Neuromonics Fitting - Neuromonics Professional

Neuromonics Fitting - Neuromonics Professional
Neuromonics Oasis
Device Features
Neuromonics
Fitting
1. Documents & Items Needed at this Appointment
Easy to Use
Volume control
Battery charge indicator
Rechargeable battery
Window display
Customized SD Card
Single or Continuous
Listening
Importance of
Customization

Maximize stimulation
of auditory pathways

Stereo effect

Accounts for
asymmetry in hearing
levels

Allows more relief at a
lower listening volume

Able to use treatment
for sleep

Helps with relaxation.
Treatment Protocol: Patient Record
 Neuromonics Fitting Form - For Clinician
 Expectation Questionnaire - For Patient
 Management Questionnaire - For Patient
 Starting the Neuromonics Tinnitus Treatment - For Patient
 Neuromonics Agreement - For Patient (to sign)
Oasis Device Portfolio

Warranty Registration Card

User Manual
Neuromonics Clinic Software

Computer

USB Infrared (IR) Cable
Patient’s Oasis Device - Charging the device before the patient appointment is recommended.
2. Neuromonics Clinic Software and New Patient Set-Up
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New Patient Set-Up
Plug USB Infrared (IR) into computer
Open Neuromonics Clinic Software
Enter Password: ―password”
Click OK or press ENTER
Enter the following: (All information can be found on the ―Neuromonics Tinnitus Treatment
Processor Installation Sheet‖, or DID# on back of Oasis Device and PID# on SD Card)
Client ID: PID ________
First Name: _______ Last Name: _______ DOB: _______
Processor ID: DID_______ Processor Password: new
Phase of Therapy: 1st Phase

Click SAVE
Before Fitting the Oasis Device
Have the patient complete the following questionnaires just prior to their
appointment:
1. Expectations Questionnaire — For Patient
Review and discuss responses with the patient.
2. Management Questionnaire — For Patient
Review and discuss responses with the patient
3. Minimum Volume
Stage 1

Designed to provide
relief from tinnitus when
using the treatment.

Helps in relaxation
High level of interaction
with tinnitus
Relief and reduction of
tinnitus awareness
during listening sessions
Patient will have relief
only while using the
device.
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 Remove Oasis device from AC Charger
 Place the earphones on patient.
 Set device to SHOW VOLUME
- With the device off (END), simultaneously press BEGIN and END for 2 sec.
- The client name & birth date will appear in the window display
- Press UP volume (+) and ―SHOW VOLUME” is displayed in Oasis window
 Press “+” volume to display `01 M01’ vertically
 Advance to TRACK 3 by pressing and holding the BEGIN button for 1-2 seconds to advance tracks (or, double tap BEGIN button to advance tracks.)
Factory default setting:
Volume at “01”
Minimum Volume at “01”
Finding the Patient’s Minimum Volume
 Adjust volume up (+) or down (-) until the patient can just hear music
(threshold).
 Record the volume number on Neuromonics Fitting Form
For example, if the patient volume adjusted to ―12‖, it will appear as:
Volume at “12”
Stimulus

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Signal and music
customized to patient’s
hearing profile
Customized stimulus
“shower sound” is
embedded in music
Contemporary
Wide frequency
response
100 Hz - 12.5 kHz.


Press END to turn off and remove Oasis device
4. Changing Minimum Volume in the Clinic Software
Two types of music
Classical Baroque

Minimum Volume at “01”
Binaural
Open Neuromonics Clinic Software
 Plug USB infrared (IR) into computer
 Find client name or SEARCH for existing client record
 Change Minimum Volume value from ―1‖ to the patient’s Minimum Volume #___
 Check Phase of Therapy set to ―1st Phase‖
 Press SAVE
Oasis Device
 Remove bottom end cap to expose IR connector & AC Charger port
 Plug AC charger into Oasis device
 With the device off, press BEGIN and END simultaneously for 2 seconds
―No Link‖ will appear in window display on Oasis device
Position line of site: USB IR device to the IR window on Oasis device
 Click CONNECT IR. ―IR Link” will appear in window display on Oasis
 Click DOWNLOAD LOGGED DATA, UPLOAD CLIENT INFO, then, SET DATE
AND TIME
Click DISCONNECT IR, remove AC charger and replace the end cap.
Page 3
Usage
5. Verifying the Patient’s Minimum Volume
 Set device to SHOW VOLUME
With the device off (END), simultaneously press BEGIN and END for 2 sec
Client name & birth date will appear in the window display
 Press UP volume (+) and ―SHOW VOLUME” is displayed in Oasis window
 Press the BEGIN button
 Press “+” volume to display the patient’s new minimum volume
Volume at
 Min. 2-4 hours per day


Patient’s new Minimum Volume

6. Determine Interaction Level
Goal: To achieve high interaction (blending) at a comfortable listening level

 High Interaction Level: M:___ Volume ___ (record on Neuromonics Fitting Form)
Adjust to a comfortable level, where the treatment blends with their tinnitus
 Degree of interaction (blending)
achieved at this level:
Low - Moderate - High - Complete
 If the interaction level is Low or Moderate, determine if the patient can increase the volume to obtain a higher interaction level, while at a comfortable volume.
Volume:____ (record on Neuromonics Fitting Form)
Listening Volume
 Set the volume to a
 Reassess degree of interaction if the volume is adjusted.
 Degree of tinnitus relief at this volume:
 Balance:
Stereo
Low - Moderate - High - Complete
Mono

7. Device Management
Button & Switch
Earphone
Begin/Advance (double tap button to advance track)
End
Volume Up (+) Down (-)
Single and Continuous (―Single‖ automatically shuts off after selected track
ends. ―Continuous‖ plays all tracks in a loop. )
Lock / Unlock (press & hold volume (+) (-) buttons together for 2 secs.)
Proper connection
R/L channels (stereo)
DO NOT Insert earphone plug into
charger jack
Insertion of
Earphones
Correct Insertion
Use and care
Earphone Options: B&O, Westone N-1
Volume Control
Increase volume (+)
Avoid counting clicks
Recharging
Device
Charge time: up to 4 hours
Battery life: approximately 25 hours of use per charge
Device will not operate when connected to the AC charger
Green Light Indicator:
Light OFF - sufficient charge
Light ON - device charging
Light Flashing - low charge
DO NOT insert AC charger plug into earphone jack
Time Usage
Window Display
Maximum 4 hours of time usage displayed
Displays cumulative usage throughout a 24 time period.
Resets each day at 3 am
Large lines = 1 hour of use
Small lines = 15 minutes of use
Kit and
Accessories
SmartWrap
Pouch / Case
User’s Manual
when tinnitus
bothersome
Duration: 6-8 mos.
(varies depending on
individual)
Use in small segments
of time: 15, 30 or 60
minute time intervals
“Single” plays selected
track then automatically
shuts off.
“Continuous” plays all
tracks in a continuous
loop until END button
pushed.
Use and care instructions
Operating the device
Decrease volume (-)
Volume resets to default level when off
more than 5 minutes
Neckstrap / Lanyard
Spare earpads or eartips
Troubleshooting Guide



comfortable listening
level. (never set volume
to an uncomfortable
listening level)
Don’t be afraid to use
more volume if you
need it for relief.
Listening must always
be pleasant & relaxing.
High volumes can take
away from the relaxing
aspects and can
become frustrating.
Gradually turn down
volume a few minutes
before ending your
treatment session to
aide in relief contrast.
Suitable Activities when
using the Treatment

Office Work

Reading

Writing

Going for a walk

On the internet

Hobbies (non-strenuous)

Traveling as a passenger
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Crosswords

Work around the house

Shopping
Treatment CANNOT
be used when
 Driving
 Straining to hear
 Listening to television
 Device may get wet
 Exercising to raise your
heart rate.
2810 Emrick Blvd.
Bethlehem, PA
18020
U.S.A.
Tinnitus Management and Patient Advice Sheets
Patient may benefit from basic advice and education on any one of the following
issues:
 Sleep
 Diet and medication
 Sound Level Exposure
 Medication
 Relaxation, including an explanation of the typical physiological response to
relaxation music
 Regular exercise strenuous enough to raise a sweat
 Preventing tinnitus from disrupting activities and lifestyle
The Clinician’s Guidelines CD includes several Patient Advice Sheets that you
might find helpful to provide to your patient during the treatment process. For example, diet and medication can influence tinnitus and sleep. By modifying habits, your
patient can take steps to decrease their tinnitus disturbance in addition to Neuromonics Tinnitus Treatment (e.g., reduce coffee intake, modify drinking habits, reduce excessive smoking). Handouts available on the Clinician’s Guidelines CD include:
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Changing the way you think about tinnitus
Coping with environmental noises
Diet and Medication
Progressive Relaxation Training
Sleep
Stress and Relaxation
Counseling Expectations
After Fitting, review and give to patient
Documents located in Treatment Protocol: Patient Record

Starting the Neuromonics Tinnitus Treatment
Key points when using the treatment

Expectations of Neuromonics Tinnitus Treatment

Neuromonics Agreement
Recommend patient sign Agreement

Warranty Registration Card (in Patient Information envelope with Oasis device)
Follow-Up Courtesy Call and Appointments
Estimated Time
Phone: 1-866-606-3876
Fax: 1-800-858-3031
E-mail: [email protected]
Stage 1
Fitting
Courtesy Call (~1 wk)
Post-Fitting Follow-up (~2 wks)
45 – 50 minutes
15
minutes
30
minutes
Stage 2
Transition Appointment (~8 wks)
Courtesy Call Transition (~10 wks)
Post-Fitting Follow-Up (~16 wks)
35 – 45 minutes
15
minutes
30 – 35 minutes
Treatment
Review
Treatment completion (~26 wks)
35 – 45 minutes
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