Neuromonics Fitting - Neuromonics Professional

Neuromonics Fitting - Neuromonics Professional
 Neuromonics Fitting
1. Neuromonics Clinic Software and NOAH 4 New Patient
Set-up
How to Install the NeuroFit Software
NB: Do not connect your device to the computer prior to installing the
software for the first time
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Forms & Items Needed at
this Appointment
1.
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2.
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Noah 4 must already be previously installed on your PC
Log in to www.neuromonicsprofessional.com and enter your details
(if you are doing this for the first time click on ‘Register’ below the log in box and
enter your email address and username, a password will then be emailed to
you)
Click on the ‘Software and Firmware Download’ tab
Click on ‘NeuroFit Installer’ which will run the setup wizard, then follow the
prompts
Patient Record Form:
Fitting Tab document
Results of Tinnitus
Assessment
Oasis Device portfolio:
Oasis device -charged
Headphones
Battery charger and
micro Universal Serial
Bus (USB) cable
• User Manual
• Neuromonics Tinnitus
Management Handbook
• Warranty Card
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3.
Neuromonics Clinic
NeuroFit Software and
NOAH 4
4.
Computer
[Type text] •
When the installation has completed, click on ‘Close’
[Type text] CL10-­‐0006 NOAH operation
• Enter patient’s audiogram into Noah
• Open the Neuromonics fitting module by clicking on the
icon
Importance of
Customization
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Maximize stimulation of
auditory pathways
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Stereo effect
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Accounts for asymmetry in
hearing
levels
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Allows more relief at a
lower listening volume
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Able to use treatment for
sleep
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Helps with relaxation
Establishing a Serial Connection
The software will automatically detect the connected device and display the
type of device and the serial number. All changes made in the software are
immediate and are automatically saved to the device
Stage 1
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Designed to provide relief
from tinnitus when
using the treatment.
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Helps in relaxation
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High level of interaction with
tinnitus
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Relief and reduction of
tinnitus awareness
during listening sessions
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Patient will have relief only
while using the
device.
[Type text] When connection with the device is lost, ‘Not connected’ is displayed. To reestablish connection, check supplied USB cable and that device is turned on.
The software will try to establish the connection automatically every 5 seconds.
Alternatively, you can click on the
[Type text] icon to re-establish connection.
CL10-­‐0006 Enter High Frequency Audiometry Values
Stimulus
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Signal and music
customized to patient’s
hearing profile
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Customized stimulus
“shower sound” is
embedded in music
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Two types of music
Classical Baroque
Contemporary
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Wide frequency
Response 100 Hz - 12.5
kHz.
Binaural
The Neuromonics software will interpolate the 9, 10 and 12kHz values from the
entered audiogram.
If the patient’s measured levels differ from this, you can overwrite each of these
values by highlighting the desired value and entering the correct value
2. Before Fitting the Oasis Device: Review Questionnaires
Have the patient complete the following questionnaires just prior to their
appointment:
[Type text] •
Expectations Questionnaire – for patient
Review and discuss responses with the patient
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Management Questionnaire – for patient
Review and discuss responses with the patient
[Type text] CL10-­‐0006 3. Getting to Know the Oasis
The Oasis device uses buttons to navigate through the menu structure and
through sound files.
Powering On the Oasis Device
If the Oasis device is powered off, press down the middle button. The Oasis
device powers on to the Menu screen.
Connecting the Headphones
The sounds played by the Oasis have been exactly matched to the spectral
profile of the supplied headphones to ensure device usage is effective. Plug
the supplied headphones into the headphone port on the top of the Oasis
device.
Headphone Port
Beginning and Ending a Session
There are four Neuromonics customized music tracks that have been
programmed for listening sessions.
To play a track:
1. Press the center Play button. The first track starts to play.
2. Press Play again to pause treatment.
3. To skip between tracks, press the << or >> button.
When PLAY is pressed again, play resumes from the point where the track
paused. If the device remains paused for five minutes, the device shuts off. If
PLAY is pressed again while off, the Oasis device starts over by playing the first
track
Setting the Volume
Each time you press PLAY at the start of a session, the volume starts at a
minimum volume level. This is so that you set the volume to the correct level
each time you listen to your Oasis device.
To adjust the volume:
1. Press the +/- buttons on the Oasis device. See Figure 1. Each time you
press a button, the volume increases or decreases incrementally.
2. Press the desired button until you reach a volume comfortable for you.
Selecting a Track
Center PLAY Button
>> Forward
<< Back
+ Up
- Down
Each of the four music tracks lasts for approximately 60 minutes. You may
prefer to listen to a variety of track or to a single track several times. You may
find some tracks are more appropriate for certain listening times, for example
when you are going to sleep or when you are working.
Progressive Muscle Relaxation Track
The Oasis device contains a selection that walks you through the steps of a
progressive muscle relaxation exercise. Press Center PLAY button scroll to
PMR selection, press PLAY.
[Type text] [Type text] CL10-­‐0006 Charging the Oasis Device:
1. Plug the supplied power cord into a power outlet.
2. Insert the charger plug into the Oasis device micro USB charging port (Figure 4).
3. Plugging the charger into the device automatically starts charging the Oasis
4.
USB Port for Recharger
device. You can verify this by viewing the “Charge Battery” icon on the main
screen. Battery charging can take up to 10 hours. When charging is complete, the
batter icon fills in completely and the normal charged icon will appear on the
screen.
Disconnect the charger and unplug from the power outlet.
Setting the Date and Time
1. The current date and time is displayed on the home screen
2. Press and hold the Play button until the set-up menu appears (approx 5
seconds).
3. Using the +/- buttons, scroll down until the Set Date/Time Menu is highlighted.
4. Press the center Play button to access the Date/Time Menu
5. In the Date field press the +/- keys until the desired month is selected. By using
the << and >> buttons, you can move to the Day field and repeat step number 4
to achieve the desired day.
6. Repeat step 4 to change the year.
7. To complete setting the time, return to the setup screen by advancing to the
“Setup Menu” item, and then press the center button to return.
Note: The Oasis device will automatically return to the main screen if no action is taken
for approximately 30 seconds.
Sleep Timer
The Oasis device comes with a sleep timer so that you can play the Oasis device for 5
minutes up to 120 minutes.
To change the sleep timer:
1. Press and hold the center Play button for approximately 3 seconds to access the
set-up menu.
2. To select the Sleep Timer Menu, press the << or >> buttons until the Sleep
Timer is highlighted. By pressing the << or >> buttons, the Sleep Timer will
change from 5 to 120 minutes.
3. Select the desired sleep time, then scroll down to return to the Setup Menu.
Note: The Oasis device will automatically return to the main screen if no action is taken
for approximately 30 seconds.
Single/Continuous Mode
The Oasis device allows you to play your tracks in either a continuous fashion or a
single time only. When selecting Continuous, the track sequence will repeat after the
final track and start at the beginning once more.
To Select Single or Continuous Mode:
1. Press and hold Play for approximately 5 seconds to access the set-up menu.
2. Press the +/- buttons until the desired mode is highlighted. Pressing the << or >>
button changes the mode from Single to Continuous.
3. Select the desired mode, then scroll down to return to the Setup Menu.
[Type text] [Type text] CL10-­‐0006 4. Programming of Device Features
Usage
• Min. 2-4 hours per day when
tinnitus
Bothersome
Procedure: Adjustment of various fitting parameters to be determined in
conjunction with input from the patient regarding patient preferences and needs.
Setting Startup Volume
The volume at which the device starts playing
• 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
device is powered off.
Listening Volume
• Set the volume to a 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
[Type text] ‘Current Volume’ refers to the volume at which the device is set at whilst it is
connected to the software. Manually adjusting the volume on the device will be
reflected on the slide bar
‘Start up’ volume is the volume which the device will start at each time it is
turned on by the wearer. Ideally this should be set at the wearer’s threshold
when listening to Track 3
Procedure: Using Track, adjust the volume up or down to find the level that the
patient can just hear the music (threshold). Note setting: default or _______
[Type text] CL10-­‐0006 Setting Audio Binaural Balance
Up to ± 10 dB broadband volume difference between ears
Suitable Activities when
using the Treatment
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Office Work
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Reading
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Writing
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Going for a walk
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On the internet
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Hobbies (non-strenuous)
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Traveling as a passenger
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Crosswords
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Work around the house
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Shopping
Contraindicated
Activities:
Procedure: Based upon patient input regarding perception of the acoustic
stimulation in stereo, the Audio Binaural Balance can be adjusted to the right or
left side in 2dB steps up to a maximum of 10dB. Adjustments can be made by
either clicking and dragging the slider, or using the arrow keys on your
keyboard. Note setting: default or _________
Headphone Selection
• Driving
• Straining to hear
• Listening to television
• Device may get wet
• Exercising to raise your heart
rate.
Clicking on the drop down menu of the Headphone icon, allows the clinician to
choose which headphones are selected for the patient. There is a choice of
three (3) options: J5, Sony or Bose
Track Adjustment
The track being played can be played, paused, and the next or previous track
can be selected
[Type text] [Type text] CL10-­‐0006 Noise Level
Advanced settings
Click on the Settings
icon to open the Settings options
When the instrument is Phase 1, the level of the white noise (neural stimulus) can be
adjusted in 2dB steps to a minimum of -10dB and a maximum of +10dB from the default
level. Note setting: default or _________
Phase Transition Programmed to Phase One*
When the Phase Transition box is UNCHECKED, the device is programmed in
Phase One
When the Phase Transition box is CHECKED, the device is programmed in
Phase Two
*With the exception of patients with Reactive type tinnitus who will always have
device programmed with the Phase Two Stimulus.
Note Phase Transition Setting: __________
[Type text] [Type text] CL10-­‐0006 Track Selection
Clicking on the Select Tracks tab opens the window from which the clinician can
select which tracks will be available.
Click on the check box for the desired tracks, then click ‘OK’. Select up to 4
tracks.
The tracks can be re-ordered by holding down the ALT key and dragging into
the desired play order. Note Track Selections: _____ ______ _______ _____
5. Determine Interaction Level
Goal: To achieve high interaction (blending) at a comfortable listening level
[Type text] •
High Interaction Level: M:
Volume
(record on Neuromonics Fitting
Form)
Adjust to a comfortable level, where the treatment blends with their
tinnitus
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Degree of interaction (blending)
achieved at this level
[Type text] Low - Moderate - High - Complete
CL10-­‐0006 6. 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
7. Counseling Expectations
After Fitting, review and give to patient
Documents located in Treatment Protocol: Patient Record
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Starting the Neuromonics Tinnitus Treatment
Key points when using the treatment
NEUROMONICS, INC.
8774 YATES DR STE 220
WESTMINSTER, CO 80031 U.S.A.
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Expectations of Neuromonics Tinnitus Treatment
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Neuromonics Agreement
Recommend patient sign Agreement
Phone: 1-866-606-3876
Fax: 1-800-858-3031
E-mail: [email protected]
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Warranty Registration Card (in Patient Information envelope with Oasis device)
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Appointment Notes:
Follow-Up Courtesy Call Date: _____________
Stage One Appointment Date: _____________
[Type text] [Type text] CL10-­‐0006 [Type text] [Type text] CL10-­‐0006 
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