­important the Receiver is checked when they are attached
to the hearing instruments to ensure proper gain and output requirements. Only ‘S’ marked Receivers may be used
for Epoq, Vigo and HIT RITE instruments and only ‘P’ marked
Receiver may be used for Epoq and Vigo RITE Power instruments.
7. Can speakers from EPOQ, VIGO or HIT be fit to
Oticon Acto?
From Genie 2010.2 you have to select an “S” “M” or ‘P”
­Receiver type when the Acto RITE instrument is selected.
The old Receivers will be phased out and should in
the meantime only be used for Epoq, Vigo and Hit RITE
­instruments. If no other receiver is available, the old
­receiver can be fitted as a Standard (S) and old Power
receivers can be fitted as Power (P).
8. Can existing micro moulds be used with Medium
Receivers from Oticon Acto?
No, the M-Receiver size is slightly larger and will not
fit into old micro moulds.
9. Can RITE Standard, Medium and Power Receivers
be combined in case of an assymetric hearing loss?
Yes, different Receivers can be used with a binaural
RITE fitting.
103
10
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