Clarion Platinum Sound Processor User guide

Clarion Platinum Sound Processor User guide
FM Solutions for Cochlear Implants
Including Dynamic FM!
2
Table of Contents
  4
Dynamic FM
30
FAQ
  5
Dynamic FM Transmitters
31
Programming a receiver with FM SuccessWare
 6
FM receivers
32
Programming options
  6
MLxi/MLxi Baha
32
Programming interfaces
  7
MicroMLxS
32
Programming MLxi
  8–9
MicroLink CI S
33
Changing the default channel
  9
MicroLink Freedom
33
Changing the FM gain or other settings
10
MyLink+
34–35 Notes
11
MyLink
12
Choose the right FM receiver for your cochlear implant
or Baha sound processor
12
Miscellaneous
13
Fitting guidelines
13–14 Introduction
15 Cochlear Nucleus® Freedom BTE
16
Cochlear Nucleus® Freedom Bodyworn
17
Cochlear ESPrit 3G
18
Cochlear ESPrit / ESPrit 22
19
Cochlear SPrint / Spectra 22
20
Advanced Bionics Auria / Harmony
21
Advanced Bionics Platinium BTE / CII BTE
22
Advanced Bionics PSP / Clarion S-Series / Clarion 1.2
23
MED-EL OPUS2
24
MED-EL DUET1 / DUET2 / OPUS1 / TEMPO+
25
MED-EL OPUS1 / OPUS2 / TEMPO+
26
Neurelec Digi SP and Digisonic BTE
27
Neurelec Digi SP’K
28
Cochlear Baha® BP100
29
Cochlear Baha® Divino / Baha® Intenso / Baha® Compact
3
FM: a must for every cochlear implant
Phonak’s FM systems improve the signal–to-noise ratio and
thus the user’s ability to understand speech in noise. Three
major factors that influence the signal-to-noise ratio and the
quality of the speech signal are: background noise, reverberation, and distance. By delivering the signal of interest via
FM (radio waves), the strength and quality of the sound remains constant across the distance from the speaker to the
hearing impaired individual. FM systems consist of a transmitter with a microphone, and a receiver, which picks up the
signal via radio waves directly from the transmitter.
Cochlear implant recipients experience similar difficulties to
hearing instrument users in challenging environments. It is
well documented that improving the signal-to-noise ratio
(SNR) for cochlear implant recipients through the use of an
FM system significantly improves speech recognition in the
presence of background noise. In recent years Phonak has
developed the most extensive FM product portfolio on the
market. Phonak’s Dynamic FM products boost speech
intelligibility to levels never seen before. Recent scientific
­research clearly indicates that Dynamic FM also brings these
benefits to CI recipients.1
Well over 60 % of all children with a cochlear implant use­
an FM system. A rapidly increasing number of adults also
benefit from an FM system used in combination with their
cochlear implant. This practical fitting guide helps you set-up
the FM system for speech processors of the various brands
of cochlear implants and Baha’s. A very useful online tool is
the FM Configurator (www.phonak.com/fm_configurator),
where you will also find the latest set-up tips.
FM is not a luxury for CI recipients, but increasingly a
necessity. At a fraction of the cost of the CI, an FM system
offers an incredible performance enhancement. We­
encou­rage you to systematically fit FM systems to all children
and adults with cochlear implants. Candidates should ­ideally
be informed about FM systems prior to implantation. We
would also love to hear about your experiences. At Phonak we
continue to strive to offer cochlear implant recipients
the best FM systems possible, including their full service and
support throughout the world.
1
E valuation of Speech Recognition in Noise with Cochlear Implants and Dynamic FM. Jace
Wolfe, Erin C. Schafer, Benjamin Heldner, Hans E. Mülder, Emily Ward, Brandon Vincent. JAAA,
Volume 20, Number 7, 2009.
4
Dynamic FM
Dynamic FM is Phonak’s latest and most advanced FM
­platform. It has completely reshaped the face of FM technology.
Dynamic FM systems are not merely pieces of hardware
transmitting sound from one place to another. They are
masterpieces of wireless technology, capable of adapting
themselves continuously to the actual surroundings. The
most important feature of Dynamic FM is its adaptive FM
advantage. It adjusts the gain of the FM receiver, depending
on the ambient noise. The result is an incredible improvement
in speech understanding, which in noisy conditions reaches
of dozens percentage points (see picture below). Other
­features are equally impressive, such as MultiTalker Network,
which allows up to 10 transmitters (inspiro or DynaMic)
to form an ad hoc network in a classroom, ensuring that
everybody can speak and everybody can hear. DataLogging
FM meanwhile provides audiologists with a comprehensive
insight into the daily usage patterns of a Dynamic FM system
in school, which can lead to better counseling of teachers and
parents.
Today Phonak offers 5 different Dynamic FM transmitters:
inspiro, DynaMic, SmartLink+, ZoomLink+ and EasyLink+.
inspiro and DynaMic are the optimal transmitters for school
environment. On the one hand these products are full of
­cutting edge technology; on the other they are also very easy
to use and robust enough to withstand heavy school use.
Individual customization is child’s play, while customers also
benefit from ongoing developments at Phonak as new
­features can be obtained free of charge via optional firmware
upgrades over the internet.
The SmartLink+, ZoomLink+ and EasyLink+ are Phonak’s
trans­mitters of choice for teenagers and adults. SmartLink+
with Bluetooth connectivity for cellphone usage and­
three different microphone modes, is our flagship adult
transmitter. The versatile ZoomLink+ and simple, effective
EasyLink+ complete this comprehensive product portfolio.
Average speech recognition at quiet and in noise at four different noise level using Classic FM and Dynamic FM
100
  90
Dynamic FM
Classic FM
Correct speech recognition [%]
  80
  70
  60
  50
  40
  30
  20
  10
   0
DSE On
Quiet
DSE On
DSE Off
55 dB Noise
DSE On
DSE Off
DSE On
65 dB Noise
DSE Off
70 dB Noise
DSE On
DSE Off
75 dB Noise
Noise level [dB SPL]
Speech recognition in noise for recipients of Advanced Bionics Corporation implants, Cochlear i­mplants and MED-EL implants,
at four different noise levels using Classic FM and Dynamic FM (combined results from Wolfe et al. 2009 and Goldbeck et al 2009)
5
Dynamic FM Transmitters
inspiro is the Dynamic FM transmitter that is ideally suited to
the needs of both regular and special school teachers.
inspiro’s award-winning design, comfortable form factor
and easy-to-read color display make using this transmitter a
cinch, plus it features programmable soft keys, an alarm
clock, a wide range of housing options and many more
features designed to help teachers enjoy the performance
benefits of Dynamic FM without technical know-how.
inspiro is fully backward compatible with Phonak’s Classic FM
receivers.
SmartLink+
This sleek and easy-to-use Dynamic FM transmitter is the
ultimate wireless microphone. Designed for users who
demand nothing but the best, SmartLink+ features Bluetooth
connectivity for effective mobile phone and MP3 player use,
a hearing instrument remote control, three intelligent
microphone beam settings (SuperZoom, Zoom and Omni) and
Phonak’s SoftLanding technology, ensuring that the user
doesn’t hear a distracting bang when the transmitter is placed
on a hard surface. A useful audio input also allows users to
plug in and enjoy TV, PC and other media devices wirelessly.
ZoomLink+
This versatile Dynamic FM wireless microphone enables
better hearing and understanding across a wide range of
situations – from family gatherings and parties to
restaurants, shopping malls and classrooms. It features
adaptive FM advantage (AFMA) technology for listening in
noisy environments, three microphone beam settings, Phonak’s
exclusive SoftLanding technology, an audio input for wireless
multimedia use, and a quick-charging battery.
DynaMic
Designed to enable receiver wearers to enjoy any classroom
discussion, DynaMic is a durable handheld microphone that
incorporates Dynamic FM transmitter technology. It is supplied
with a sturdy desk stand. DynaMic has been designed
exclusively for MultiTalker Network use with inspiro.
EasyLink+
Ultra-simple to understand and use, the EasyLink+ is an
effective, single-button Dynamic FM microphone that is
suitable for users of every age. With just one press for On/Off
switching and a fixed microphone beam setting, EasyLink+
offers the crystal-clear performance benefits of Dynamic FM
such as adaptive FM advantage (AFMA) technology, in
addition to Phonak’s protective SoftLanding technology, the
ability to plug into a multimedia system for effective wireless
listening, and super-quick battery charging.
6
FM receivers
MLxi / MLxi Baha
The MLxi / MLxi Baha is a universal Dynamic
FM receiver.
Overview
Connector
If no FM SuccessWare is available for programming the MLxi
you may experience:
ƒƒ Hearing a strong tone burst on startup
ƒƒ Freedom BW and 3G speech processor having incorrect
FM levels
ƒƒ Harmony / Auria and Freedom Bodyworn showing incorrect
Monitoring results
On the following processors AutoConnect works fine:
ƒƒ MED-El OPUS2
ƒƒ All speech processor using MicroLink CI S.
Please refer to page 32 to learn how to program the MLxi for
a specific processor.
Push Button
MLxi
MLxi Baha
Frequency Management
MLxi/MLxi Baha is a multichannel receiver and can be
­synchronized to any desired channel by the synchronization
feature of the transmitter or by the WallPilot. As default, MLxi
comes with a pre-programmed default channel. Every time
the system is turned On, it will come on to this default ­channel.
The default channel can be changed by FM SuccessWare if
required. It is also possible to change the startup behavior of
MLxi / MLxi Baha to “use last used channel”. If this option is
chosen, MLxi / MLxi Baha will start up on the last channel used.
AutoConnect and Fitting with FM SuccessWare
AutoConnect is a feature of MLxi. This feature measures very
precisely the impedance of the audio input and automatically
sets the output to match that of the input. Due to the higher
input impedance range of cochlear implants, AutoConnect
may not find the correct matching parameters. Because of
this, it is recommended to program the MLxi. Programming
of the MLxi for the specific processor will disable the
AutoConnect feature and the output parameters of MLxi
match the impedance of the selected processor and no
­additional FM gain is required.
Monitoring
MLxi / MLxi Baha is able to communicate with the inspiro
Dynamic FM transmitter. When running the Monitoring option
of inspiro, data from the receiver such as battery status and
actual channel can be obtained. Range of the communication
link is usually 20 cm. Due to the strong magnetic field of the
cochlear implant coil, the distance may be lower.
Connector
MLxi features a universal euro connector which ensures
compatibility to virtually all behind the ear (BTE) hearing
instruments and CI systems.
MLxi Baha features a smaller 3-Pin connector which is
compatible to most Baha sound processors.
Push Button
The push button of MLxi is by default disabled and has no
function. Activation of the push button can be carried out by
FM SuccessWare or by an inspiro Dynamic FM transmitter.
The enabled push button then operates as an On / Off switch.
For some speech processors, enabling the push button may
have further functions. Please read the corresponding notes
in the Fitting Guidelines section.
7
MicroMLxS
The MicroMLxS is an universal
Classic FM receiver.
Connector
MLxi features an universal euro connector, which ensures
compatibility with virtually all behind the ear (BTE) hearing
instruments and CI systems.
Overview
Connector
Switch
Three positions can be selected On the switch:
Switch
MicroMLxS
Frequency Management
MicroMLxS is a multichannel receiver and can be synchronized
to any desired channel by the synchronization feature of the
transmitter or by the WallPilot. MicroMLxS comes with a
­pre-programmed default channel. Every time the system is
turned On, it will come on to this default channel. The default
channel can be changed by the FM SuccessWare if necessary.
FM advantage
The MicroMLxS comes with an internal gain setting of 10 dB.
With most hearing systems, this provides an optimal loudness,
or “FM advantage” for the FM signal over environmental
­inputs. In some cases, with hearing instruments and cochlear
implants, this internal gain needs to be adjusted. This change
can be made with the FM SuccessWare.
OFF
Low impedance output
High impedance output
The switch can be set to the two green dot position for most
processors. Please refer to the detailed Fitting Guidelines to
find out the recommended switch position for your speech
processor.
8
MicroLink CI S
The MicroLink CI S is an interface to connect
a universal FM receiver, such as MLxi or
MicroMLxS, to a variety of speech processors
Overview
Battery compartment (size 13 battery
must be inserted “+” side down)
Audio output
Off patch
cable
Gain control
MLxi receiver
On/Off Switch
(1=On, 0 =Off)
MicroLink CI S with gain wheel
Connection to
CI Speech Processor
Gain Control
The MicroLink CI S interface has a screw-set or wheel gain
control. It is recommended that the gain is set to the minimum
position for the initial system hookup. Gain can be increased
by rotating the control in the clockwise direction. Once the
receiver is plugged into the speech processor, some adjustment
of the MicroLink CI S gain and/or the cochlear implant speech
processor may be required. Speech testing in quiet using the
FM transmitter only should yield similar results as the same
test presented through the CI processor microphone. If results
are poorer through the FM systems, it may be necessary to
increase FM level with the gain control on the side of the
MicroLink CI S interface. Retest until the input level of the FM
signal is optimized for speech discrimination. If this level is
exceeded the patient may begin to experience some distortion
and performance will deteriorate.
For children the screw-set may be preferred, so that gain can
be set without concern that the control will be changed
­inadvertently. Adults may prefer to have the volume control
wheel for adjustment in different environments.
max.
max.
min.
min.
MicroLink CI S with screw set volume control (childproof)
9
Patch Cables
To achieve the predicted performance with your MicroLink CI S and
cochlear implant, the correct patch cable must be connected. Please use
the following list to select the correct cable.
Blue long
MicroLink Freedom
The MicroLink Freedom is a design-integrated
Classic FM receiver for the Cochlear
Nucleus Freedom BTE speech processor
Cochlear ESPrit BTE
Overview
White
MED-EL TEMPO+/ OPUS1
(remote battery pack)
56k
Battery rack
Red
MED-EL TEMPO+/ OPUS1/
DUET1/ DUET2
(angled battery pack)
22k
4 1
3 2
MICROTRONIC
CS44-plug
Blue-Red Long
22k
Cochlear SPrint
Blue-Red Short
Black
Blue Short
Connector
Advanced Bionics Platinum
BTE
Advanced Bionics CII BTE
Orange
1: shield
2: white
3: black
4: red
Cochlear Spectra 22
(SN > 340.000)
Advanced Bionics PSP
(Platinum bodyworn)
Advanced Bionics Clarion
1.2
Cochlear Spectra 22
(SN < 340.000)
Advanced Bionics Clarion
S-Series
220k
1nF
22k
Frequency Management
The MicroLink Freedom is a multichannel receiver and can be
synchronized to any desired channel by the synchronization
feature of the transmitter or by the WallPilot. The MicroLink
Freedom comes with a preprogrammed default channel.
Every time the system is turned On, it will come on to this
default channel. The default channel can be changed by the
FM SuccessWare if necessary.
FM advantage
The MicroLink comes with an internal gain setting of 16 dB.
For most users, this provides an optimal signal quality for the
FM signal over environmental inputs. In exeptional cases, this
internal gain needs to be adjusted. This gain change can be
made with the FM SuccsessWare. The FM advantage is not
affected by this gain setting of the MicroLink Freedom but can
be adjusted in the speech processor by changing the audio
mixing ratio.
10
MyLink+
The MyLink+ is a Dynamic FM receiver and
can be used with cochlear implants featuring
a T-coil
Overview
Neck loop
Status LED
Volume control
On/Off switch
Charger plug
Frequency Management
MyLink+ is a multichannel Dynamic FM and can be synchronized to any desired channel by the synchronization feature
of the transmitter or by the WallPilot. MyLink+ comes with a
pre-programmed default channel. Every time the system is
turned On, it will come on to this default channel. The default
channel can be changed by FM SuccessWare if required. It is
also possible to change the startup behavior of MyLink+ to
“use last used channel”. If this option is chosen, MyLink+ will
start up on the channel used before switching Off.
Using T-coil
Activate your T-coil program in your processor to receive the
FM signal from MyLink+. Some speech processors offer a T
only program. In that case no environmental cues are passed
on by the speech processor microphones.
Volume control
The up/down volume control makes it easy to adjust the FM
level to the most comfortable level. It is recommended to­­
set the volume to the minimum the first time the system is
switched On. After activating the whole system, the volume
can be increased gradually with the “+” button until the right
FM volume is achieved. Any change in volume setting is­
stored and the MyLink+ resumes at the latest used volume
setting when switching Off and On again.
Monitoring
The MyLink+ is able to communicate with the inspiro­
Dynamic FM transmitter. When running the Monitoring­
option of inspiro, data from the receiver such as its serial
number and actual channel can be obtained. The range of the
communication link is about 20 cm.
Special note
The orientation of the T-coil in the speech processor, and
­interferences from electrical appliances nearby, may compromise the excellent sound quality of MyLink+.
11
MyLink
The MyLink is a Classic FM receiver and can
be used with cochlear implants featuring
a T-coil
Overview
Neck loop
Status LED
Volume control
On/Off switch
Charger plug
Frequency Management
MyLink is a multichannel FM receiver and can be synchronized
to any desired channel by the synchronization feature of
the transmitter or by the WallPilot. MyLink comes with a
­pre-programmed default channel. Every time the system is
turned On, it will come on to this default channel. The default
channel can be changed by FM SuccessWare if required.
Using T-coil
Activate your T-coil program in your processor to receive the
FM signal from MyLink. Some speech processors offer a T only
program. In that case no environmental cues are passed on
by the speech processor microphones.
Volume control
The up / down volume control makes it easy to adjust the FM
level to the most comfortable level. It is recommended to­
set the volume to the minimum the first time the system is
switched On. After activating the whole system, the volume
can be increased gradually with the “+” button until the right
FM volume is achieved. Any change in volume setting is
stored and the MyLink resumes at the latest used volume
setting when switching Off and On again.
Special note
The orientation of the T-coil in the speech processor,
and interferences from electrical appliances nearby may
compromise the excellent sound quality of MyLink.
12
Choose the right FM receiver for your
cochlear implant or Baha sound processor
Cochlear Implant / Baha Model
MLxi
MicroMLxS
MicroLink
Freedom
MicroLink CI S
with MLxi
or MicroMLxS
MyLink+
MyLink
Advanced Bionics Harmony
Auria
Clarion CII BTE
Platinum BTE
Platinum (PSP) bodyworn
Clarion S-Serie
Clarion 1.2
Cochlear
Nucleus® FreedomTM BTE
Nucleus® FreedomTM bodyworn controller
ESPrit 3G BTE
ESPrit / SPrint / Spectra
Cochlear Baha®
Baha® BP100
( )*
Baha® Divino
Baha® Intenso
Baha® Compact
MED-EL
OPUS2
DUET2
TEMPO+/ OPUS1 / DUET1
Neurelec
digisonic Digi SP ’K, bodyworn
digisonic Digi SP BTE
* With external Telecoil
Miscellaneous
Headset checker
MicroLink Freedom test adaptor
Headset with a Euro plug to
plug in any universal receiver
Adaptor for MicroLink Freedom
with Euro jack
MLxi Baha test adaptor
Adaptor for MLxi Baha with Euro jack
( )*
MLxi Baha
13
Fitting guidelines
Introduction
Successful application of an FM system with cochlear implants
depends on several clinical-adjustable parameters. In the
receiver, the FM gain may influence speech recognition.
Within the speech processor, the input dynamic range (IDR),
microphone sensitivity and audio mixing ratio may affect
performance. Recent studies have evaluated the best settings
for optimal FM performance.
With Dynamic FM, the need for adjusting processor ­parameters
in noise should be negligible. Even in very noisy situations,
there should be no need for a different mixing ratio since the
FM gain is up to 14 dB higher than in quiet. If, however, in
some special situations FM only is required, please follow the
guidelines below.
Using Dynamic FM (MLxi receiver and
Dynamic FM transmitter)
Using Classic FM
Since the Dynamic FM system adjusts the FM gain according
to the surrounding noise, one setting can be applied which is
beneficial in both calm and noisy situations. It is recommended
that the MLxi is pre-programmed for the specific processor
type in order to be sure FM levels are appropriate. Please refer
to the section “AutoConnect” on page 6 for more information.
On most speech processors no special steps have to be taken
to achieve maximum Dynamic FM benefit! The only exceptions
are speech processors from Cochlear Corp. For Cochlear
speech processors it is strongly recommended to activate the
auto sensitivity control (ASC) in the FM specific program.
Please see the overall recommended processor setting in the
table below:
Brand
Cochlear
Audio
mixing ratio
1:1
Advanced
Bionics
50/50
The next table shows what can be done to improve listening
in noise.
Cochlear
Additional remarks
Employ mapping from normal
listening program without FM.
Enable ASC for the FM program.
Divino, Intenso, Compact: Turn
AGCO as high as it is tolerable
for the patient. A maximum
AGCO is to be preferred.
Cochlear Baha®
When using a Classic FM system, speech understanding in
noise may be poorer than with Dynamic FM since the
receiver does not automatically adjust the gain. Programming
a high gain value in the MicroMLxS is not the solution, as
it may be perceived as too loud and distorted in quiet
environments.
As a solution, a different audio mixing ratio for the FM
program may be selected or the microphone sensitivity may
need to be altered depending on the listening situation and
the processor type.
Employ mapping from normal
listening program without FM.
MED-EL
Employ mapping from normal
listening program without FM.
Neurelec
Employ mapping from normal
listening program without FM.
Enabling ASC will already show significant better speech
understand in noise. If this is not enough,
an audio mixing ratio of 2:1 or 3:1 may be considered.
Program the FM gain of the receiver as high as it is
tolerable by the CI user. The +14 gain setting is recomAdvanced
mended (Schafer et al, 2008). If listening performance
Bionics
in noise is still poor, an audio mixing ratio of 30/70 may
be considered.
MED-EL
DUET1/ OPUS1/ TEMPO+: Reduce microphone sensitivity
Neurelec
May change the mixing ratio. For Digi SP and Digisonic
BTE, the sensitivity potentiometer remains accessible to
optimize hearing performance while using the FM system.
Note that when a 30/70 or 1:3 audio mixing ratio is employed,
input to the processor microphone is attenuated by 10 dB.
Therefore, when FM is not in use, the listener should return
to an equivalent (e. g. 1:1 or 50/50) audio mixing ratio to
avoid listening with an attenuated processor microphone.
14
Achieving FM only
In some cases, adults prefer an FM only setting to focus on
the primary signal delivered over the FM channel.
The table below shows how to achieve FM only.
Cochlear Corp
Select the highest possible mixing ratio or reduce
the microphone sensitivity to 1.
BP100: Select the optional DAI program
Cochlear Baha® Divino, Intenso, Compact: move switch of
MicroMLxS to one dot.
Advanced
Bionics
Select AUX only audio mixing setting
MED-EL
MED-EL processors are DPAI no hearing instruments.
MIX or EXT mode is controlled by the impedance of
the connected device or cable.
OPUS2: the switch of MicroMLxS shall be moved
to one green dot.
TEMPO+, OPUS1, DUET1: turn sensitivity control to
Off (turned Counter-clockwise past 11:00 position
until click is felt).
DUET2: Use the MicroLink CI S patch cable for EXT
use only.
When using remote battery back, set the EXT/MIX
switch to EXT.
Neurelec
Digi SP and Digisonic BTE: reduce microphone
sensitivity Digi SP’K: change audio mixing ratio.
Evaluating an individual setting
In any case, the ideal parameter setting varies from user to
user. As a starting point, the recommended settings should
be used. The FM benefit should then be evaluated through
speech-recognition assessment in the clinic, as well as
questionnaires filled out by the recipient, family members and
teachers.
15
Cochlear Nucleus® Freedom BTE
8. When FM is not in use, press both sides of the increase/
decrease button to toggle back to M only. This will resume
normal processor microphone function. To re-engage the
FM, toggle with the button until “EA” flashes on the display
and the M remains active.
9. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
1
Recommendations
To avoid interference, the following channels are recommended to be used with the MicroLink Freedom
2
N Band:N09, N12, N13, N16, N17, N18, N52, N57, N61, N62,
N64, N65, N68, N73, N76
H Band:H06, H07, H16, H17, H18, H19, H20, H47, H48, H57,
H59, H77, H78, H79, H85, H86, H87, H88, H89, H90
3
List of required parts
1 Nucleus Freedom speech processor
2 Nucleus Freedom standard size controller
3 MicroLink Freedom
Pre-Fitting
ƒƒ Enable the auto sensitivity control (ASC) and use an audio
mixing ratio of 1:1 for the dedicated FM program. Keep
the same pre-processing strategies (e. g. ADRO or BEAM)
as used in the default program.
Fitting with the user
1. Turn all equipment Off.
2. Remove the Freedom battery rack by pulling it out of the
controller.
3. Insert three 675 batteries designed for use with cochlear
implants into the MicroLink Freedom battery rack.
4. Plug the MicroLink Freedom into the controller.
5. Press the select button to power up the speech processor.
6. The Freedom processor will automatically detect the
presence of the MicroLink Freedom. The recipient will hear
the environment through the processor microphone and
the FM combined.
7. Test the patient’s speech recognition in quiet at normal
sensitivity with the CI alone and then through the wireless
FM system only (out of range of the processor microphone). Performance should be similar between these two
conditions.
The MicroLink Freedom can be programmed with the FM
SuccessWare. Insert the Freedom BTE processor with the
MicroLink Freedom attached into the FM programming
interface. Make sure the processor has good batteries and an
FM (EA) program is selected. Instead of inserting the MicroLink
Freedom into the BTE speech processor, programming can also
be carried out with the MicroLink Freedom test adaptor.
Listening check
ƒƒ Attach the Cochlear monitoring headphones to the
receptacle in the bottom of the MicroLink Freedom.
Turn the system On by pressing the select button on the
Nucleus Freedom. Ensure that the MicroLink Freedom
is plugged into the speech processor and EA is displayed.
Now you can listen for about one minute to both, the
processor microphone and the FM signal when speaking
into the FM transmitter. The signal quality of the
monitoring phones or through the test adaptor does not
reflect the sound experienced by the implant user.
ƒƒ Insert three batteries into the MicroLink Freedom and
plug it into the MicroLink Freedom test adaptor. Plug the
test adaptor into the headset checker (see page 12).
Turn On the headset checker and FM transmitter and you
should hear the FM signal.
The audio frequency response experienced this way is different
for the MicroLink Freedom compared to e.g. MLxi. This is
perfectly normal and does not interfere with proper functioning. The microphone input through the socket at the
bottom of MicroLink Freedom is disabled.
16
Cochlear Nucleus® Freedom Bodyworn
3
1
2
4
List of required parts
1 Nucleus Freedom speech processor
2 MLxi or MicroMLxS
3 Bodyworn controller
4 Bodyworn FM cable
Pre-Fitting
ƒƒ Enable auto sensitivity control (ASC) and use an audio
mixing ratio of 1:1 for the dedicated FM program. Keep
the pre-processing e.g. ADRO strategy when used in the
default program.
ƒƒ When using MLxi, it should be programmed for the
Cochlear Freedom Bodyworn (see page 32).
Fitting with the user
1. Turn all equipment Off.
2. If you haven’t already done so, remove the ear level
controller by twisting it from the processor.
3. Twist on the body worn FM cable. Plug the cable into the
proper receptacle on the body worn controller. Attach the
FM receiver to the ear level end of the FM cable. If you are
using MicroMLxS, move the switch to the double green dot
position.
4. Turn the body worn controller On by pressing and holding
the select button. Ensure that an “X” appears in the upper
right corner of the display. If not, press and hold the up
and down button at the same time until “EA” flashes and
an “X” appears in the display.
5. Test the patient’s speech recognition in quiet at normal
sensitivity with the CI alone and then through the wireless
FM system only (out of range of the processor microphone).
Performance should be similar between these two conditions. If the FM is too loud or too soft, the FM programming
software from Phonak may be required to optimize the FM
volume level.
6. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Recommendations
To avoid interference, the following channels are recommended
to be used with the MicroLink Freedom
N Band:N09, N12, N13, N16, N17, N18, N52, N57, N61, N62,
N64, N65, N68, N73, N76
H Band:H06, H07, H16, H17, H18, H19, H20, H47, H48, H57,
H59, H77, H78, H79, H85, H86, H87, H88, H89, H90
Listening check
ƒƒ Attach the Cochlear monitoring headphones to the
receptacle next to the FM receiver. Turn the system On by
pressing on the select button. Ensure that “X” is displayed
on the body worn controller. Now you can listen to both,
the processor microphone and the FM signal when
speaking into the FM transmitter. After about one minute
the headphones disable themselves. Note that the signal
quality of the monitoring phones or through the test
adaptor does not necessarily reflect the sound experienced
by the implant user.
ƒƒ Plug the MLxi or MicroMLxS into the headset checker (see
page 12). Turn On the headset checker and FM transmitter.
ƒƒ Plug the MLxi or MicroMLxS into an audioshoe attached
to a hearing instrument. Turn On the hearing instrument
and switch it to the FM program if required.
17
Cochlear ESPrit 3G
1
2
3
List of required parts
1 ESPrit 3G speech processor
2 FM 3G adapter
3 MLxi or MicroMLxS
Pre-Fitting
ƒƒ Enable auto sensitivity control (ASC) and use an audio
mixing ratio of 1:1 for the dedicated FM program. Keep
the pre-processing e.g. ADRO strategy when used in the
default program.
ƒƒ It is recommended that the monitoring earphones are
disabled in P1 to conserve power for the FM system.
Failure to do this may result in intermittency for CI of FM.
The headphones may still be used in P2.
ƒƒ When using MLxi, it should be programmed for the
Cochlear ESPrit 3G (see page 32).
Fitting with the user
1. Turn all equipment Off.
2. Set the switch at the bottom of the 3G to the “M” position.
3. Plug in the FM 3G adaptor into the socket at the bottom
of the 3G.
4. Move the switch On the FM 3G adaptor to position
“FM+M”.
5. Attach the receiver to the FM 3G adaptor. If MicroMLxS is
used, move the switch to the double green dot position.
6.
7.
8.
Switch the speech processor into program 1 (P1 on the dial).
a. For children: disable sensitivity control
b. For adults: enable sensitivity control to achieve FM only
Now turn the FM transmitter On.
Test the patient’s speech recognition in quiet at normal
sensitivity with the CI alone and then through the wireless
FM system only (out of range of the processor microphone).
Performance should be similar between these two conditions. If the FM is too loud or too soft, the FM programming
software from Phonak may be required to optimize the
FM volume level.
9. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Listening check
ƒƒ Attach the Cochlear monitoring headphones to the
receptacle at the side of the FM 3G adaptor. Typically P2
is designated for the monitoring headphones and allows
you to listen to both, the processor microphones and the
FM signal. If you do not hear anything when using the
monitoring phones turn the processor Off and On to P2
and try again. Note that the headphone cable may pick
up some interference and therefore may be noisier than
the actual input to the recipient.
ƒƒ Plug the MLxi or MicroMLxS into the headset checker
(see page 12). Turn On the headset checker and FM
transmitter and you should hear the FM signal.
ƒƒ Plug the MLxi or MicroMLxS into an audioshoe attached
to a hearing instrument. Turn On the hearing instrument
and switch it to the FM program if required.
18
Cochlear ESPrit / ESPrit 22
3
4
5
1
2
6
List of required parts
1 ESPrit speech processor
2 ESPrit audio cover
3 Accessory adaptor cable
4 Blue long cable
5 MicroLink CI S
6 MLxi or MicroMLxS
Pre-Fitting
ƒƒ Enable auto sensitivity control (ASC) and use an audio
mixing ratio of 1:1 for the dedicated FM program. Keep
the pre-processing e.g. ADRO strategy when used in the
default program.
Fitting with the user
1. Turn all equipment Off.
2. Attach the ESPrit audio cover to the processor.
3. Attach the accessories adaptor cable to the audio cover.
4. Connect the blue long cable to the accessories adaptor
cable and to the MicroLink CI S.
5. Plug the FM receiver into the MicroLink CI S. If
MicroMLxS is used, move the switch to the double green
dot position.
6. Turn the volume of the MicroLink CI S to the minimum.
7. To avoid transient sounds, turn On the FM transmitter,
then MicroLink CI S, then speech processor in that order.
8. Gradually increase the gain of the MicroLink CI S to a
comfortable level.
9. Determine speech recognition ability in quiet at normal
sensitivity with the FM signal. Ensure that results are
similar to implant alone condition. MicroLink CI S gain may
need further adjustments.
10. Evaluate FM benefit as well as the appropriateness of FM
settings trough speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Listening check
ƒƒ The best way to listen to the FM signal is to plug the
MicroLink CI S with the blue, blue red, black or white
patch cable into a loudspeaker. Make sure there is a good
battery inside the MicroLink CI S. Then turn On the
MicroLink CI S and FM transmitter. By speaking into the
transmitter’s microphone you should hear your voice
through the speaker.
19
Cochlear SPrint / Spectra 22
2
1
3
4
Note: Picture shows SPrint
List of required parts
Spectra 22,
SN > 340.000
Spectra 22,
SN < 340.000
1 MLxi or MicroMLxS
MLxi or MicroMLxS
MLxi or MicroMLxS
2 Orange cable
Orange cable
Blue short cable
3 MicroLink CI S
MicroLink CI S
MicroLink CI S
4 SPrint processor
Spectra 22 processor Spectra 22 processor
SPrint
Pre-Fitting
ƒƒ Enable auto sensitivity control (ASC) and use an audio
mixing ratio of 1:1 for the dedicated FM program. Keep
the pre-processing e.g. ADRO strategy when used in the
default program.
Fitting with the user
1. Turn all equipment Off.
2. Connect the specific patch cable into the speech processor
and the MicroLink CI S.
3. Plug the FM receiver into the MicroLink CI S. If
MicroMLxS is used, move the switch to the double green
dot position.
4. Turn the volume of the MicroLink CI S to the minimum.
5. To avoid transient sounds, turn On the FM transmitter,
then MicroLink CI S, then speech processor in that order.
6. Gradually increase the gain of the MicroLink CI S to a
comfortable level.
7. Determine speech recognition ability in quiet at normal
sensitivity with the FM signal. Ensure that results are
similar to implant alone condition. MicroLink CI S gain
may need further adjustments.
8. Evaluate FM benefit as well as the appropriateness of FM
settings trough speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Notes
For the Spectra 22 with serial number < 340.000, the CI
microphone will be MUTED when an external device such as
the MicroLink CI S is plugged in.
Listening check
ƒƒ The best way to listen to the FM signal is to plug the
MicroLink CI S with the blue, blue red, black or white
patch cable into a loudspeaker. Make sure there is a good
battery inside the MicroLink CI S. Then turn On the
MicroLink CI S and FM transmitter On. By speaking into
the transmitter’s microphone you should hear your voice
through the speaker.
ƒƒ SPrint has a headphone output. Attach the monitoring
headphones to this output to listen to the processor
microphone and FM signal in parallel.
20
Advanced Bionics Auria/ Harmony
1
2
3
List of required parts
1 MLxi or MicroMLxS
2 iConnect™ Adaptor, available in two sizes
3 Auria/ Harmony speech processor
Pre-Fitting
ƒƒ Set audio mixing ratio to 50/50.
ƒƒ When using MLxi, it should be programmed for the
Advanced Bionics Auria/ Harmony speech processor
(see page 32).
Fitting with the user
1. Turn all equipment Off.
2. Remove the standard earhook by twisting it Off.
3. Hold the iConnect at the base and firmly press until it
clicks onto the speech processor.
4. Insert a size 10 zinc air battery into the iConnect.
Note: Only ZeniPower® batteries, available for purchase
through Advanced Bionics are certified for use with the
standard-sized iConnect.
5. Turn the volume down On the speech processor to avoid
transient sounds.
6. Switch the speech processor to the dedicated FM program
with audio mixing ratio 50/50.
7. Plug the MLxi or MicroMLxS into the iConnect. If
MicroMLxS is used, move the switch to the single green
dot position.
8. Gradually turn the volume On the speech processor up to
the normal level (usually 12:00).
9. Test the patient’s speech recognition in quiet with the CI
alone and then through the wireless FM system only (out
of range of the processor microphone). Performance
should be similar between these two conditions. If the FM
is too loud or too soft, the FM programming software from
Phonak may be required to optimize the FM volume level.
10. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Listening check
ƒƒ Plug the MLxi or MicroMLxS into the headset checker
(See page 12). Turn On the headset checker and FM
transmitter and you should hear the FM signal.
ƒƒ Plug the MLxi or MicroMLxS into an audioshoe attached
to a hearing instrument. Turn On the hearing instrument
and switch it to the FM program if required.
21
Advanced Bionics Platinum BTE / CII BTE
1
9. Determine speech recognition ability in quiet with the
FM signal. Ensure that results are similar to implant
alone condition. MicroLink CI S gain may need further
adjustments.
10. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
3
2
5
4
List of required parts
1 MLxi or MicroMLxS
2 MicroLink CI S
3 Auxiliary audio earhook with cable, available in two
earhook sizes
4 Platinum BTE / CII BTE speech processor
5 Blue-red long cable
Pre-Fitting
ƒƒ Set audio mixing ratio to 50/50.
Fitting with the user
1. Turn all equipment Off.
2. Attach the auxiliary audio earhook to the speech pro­cessor.
3. Connect the blue-red long cable to the auxiliary audio
earhook cable and to the MicroLink CI S.
4. Plug the FM receiver into the MicroLink CI S. If
MicroMLxS is used, move the switch to the double green
dot position.
5. Turn the volume of the MicroLink CI S to the minimum.
6. To avoid transient sounds, turn On the FM transmitter,
then MicroLink CI S, then speech processor in that order.
8. Gradually increase the gain of the MicroLink CI S to a
comfortable level.
Listening check
ƒƒ The best way to listen to the FM signal is to plug the
MicroLink CI S with the blue patch cable into a
loudspeaker. Make sure there is a good battery inside the
MicroLink CI S. Then turn On the MicroLink CI S and FM
transmitter. By speaking into the transmitter’s microphone
you should hear your voice through the speaker.
22
Advanced Bionics PSP / Clarion S-Series / Clarion 1.2
2
1
3
4
Picture shows PSP
List of required parts
Platinum Sound
Processor (PSP)
Clarion S-Series
Clarion 1.2
1 MLxi or MicroMLxS
MLxi or MicroMLxS
MLxi or MicroMLxS
2 Blue-red short cable
Blue short cable
Black short cable
3 MicroLink CI S
MicroLink CI S
MicroLink CI S
4 PSP
Clarion S-Series SP
Clarion 1.2 SP
Pre-Fitting
ƒƒ Set audio mixing ratio to 50/50
Note: the audio mixing feature is not available for Clarion
S-Series and Clarion 1.2 processors.
Fitting with the user
1. Turn all equipment Off.
2. Connect the specific patch cable into the speech processor
and the MicroLink CI S.
3. Plug the FM receiver into the MicroLink CI S. If MicroMLxS
is used, move the switch to the double green dot position.
4. Turn the volume of the MicroLink CI S to the minimum.
5. To avoid transient sounds, turn On the FM transmitter,
then MicroLink CI S, then speech processor in that order.
6. Gradually increase the gain of the MicroLink CI S to a
comfortable level.
7. Determine speech recognition ability in quiet with the FM
signal. Ensure that results are similar to implant alone
condition. MicroLink CI S gain may need further adjustments.
8. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Note
For the Clarion S-Series and Clarion 1.2 processors, the
processor microphone will be MUTED when an external device
such as the MicroLink CI S is plugged in
Listening check
ƒƒ The best way to listen to the FM signal is to plug the
MicroLink CI S with the blue patch cable into a loud­speaker.
Make sure there is a good battery inside the MicroLink CI
S. Then turn On the MicroLink CI S and FM transmitter.
By speaking into the transmitter’s microphone you should
hear your voice through the speaker.
23
MED-EL OPUS2
3
2
1
List of required parts
1 Opus2 speech processor
2 FM Battery Pack Cover
3 MLxi or MicroMLxS
Fitting with the user
1. Turn all equipment Off.
2. Replace the standard battery cover by the FM Battery Pack
Cover.
3. Plug the FM receiver into the bottom of the FM Battery
Pack Cover. The MicroMLxS is usually used in the two green
dot position.
4. Switch the speech processor and FM transmitter On.
5. Test the patient’s speech recognition in quiet with the
CI alone and then through the wireless FM system only
(out of range of the processor microphone). Performance
should be similar between these two conditions. If the
FM is too loud or too soft, the FM programming software
from Phonak may be required to optimize the FM volume
level.
6. Evaluate FM benefit as well as the appropriateness of FM
settings trough speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Additional information
When MicroMLxS is used, the switch acts as following:
a. Two green dots: FM + M
b. One green dot: FM only (processor microphones
attenuated)
When MLxi is used and the push button is enabled, the push
button acts as following:
a. Long press: switch MLxi On or Off respectively
b. Short press: switch between FM + M and FM only in case
a non Dynamic FM transmitter is being used.
Listening check
ƒƒ Plug the MLxi or MicroMLxS into the headset checker (See
page 12). Turn On the headset checker and FM transmitter and you should hear the FM signal.
ƒƒ Plug the MLxi or MicroMLxS into an audioshoe attached
to a hearing instrument. Turn On the hearing instrument
and switch it to the FM program if required.
24
MED-EL DUET1 / DUET2 / OPUS1 / TEMPO+
with angled battery pack
2
Picture shows OPUS1
3
1
4
List of required parts
1 Speech processor with Angled Battery Pack
2 MLxi or MicroMLxS
3 MicroLink CI S
4 Red cable
Fitting with the user
1. Turn all equipment Off.
2. Connect the red cable to the MicroLink CI S and to the
back of speech processor. Make sure the cable is attached
correctly to the processor. Please check the processor user
guide.
3. Plug the FM receiver into the MicroLink CI S. When using
MicroMLxS, switch it to the double green dot position.
4. Turn the volume of the MicroLink CI S to the minimum.
5. Turn On the MicroLink CI S, speech processor and FM
transmitter.
6. Gradually increase the gain of the MicroLink CI S to a
comfortable level.
7. Determine speech recognition ability in quiet with the
FM signal. Ensure that results are similar to implant
alone condition. MicroLink CI S gain may need further
adjustments.
8. Evaluate FM benefit as well as the appropriateness of FM
settings, through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Listening check
ƒƒ The best way to listen to the FM signal is to plug the
MicroLink CI S with the blue patch cable into a loudspeaker.
Make sure there is a good battery inside the MicroLink CI S.
Then turn On the MicroLink CI S and FM transmitter.
By speaking into the transmitter’s microphone you should
hear your voice through the speaker.
25
MED-EL OPUS1 / OPUS2 / TEMPO+
with remote battery pack
5
2
4 1
3
Picture shows OPUS2
with remote battery
pack
List of required parts
1 MLxi or MicroMLxS
2 Remote Battery Pack
3 White cable
4 MicroLink CI S
5 Speech processor
Fitting with the user
1. Turn all equipment Off.
2. Connect the white cable to the MicroLink CI S and to the
Remote Battery Pack.
3. Plug in the FM receiver into the MicroLink CI S. When using
MicroMLxS, switch it to the double green dot position.
4. Turn the volume of the MicroLink CI S to the minimum.
5. Turn On the Remote Battery Pack and switch it into
MIX-Mode.
6. Turn On the MicroLink CI S and FM transmitter.
7. Gradually increase the gain of the MicroLink CI S to a
comfortable level.
8. Determine speech recognition ability in quiet with the
FM signal. Ensure that results are similar to implant
alone condition. MicroLink CI S gain may need further
adjustments.
9. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Listening check
ƒƒ The best way to listen to the FM signal is to plug the
MicroLink CI S with the blue patch cable into a loudspeaker.
Make sure there is a good battery inside the MicroLink CI S.
Then turn On the MicroLink CI S and FM transmitter.
By speaking into the transmitter’s microphone you should
hear your voice through the speaker.
26
Neurelec Digi SP and Digisonic BTE
1
2
List of required parts
1 Digi SP/ Digisonic BTE speech processor
2 MLxi or MicroMLxS
Pre-Fitting
ƒƒ When using MLxi, it should be programmed for the specific
speech processor using FM SuccessWare (see page 32).
ƒƒ The Digi SP and Digisonic BTE processors provide two
additional programs (P3/P4) dedicated to an auxiliary
input connection. These two programs need to be
adapted to different sound environments according
to the procedure below.
Fitting with the user
1. Switch Off all equipment.
2. Plug the FM receiver directly into the auxiliary (“AUX”)
input of the processor. When MicroMLxS is used, move
the switch to the single green dot position.
3. Switch the processor On in P1 or P2. The processor
automatically detects the presence of the receiver and
switches to the specific P3/P4 to be set for the first use.
4. Use the implant programming software to adapt these
specific programs (copy P1/P2 into P3/P4 and authorize
the auxiliary input). Adapt the appropriate audio mixing
ratio of the FM and processor microphone.
5. Test the patient’s speech recognition in quiet with the CI
alone and then through the wireless FM system only (out
of range of the processor microphone). Performance
should be similar between these two conditions. If the FM
is too loud or too soft, it may be necessary to modify the
input gain (microphone and/or FM) until comparable
performance is achieved.
6. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Listening check
ƒƒ The environmental and FM signals can be checked using
the dedicated function in the implant programming
software.
ƒƒ Plug the MLxi or MicroMLxS into the headset checker (See
page 12). Turn On the headset checker and FM transmitter and you should hear the FM signal.
ƒƒ Plug the MLxi or MicroMLxS into an audioshoe attached
to a hearing instrument. Turn On the hearing instrument
and switch it to the FM program if required.
27
Neurelec Digi SP’K
1
2
List of required parts
1 Digi SP’K speech processor
2 MLxi or MicroMLxS
Pre-Fitting
ƒƒ When using MLxi, it should be programmed for the specific
speech processor using FM SuccessWare (see page 32).
ƒƒ The Digi SP’K processor provides different programs that
can be configured for use by any auxiliary system.
These programs need to be adapted to different sound
environments following the procedure below.
Fitting with the user
1. Switch Off all equipment.
2. Plug the FM receiver directly into the auxiliary (“AUX”)
input of the processor. When MicroMLxS is used, move
the switch to the single green dot position.
3. Switch the processor On in the position defined for the
use of the auxiliary system. The processor automatically
detects the presence of the receiver.
4. Use the implant programming software to adapt thes
specific programs (copy the programs and authorize the
auxiliary input). Adapt the appropriate audio mixing ratio
of the FM and processor microphone.
5. Test the patient’s speech recognition in quiet with the CI
alone and then through the wireless FM system only (out
of range of the processor microphone). Performance
should be similar between these two conditions. If the
FM is too loud or too soft, it may be necessary to modify
the input gain (microphone and/or FM) until comparable
performance is achieved.
6. Evaluate FM benefit as well as the appropriateness of FM
settings through speech-recognition assessment in the
clinic and standardized questionnaires completed by the
recipient, family members and teachers.
Listening check
ƒƒ The environmental and FM signals can be checked using
the dedicated function in the implant programming
software.
ƒƒ Plug the MLxi or MicroMLxS into the headset checker
(See page 12). Turn On the headset checker and FM
transmitter and you should hear the FM signal.
ƒƒ Plug the MLxi or MicroMLxS into an audioshoe attached
to a hearing instrument. Turn On the hearing instrument
and switch it to the FM program if required.
28
Cochlear Baha® BP100
1
2
MLxi
List of required parts
1 Cochlear Baha® BP100
2 MLxi or MicroMLxS
Fitting with the user
1. Turn all equipment Off.
2. Plug the MLxi into the Baha sound processor.
3. Switch On the Baha sound processor.
4. In all programs, the output of the FM receiver is mixed
with the signal of the Baha microphones.
5. Test the patient’s speech recognition in quiet at normal
sensitivity with the Baha alone and then through the
wireless FM system only (out of range of the processor
microphone). Performance should be similar between
these two conditions. If the FM is too loud or too soft, the
FM programming software from Phonak may be required
to optimize the FM volume level.
Listening check
ƒƒ Plug the MLxi or MicroMLxS into the headset checker
(See page 12). Turn On the headset checker and FM
transmitter and you should hear the FM signal.
29
Cochlear Baha® Divino / Baha® Intenso / Baha® Compact
Listening check
ƒƒ Use the MLxi Baha adaptor to connect the MLxi Baha to
the headset checker (see page 12). Turn On the headset
checker and FM transmitter and you should hear the FM
signal.
ƒƒ Use the MLxi Baha adaptor to connect the MLxi Baha to
an audioshoe attached to a hearing instrument. Turn On
the hearing instrument and switch it to the FM program
if required.
1
2
MLxi Baha
List of required parts
1 Cochlear Baha®
sound processor
2 MLxi Baha
Fitting with the user
1. Plug the MLxi Baha into the Baha sound processor. Make
sure that the white circled pin of MLxi Baha lines up to
the red circle On the hearing instrument.
2. Switch On the Baha sound processor and FM transmitter.
3. For optimum dynamic FM benefit, turn the AGCO
potentiometer on the Baha sound processor as high as
it is tolerable for the patient.
4. Test the patient’s speech recognition in quiet at normal
sensitivity with the Baha alone and then through the
wireless FM system only (out of range of the processor
microphone). Performance should be similar between
these two conditions. If the FM is too loud or too soft, the
FM programming software from Phonak may be required
to optimize the FM volume level.
Additional information
Enabling the push button will have following effects:
a. Long press: switch MLxi Baha On or Off respectively
b. Short press: switch between FM+M and FM only in case
a non Dynamic FM transmitter is being used.
30
FAQ
How do I perform a system check?
ƒƒ Some manufactures offer monitoring headphones, which
can be connected to the processors. The headphones
usually allow listening to the processor microphones and
FM signal in parallel.
ƒƒ Phonak offers a headset checker which has a euro plug.
Here you can plug in all universal FM receivers or another
receiver over the dedicated adaptor.
ƒƒ The universal FM receivers can also be plugged into an
audioshoe connected to a hearing instrument. Make sure
there is a battery inside the hearing instrument and that
the hearing instrument is in the FM program.
ƒƒ You can check the MyLink+/ MyLink using headphones
connected to the headphone output or via a hearing
instrument which is in T-coil mode.
ƒƒ MicroLink CI S can be tested by plugging it into a desktop
speaker using the blue, blue-red, black or white cable.
See the picture at the top of this page. Make sure there is
a good battery inside the MicroLink CI S.
I performed the listening test but am still not able
to hear the FM signal. What should I do?
ƒƒ Make sure all equipment has a battery and that
batteries are not exhausted.
ƒƒ When using MLxi, it may be possible that the push button
is enabled. If so, to activate the MLxi, you must press
the push button for two seconds.
ƒƒ Make sure transmitter and receiver are on the same
channel. Synchronize the receiver if required.
What do I do if there is static or a poor operating
range?
ƒƒ Make sure the external antenna is attached to SmartLink+
or the microphone cable of inspiro is un-wrapped to
have a operating range of about 50 feet (15 meters).
ƒƒ Try another FM channel. Change the FM channel on the
transmitter. After changing the channel, you need to
synchronize the receiver to the new channel. If required,
test all available channels of the transmitter for an
interference free channel.
ƒƒ In some rare cases, the strong magnetic field of the
CI coil may interfere with the radio frequency used for
the FM transmission. If changing the channel does not
help to eliminate the static, you may consider a body
worn solution with MicroLink CI S or the MyLink+/MyLink.
Speaker for listening test, e.g. Radio
Shack Mini Amplifier Speaker.
The FM level is too soft or too loud
ƒƒ Check if the MLxi has been programmed for the specific
speech processor. If not, program the MLxi as explained
in the section “programming a receiver with FM
SuccessWare”. When you are using MicroMLxS, check
if the switch is on the recommended position.
ƒƒ As a second step check the mixing ratio of the speech
processor.
ƒƒ As a third step, you can adjust the internal gain of the
­receiver which can be done by the programming software
FM SuccessWare.
There is a tone every time I switch MLxi On.
This is a normal tone generated by MLxi at every startup. This
tone can be deactivated when you program the MLxi for the
specific processor as described in the section “programming
MLxi/MicroMLxS”.
When Monitoring a receiver, I get “replace audio boot”.
What shall I do?
This only happens when the MLxi has not been programmed
for the specific processor. Then, the feature AutoConnect
is enabled and due to the broader range of input impedance
of CI processors, the MLxi may detect an impedance which
is out of its range. If this message is displayed after Monitoring
it can be ignored. If you want to avoid this message,
please program the MLxi for the specific processor by FM
SuccessWare.
Can I monitor a MicroMLxS, MicroLink Freedom or MyLink?
No. they are Classic FM receivers and do not feature
Monitoring.
What can I do in the case of static when using MyLink+
or MyLink?
The transmission from MyLink+/MyLink to the speech processor
is based on magnetic fields. Any electrical appliance can
­generate magnetic fields which are picked up by the T-coil of
the hearing instrument. To eliminate such interferences the
client should avoid these sources of interference or consider an
FM receiver that is directly connected to the speech processor.
For more FAQs please visit:
www.phonak.com/FAQ
31
Programming a receiver with FM SuccessWare
MicroMLxS, MyLink+, MyLink and MicroLink Freedom are pre-programmed and ready to be used. ­However
even when the fitting instructions in this brochure are followed closely it might be necessary to change
the default channel, adjust the FM Advantage (FM gain) and/or the Confirmation Beep level. For MLxi it
is recommended to program this with FM SuccessWare prior to use with a CI speech processor, in order
to achieve optimum interface matching characteristics. The following CI models can be chosen from the
drop-down list in the FM SuccessWare in order to facilitate the adjustments:
ƒƒ Advanced Bionics Clarion
ƒƒ Advanced Bionics Harmony / Auria
ƒƒ Advanced Bionics Platinum
ƒƒ Cochlear ESPrit 3G
ƒƒ Cochlear Esprit / Spectra / SPrint
ƒƒ Cochlear Freedom body worn
ƒƒ Med El DUET2
ƒƒ Med El OPUS1 / DUET1 / Tempo+
ƒƒ Med El OPUS2
ƒƒ Med El OPUS2 remote batt. pac
ƒƒ Neurelec digisonicBTE / Digi
For most CIs with a body worn speech processor, FM can be used in combination with the MicroLink CI
S and the designated Patch Cables (see chart on page 9). In the print screens from the FM SuccessWare
on the following two pages we show the MicroLink CI S “representing” all the CI models above.
32
Programming options
Programming interfaces
Programming MLxi
Via the FM programming interface
1. Click Express Fitting.
2. Select MLxi and click “Next”.
3. Choose “Detect receiver channel” or manually select
the desired channels and define the default channel,
then click “Next”.
4. Select the specific processor from the drop-down list
in the upper right corner.
All receivers can be programmed by the FM programming
interface:
1. Make sure all equipment has a battery and switch
everything On.
2. Connect the universal receiver to the processor or
MicroLink CI S and put it in the programming interface.
3. Select the option “via the programming interface”
when FM SuccessWare asks for communication with
the receiver.
Via inspiro
5. Prepare the receivers as described in the section:
“programming interfaces” and press “Save to MLxi”.
MLxi, MLxi Baha and MyLink+
can be programmed through inspiro:
1. Make sure all equipment has a battery and switch
everything On.
2. Connect the universal receiver to the processor or
MicroLink CI S and place it in front of inspiro.
3. Select the option “via inspiro” when FM
SuccessWare asks for communication with the receiver.
33
Changing the default channel
1
2
5. Choose “Detect receiver channel”, or manually select
channels as well as a default channel. Then click “Next”.
6. Select the specific processor from the drop-down list.
Do not choose “UNKNOWN“. Adjust the FM Advantage
as required. Other options can also be changed (e. g.
the beep type). The screen may be different depending
on the receiver you use. Click on “Next”.
3
1 Click on the flag icon at the top of the screen.
2 Select the new channel that you would like the FM
receiver to start up with.
3 Prepare the receivers as described in the section:
“programming interfaces” and press “Go”.
Changing the FM gain or other settings
1. Please note that altering the FM gain of an FM
receiver may not have the same effect as it would if
the receiver were connected to a hearing instrument.
2. Click on the menu “Extended Fitting”.
3. Enter the client’s name and additional information and
click on “Add”, then “Next”.
4. On the next screen, click “Assign device” on the
right and choose your receiver, or click on the “Detect
receiver” button (make sure you have prepared the
receivers as described in the chapter “Programming
Options”). Then click on “Next”.
7. Prepare the receivers as described in the section:
“Programming interfaces” and press “Save Now…”
For more information about using the
Phonak FM SuccessWare, please contact your local
Phonak FM specialist.
34
Notes
35
Notes
Your online comprehensive FM support tool for schools:
www.eSchoolDesk.com
The latest set-up tips for FM systems in combination with cochlear implants and hearing instruments:
www.phonak.com\FM_Configurator
Cert. no. SQS-COC-100214 ©1996 FSC
Phonak‘s professional hompage:
www.phonakpro.com
Mix
Online resources
Check quickly if your C.I. or hearing instrument is FM compatible:
www.phonak.com\mlx
Cochlear
www.cochlear.com
Advanced Bionics
www.advancedbionics.com
MED-EL
www.medel.com
www.phonakpro.com
028-1061-02/V1.00 2009 09/visu’l/Printed in Switzerland ©Phonak AG All rights reserved
Neurelec (MXM)
www.neurelec.com
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