ite - Beltone Hearing Aids

ite - Beltone Hearing Aids
Instructions for use
Digital In-the-Ear hearing instrument
ACCESS
A new Beltone hearing instrument
Congratulations on your choice of a Beltone hearing instrument.
This is an important step towards clearer hearing and better
understanding. We have used all our experience with hearing
instruments to help you communicate, lead an enjoyable social
life and listen to the world around you.
Your hearing instrument is a very advanced device. Your hearing
care practitioner has tuned it to your individual needs. With a
little devotion and patience you will become familiar with it.
This booklet is a short guide to assist you in getting acquainted
with your hearing instrument. Read it carefully and use it as a
guideline.
We wish you happiness and pleasant listening with your new
instrument.
Beltone
This booklet & your instrument
In this booklet you will find explanations on controlling your
instrument, on the daily handling of it, and on its use.
Furthermore, you can read what to do if things do not live up to
your expectations. We will also give a few practical steps towards
better hearing.
Contents
Switching on and off
Changing batteries
Inserting and removing the instrument
Setting the volume (optional)
Program button (optional)
Directional microphone
T-program (optional)
Maintenance and cleaning
Solving small problems
Eight steps towards better hearing
International warranty and service
Technical Data
General Precautions
4
5-6
7-8
10
11
12
13
16-23
24-25
26-29
30
30
32
1
wax guard
microphone opening
battery door
pull out cord
vent (optional)
CIC/CIC HPG Hearing Instrument
wax guard
microphone opening
volume wheel (optional)
program button (optional)
battery door
pull out cord
2 MC/MC HPG Hearing Instrument
wax guard
microphone opening
program button (optional)
microphone opening
battery door
volume wheel (optional)
ITC/ITC HPG Hearing Instrument
wax guard
microphone opening
microphone opening
battery door
program button (optional)
volume wheel (optional)
vent (optional)
ITE/ITE HPG Hearing Instrument
3
Switching on and off
Your hearing instrument is switched
Off-open
off by opening the battery door.
Switch your instrument on by closing
the battery door.
After your instrument is switched on,
the volume will always be as set by
your hearing care practitioner. Read On-close
more on this on page 9.
Your instrument can have a push button to switch programs.
However, if you close the battery door your instrument will always
start in program number 1. Read more on this subject on page 11.
• At night, leave the battery door open. It increases battery life
and allows moisture in your instrument to evaporate and
increases the instrument’s life span.
4
Changing batteries.
When the hearing instrument generates a warning signal it’s
advisable to change your battery as soon as possible. The signal
will continue as long as the battery is not changed or unless it
does not run out of power, and therefore it is advisable to keep
an extra battery at hand.
Open the battery door by placing
your fingernail or a pencil under
the edge of the battery door and
gently push it backwards. When
opened, remove the dead battery.
The end of the cleaning brush is
magnetic. It allows for easy battery
removal/insertion.
The replacement battery type and
size depends on your hearing
instrument:
Instrument type
Battery type
CIC/CIC HPG
MC/MC HPG
ITC/ITC HPG
ITE/ITE HPG
10A zinc-air
10A zinc-air
312 zinc-air
13 zinc-air/312 zinc-air
5
Remove the protective seal from the fresh battery and insert it
in the battery door, with the plus side facing up. You will
recognize the plus side of the battery because marked with a +.
Check whether the + symbols on the battery and on the battery
door are on the same side.
Always insert a battery in the opened door, never directly into
the instrument.
Close the battery door. This should go smoothly, so never force
it as this could damage your instrument.
6
Warnings
• Keep batteries away from children
and mentally challenged persons.
• Batteries can be harmful if swallowed. If you do, seek medical
attention immediately.
• Do not attempt to recharge the
batteries, as they could explode.
• Do not burn the batteries, as
they could explode.
• Replace spent batteries and do
not leave them in the instrument
for a prolonged period.
• Used batteries are harmful to the
environment. Please dispose
of them according to local
regulations or return them to
your hearing care practitioner.
Inserting and removing the instrument
Inserting
• The insertion process varies with
the shape of your ear canal. A
fairly straight ear canal allows easy
insertion. However, some ear
canals have sharper curves and may
require more care.
• Take the hearing instrument
between thumb and index finger
and position its ‘point’ in your
ear canal. If available the colour
dot must point upwards on
CIC instruments and on MC
instruments.
• Now slide the instrument all the
way into your ear canal with a
gentle, twisting motion. Insertion can be easier if you gently
pull your auricle backward with your other hand.
• Move the instrument up and down with your index finger and
press gently to ensure it is positioned correctly. Opening and
closing your mouth can aid insertion. You will feel when the
instrument is inserted correctly.
7
Removing your instrument
• Using your thumb and index
finger gently pull the hearing
instrument (not the battery
door) from your ear. CIC
instruments and MC instruments often have a thin plastic
pullout cord. Use this. Never pull
the battery door.
• Removal may be easier if you open and close your mouth while
simultaneously pulling your auricle backward with your other
hand.
Take some time at home to practice how to insert and remove
your instrument. Work conveniently positioning your elbows
on a table and maybe using a mirror.
8
Recognising left and right instruments
Your hearing instrument is custom-made to fit your ear.
Therefore, right and left instruments differ in shape.
Your hearing instrument is marked with either a left or right
indication:
• A left instrument has a blue wax guard or blue dot;
• A right instrument has a red wax guard or red dot.
This is easy to remember: Red = Right.
The colour dot must point upwards on the CIC and on MC
instruments.
Do not swap your hearing instruments. Please pay attention to
this during cleaning, storing, and inserting.
9
Setting the volume on ACCESS (optional)
Your instrument has an optional
volume control. Your hearing
instrument practioner will have
chosen an optimal volume setting for
you and explain at what level that is.
In difficult situations some people
can benefit for adjusting the volume
from this setting. On the MC, ITC
and ITE a volume wheel is available and can provide you with the
ability to adjust the volume to your liking. This volume wheel is
not available on CIC hearing
instruments.
Use your index finger to turn the volume wheel. Turn the wheel
forwards to increase and turn it backward to decrease the volume.
• If you prefer not to use the volume wheel your hearing care
practitioner can disable its function.
10
Program button (optional)
Your hearing instrument can be
equipped with three different
listening programs. Each program
will have the most suitable settings
for certain situations.
After pressing the program button,
the instrument will switch program. If it was in program 1 it will
switch to program 2, if it was in
program 2 it will switch to program
3.
If programs 2 or 3 are not activated,
nothing will happen.
Your instrument will give an
audible signal after pressing the
program button. A little later, the instrument will give:
• one single beep if set in program 1
• two beeps if set in program 2
• three beeps if set in program 3
11
When you close the battery door and switch the instrument
on it will start in program 1, confirmed by one single beep.
Press the program button if you want to move to a different
listening program.
Let your hearing care practitioner fill out the following table:
Program
number
1
2
3
Type of program
Intended for
listening situations
Directional microphone
ITC HPG and ITE HPG models can optionally have a directional
microphone function, recognisable by a second microphone
opening. If you want to listen to a person in a noisy environment,
the microphone in these hearing instruments can help you to
concentrate on the speech. If the microphone is in the directional
mode the background noise will be suppressed. In this mode the
sounds in front of you will be enhanced, so you can hear better
the speech of the person you look at. Your hearing care practitioner
can program the microphone in the required modes.
12
T-program (optional)
- ITC/ITC HPG and ITE/ITE HPG
Your ITC instrument or ITE instrument may have a built in
function, the telecoil, enabling in many cases an improved use
of the telephone and better hearing in those churches or halls
where an induction loop system is installed.
In order to activate this function, the telecoil program has to be
selected. In this program you will hear no sounds from the
microphone, therefore most environmental sounds will be lost.
If you wish, your hearing care practitioner can change the setting
in such a way that you hear the microphone and the telecoil
simultaneously.
13
Using the telephone
• Switch your instrument to the
telecoil program.
• Hold your telephone handset
behind your ear, close to the
hearing instrument (1 inch, or 23 cm.) and slightly tilt the
receiver outwards.
• Listen to the dialing tone and move the handset a little to
find the position that give the best reception.
• If needed, and if your hearing instrument has it, turn the
volume wheel up or down.
• After completing the phone call, switch your instrument back
to the microphone program.
If the phone used has poor telecoil signal, use the microphone
program. Do not hold the handset too tightly against your ear
since this might cause ‘whistling’.
14
Hearing through an induction loop
More and more public places, churches, theatres and cinemas,
have induction loop systems. In these particular rooms, they
transmit, wirelessly, the sound of the presenter or show. At home,
radio or television can be connected to an induction loop. Sound
quality through an induction loop is often better because noises
from the environment are not transmitted.
• Switch your instrument to the T-program, using the program
button.
• Choose a good spot. Reception is not clear at all locations; it
depends on the position of the induction loop. Watch for signs
or try a different seat yourself.
• If needed, adjust the volume up or down.
• After service or show, switch your instrument back to a microphone program. You will now hear through the microphone
again.
• If the sound of your hearing instrument in the T-program is
very soft all the time, ask your hearing care practitioner to make
an adjustment.
• Your hearing care practitioner will gladly provide you with advice
regarding an induction loop system at home. Ask for it.
15
Maintenance and cleaning
Earwax (cerumen) will accumulate on your hearing instrument
during use. If earwax enters the instrument it can damage it. The
instrument has a protection system, the wax guard. Clean the
instrument and replace the wax guard filter regularly. Failure to do
so can lead to an accumulation of earwax impairing sound quality.
Cleaning is easier when accumulated
earwax is dry; e.g., in the morning,
before you insert the instrument
into your ear.
Cleaning the instrument
• Clean your instrument with a soft,
dry cloth and the small brush. Do
this above a soft surface or table to
avoid damage if the instrument
falls.
• Do not use water or fluids.
16
Cleaning the vent
Your hearing instrument may have
a vent, a small canal through the
entire instrument. If so, clean it
regularly.
• Insert the vent-cleaning tool –
plastic line with handle – into
the vent. Push the cleaning line
completely through the vent.
• Wipe off any collected earwax.
• Pull the line out and wipe off again.
• Repeat this until all the earwax has been removed.
Wax guard
Your hearing instrument is usually equipped with a wax guard
system. This prevents earwax entering the instrument. Replace the
wax guard every two weeks or sooner, depending on earwax
accumulation.
Beltone uses two different wax guard systems, depending on the
size and type of the hearing instrument. They are described on the
following pages.
• Work at a table. It is easier and avoids your instrument falling
onto the floor or items getting lost.
17
Replace wax guard ‘Sentry II’
Hearing instruments of type CIC or MC instrument are usually
equipped with a wax guard called "Sentry II". Please verify this
with your hearing care practitioner.
Sentry II wax guards are available in a set, containing red guards,
blue guards, and a dedicated tool for changing them.
Use red wax guards for right instruments and blue guards for left
instruments.
• To remove the wax guard from
your hearing instrument, slide the
forked side of the tool under the
wax guard and pull it upwards.
• Pick up a new wax guard from the
front side of the card by using the
other 'nub' end of the tool. The
large red and blue arrows on the
card indicate the front side. Slide
the wax guard to the side, through
the card.
18
• Insert the wax guard into the
sound outlet of the hearing
instrument.
• Remove the tool and press the wax
guard down with your thumb to
secure it.
19
Replace wax guard ‘Sentry’
Hearing instruments of types ITC or ITE instrument are usually
equipped with wax guards called "Sentry". Please verify this with
your hearing care practitioner.
Sentry wax guards are available in a small plastic box, containing
red guards, blue guards, and a dedicated tool for changing them.
Use red wax guards for right instruments and blue guards for left
instruments.
The wax guard insertion tool has
two different ends: A and B. End A
is used to screw and unscrew wax
guards; end B is used to tighten the
guard in the instrument.
B
A
• Remove the wax guard from your
hearing instrument using end A.
Press the end firmly onto the wax
guard and unscrew it. Turn
counter clockwise.
20
• Pick up a new wax guard from the
box. Press end A firmly onto the
new wax guard and unscrew it
from the box. Turn counter
clockwise.
• Insert the wax guard into the
sound outlet of the hearing
instrument. Screw the guard into
the hearing instrument. Turn
clockwise.
• Use the other end (B) of the tool
to tighten (gently) the wax guard
in the hearing instrument.
21
Storing your instrument
When you are not using your instrument, keep or transport it in
the box supplied. Leave the battery door open. Keep your
instrument in a dry place, not in a bathroom or other humid
place. Alternatively, you could store the instrument in a desiccator
from your hearing care practitioner.
Cleaning the microphone opening
Your instrument will not work properly if the microphone
opening is dirty. Ask the hearing care practitioner to clean the
opening. Never try this yourself.
22
General warnings
• Do not leave your hearing instrument in the sun, near an
open fire or in a hot, parked car.
• Do not wear your instrument while showering, swimming,
in heavy rain or in a moist atmosphere such as steam bath or
sauna.
• Should your instrument become moist, put it in a dessicator.
Your hearing care practitioner will be happy to counsel on
this.
• Remove your instrument when applying cosmetics, e.g.
perfume, aftershave, hair spray, suntan lotion.
• Hearing instruments should be used only as prescribed by
your hearing care practitioner. Incorrect use may result in
sudden and permanent hearing loss.
• Do not allow others to use your hearing instrument. It may
cause permanent damage.
• Hearing instrument usage by children or mentally challenged
persons should be supervised at any time.
• Do not take your instrument into rooms where you receive
treatment with X-rays or MRI.
• Wearing a hearing instrument might cause an increased
production of earwax. In rare cases, the anti-allergenic
materials may cause skin irritation. If so, or if in doubt,
consult your physician or ENT consultant.
23
Solving small problems
Your Beltone instrument is a reliable one. In case of minor problems
Symptom
Feedback, 'whistling'
No sound
Sound is distorted, spluttering
or weak
Battery drains very quickly
24
Cause
Is your instrument inserted correctly?
Is the volume very loud?
Are you holding your hand or an object
(e.g. a hat) too close to an instrument?
Is you ear full of wax?
Is the instrument switched on?
Is the instrument switched on the
telecoil program?
Is there a battery in the instrument?
Is the battery still good?
Is you ear full of wax?
Is the battery dead?
Is the battery dirty?
Did your instrument get moist?
Did you leave your hearing
instrument switched on at night?
Is the battery old?
or malfunctions, you may be able to solve them yourself.
Possible remedy
Put it in again
Reduce it
Move your hand away or create some more space between
the instrument and the object
Visit your physician
Switch it on
Switch it to the microphone program
Insert a battery
Replace it with a new one
Visit your physician
Replace it with a new one
Clean it or use a new one
Use a dissecator
Always switch off the instrument at night
Check the date on the battery packaging
25
Eight steps towards better hearing
You need to get used to your new hearing instrument. Sounds
seem new and different. That is because you grew accustomed to
your diminished hearing. Therefore, familiar sounds seem strange
or unnatural at first. Every first-time user of a hearing instrument
responds differently to this. Some can wear the new instrument a
whole day right from the start, while others find it hard to get used
to.
After a while, you will notice you appreciate hearing with a
hearing instrument and that you will find it quite normal. Below,
eight steps are described that will guide you through the initial
period. If you are not satisfied or keep experiencing problems,
please consult your hearing care practitioner.
1. Get used to familiar sounds at home
Try to get used to the new sounds from a familiar environment.
Listen to the different (background) sounds and try to recognise
them. When you are tired from listening, remove your instrument
and pause for a while. Talk or read aloud for a while. In that way
you will familiarise yourself with the sound of your own voice.
Gradually, you will learn to use the instrument for longer and
become more comfortable with it.
2. Listen outside; quiet & traffic
Go outside to a quiet place, e.g., the park or woods. Listen to the
environmental sounds. Do you recognise them?
26
Please be careful with sounds from heavy traffic at this stage of
getting used to your instrument. Sometimes it sounds very loud.
Try not to get frightened.
3. Have a conversation with a single person
Use your instrument in conversation with one person, a family
member or a friend. Move to a quiet spot. Explain that you are
now wearing a hearing instrument. Ask the other person to talk
normally. Look at your conversation partner. If your instrument
is tuned to your requirements you will be able to communicate
better than before.
4. Listen to radio or television
Listen to the radio or television. Start with the news, then turn to
another program. Ask a ‘normal hearing’ person to set the volume
of your radio or television to a comfortable level. If necessary, adjust
the volume on your hearing instrument.
If you cannot understand the radio or television, ask your hearing
care practitioner to adjust your hearing instrument. He or she is
able to inform you on other facilities, such as an induction loop
system at home for your radio or television.
27
5. Get used to conversations in a group
Following conversations in a group is often difficult because of the
background noise. Listen to the different voices. Try to recognise
them by timbre or rhythm and link each voice to a person. Focus
your attention on the person you want to understand. If preprogrammed by your hearing care practitioner, the optional
directional microphone mode in ITC/ITC HPG or ITE/ITE
HPG models will enhance the voice of the person you look at.
Practice this regularly. If you did not understand something that
was said, please ask for it to be repeated.
Ensure that you can see the face of your conversation partner(s)
clearly and that there is sufficient light. This will help you to lipread. Avoid ‘looking into the light'. Position yourself with your
back towards the window, so that you can see the other person(s)
better. Ask others to talk slowly and clearly. Talking louder does
not help.
6. Visit public buildings
Visit public buildings. Try to sit near the speaker; try to be seated
in the front rows in a show. Avoid a seat behind a pillar or in an
alcove, you will be in a ‘sound shadow.'
In a restaurant, sit with your back towards the wall. This avoids
disturbing noises coming from behind you.
If an induction loop is present, and your instrument has a telecoil,
use the T-program. However, not every position will have good
sound reception. Watch for signs at the location or try a different
seat.
28
7. Use your telephone
Often, you can hear the telephone clearly with your hearing
instrument in a microphone program. Hold the telephone
handset 1-inch (2-3cm) from your ear and tilt the receiver
outwards a little. See whether or not the telephone sounds better
if you switch your hearing instrument to the T-program. Read
about this on page 13.
Your hearing instrument meets strict international regulations.
Therefore, it should be possible to use a GSM telephone in most
cases. However, in some circumstances, disturbance might be
audible through your hearing instrument.
8. Use your instrument all day
Using your hearing instrument and practising with it is the best
way to learn to hear again. Even if you can hear without an
instrument in some cases. Try to wear your instrument all day. In
that way, you will benefit the most.
Of course, a hearing instrument cannot restore natural hearing,
but it will help you make the most of your hearing as it is today.
Go beyond these eight steps and discover the world of sound
around you. Do the things you enjoy and listen to the sounds from
your environment.
29
International warranty and service
Any digital hearing instrument from Beltone has an international
warranty. Read more on this subject on the warranty card you
received with your instrument.
Repairs
If your Beltone hearing instrument malfunctions, it must be
repaired by a qualified technician. Do not attempt to open the
case of the hearing instrument since this would invalidate the
warranty. If your Beltone hearing instrument requires service,
please contact your hearing care professional for assistance.
Abroad
Before you leave, obtain from your hearing care practitioner an
address list for Beltone services. In case you need support, contact
the nearest Beltone Company during your stay abroad.
Technical Data
Max. Output dB SPL according to IEC-118-0
ACS15
ACS15 HPG
ACS25
ACS25 HPG
30
111
125
111
125
ACS35
ACS35 HPG
ACS35D
ACS35D HPG
115
129
115
120
ACS45
ACS45 HPG
ACS45D
ACS45D HPG
121
135
121
128
Hearing instrument identification
Your hearing care practitioner is:
Your name:
Your hearing instrument(s):
Model:
Serial No. Right:
#
Model:
Serial No. Left:
#
Serial number: Located on the outside
Year
Place of
production
Serial number
31
General Precautions
• Consult a physician if you find a foreign object in your ear
canal, if you experience skin irritation or if excessive ear wax
accumulates with the use of the hearing instrument.
• Different types of radiation, e.g. from NMR or CT scanners,
may damage the hearing instrument. Therefore, do not wear
the hearing instrument during these or other corresponding
scanning procedures. Other types of radiation (burglary
alarms, room surveillance systems, radio equipment, mobile
telephones, etc) contain less energy and will not damage the
hearing instrument. They could however momentarily affect
the sound quality or create strange sounds from the hearing
instruments.
• Warning: Do not wear the hearing instrument in mines or
other explosive areas, unless those areas are certified for
hearing instrument use.
Warning to the hearing care practitioner
• Special care should be exercised in selecting and fitting a
hearing instrument whose maximum sound pressure level
exceeds 132 dB SPL, as measured with an IEC 60711: 1981
occluded ear simulator, because there may be a risk of
impairing the remaining hearing of the hearing instrument
user.
32
Model ACCESS
0 2 9 7
Faceplate/Electronics by Beltone A/S, Denmark
Any issues relating to the EU Medical Device Directive
93/42 /EEC should be directed to Beltone A/S, Denmark
Beltone A/S
Lautrupbjerg 7
DK-2750 Ballerup
Denmark
Tel.: +45 45 75 11 11
Fax: +45 45 75 11 19
www.beltone.biz
16079200 GB-07.01 Rev. A
Printed in Denmark
© Beltone 2007
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