MedRx AVANT ARC Training Manual
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MedRx AVANT ARC Training Manual

Audiometry and binaural rem/lsm in one
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Summary of Contents for MedRx AVANT ARC

  • Page 2: Table Of Contents

    ………………….………………………………………………………………………….. Introduction ………………………………………………………………………. Avant ARC Software Options Basic Audiometer Options………………………………………………………………………… Basic REM Options. ………………………………………………………………………………. ……………………………………………………………………………………… Advanced Options Accessories……………………………………………………………………………………… Placing the Earphones on the Patient…………………………………………………………………………………. …………………………………………………………………………… Placing the Bone Conductor ………………………………………………………………………. Performing Audiometric Testing ………………………………………………………………………………… Pure Tone Audiometry ……………………………………………………………………………………… Speech Audiometry QuickSIN………………………………………….…………………………………………………….
  • Page 3 ◦ ◦ ◦ ◦ D-0117971-B 01/2019...
  • Page 4 F1 key Help text menu D-0117971-B 01/2019...
  • Page 5 NOAH.  AVANT AUDIOMETER AVANT REM Options File Menu Options D-0117971-B 01/2019...

  • Page 6: Basic Audiometer Options

    Basic Options View tab Audiometry tab Options File Menu Options Basic Options View Live Speech D-0117971-B 01/2019...

  • Page 7: Advanced Options

    MHA/HLS Advanced Options D-0117971-B 01/2019...
  • Page 8 Tympanometer Video Otoscope  D-0117971-B 01/2019...
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  • Page 10 1. Test Selection Tool Bar 12. Test Interrupter 2. Journal or Notepad 13. Back to the Main Screen 3. Monitor Headset Control 14. Help 4. Ear Selection 15. Discard Current Measurement 5. Output selectors 16. Talk Over 6. Test Type Selectors 17.
  • Page 11      D-0117971-B 01/2019...
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  • Page 13 Masking Lock arrow Close. D-0117971-B 01/2019...
  • Page 14 Audiometry test ear Word List D-0117971-B 01/2019...
  • Page 15 Spondee Word Lists A&B Start Test. Play Correct Incorrect D-0117971-B 01/2019...
  • Page 16 Audiometry test ear Word List Start Test. Play Correct Incorrect Note that the score is calculated and displayed automatically. The test is complete when all words in the list have been presented. The software automatically plots the score on the WR graph. Repeat test on opposite ear.
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  • Page 18: Quicksin

    Performing the QuickSIN Test   QuickSIN Audiometry  list Select.  Play  check-box  Play D-0117971-B 01/2019...
  • Page 19 After all six sentences are scored, the following results are displayed:   Help D-0117971-B 01/2019...
  • Page 20  Tinnometer The following screenshot shows the key features of the Tinnometer: Interactions with the patient are controlled as follows: D-0117971-B 01/2019...
  • Page 21 There are 3 Steps needed for Tinnitus Assessment with the Tinnometer Step 1: Identify Patient’s Tinnitus tinnitus type start/stop toggle D-0117971-B 01/2019...
  • Page 22 Step 2: Find Identified Tinnitus Threshold down Threshold Level Step 3: Masking Tinnitus for 60 Seconds volume slider MML button Tinnometer Modulation Tab The Tinnometer modulation tab is designed to simulate sound generators when hearing aid demonstrations cannot be performed. The following are controls used in Modulation.
  • Page 23 To use the Modulation features within Tinnometer, you must first complete the three steps involved with tinnitus assessment. Once tinnitus assessment is complete, you can use modulation by: Activating the channel in which the tinnitus assessment was performed. Enter the modulation tab on the right side of Tinnometer software.

  • Page 24: Tinnometer

    Tinnometer Audiometry Scan The Tinnometer Scan tab is designed for various forms of air conduction audiometry. There are three types of audiometry that can be performed with Tinnometer. You can access the forms of audiometry with the buttons located by the number 1 in the image below. Tinnometer Residual Inhibition (RI) The Tinnometer RI tab is designed for Residual Inhibition (RI) testing for a patient’s tinnitus.
  • Page 25 Select the RI tab on the right side of the Tinnometer software. Ask the patient the bothersome level of their tinnitus from 1 to 10 and mark their response. Click the stop watch to begin the masking stimulus (stimulus to play for 60 seconds).
  • Page 26 When the stimulus stops the patient must redefine their tinnitus bothersome level every 30 seconds. The bothersome level should decrease upon the stimulus stopping and will increase with time. The test continues until the bothersome level returns to pre-test level. Tinnometer Report Printing The Tinnometer has four reports available for printing: tinnitus assessment report, manufacturer guidance report, questionnaire report and a channel...
  • Page 27 Tinnitus Assessment Report Tinnitus assessment reports are able to be generated after completing the three steps to tinnitus assessment. Once all steps are complete you are able to print a report To generate your tinnitus assessment report, select “printer …” from the File menu. The “Channel”...
  • Page 28 Manufacturer Guidance Report Manufacturer guidance reports are designed to provide hearing aid sound therapy guidance to a clinician based on tinnitus assessment results. Sound therapy is an option to tinnitus treatment. We encourage all clinics to develop a tinnitus treatment protocol that is in line with their tinnitus treatment goals. Manufacturer guidance generated by the Tinnometer is designed to be a starting point in sound therapy and each patient may differ in preferred sound.
  • Page 29 6. Print the report. Graph Channel Report Graph channel reports will print a patient report which displays an image of the patient’s tinnitus with QR codes for YouTube videos that play a wind modulation noise nearest to their tinnitus. To generate the report you must: 1.
  • Page 30 2. Select the name of the questionnaire you want to print from the list of reports. 3. Print the report.  HLS tab   input signal type   Normal Simulated  Reset   D-0117971-B 01/2019...
  • Page 31 Binaural Monaural Live voice (microphone) File Record D-0117971-B 01/2019...

  • Page 32: Master Hearing Aid

    Master Hearing Aid (MHA) File, CD, Mic, Record. Monaural Binaural. Normal track return Reset D-0117971-B 01/2019...
  • Page 33 Tools > Calibrate Speakers. Start D-0117971-B 01/2019...
  • Page 34 D-0117971-B 01/2019...
  • Page 35   Tools.  Probe Tube Calibrate Calibration Probe Tube. Start Function > Calibrate > Calibration D-0117971-B 01/2019...

  • Page 36: Live Speech Mapping

    Step-by-Step Guide to Live Speech Mapping Ensure the Audiogram is Entered test ear Audio Air. Back LSM. D-0117971-B 01/2019...
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  • Page 38 Speech Mapping with Live Voice Inputs NOTE: The screen shot above shows the MedRx Modified Speech Spectrum (Canoe). It is also possible to underlay DSL IO or NAL-NL2 targets on this screen. Click Options in the text menu bar on the top of the screen to select and configure these underlays to meet the needs of your practice.
  • Page 39 NOAH LSM Completing the On-Top Mode Process Exit D-0117971-B 01/2019...
  • Page 40 Live Speech Mapping in a way that compliments their practice style rather than compromising it. In order to get you “up and running” with the AVANT ARC system, MedRx has developed the following protocol. This simple procedure has been found to be effective with both audiologists and hearing instrument specialists.
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  • Page 43: Rainbow Passage

    Stimulus Signal Types Pure Tone A pure sine wave. Crest Factor = 1.41 (3.0dB) Broadband Noise (BBN) Uniform random noise with normal (Gaussian) amplitude distribution. Can be weighted to White, Pink, Speech ANSI, and Speech Byrne (see below.) Pseudo Random Noise (PRN) A "synthetic"...

  • Page 44: Real Ear Measurement

    To activate specific REM tests, click the buttons as follows: Opens the audiometry data entry screen. Use this if audiometry has not been previously measured and entered into NOAH. Allows the selection of fitting rules to generate targets. The following rules are supported: ½...

  • Page 45: Coupler Difference (Recd)

    Real Ear to Coupler Difference (RECD) D-0117971-B 01/2019...

  • Page 46: How To Perform The Recd Task

    How to perform the RECD task REAR with a hearing instrument       REAR with an insert headphone     D-0117971-B 01/2019...

  • Page 47: Coupler Response

    Coupler Response    START  Coupler Response Stored   D-0117971-B 01/2019...
  • Page 48 Start button. Options 1/24 octave. D-0117971-B 01/2019...
  • Page 49 D-0117971-B 01/2019...
  • Page 50 Read the instruction Indicates that the device Type B applied part. (Type B Manufacturer Authorized manuals for safe usage of serial number will follow equipment) (MedRx) Representative in the device Europe (operating instructions) Non-ionizing Special Disposal Required Humidity Limitation Caution, General...
  • Page 51 D-0117971-B 01/2019...

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