Instructions for Use

Ponto Plus sound processors
Instructions for Use
Ponto TM – The Bone Anchored Hearing System
Thank you
We would like to take this opportunity to thank you for selecting a Ponto sound processor.
Ponto Plus sound processors are intended to be used to improve the hearing for patients
with conductive and mixed hearing losses as well as single-sided deafness. It is designed
so that it can be optimized for each individual person. This will help ensure you get the
maximum benefit from your sound processor.
The Instructions for Use describes how to use your new sound processor.
Please read through this manual carefully to learn how to get the most out of your sound
processor. Pay extra attention to warnings, the important information and the instructions for skin hygiene. Discuss any questions or concerns with your hearing center.
Contents
The Ponto bone anchored hearing system
4
Instrument view 6
Managing the battery
8
Turning it ON and OFF or stand-by
10
Connection12
Disconnection13
Correct position
14
Volume control
16
Programs18
Sound processor maintenance
20
Skin hygiene
21
Accessories23
Ponto Streamer
26
Service and repair
29
Common problems and
their possible solutions
30
Manufacturer’s warranty
32
Important information
33
Warnings35
The Ponto bone anchored hearing system
Your Ponto Plus is designed to help you gain improved hearing through direct bone
conduction. The sound processor converts sound into vibrations that are transmitted
via the abutment and implant through the skull bone to the inner ear. In this way it
works independently of the function of the ear canal and middle ear. Ponto Plus is
therefore a possible solution to hearing losses where there is a problem in the outer or
middle ear preventing sound from reaching the inner ear.
The sound processor can also pick up sound from one side and transfer it to the inner
ear on the opposite side. This makes it suitable for those who are deaf on one side, but
have a functioning inner ear on the other side (called unilateral profound sensorineural
hearing loss or single-sided deafness).
The sound processor can also be used on a soft band for children or for individuals who
are unsuitable for implantation.
4
Abutment
Sound
processor
Implant
5
Instrument view*
1. Push button for programs and stand-by/mute
2.Volume control
3.Microphone inlets
4.Programming socket
5.Battery door (on/off, tamper-resistant)
6.Coupling
7.Hole for safety line
8.Labeling
Right or left version: Ponto Plus sound processors are available in a left and a right hand
version. Each sound processor is marked with an L (left) or R (right) on the battery door
for easy identification.
6
7
1
8
5
6
3
2
4
*)
7
Picture shows Ponto Plus. Instrument view is identical on Ponto Plus Power.
WARNING
The sound processor contains small parts that may be a choking hazard for small
children. Batteries can also be harmful if swallowed. Always keep batteries out of reach
of small children or people of diminished mental capacity. If a battery is accidentally
swallowed, seek medical attention at the nearest emergency department.
7
Managing the battery
Battery insertion
Open the battery door and insert the battery with the plus-sign facing downwards on the
sound processor. It is very important to insert the battery correctly to avoid damaging
the battery compartment.
Ponto Plus: Only use high quality zinc-air batteries, type 13.
Ponto Plus Power: Only use high quality zinc-air batteries, type 675.
Tamper-resistant battery door
To lock the battery door: Make sure the door is completely
closed. Use the screwdriver in the battery removal tool to
turn the tamper-resistant screw to locked position.
To unlock the battery door: Use the screwdriver
in the battery removal tool to turn the tamperresistant screw to unlocked position. The battery
door can now be opened and closed as usual.
8
Low battery indicator
Your sound processor has a low battery warning system. When it is time to change the
battery you will hear two consecutive beeps. (Please note Ponto Streamer, page 26,
also has two beeps as low battery indicator. If wearing a Streamer, the warning is
identified by looking at the notification LED on the Streamer.)
When the battery is completely worn out this will be indicated by four consecutive beeps.
The battery lifetime depends upon the listening environment. The battery lifetime of Ponto
Plus is usually between 80-140 hours and between 80-160 hours for Ponto Plus Power.
Battery removal
After opening the battery door the battery can be removed. The small magnetic battery
removal tool delivered with your sound processor may facilitate battery removal and
insertion.
9
Turning it ON and OFF or stand-by
On
Ponto Plus is turned ON by closing the battery door. After a start-up jingle there is a few
seconds delay before the sound processor is turned on. The delay is designed to avoid a
whistling sound while connecting your sound processor to the abutment.
Off
Ponto Plus is turned OFF by opening the battery door. It is enough to open the battery
door halfway, this prevents the battery from falling out. During longer storage it is
recommended to remove the battery from the sound processor.
Stand-by/Mute
If you want to turn off the sound processor for shorter periods, press the push button
and hold until 2 beeps are presented and then release the button. The sound processor
will now be in stand-by/mute mode and the volume will be set to zero.
To hear sound again, shortly press and release the push button and the sound processor
will resume in its previous setting. It is not recommended to use the stand-by mode
during longer periods, i.e. more than 5 hours, since this will reduce the battery lifetime.
10
Note: The stand-by feature is optional and may sometimes be disabled during the fitting
procedure. Talk to your hearing center if you have questions.
On
Stand-by/Mute

– Press and hold until
2 beeps are heard
Off
11
Connection
To safely and comfortably connect the sound processor, tilt it slightly and carefully push
it onto the abutment. Please note it is important to keep hair out of the way when the
sound processor is connected to the abutment.
12
Disconnection
The sound processor is safely and comfortably disconnected by carefully tilting it away
from the abutment.
13
Correct position
To get optimum performance from the directional microphone system, the sound
processor should be positioned vertically with the microphones at the bottom and the
volume control facing backwards.
Please note it is important that the sound processor does not touch anything, e.g. the
ear, skin or a hat. This can cause feedback (a whistling sound).
14
Microphones
Correct position
Incorrect position
15
Volume control
The volume is increased by turning the volume control upwards and decreased by
turning it downwards. When the volume control is turned, beeps can be heard to indicate
that the volume is being changed. When the maximum or minimum volume has been
reached the beeps will cease. Please note it is possible for your hearing care professional to turn off the volume control.
When passing the default start up volume 2 beeps are heard. If you have a Ponto
Streamer (page 26) you can use this as a remote control to adjust the volume in the
sound processor.
16

17
Programs
With the push button you can put your sound processor in stand-by mode or change
listening program. By default your sound processor has one program, your hearing care
professional can define more.
To change program, simply press and release the push button. The next program will be
indicated by a corresponding number of beeps. Please note the sound processor will
go into stand-by mode if the push button is held for more than 2 seconds.
If you have a Ponto Streamer you can use it as a remote control
change programs in your sound processor.
Change program – briefly press and release

18
the button
to
Program Beeps
1
2
3
4
Description




Ask your hearing center for information on programs to fill out this program chart.
19
Sound processor maintenance
A dry cloth or baby wipe may be used to clean the outside of the sound processor.
Special attention should be given to the coupling to remove any dirt or entangled hair.
Please note no water or liquids should be used when cleaning your sound processor –
is not waterproof. If the sound processor accidentally gets wet, open the battery door
and let the sound processor dry.
It is important to protect or remove your sound processor during visits to the hairdresser
and when applying hair products. You may use the special abutment cover provided with
your sound processor to protect your abutment.
The sound processor is programmed to fit you personally and therefore it should not be
used by others.
20
Skin hygiene
Daily cleaning
In order to reduce the risk of skin infections around the abutment, it is important to
maintain a good daily cleaning routine.
Before the skin has fully healed, antibacterial soap and non-alcohol baby wipes may
be used to clean the area around the abutment.
When healing has progressed, you should start using a cotton
swab or a soft brush.
Use the brush on a daily basis, together with soap and water, to
gently clean the outside and inside of the abutment.
The brush should be replaced about once every 3 months.
Only very soft brushes should be used. If you have two implants,
you should use two soft brushes – one for each abutment.
Soft brushes, like the one pictured, can be purchased from
Oticon Medical. Ask your hearing center for more information.
21
Cleaning every few days
In addition to the daily cleaning routines the skin should be cleaned more thoroughly to
remove debris at least twice a week. During hair washing, debris becomes softer and is
more easily removed. The cleaning brush should still be used with care.
If you have persistent problems with soreness surrounding the abutment, contact your
ear clinic. For children, parents or caregivers are responsible for maintaining good
hygiene around the abutment.
Please note it is of great importance to clean both the inside and outside of the abutment. This is important to prevent debris build-up.
22
Accessories
Safety line
The safety line is designed to help you avoid dropping your sound processor during for
example physical activity or in other situations where there is a great risk that the device
may fall off. To avoid dropping your sound processor attach the safety line to the sound
processor and the clip to your clothing. We also recommend that you use the safety line
at first when you are getting used to wearing the device.
Please make sure the safety line is not pulled, as the sound processor may then become
disconnected from the abutment.
23
Abutment cover
The abutment cover can be connected to the abutment when the
sound processor is not used. This prevents dirt from getting into the
abutment and also conceals the abutment.
Test rod
The test rod allows you to listen to the sound processor without connecting it to an
abutment. Connect your Ponto Plus to the test rod and press it against your head to
listen to the sound processor. This is also useful for demonstrating and testing your
sound processor for your friends and family. Please note your hand must not touch the
sound processor when holding the rod since this will cause feedback (whistling sound).
24
Push button stickers
The stickers provide you with the opportunity to adapt the looks of your sound
processor. How to apply and remove the sticker:
1. Remove the application film with the chosen sticker connected to it from its sheet.
2. Place it on the push button so it sticks to the push button area. To avoid air bubbles,
start in the center and press gently towards the outer edges of the sticker.
3. Gently remove the application film. Your sound processor now has a new look.
Use your fingernail to remove the sticker. Do not use sharp objects as they may damage
the sound processor.
Skins
The skin allows you to change the look of your sound processor. Please make sure it is
attached properly so that it does not cover the microphone inlets and the volume control
can be freely operated. The skins are available in a range of colors. Please ask your
hearing center for more information.
25
Ponto Streamer *
The Ponto Streamer allows you to wirelessly
connect your Ponto Plus sound processor to
different audio sources and transmit the sound
from the source to your sound processor.
The Ponto Streamer also acts as a remote
control for your sound processor. It is worn
around the neck and features three buttons for
core applications: phone, TV and microphone.
Ponto Plus sound processors are only
compatible with the Ponto Streamer.
*
Please note that the Ponto Streamer and products shown on
page 26-28 are optional accessories. Please contact your
hearing center or visit www.oticonmedical.com/connectline
for more information about the Ponto Streamer and its
possibilities.
26
Cell phone
The Ponto Streamer can connected to a broad range of cell phones with built-in
Bluetooth and thereby transmit cell phone sound wirelessly to the sound
processor. This transforms the sound processor into a personal wireless
headset. A list of compatible cell phones is available on
www.oticonmedical.com/connectline.
Music
Music can be listened to by connecting an MP3 player to the Ponto Streamer by
either using a cable or Bluetooth wireless connection.
Tele loop
The Ponto Streamer has a built-in telecoil designed to improve sound quality
and speech understanding within rooms that have a telecoil loop installed.
Loop facilities are available in many public buildings such as theatres, cinemas,
lecture halls, schools and similar locations. The telecoil in the Ponto Streamer
picks up the signal from the teleloop and transmits the sound to Ponto Plus.
27
Remote control
The Ponto Streamer also acts as a remote control for your sound processor and
is an easy way to change program or to adjust the volume.
FM
FM
An FM system consists of an FM receiver and a transmitter. The receiver is
connected to the Euro pin socket on Ponto Streamer and is used to pick up low
power radio signals from the transmitter. FM systems are used for example in
schools to support hearing-impaired children. The teacher wears an FM transmitter which sends signals directly to Ponto Plus via the FM receiver and the
Ponto Streamer.
TV, landline telephone and microphone
The Ponto Streamer can be combined with different ConnectLine products from
Oticon (ConnectLine TV, ConnectLine phone, ConnectLine microphone) offering
dedicated solutions for watching TV, using the landline phone and listening to
your conversation partner through a microphone.
28
Service and repair
If your Ponto Plus sound processor does not function properly, contact your hearing
center or ear clinic to get it checked:
Contact person at hearing center – name and contact information:
Contact person at ear clinic – name and contact information:
29
Common problems and their possible solutions
Symptom
Possible causes
No sound
Worn-out battery
Sound processor is in stand-by (mute)
Intermittent
or reduced sound
Dirt in the coupling or sound inlet
Moisture
Worn-out battery
Whistling noise
30
Sound processor is touching something
Solutions
Change battery
Press push button
pg. 8-9
pg. 10-11
Clean the sound processor
pg. 20
Open the battery door and let the sound processor dry out in its case
pg. 20
Change battery
Check that the sound processor is
correctly connected and is not touching anything
pg. 8-9
pg. 12-15
If none of the above solutions solves the problem, please contact your hearing center for assistance.
31
Manufacturer’s warranty
Oticon Medical sound processors are covered by a limited warranty issued by the
manufacturer for a period of 12 months from the date of delivery. This limited warranty
covers manufacturing and material defects in the hearing instrument itself, but not
batteries.
Problems arising from improper handling or care, excessive use, accidents, repairs
carried out by an unauthorized party, exposure to corrosive conditions, damage due to
foreign objects entering the device, or incorrect adjustments are NOT covered by the
limited warranty and may void it.
The above warranty does not affect any legal rights that you might have under applicable
national legislation governing the sale of consumer goods. Your Hearing Care Professional may have issued a warranty that goes beyond the clauses of this limited warranty.
Please consult him/her for further information.
If you have any comments or suggestions related to the Oticon Medical bone anchored
hearing system, please use the e-mail address on the back of the manual to contact us.
32
Important information
• It is important to follow the skin hygiene guidelines, please contact your ear clinic if
you have questions or concerns.
• Always keep your sound processor in its box when it is not being worn so that it is
protected from dust and dirt. If you are using a skin, please make sure you remove the
skin before putting the sound processor in its box.
• Whenever the sound processor is not in use, ensure it is switched off by opening the
battery door. The battery door should be left open so that any moisture in the sound
processor is allowed to evaporate.
• If you are not wearing the Ponto Streamer when using a telephone, please hold the
receiver of the telephone close to the sound processor. To avoid feedback (a whistling
sound), make sure the telephone does not touch the sound processor. (For more
information on the possibilities of the Ponto Streamer, see page 26-28).
33
• To avoid setting off metal detectors when travelling, your sound processor can be
removed before passing through the security controls.
Waste from electronic equipment must be
handled according to local regulations.
34
Warnings
• The sound processor, batteries, parts and accessories are not toys and should be kept
out of reach of children and anyone who might swallow these items or otherwise
cause injury to themselves. The sound processor contains small parts that may be a
choking hazard for small children.
• If you drop the sound processor, make sure the shell is not cracked or any parts of the
sound processor have broken. If you find something wrong with your sound processor
please contact Oticon Medical.
• Never dispose of your sound processor, its parts or batteries by burning them.
There is a risk that they will explode and cause serious injury.
• The sound processor is not waterproof. Always disconnect the sound processor before
showering or bathing/swimming. If the sound processor accidentally gets wet, open
the battery door and take out the battery to let the sound processor dry.
• Avoid exposing the sound processor to extreme heat.
35
• Portable and mobile RF (radio frequency) communications equipment can affect the
performance of your sound processor.
• If you need to undergo MRI (Magnetic Resonance Imaging) the sound processor must
be disconnected. The implant and the abutment can remain in place. When scheduling and visiting the location of your MRI be sure to inform the doctor or technician that
you have a bone anchored system (for children and mentally disabled this responsibility falls under the care-giver).
Battery use
• Always use the batteries recommended in this manual. Batteries of low quality may
leak and cause bodily harm.
• Batteries can be harmful if swallowed. Always keep batteries out of reach of small
children or people of diminished mental capacity. If a battery is accidentally swallowed,
seek medical attention at the nearest emergency department.
36
Dysfunction in sound processors
• The sound processor may stop functioning, for instance if the batteries are worn out.
You should be aware of this possibility, in particular when you are in traffic or
otherwise dependent on warning sounds.
Possible side effects
• The otherwise non-allergenic materials used in sound processors may in rare cases
cause a skin irritation. Consult a doctor if you experience any side effects.
37
For USA only: Federal law restricts this device to sale by or on the order of a medical
practitioner.
A prospective user of a bone anchored sound processor should always have a medical
evaluation by a licensed physician to ensure that all medically treatable conditions
that may affect hearing are identified and treated before a sound processor is
purchased.
0413
Office locations:
USA
Oticon Medical, LLC
580 Howard Avenue
Somerset, NJ 08873
Phone: 1-888-277-8014
info@oticonmedicalusa.com
United Kingdom
Oticon Medical
Cadzow Industrial Estate
Low Waters Road
Hamilton, ML3 7QE
Phone:+44 (0)1698208234
info@oticonmedical.co.uk
Canada
Oticon Medical/Oticon Canada Ltd.
6950 Creditview Rd, Unit 1
Mississauga, Ontario, L5N 0A6
Phone: 1-800-263-8700
info@oticonmedical.ca
Australia
Oticon Medical/Oticon Australia Pty Ltd
Suite 4, Level 4, Building B
11 Talavera Road
North Ryde NSW 2113
Phone:+ 61 (0)2 9857 8288
info@oticonmedical.com.au
New Zealand
Oticon Medical/Oticon New Zealand Ltd
142 Lambton Quay
Wellington 6021
Phone: +64 (0)4 473 3330
info@oticonmedical.co.nz
South Africa
Oticon Medical
Warich Office Close,
39 Van Vuuren Street
Constantia Kloof 1709, Gauteng
Phone: +27 11 675 6104
info@oticonmedical.co.za
Israel
Medton Ltd.
51 Ben Yehuda Street
Tel Aviv 63431
Phone: +972 3 620 3992
info@oticonmedical.co.il
Oticon Medical AB
Datavägen 37B
SE-436 32 Askim
Sweden
Phone: +46 31 748 61 00
info@oticonmedical.com
M51767INT / 2015.05
Manufacturer:
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