Kanso™Sound Processor - South Australian Cochlear Implant Centre

Kanso™ Sound Processor
User Guide
CP950
This guide is intended for Cochlear implant recipients and
their carers using the Cochlear™ Kanso™ Sound Processor
(model number: CP950).
The processor works with your implant to transfer sound
to your ear. It is a self-contained unit that contains the
processing unit, microphones, magnet and batteries.
You can control your processor by pressing the button, as
shown in this guide.
You can also use a Cochlear Nucleus® CR210 Remote
Control or Cochlear Nucleus CR230 Remote Assistant.
They also provide extra troubleshooting functions. For
more information, please see your remote’s user guide.
NOTES
• Refer to the Cautions and Warnings sections for safety
advice relating to the use of the Kanso Sound Processor,
batteries and components.
• Please also refer to your Important Information document for
essential advice that applies to Cochlear implant systems.
Symbols used in this guide
NOTE
Important information or advice.
TIP
Time saving hint.
CAUTION (no harm)
Special care to be taken to ensure safety and effectiveness.
Could cause damage to equipment.
WARNING (harmful)
Potential safety hazards and serious adverse reactions.
Could cause harm to person.
II
KANSO™ SOUND PROCESSOR USER GUIDE
Kanso™ Sound Processor
Front
THIS WAY UP
Indicator light
Control
button
Microphone
ports
Kanso
Top Cover
Kanso
Battery Cover
ABOUT
Air slots
Back
Safety Line
attachment
points
Battery cover
lock
KANSO™ SOUND PROCESSOR USER GUIDE
1
Contents
Power
Batteries . . . . . . . . . . . .
Battery life . . . . . . . . . . .
Lock/unlock the battery cover
Change the batteries . . . . .
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4
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5
6
Turn on and off . . . . . . . . .
Pair with remotes . . . . . . . .
Change program . . . . . . . .
Change volume and sensitivity.
Stream audio . . . . . . . . . .
Telecoil (optional) . . . . . .
Wireless accessories . . . . .
To control streaming . . . .
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8
9
10
11
12
12
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13
Wear your processor . . . . . . . .
For users with two implants . . . .
Attach a SoftWear pad . . . . . . .
Attach a Safety Line . . . . . . . .
Standard and Long Safety Lines
Safety Line–Short Double Loop
Wear the Headband . . . . . . . .
Change the magnet . . . . . . . . .
Sport and exercise . . . . . . . . .
Travel . . . . . . . . . . . . . . . .
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. 14
. 15
. 16
. 18
. 18
. 20
. 22
. 24
. 26
. 27
Use
Wear
2
KANSO™ SOUND PROCESSOR USER GUIDE
Care
Regular care . . . . . . . . . . .
Storage . . . . . . . . . . . . .
Change microphone protectors
Water, sand and dirt . . . . . .
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. 28
. 29
30
. 33
Lights and Beeps
Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Beeps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Troubleshoot
Cautions
. . . . . . . . . . . . . . . 38
. . . . . . . . . . . . . . . . . . . 43
Warnings
For parents and carers
Processors and parts .
Batteries . . . . . . . .
Medical treatments .
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Other information
KANSO™ SOUND PROCESSOR USER GUIDE
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. 44
. 45
48
. 49
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3
Batteries
For everyday use, the Kanso Sound Processor uses two high
power 675 (PR44) zinc air disposable batteries designed for
cochlear implant use.
NOTE
You will need to use other battery types only when you are
using the Cochlear Nucleus Aqua+ for Kanso accessory. Please
see its user guide for details.
Battery life
Batteries should be replaced as needed just as you would
with any other electronic device. Battery life varies
according to the programs used each day, your implant type
and the thickness of skin covering your implant.
Your Kanso Sound Processor has been designed to provide
the majority of users with a battery life of more than 16
hours for typical use with zinc air batteries. However this will
vary depending on your system settings and hearing
situations.
To help you get the longest life from the batteries, your
sound processor will turn off two minutes after you take it
off your implant.
4
KANSO™ SOUND PROCESSOR USER GUIDE
Lock/unlock the battery cover
The battery cover has a tamper resistant lock to help
prevent children opening the battery cover.
1. To lock, turn the locking
screw clockwise with the
battery cover locking tool
until it is horizontal.
POWER
LOCKED
2. To unlock, turn the locking screw anticlockwise until it
is vertical.
UNLOCKED
CAUTION
Always check the locking screw is unlocked before
attaching or removing the battery cover.
KANSO™ SOUND PROCESSOR USER GUIDE
5
Change the batteries
1. If the battery cover is
locked, turn the lock
screw anticlockwise to
unlock it.
2. Remove the battery
cover.
Use your fingers on the
sides to pull off the
cover.
TIP
The cover is a secure fit,
so pull firmly.
3. Push down on each battery with your thumb in the
cutout section in the side. The batteries pop up. Pull the
batteries out.
6
KANSO™ SOUND PROCESSOR USER GUIDE
4. Remove the new batteries
from the packet, and let
them stand for a few
seconds.
See Batteries on page 4.
5. Insert the batteries into the
battery holder with the side
with holes on it (positive
terminal) facing out.
POWER
6. Replace the battery cover.
Lock the cover if required.
Your processor will
automatically turn on.
NOTE
If you do not put your sound processor on your implant, it
will turn off automatically after two minutes.
KANSO™ SOUND PROCESSOR USER GUIDE
7
Turn on and off
1. Press the button
to turn on.
2. To turn off,
press and hold
the button
until the light
is a steady orange.
NOTE
Your sound processor will also turn off automatically after
being off your implant for two minutes.
8
KANSO™ SOUND PROCESSOR USER GUIDE
INDICATOR LIGHTS
WHAT IT MEANS
Turning on processor.
The number of flashes indicates the
number of the current program.
Green flashes
Processor is off the implant.
Orange flashes
…
Quick green flashes
Processor flashes while receiving
sound from microphones
(Child mode only).
USE
Pair with remotes
You need to pair your sound processor to your
CR210 Remote Control or CR230 Remote Assistant to use
their control and monitoring functions.
Please see your remote’s user guide for details.
KANSO™ SOUND PROCESSOR USER GUIDE
9
Change program
You can choose between programs to change the way your
sound processor deals with sound, e.g. in noisy or quiet
places. Usually two programs are all you need, but your
clinician can give you up to four programs.
1. Press the button
to switch
between programs.
NOTE
If your clinician has enabled SCAN, your sound processor can
automatically select the best program for you.
INDICATOR LIGHT
Green flashes
10
WHAT IT MEANS
Changing the program
(Child mode only).
The number of flashes indicates the
number of the current program.
KANSO™ SOUND PROCESSOR USER GUIDE
Change volume and sensitivity
If set up by your clinician, you can control the levels of
volume or sensitivity (if available) using your
CR210 Remote Control or CR230 Remote Assistant.
Please see your remote’s user guide for details.
NOTE
You need to pair your sound processor with your remote first.
See your remote’s user guide for details.
USE
KANSO™ SOUND PROCESSOR USER GUIDE
11
Stream audio
Your processor can stream sound from external audio
sources.
Telecoil (optional)
Your clinician can enable Telecoil if you want to listen to
room hearing loops.
NOTE
Telecoil is not recommended for phone use with the Kanso
Sound Processor. We recommend you use the Cochlear
Wireless Phone Clip.
Wireless accessories
Cochlear True Wireless™ Accessories can wirelessly stream
sound to your processor:
• The Mini Microphone or TV Streamer are controlled
from your processor
• You use the Phone Clip controls for phone calls.
NOTE
You first need to pair your wireless accessories with your
sound processor. See their user guide for details.
12
KANSO™ SOUND PROCESSOR USER GUIDE
To control streaming
TIP
You can also use your remote to control streaming audio. See
its user guide for details.
Each time you press the sound processor button, you cycle
through the available audio sources in order:
PRESS
1
2
3
4...
TELECOIL ENABLED
Telecoil
Wireless accessory 1
Wireless accessory 2
Telecoil...
NO TELECOIL
Wireless accessory 1
Wireless accessory 2
Wireless accessory 3
Wireless accessory 1...
USE
1. Press and hold the
button for 2 seconds
then release to stream
audio.
Press and release again
if you need to cycle to the
next audio source.
Blue: streaming audio.
2. Tap the button to stop
streaming.
KANSO™ SOUND PROCESSOR USER GUIDE
13
Wear your processor
Place the processor on your implant with the button/light
facing up and battery compartment facing down.
CAUTION
It is important to position your processor correctly to get the
best performance, and so it does not fall off the implant.
Button/light
facing up
Battery
compartment
facing down
INDICATOR LIGHTS
WHAT IT MEANS
Processor flashes while coil is off
Flash of orange every second (or connected to the wrong implant).
14
KANSO™ SOUND PROCESSOR USER GUIDE
For users with two implants
Ask your clinician to give you coloured stickers (red for
right, blue for left) to make identifying left and right
processors easier.
CAUTION
If you have two implants, you must use the correct sound
processor for each implant.
NOTE
Your sound processor will recognise the implant’s ID, so it will
not work on the wrong implant.
WEAR
KANSO™ SOUND PROCESSOR USER GUIDE
15
Attach a SoftWear pad
The Cochlear SoftWear™ pad is optional. If you experience
discomfort when wearing your processor, you can attach
this adhesive pad to the back of your processor.
NOTE
You may need to change to a stronger magnet after attaching
a SoftWear pad.
1. Peel off the single backing
strip on the adhesive side
of the pad.
2. Attach the pad to the
back of the processor–
press down firmly.
16
KANSO™ SOUND PROCESSOR USER GUIDE
3. Peel off the two semicircle
backing covers on the
cushion side of the pad.
WEAR
4. Wear your processor as
usual.
NOTE
The SoftWear pad may affect your sound processor’s
performance. If you notice any change, contact your clinician.
KANSO™ SOUND PROCESSOR USER GUIDE
17
Attach a Safety Line
Standard and Long Safety Lines
To reduce the risk of losing your processor, you can attach
a Safety Line that clips onto your clothing:
• Nucleus Safety Line–standard length
• Cochlear Safety Line (Long).
1. Pinch the loop on the end
of the line between your
finger and thumb.
2. Pass the loop through the
attachment hole in the
sound processor from
front to back.
TIP
Use the attachment hole
that will be at the rear of
the processor when it is
on your head.
18
KANSO™ SOUND PROCESSOR USER GUIDE
3. Pass the clip through
the loop and pull the
line tight.
4. Lift the tab to open
the clip.
WEAR
5. Place the clip on your
clothing and press
down to close.
6. Place your processor on
your implant.
WARNING
Retention lines longer than the Safety Line (standard length)
are not recommended for use by children as they may present
a risk of strangulation.
KANSO™ SOUND PROCESSOR USER GUIDE
19
Safety Line–Short Double Loop
To reduce the risk of losing your processor, you can attach
a Safety Line that clips into your hair:
1. Pinch the loop on one end of the
line between your finger and
thumb.
2. Pass the loop throught the
attachment hole in the hair clip.
TIP
Use the left hole for a left side
processor and the right hole for a
right side processor.
3. Pass the end of the line through
the loop and pull the line tight.
20
KANSO™ SOUND PROCESSOR USER GUIDE
4. Pass the other loop through
the attachment hole in the
processor from front to back.
TIP
Use the attachment hole that
will be at the rear of the
processor when it is on your
head.
5. Pass the clip through the loop
and pull the line tight.
6. Press up on the ends to open
the clip.
WEAR
7. With the teeth facing up and
against your hair, push the clip
up into your hair.
8. Press down on the ends to
close the clip.
9. Place your processor on your
implant.
KANSO™ SOUND PROCESSOR USER GUIDE
21
Wear the Headband
The Cochlear Headband is an optional accessory that
holds the processor in place on your implant. This is useful
for children or for physical activities.
Headband sizing
To choose a Headband, measure your head circumference:
SIZE CIRCUMFERENCE
SIZE
CIRCUMFERENCE
XXS
41-47 cm
M
52-58 cm
XS
47-53 cm
L
54-62 cm
S
49-55 cm
NOTE
The Headband may affect your sound processor’s
performance. If you notice any change, contact your clinician.
Fitting the Headband
1. Open the Headband and lay it flat, with the processor
pockets facing up.
Velcro
Pocket
Anti-slip (for forehead)
Pocket
Velcro
2. Pull the pocket lining out.
Left processor pocket
22
Right processor pocket
KANSO™ SOUND PROCESSOR USER GUIDE
3. Insert your processor/s in the correct pocket/s:
• the left processor in the left-side pocket, the right
processor in the right-side pocket
• the top of the processor at the top of the pocket
• the side of the processor that fits onto your implant is
facing up towards you.
4. Fold the pocket lining/s back over the processor/s.
6. Join the ends behind your head. Adjust the velcro so the
headband fits firmly, with your processor/s over your
implant/s.
7. Press firmly on the ends to make sure they join together.
KANSO™ SOUND PROCESSOR USER GUIDE
23
WEAR
5. Pick up the ends of the Headband, and place the anti-slip
section against your forehead.
Change the magnet
If your Kanso Magnet is too weak the processor may fall
off, or if it is too strong it may cause discomfort. Magnet
strength ranges from ½ (weakest) to 6 (strongest).
NOTE
If your clinician has provided you with a Kanso Magnet Reverse
Polarity, use it as described here for a normal magnet.
1. If the battery cover is locked, turn the lock screw
anticlockwise to unlock it.
2. Remove the battery cover.
Use your fingers on the sides to pull off the cover.
3. Use your thumbnail to
remove the top cover.
4. Press down with your finger
and turn the magnet
anticlockwise until the arrow
and side tabs line up with the
square notches in the
processor case.
24
KANSO™ SOUND PROCESSOR USER GUIDE
5. Use another magnet to pull
the magnet from the
processor.
6. Insert the new magnet in
the processor, with the side
tabs in the square notches
in the processor case.
WEAR
7. Press down with your finger
and turn the magnet
clockwise to lock the tab on
the magnet under the
processor’s case.
8. Replace the top cover.
9. Replace the battery cover and lock it if required.
KANSO™ SOUND PROCESSOR USER GUIDE
25
Sport and exercise
TIP
Always ensure the battery cover is locked when you
exercise or play sport.
NOTE
If you want to use your processor while bathing, swimming
or showering, ask your clinician about the Cochlear Aqua+
for Kanso.
1. Use accessories such as the Safety Line or
Cochlear Headband to help hold your processor in
place when you play sport or exercise.
2. After exercise, wipe your processor with a soft cloth to
remove sweat or grime.
3. Then check your microphone protectors for dirt.
See Change microphone protectors on page 30.
Microphone
protectors
26
KANSO™ SOUND PROCESSOR USER GUIDE
Travel
NOTE
Visit www.cochlear.com/clinic-finder to find the nearest clinic
in places you are travelling.
• Take a printout from your clinician of your most recent
program in case you need help with your processor.
• If you have a backup sound processor, check that it is
programmed correctly and take it with you.
• It’s okay to move through metal detectors and full body
scanners with your sound processor on. To avoid any
possible buzzing sounds in your ear, turn off the telecoil.
• Ask your clinician for a Patient Identification Card. In
the unlikely event that your implant sets off a metal
detector the ID card will help explain that you have an
implanted medical device.
• Your sound processor will not interfere with a plane’s
navigation system so you won’t need to turn it off
during takeoff and landing. If you use a remote control
for your processor, switch it off before takeoff as it
transmits high frequency radio waves when switched
on.
KANSO™ SOUND PROCESSOR USER GUIDE
27
WEAR
• If you need to remove your sound processor as you
move through airport security, place it in a case in your
hand luggage.
Regular care
CAUTIONS
• Do not use cleaning agents or alcohol to clean your
processor.
• Turn your processor off before cleaning or performing
maintenance.
Every day
• Check all parts and any accessories you use (e.g.
SoftWear pad, Safety Line) for dirt and moisture. Wipe
the processor with a soft dry cloth.
• Keep your processor free from moisture by drying it
every night in your dry aid kit.
• Check the microphone protectors for signs of dirt or
grime and replace if needed. See Change microphone
protectors on page 30.
Every month
• Remove batteries and check for signs of dirt or grime.
Wipe the contacts with a soft dry cloth.
• Replace a SoftWear pad (if used) if it is worn or
damaged, or has accumulated dirt or moisture that
cannot be wiped off. If you have any problem with
comfort, that is not helped by changing the SoftWear
pad, contact your clinician. See Attach a SoftWear pad
on page 16.
• Check if the Safety Line (if used) is showing signs of
wear. Replace as needed. See Attach a Safety Line on
page 18.
28
KANSO™ SOUND PROCESSOR USER GUIDE
Every two months
• Replace the dry brick in your dry aid kit.
Every three months
• Replace the microphone protectors – this is very
important for the quality of sound. See Change
microphone protectors on page 30.
Storage
Dry aid kit
CARE
Store your processor at night
in the dry aid kit provided by
Cochlear. Store the processor
fully assembled for 8 hours
for optimal drying effect.
Storage case
For long term storage,
remove the batteries and
store so they do not touch
each other. Storage cases are
available from Cochlear.
KANSO™ SOUND PROCESSOR USER GUIDE
29
Change microphone protectors
Replace your microphone protectors every three months,
or if they look dirty or you notice any loss in sound quality.
Always replace both microphone protectors at the same
time, using the Kanso Microphone Protector Kit.
Step 1: Remove microphone protectors
Microphone
protectors
1. If the battery cover is locked,
turn the lock screw
anticlockwise to unlock it.
2. Remove the battery cover.
Use your fingers on the sides
to pull off the cover.
3. Use your thumbnail to
remove the top cover.
30
KANSO™ SOUND PROCESSOR USER GUIDE
4. Firmly push the tip of the
removal tool into the
middle of the microphone
protector.
5. Firmly push, and then
turn the tool 90°
clockwise.
CARE
6. Lift out the used
microphone protector.
7. Pull the used microphone
protector from the tool
and discard.
8. Repeat steps 4 to 7 to
remove the other
microphone protector.
KANSO™ SOUND PROCESSOR USER GUIDE
31
Step 2: Insert new microphone protectors
1. Pull the microphone protector applicator out of its
sleeve.
2. With the microphone
protectors facing down, lay
the applicator over the
processor, with protectors
over the microphones.
3. Press the microphone
protectors down with your
finger.
4. Remove the applicator
carefully, peeling it upwards
from the side.
5. Replace the top cover.
6. Replace the battery cover. Lock the cover if required.
32
KANSO™ SOUND PROCESSOR USER GUIDE
Water, sand and dirt
Your processor is protected against failure from dust
penetration or splashing water (IP54 rated).
However, it is still a precision electronic device so you
should take the following precautions.
If your processor ever gets wet,
dry it with a soft cloth.
Then remove the batteries, dry
them and the contacts with a
soft cloth, and replace them.
Replace the microphone
protectors and place your
processor in the dry aid kit
provided by Cochlear for 8 hours.
CARE
See Change the batteries on page 6.
See Change microphone protectors on
page 30.
If sand or dirt ever enter the
processor, remove it by carefully
brushing all indents and holes in
the processor’s casing.
KANSO™ SOUND PROCESSOR USER GUIDE
33
Lights
Your clinician can set up your processor to show some or
all of the following light indications.
Turning on and off
LIGHT
WHAT IT MEANS
…
Quick green flashes
Processor flashes while receiving sound
from microphones (Child mode only).
Turning on and changing programs.
Number of flashes indicates the number
of the current program.
Quick green flashes
Turning off processor.
Long flash of orange
Alerts
LIGHT
WHAT IT MEANS
…
Flash of orange
every second
Processor flashes while it is off your head
(or connected to the wrong implant).
Orange flashes
Steady orange
34
Processor batteries are low.
Change batteries.
Fault. Contact your clinician.
Stays on until the issue is resolved.
KANSO™ SOUND PROCESSOR USER GUIDE
Audio sources
LIGHT
Quick blue flash
…
Quick blue flashes
WHAT IT MEANS
Processor flashes when pairing to wireless
accessory is successful.
Processor flashes while receiving audio from
an audio source (Child mode only).
LIGHTS AND BEEPS
KANSO™ SOUND PROCESSOR USER GUIDE
35
Beeps
Your clinician can set up your processor so you can hear
the following beeps. The beeps are only audible to the
recipient.
Turning on and off
BEEP
WHAT IT MEANS
Changing the program. The number of
beeps indicates the number of the
selected program.
Short high beeps
Short high beep
Short high then short
low beep
Changing volume or sensitivity level (if
available).
When changing volume or sensitivity,
indicates upper or lower limit of volume/
sensitivity reached.
Wireless accessories
BEEP
3-tone chime
WHAT IT MEANS
Connecting with wireless accessory to
begin streaming audio.
When stopping streaming.
Short beep
Telecoil
BEEP
Long high beep
36
WHAT IT MEANS
Switching between using the
microphones and the telecoil.
KANSO™ SOUND PROCESSOR USER GUIDE
Alerts
BEEP
2 Short low beeps
Short low beeps for 4 seconds
Processor batteries are low.
Replace batteries.
Batteries are empty and
processor is turning off.
Replace batteries.
General fault.
Consult your clinician.
LIGHTS AND BEEPS
4 long low beeps over 4 seconds
WHAT IT MEANS
Adjusting bass and treble *
BEEP
Loud medium beep
WHAT IT MEANS
Adjusting master volume
level.
Adjusting treble level.
Loud long high beep
Adjusting bass level.
Loud long low beep
* If available, Remote Assistant only
KANSO™ SOUND PROCESSOR USER GUIDE
37
Troubleshoot
Contact your clinician if you have any concerns regarding
the operation or safety of your sound processor.
PROBLEM
RESOLUTION
Processor will not
turn on/button
will not respond
1.
2.
3.
4.
The processor
switches off
1.
2.
Try turning the processor on again. See
Turn on and off on page 8.
Replace the batteries. See Change the
batteries on page 6.
If you have two implants, check that you
are wearing the correct sound processor
on each implant.
If the problem continues, contact your
clinician.
This is normal operation, as the processor
automatically switches off when not
connected to the implant for more than
two minutes.
Replace the batteries. See Change the
batteries on page 6.
The processor will
not turn off
1.
You want to
perform a regular
check on your
processor
See Regular care on page 28.
38
Remove the batteries from the
processing unit. See Change the batteries
on page 6.
KANSO™ SOUND PROCESSOR USER GUIDE
PROBLEM
RESOLUTION
You are not sure
what processor
beeps or light
flashes mean
See Lights on page 34 and Beeps on page
36.
You want to
confirm your
processor is
receiving sound
1.
2.
3.
Check the light on the top of the
processor (if enabled). See Lights on
page 34.
If you use a CR230 Remote Assistant,
check the sound meter on the status
screen.
If the problem continues, contact your
clinician.
1.
Remove the processor from your head
immediately and contact your clinician.
You experience
tightness,
discomfort or
develop a skin
irritation at your
implant site
1.
Try using an adhesive SoftWear pad. See
Attach a SoftWear pad on page 16.
If you are using a retention aid, such as a
headband, this may be placing pressure
on your processor. Adjust your retention
aid, or try a different aid.
Your processor magnet may be too
strong. Ask your clinician to change to a
weaker magnet (and use a retention aid
such as the Safety Line if required). See
Change the magnet on page 24.
If the problem continues, contact your
clinician.
2.
3.
4.
KANSO™ SOUND PROCESSOR USER GUIDE
39
TROUBLESHOOT
The processor
becomes hot
PROBLEM
RESOLUTION
You do not hear
sound or sound is
intermittent
1.
2.
3.
4.
You do not hear
1.
sound from a
wireless accessory 2.
3.
4.
5.
6.
7.
40
Try a different program. See Change
program on page 10.
Replace the batteries. See Change the
batteries on page 6.
Make sure the sound processor is
properly oriented on your head, see Wear
your processor on page 14.
If the problem continues, contact your
clinician.
Check that the wireless accessory is
charged and turned on.
Check that the wireless accessory is
paired with your processor.
Check the volume of the wireless
accessory.
If you use a CR230 Remote Assistant,
use the Streaming menu to check the
connection to the accessory.
If you use a CR230 Remote Assistant,
check and adjust the accessory/
microphone mixing ratio.
If available, try a different processor.
For more troubleshooting, see the
True Wireless Accessory User Guide.
KANSO™ SOUND PROCESSOR USER GUIDE
PROBLEM
RESOLUTION
You hear
1.
intermittent
sound, a buzzing
sound or distorted
speech
2.
3.
Sound is too loud
or uncomfortable
1.
2.
3.
Sound is too quiet
or muffled
1.
2.
3.
4.
Try a different program. See Change
program on page 10.
If you use a CR210 Remote Control, turn
down the volume.
If you have two sound processors (one
for each side), ensure you have them on
the correct side.
If the problem continues, Remove your
external equipment immediately (sound
processor, etc) and contact your clinician.
Try a different program. See Change
program on page 10.
If you use a CR210 Remote Control, turn
up the volume.
Try changing the microphone protectors.
See Change microphone protectors on
page 30.
If the problem continues, contact your
clinician.
KANSO™ SOUND PROCESSOR USER GUIDE
41
TROUBLESHOOT
4.
Check for sources of interference such as
radio and TV transmission towers (within
approximately 1.6 km or 1 mile),
shopping centres, airport security
systems and mobile phones.
Try moving away from any source of
magnetic or electronic interference.
If the problem continues, contact your
clinician.
PROBLEM
RESOLUTION
The processor gets
wet
1.
Dry the processor with a soft cloth,
change the microphone protectors
and place it in the dry aid kit provided
by Cochlear for 8 hours. See Water,
sand and dirt on page 33
Batteries are not
lasting as long as
usual
1.
Clean the battery contacts carefully
without bending them. Use the
cleaning brush, then wipe the
processor with a soft cloth.
If you are using a non-recommended
retention aid that covers your sound
processor, replace it with an aid
recommended by Cochlear.
Check that you are using the
recommended batteries. See Batteries
on page 4.
Don’t forget to let new batteries
stand for a few seconds before
putting them in the sound processor.
If the problem continues, contact
your clinician.
2.
3.
4.
5.
42
KANSO™ SOUND PROCESSOR USER GUIDE
Cautions
• Young children who are developing motor skills are at
greater risk of an impact to the head from a hard object
(e.g. table or chair). Impact to the sound processor may
cause damage to the processor or its parts. Impact to the
head in the area of the Cochlear implant could damage it
and result in its failure.
• Most patients can benefit from electrical stimulation levels
that are considered safe, based on animal experimental
data. The long-term effects of such stimulation in humans
are unknown.
CAUTIONS
KANSO™ SOUND PROCESSOR USER GUIDE
43
Warnings
For parents and carers
• Removable parts of the system (e.g. microphone
protectors, batteries, magnets, battery cover, Safety Line)
can be lost or may be a choking or strangulation hazard.
Keep out of reach of children or lock the tamper-proof
screw on the battery cover.
• Keep the dry brick from the dry aid kit away from small
children. Swallowing this material can cause serious
internal injuries.
• Carers must routinely check the device for signs of
overheating and for signs of discomfort or skin irritation at
the implant site. Remove the processor immediately if
there is any discomfort or pain (e.g. if device becomes hot,
or sound is uncomfortably loud) and inform clinician.
• Carers must monitor for signs of discomfort or skin
irritation if a retention aid (e.g. headband) is used that
applies pressure to the sound processor. Remove the aid
immediately if there is any discomfort or pain, and inform
clinician.
• Dispose of used batteries promptly and carefully, in
accordance with local regulations. Keep away from
children.
• Do not allow children to replace batteries without adult
supervision.
44
KANSO™ SOUND PROCESSOR USER GUIDE
Processors and parts
KANSO™ SOUND PROCESSOR USER GUIDE
45
WARNINGS
• Each processor is programmed specifically for each
implant. Never wear another person’s processor or lend
yours to another person.
• Use your Cochlear implant system only with approved
devices and accessories.
• If you experience a significant change in performance,
remove your processor and contact your clinician.
• Your processor and other parts of the system contain
complex electronic parts. These parts are durable but must
be treated with care.
• No modification of this equipment is allowed. Warranty
will be void if modified.
• If you experience tightness or pain at the implant site, or
develop significant skin irritation, stop using your sound
processor and contact your clinician.
• Do not apply continued pressure to the processor when in
contact with the skin (e.g. sleeping while lying on
processor, or using tight fitting headwear).
• Do not push the volume too high for comfort in case a
loud noise occurs nearby.
• If you need to adjust the volume often, or if adjusting
volume ever causes discomfort, consult your clinician.
• Do not place the processor or parts in any household
devices (e.g. microwave oven, dryer).
• Do not use a dry aid kit that has an Ultra Violet C (UVC)
lamp (e.g. do not use the Freedom™ Dry and Store).
• The magnetic attachment of your sound processor to your
implant may be affected by other magnetic sources.
• Store spare magnets safely and away from cards that may
have a magnetic strip (e.g. credit cards, bus tickets).
• Your device contains magnets that should be kept away
from life supporting devices (e.g. cardiac pacemakers and
ICDs (implantable cardioverter defibrillators) and magnetic
ventricular shunts), as the magnets may affect the
function of these devices. Keep your processor at least 15
cm (6 in) from such devices. Contact the manufacturer of
the specific device to find out more.
• Your sound processor and remote control radiate
electromagnetic energy that may interfere with life
supporting devices (e.g. cardiac pacemakers and ICDs).
Keep your processor and remote control at least 15 cm (6
in) from such devices. Contact the manufacturer of the
specific device to find out more.
• Do not place the device or accessories inside any part of
your body (e.g. nose, mouth).
46
KANSO™ SOUND PROCESSOR USER GUIDE
KANSO™ SOUND PROCESSOR USER GUIDE
47
WARNINGS
• Seek medical advice before entering any environment that
may adversely affect the operation of your Cochlear
implant, including areas protected by a warning notice
preventing entry by patients fitted with a pacemaker.
• Some types of digital mobile telephones (e.g. Global
System for Mobile communications (GSM) as used in
some countries), may interfere with the operation of your
external equipment. You may hear distorted sound when
close, 1-4 m (~3-12 ft), to a digital mobile telephone in
use.
• For Cochlear Nucleus cochlear implant recipients only, the
maximum diving depth is 40 m (~131 ft). Seek medical
advice before diving to ensure you do not have any
conditions that might make diving contraindicated (e.g.
middle ear infection). When wearing a mask, avoid
pressure over the implant site.
• Before activities that create electrostatic discharge (e.g.
playing on plastic slides), remove your processor. In rare
cases, discharge of static electricity can damage your
Cochlear implant’s electrical components or corrupt the
processor’s program. If static electricity is present (e.g.
when putting on clothes over your head, or getting out of
a car), before the Cochlear implant system touches any
object or person, you should touch something conductive
such as a metal door handle.
Batteries
• Use only Cochlear supplied or recommended 675 (PR44)
zinc air batteries for everyday use. Other batteries may
only be used with the Aqua+ for Kanso accessory (see its
user guide for details).
• Insert batteries in the correct orientation.
• Do not mix disposable batteries that differ by
manufacturer, brand, type, age or previous usage.
• Do not short-circuit batteries (e.g. do not let terminals of
batteries contact each other, do not place batteries loose
in pockets, etc.).
• If batteries are short-circuited the processor will not work
and its temperature can reach 42° C. Remove the
processor immediately and contact your clinician.
• Do not disassemble, deform, immerse in water or dispose
of batteries in fire.
• Store unused batteries in original packaging, in a clean and
dry place.
• When processor is not in use, remove the batteries and
store separately in a clean and dry place.
• Wipe batteries with a clean dry cloth if they become dirty.
• Do not expose batteries to heat (e.g. never leave batteries
in sunlight, behind a window or in a car).
• Do not use damaged or deformed batteries. If skin or eyes
come into contact with battery fluid or liquid, wash out
with water and seek medical attention immediately.
• Never put batteries in mouth. If swallowed, contact your
physician or local poison information service.
48
KANSO™ SOUND PROCESSOR USER GUIDE
Medical treatments
Magnetic resonance imaging (MRI)
MRI is contraindicated except under special
circumstances. Do not allow a patient with an
implant to be in a room where an MRI scanner is
located except under special circumstances.
Full MRI safety information is available at
www.cochlear.com/warnings or by calling your regional
Cochlear office (contact numbers available at the end of this
document).
If the patient is implanted with other implants, consult the
manufacturer’s instructions before performing MRI.
WARNINGS
KANSO™ SOUND PROCESSOR USER GUIDE
49
Medical treatments generating induced currents, heat and
vibration
Having a cochlear implant means extra care must be taken
when receiving some medical treatments. Before starting
medical treatment, the information in this section should be
discussed with the recipient’s physician.
The sound processor must be removed before starting any of
the medical treatments listed in this section.
Some medical treatments generate induced currents that
may cause tissue damage or permanent damage to the
implant. Before initiating any of the following treatments
deactivate the device.
Warnings for specific treatments are provided below.
CONDITION
WARNING
Diathermy
Do not use therapeutic or medical diathermy
(thermopenetration) using electromagnetic
radiation (magnetic induction coils or
microwave). High currents induced into the
electrode lead can cause tissue damage to the
cochlea/brainstem or permanent damage to the
implant. Medical diathermy using ultrasound
may be used below the head and neck.
Electroconvulsive
therapy
Do not use electroconvulsive therapy on an
implant patient under any circumstances.
Electroconvulsive therapy can cause tissue
damage or damage to the implant.
50
KANSO™ SOUND PROCESSOR USER GUIDE
WARNING
Electrosurgery
Electrosurgical instruments can induce radio
frequency currents that could flow through the
electrode.
Monopolar electrosurgical instruments must not
be used on the head or neck of an implant
patient as induced currents could cause damage
to cochlear/neural tissues or permanent damage
to the implant.
When using bipolar electrosurgical instruments
on the head and neck of a patient, the cautery
electrodes must not contact the implant and
should be kept more than 1 cm (½ in.) from the
electrodes.
Ionising radiation
therapy
Do not use ionizing radiation therapy directly
over the implant. It may cause damage to the
implant.
Neurostimulation
Do not use neurostimulation directly over the
implant. High currents induced into the electrode
lead can cause tissue damage to the cochlea/
brainstem or permanent damage to the implant.
Therapeutic
ultrasound
Do not use therapeutic levels of ultrasound
energy directly over the implant. It may
inadvertently concentrate the ultrasound field
and cause tissue damage or damage to the
implant.
KANSO™ SOUND PROCESSOR USER GUIDE
51
WARNINGS
CONDITION
Other information
Physical configuration
The processing unit comprises:
• Two omni-directional microphones for receiving sound.
• An internal telecoil for receiving magnetic fields radiated
by room loops.
• Custom analogue and digital integrated circuits with
digital signal processing (DSP) and bi-directional
wireless communication capabilities.
• A tri-colour visual indication of processor function or
problem.
• One button allowing user control of key features.
The batteries provide power to the processor, which transfers
energy and data to the implant.
Materials
• Processing unit: polyamide.
• Magnet casing is made of acrylonitrile butadiene styrene
(ABS).
Batteries
Check the battery manufacturer’s recommended operating
conditions for disposable batteries used in your processor.
52
KANSO™ SOUND PROCESSOR USER GUIDE
Wireless communication link
The remote control/remote assistant wireless communication
link operates in the 2.4 GHz ISM band using GFSK (Gaussian
frequency shift keying) on 5 channels. The link uses a
proprietary bi-directional communication protocol and
operates over a distance of up to 2 metres from the processor.
When interference is present, the wireless communication link
switches between the 5 channels to find a channel where the
interference least affects the operation of the link. The
remotes indicate via their displays when the processor is not
within operating distance, and when the link has been
interrupted due to interference (see the relevant remote user
guide for more information).
Environmental conditions
MINIMUM
MAXIMUM
Storage & transport temperature
-10°C (14°F)
+55°C (131°F)
Storage & transport humidity
0% RH
90% RH
Operating temperature
+5°C (41°F)
+40°C (104°F)
Operating relative humidity
0% RH
90% RH
Operating pressure
700 hPa
1060 hPa
Product dimensions (Typical values)
COMPONENT
LENGTH
WIDTH
DEPTH
Kanso processing unit
40.9 mm
35.2 mm
11.4 mm
KANSO™ SOUND PROCESSOR USER GUIDE
53
OTHER INFORMATION
CONDITION
Product weight (Typical values)
COMPONENT
WEIGHT
Kanso processing unit (no batteries or magnet)
8.3 g
Kanso processing unit (including 1M magnet)
11.6 g
Kanso processing unit (including 1M magnet
and two zinc air batteries)
13.8 g
Coil
CHARACTERISTIC
VALUE
Operating voltage
2.0 V
Operating frequency
5 MHz
Operating characteristics
CHARACTERISTIC
VALUE/RANGE
Sound input frequency range
100 Hz to 8 kHz
Wireless technology
Proprietary low power
bi-directional wireless link
RF frequency
2.4 GHz
Operating voltage
2.0 V to 3.1 V
Power consumption
20 mW to 60 mW
Button functions
Turn processor on and off, turn audio
sources on and off, change program
Remote communication range
Up to 2 m
Batteries
Two PR44 (zinc air) button cell
batteries, 1.45V (nominal) each
Cochlear recommends 675 zinc air
batteries designed for cochlear implant
use
54
KANSO™ SOUND PROCESSOR USER GUIDE
Electromagnetic compatiblity (EMC)
WARNING
Portable RF communications equipment (including peripherals
such as antenna cables and external antennas) should be used
no closer than 30 cm (12 in.) to any part of your Kanso Sound
Processor, including cables specified by the manufacturer.
Otherwise, degradation of the performance of this equipment
could result.
Interference may occur in the vicinity of equipment marked
with the following symbol:
Help protect the environment by not disposing of your sound
processor or batteries with your unsorted household waste.
Please recycle your sound processor according to your local
regulations.
Equipment classification
Your sound processor is internally powered equipment Type
B applied part as described in the international standard IEC
60601-1:2012, Medical Electrical Equipment – Part 1: General
Requirements for Basic Safety and Essential Performance.
KANSO™ SOUND PROCESSOR USER GUIDE
55
OTHER INFORMATION
Environmental protection
FCC (Federal Communications Commission)
and Canadian IC compliance
This device complies with part 15 of the FCC Rules and with
RSS-210 of Industry Canada. Operation is subject to the
following two conditions:
• This device may not cause harmful interference.
• This device must accept any interference received,
including interference that may cause undesired operation.
Changes or modifications made to this equipment not
expressly approved by Cochlear Limited may void the FCC
authorisation to operate this equipment.
This equipment has been tested and found to comply with the
limits for a Class B digital device, pursuant to Part 15 of the
FCC Rules. These limits are designed to provide reasonable
protection against harmful interference in a residential
installation.
56
KANSO™ SOUND PROCESSOR USER GUIDE
This equipment generates, uses and can radiate radio
frequency energy and, if not installed and used in accordance
with the instructions, may cause harmful interference to radio
communications. However, there is no guarantee that
interference will not occur in a particular installation.
If this equipment does cause harmful interference to radio or
television reception, which can be determined by turning the
equipment off and on, the user is encouraged to try to correct
the interference by one or more of the following measures:
KANSO™ SOUND PROCESSOR USER GUIDE
57
OTHER INFORMATION
• Reorient or relocate the receiving antenna.
• Increase the separation between the equipment and
receiver.
• Connect the equipment into an outlet or a circuit different
from that to which the receiver is connected.
• Consult the dealer or an experienced radio/TV technician
for help.
FCC ID: WTO-CP950
IC: 8039A-CP950
CAN ICES-3 (B)/NMB-3(B)
Radio compliance for Japan
This device is granted pursuant to the Japanese Radio Law
(
).
This device should not be modified (otherwise the granted
designation number will become invalid).
R 202-LSD 0 8 8
Radio compliance for Korea
1. Equipment name/model name:
2. Registration number: MSIP-CRM-COH-CP950
3. Company name: Cochlear Limited
4. Manufactured date: 2015
5. Manufacturer/Country of Origin:
Cochlear Limited/Australia
WARNING
This radio equipment has the possibility of radio interference
during operation.
This equipment is suitable for electromagnetic equipment for
home (Class B) and it can be used in all areas.
58
KANSO™ SOUND PROCESSOR USER GUIDE
Labelling symbols
The following symbols may appear on your processor or
remote components and/or packaging:
Refer to instruction manual
Specific warnings or precautions associated with the
device, which are not otherwise found on the label
Manufacturer
Model number
M/N
Authorised representative in the European Community
OTHER INFORMATION
Catalogue number
Serial number
Batch code
Date of manufacture
Use by date
Temperature limits

CE registration mark with notified body number
Radio compliance certification for Australia and New
Zealand
R 202-L S D 08 8
Radio compliance certification for Japan
KANSO™ SOUND PROCESSOR USER GUIDE
59
Radio compliance certification for Korea
By prescription
Recyclable material
Dispose of electrical components in accordance with your
local regulations
Type B applied part
Ingress Protection Rating
•
•
Protected against failure from dust penetration
Protected against failure from splashing with water
Privacy and the collection of personal
information
During the process of receiving a Cochlear device, personal
information about the user/recipient or their parent, guardian,
carer and hearing health professional will be collected for use
by Cochlear and others involved in care with regard to the
device.
For more information please read Cochlear’s Privacy Policy on
www.cochlear.com or request a copy from Cochlear at the
address nearest you.
Legal statement
The statements made in this guide are believed to be true and
correct as of the date of publication. However, specifications
are subject to change without notice.
© Cochlear Limited 2016
60
KANSO™ SOUND PROCESSOR USER GUIDE
Cochlear Ltd (ABN 96 002 618 073) 1 University Avenue, Macquarie University, NSW 2109, Australia
Tel: +61 2 9428 6555 Fax: +61 2 9428 6352
Cochlear Ltd (ABN 96 002 618 073) 14 Mars Road, Lane Cove, NSW 2066, Australia
Tel: +61 2 9428 6555 Fax: +61 2 9428 6352
Cochlear Americas 13059 E Peakview Avenue, Centennial, CO 80111, USA
Tel: +1 303 790 9010 Fax: +1 303 792 9025
Cochlear Canada Inc 2500-120 Adelaide Street West, Toronto, ON M5H 1T1, Canada
Tel: +1 416 972 5082 Fax: +1 416 972 5083
Cochlear AG EMEA Headquarters, Peter Merian-Weg 4, 4052 Basel, Switzerland
Tel: +41 61 205 8204 Fax: +41 61 205 8205
Cochlear Deutschland GmbH & Co. KG Karl-Wiechert-Allee 76A, 30625 Hannover, Germany
Tel: +49 511 542 770 Fax: +49 511 542 7770
Cochlear Europe Ltd 6 Dashwood Lang Road, Bourne Business Park, Addlestone, Surrey KT15 2HJ, United Kingdom
Tel: +44 1932 26 3400 Fax: +44 1932 26 3426
Cochlear Benelux NV Schaliënhoevedreef 20 i, B-2800 Mechelen, Belgium
Tel: +32 15 79 55 11 Fax: +32 15 79 55 70
Cochlear France S.A.S. 135 Route de Saint-Simon, 31100 Toulouse, France
Tel: +33 5 34 63 85 85 (International) or 0805 200 016 (National) Fax: +33 5 34 63 85 80
Cochlear Italia S.r.l. Via Larga 33, 40138 Bologna, Italy
Tel: +39 051 601 53 11 Fax: +39 051 39 20 62
Cochlear Nordic AB Konstruktionsvägen 14, 435 33 Mölnlycke, Sweden
Tel +46 31 335 14 61 Fax +46 31 335 14 60
Cochlear Tıbbi Cihazlar ve Sağlık Hizmetleri Ltd. Şti.
Çubuklu Mah. Boğaziçi Cad., Boğaziçi Plaza No: 6/1, Kavacık, TR-34805 Beykoz-Istanbul, Turkey
Tel: +90 216 538 5900 Fax: +90 216 538 5919
Cochlear (HK) Limited Room 1204, 12/F, CRE Building, No 303 Hennessy Road, Wanchai, Hong Kong SAR
Tel: +852 2530 5773 Fax: +852 2530 5183
Cochlear Korea Ltd 1st floor, Cheongwon building, 828-5, Yuksam dong, Kangnam gu, Seoul, Korea
Tel: +82 2 533 4663 Fax: +82 2 533 8408
Cochlear Medical Device (Beijing) Co., Ltd
Unit 2208 Gemdale Tower B, 91 Jianguo Road, Chaoyang District, Beijing 100022, P.R. China
Tel: +86 10 5909 7800 Fax: +86 10 5909 7900
Cochlear Medical Device Company India Pvt. Ltd.
Ground Floor, Platina Building, Plot No C-59, G-Block, Bandra Kurla Complex, Bandra (E), Mumbai – 400 051, India
Tel: +91 22 6112 1111 Fax: +91 22 6112 1100
(Nihon Cochlear Co Ltd)
〒113-0033 東京都文京区本郷2-3-7 お茶の水元町ビル
株式会社日本コクレア
Tel: +81 3 3817 0241 Fax: +81 3 3817 0245
Cochlear Middle East FZ-LLC
Dubai Healthcare City, Al Razi Building 64, Block A, Ground Floor, Offices IR1 and IR2, Dubai, United Arab Emirates
Tel: +971 4 818 4400 Fax: +971 4 361 8925
Cochlear Latinoamérica S.A.
International Business Park, Building 3835, Office 103, Panama Pacifico, Panama
Tel: +507 830 6220 Fax: +507 830 6218
Cochlear NZ Limited
Level 4, Takapuna Towers, 19-21 Como St, Takapuna, Auckland 0622, New Zealand
Tel: + 64 9 914 1983 Fax: +61 2 8002 2800
www.cochlear.com
ACE, Advance Off-Stylet, AOS, AutoNRT, Autosensitivity, Beam, Button, Carina, Cochlear,
コクレア, Codacs, Contour, Contour Advance, Custom Sound, ESPrit, Freedom,
Hear now. And always, Hybrid, inHear, Invisible Hearing, Kanso, MET, MP3000, myCochlear,
NRT, Nucleus, 科利耳, Off-Stylet, SmartSound, Softip, SoftWear, SPrint, the elliptical logo
and Whisper are either trademarks or registered trademarks of Cochlear Limited. Ardium,
Baha, Baha Divino, Baha Intenso, Baha PureSound, Baha SoftWear, BCDrive, DermaLock,
Vistafix and WindShield are either trademarks or registered trademarks of Cochlear Bone
Anchored Solutions AB. Bluetooth is a registered trademark of Bluetooth SIG.
© Cochlear Limited 2016
D748438 ISS1 APR16