Table of Contents Introduction to MADSEN Xeta The OTOsuite Audiometry Module Intended use About this manual Typographical conventions 1.4.1 Navigation Getting started Patient data 2.1.1 Clearing test data 2.1.2 Viewing results Preparing the patient Automatic Air Conduction testing 2.3.1 Automatic Threshold testing 2.3.2 Automatic Screening...
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Items in the Setup menu Testing a patient with MADSEN Xeta Automatic tone testing Manual tone testing - getting started Air Conduction threshold test (manual) Bone Conduction threshold test (manual) Testing with masking 7.5.1 Air conduction with masking - suggested procedure Otometrics - MADSEN Xeta...
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14 Standards and safety 14.1 Symbols used 14.2 Warning notes 14.3 The OTOsuite Audiometry Module 14.4 Manufacturer 14.4.1 Responsibility of the manufacturer 15 Technical specifications 15.1 MADSEN Xeta 15.2 Accessories 15.3 Notes on EMC (Electromagnetic Compatibility) Otometrics - MADSEN Xeta...
The front panel buttons have indicator lights, which clearly show the device's current settings. Sound level, frequency and other information are shown clearly on the device display. You can download new firmware to MADSEN Xeta, and if this involves no change to the transducers, MADSEN Xeta does not need to be recalibrated.
► contains relevant warning notes. Training It is recommended that you read this manual and the OTOsuiteUser Guide, and make yourself familiar with MADSEN Xeta before you begin testing a patient. Note If you are using the OTOsuite Audiometry Module with NOAH, we recommend that you are familiar with the •...
1 Introduction to MADSEN Xeta Typographical conventions The use of Warning, Caution and Note To draw your attention to information regarding safe and appropriate use of the device or software, the manual uses pre- cautionary statements as follows: Warning •...
5. Switch on MADSEN Xeta. MADSEN Xeta is ready for testing as soon as it is switched on. 6. Launch the OTOsuite Audiometry Module, if required. 7. MADSEN Xeta automatically starts in manual test mode. A new patient record is automatically available and is shown briefly on the display.
Start/Pause Patient data Patients are • either scheduled and listed in OTOsuite (Scheduled patients) or • stored in numbered patient records in MADSEN Xeta (Tested patients). ► See also Patient record lists A. Tested patient records B. Scheduled patients Otometrics - MADSEN Xeta...
. The button lights to indicate that you have selec- ted the test. A. Auto Threshold test B. Current frequency C. Starting Hearing Level D. Starting ear selected For symbols used, see Symbols used ► Start Setup 2. Press Otometrics - MADSEN Xeta...
3. MADSEN Xeta beeps twice and the display shows that the test is completed. The results are stored automatically. 4. If the Masking Assistant flashes M, alternately ?, to indicate that masking may be recommended for specific fre- quencies, scroll through the frequencies.
) or press User-defined tests With MADSEN Xeta you can quickly and easily customize your tests for maximum efficiency. Make the changes you want in the setup of MADSEN Xeta and save these changes as a specific User Test. See Setup ►...
B. Display Settings and the test as it progresses are shown on the display. See Dis- play ► C. Front panel controls MADSEN Xeta is operated from the front panel. See Front panel con- ► trols Display A. Test signal indicator B.
3 Overview of MADSEN Xeta Frequency The selected test frequency for tone testing is shown at the center. Masking If masking for the contralateral ear is enabled, this is shown on the opposite side. Symbols used Left ear Left ear...
Press the button again to deactivate. 3.2.1 Front panel layout The MADSEN Xeta buttons and controls are grouped according to their function and how frequently they are used. The buttons and knobs most frequently used are placed directly below the display. STIMULUS ►...
3 Overview of MADSEN Xeta Bone Selects bone conduction (via bone conductor on mastoid). Reverse Present stimulus Reverses the function of the button: Active • (indicator lit) Present stim- The test signal is presented continuously and the stimulus is interrupted when you press the ulus button.
In the Auto Threshold and Auto Screening tests you can change the setting of the signal indicators to creet mode , which means that they do not light up when the test signal is presented. If MADSEN Xeta is in view of the patient, this will prevent the patient from knowing when a signal is presented.
Viewing results for examples. Scroll Patient List When MADSEN Xeta is switched on, a new patient record is automatically available. Scroll through the patient records list. The list may include patients scheduled from the PC. Previous scrolls through patients already tested.
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Automatic reload of the last used settings MADSEN Xeta is optimized for testing patient after patient in the same consistent manner. To support this, MADSEN Xeta remembers the settings you used for testing the previous patient, i.e. the settings selected when the first threshold was stored.
3 Overview of MADSEN Xeta 3.2.11 Store/toggle threshold status Stores a threshold in the internal memory. Thresholds are stored indefinitely (even if the power is switched off), unless you delete them by pressing Clear Store If a previously stored threshold is present, it will be replaced by the new threshold when you press...
3 Overview of MADSEN Xeta Right Level knob Right level knob • changes the intensity of the masking signal in 5 dB steps • scrolls between values and functions shown in the display. Intensity change - masking signal ► Changes the intensity for the masking signal. To change this setting, see Level knob Turn clockwise to increase the intensity and counter-clockwise to decrease.
3 Overview of MADSEN Xeta Level adjustment Talk Over Left Right When you press and hold , you can adjust the talk over output level in the headphone using the level knob. The approximate dB HL is shown on the display.
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3 Overview of MADSEN Xeta MONO INSERT Connection for the black 1/4" jack plug from the EAR-3A mono insert phone. Patient Response switch Connection for the black 1/4" jack plug from the patient responder. RS 232 interface Connection for Xeta to a PC. 9-pole PC- RS232 interface cable.
• enter tester details and test date entry for manually entered audiograms • enter special test and tuning fork test results • plan patients for offline testing • upload test results from offline tests Otometrics - MADSEN Xeta...
Note The air conduction transducer is stored when you have selected it in • the transducer section of the Control Panel (or with device controls, if applicable) and data points are entered on the audiogram. Otometrics - MADSEN Xeta...
Options > Audiometry > Tone Misc > Audiogram Legend Click to enable or disable the display of the audiogram legend. The legend contains the most commonly used symbols for the audiogram. It is not configurable. Otometrics - MADSEN Xeta...
4 Navigating in the OTOsuite Audiometry Module Menu item Icon Description The graph shows up to 20,000 Hz. MADSEN Xeta presents stimulus Standard / All / High up to 12,500 Hz. frequencies • Click to choose between viewing: Standard Frequencies Displays the audiogram from 125 to 8000 Hz.
The Masking Assistant is a tool provided to help you with an indication that there may be frequencies where testing with masking is recommended. 1 (Katz, J., Lezynski, J. (2002). Clinical Masking. In J. Katz, ed., Handbook of Clinical Audiology , Williams and Wilkins, Bal- timore.) Otometrics - MADSEN Xeta...
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Pure Tone Hearing Thresholds, Audiologists’ Desk Reference - Vol 1, James W. Hall III, H. Gustav Mueller III, Singular Publishing Group 1997 Munro K.J., Agnew N. A comparison of inter-aural attenuation with the Ety- . and motic ER-3A insert earphone and the Telephonics TDH-39 supra-aural earphone. Br J Audiol 1999; 33: 259-262 Otometrics - MADSEN Xeta...
4 Navigating in the OTOsuite Audiometry Module Min IA is frequency specific These are the Min IA tables for TDH-39 and Otometrics Inserts used in the Masking Assistant Min IA (supraaural phone: TDH-39), frequency specific Katz & Lezynski, (2002) Munro & Agnew, BJA (1999) Munro &...
Fig. 1 The MADSEN Xeta Control Panel 4.5.1 The Control Panel When you activate the OTOsuite Audiometry Control Panel, MADSEN Xeta automatically connects to the audiometer. Note You cannot operate MADSEN Xeta from the Control Panel. • The Control Panel is divided into a number of sections where you can view various settings, and a section for controlling communication with the audiometer.
Make sure that you select the correct patient, either in the audiometer or in OTOsuite. The stimulus bar A. Intensity Frequency B. Stimulus indicator Stimulus bar color C. Transducer indicator G. Routing indicator D. Stimulus being presented H. Masking on Otometrics - MADSEN Xeta...
Curves and symbols selection ► Frequency • Indicated by the Hz value in the center of the stimulus bar. The Tone test screen During online testing, the screen reflects the test done by the audiometer as it progresses. Otometrics - MADSEN Xeta...
Blue = left • Red = right • Black = binaural Mouse cursor Indicates where you place the mouse. The color indicates the routing: • Blue = left • Red = right • Black = binaural Otometrics - MADSEN Xeta...
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You can switch the position of the right and left graphs to cor- respond to your viewing preference. Tools Options Tone Misc. Dual Graph View 1. Select > > > > View or in the menu bar under A. Stimulus marker (ear color) B. Masking level indicator Otometrics - MADSEN Xeta...
Select a new color or click on to select a color not shown. Click 7. To optimize viewing of the audiogram, you can offset the symbols in relation to the audiogram grid in the fields Hori- zontal Offset Vertical Offset Otometrics - MADSEN Xeta...
The new symbol should appear on the list of symbol options. In this dialog box, you also have options for setting the color, line type, and horizontal and vertical offsets that will apply when you use the new symbol. Otometrics - MADSEN Xeta...
The Legend box shows the audiogram symbols used in the graphs. 4.7.6 Tone view options Tone You can access a number of Tone view options directly from the main screen. The view options can be turned on/off. To do so, select Tools > Options > Tone Otometrics - MADSEN Xeta...
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Speech Banana Displays the speech banana of a listener with normal hearing. Speech Letters Displays speech sounds at their approximate dB level. Unusable area Shades the area which is outside the patient's dynamic range of hearing. Otometrics - MADSEN Xeta...
When you change test ear, you can define that the frequency and level should be set to 1000 Hz at 20 dB HL. To do so, Tools Options Tone Measurement Ear Shift Frequency and Level Ear Shift Frequency and Level select > > > > . Check Otometrics - MADSEN Xeta...
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4 Navigating in the OTOsuite Audiometry Module Otometrics - MADSEN Xeta...
Preparing for testing It is important to prepare properly before making measurements with MADSEN Xeta and the OTOsuite software. It is time- saving for both you and the client if the environment, the client, the test device, and the software are ready for the test.
Switching to the next patient Next When you have tested a patient and saved patient data, switch to the next patient by pressing Patient . The display will indicate - or the name of the next scheduled patient. Otometrics - MADSEN Xeta...
5.2.3 The patient responder • Place the patient in a sound booth, if one is available, and facing away from MADSEN Xeta. • Instruct the patient in how to use the patient responder. • Instruct the patient in pressing the button even if only weak signals are heard.
MADSEN Xeta is powered on. Either disconnect the bone conductor or insert phone entirely from the instru- ment, or make sure that the instrument itself is disconnected from the power source. • If a sound booth is not available, place the patient facing away from MADSEN Xeta. This is to avoid visual clues during testing. •...
It is recommended that the system be calibrated annually or according to the local requirements. 1 (Katz, J., Lezynski, J. (2002). Clinical Masking. In J. Katz, ed., Handbook of Clinical Audiology , Williams and Wilkins, Bal- timore.) Otometrics - MADSEN Xeta...
If you wish to schedule your patients and transfer the list to the audiometer if your audiometer supports this function, The client/patient list ► Fetch multiple test results • If you have done off-line testing with MADSEN Xeta, you can fetch test results from the audiometer. Fetch test results from audiometer ► Proper transducer placement Headphones 1.
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1. Move any hair covering the mastoid out of the way and place the flat round part of the bone oscillator securely on the boniest portion of the mastoid without any part of the transducer touching the external ear. 2. Make sure the bone oscillator is tight on the mastoid but still comfortable. Otometrics - MADSEN Xeta...
2. In the screen click to transfer the patient list to the audiometer. 3. Click Finish Fetch test results from audiometer To transfer test results from your audiometer to the OTOsuite Audiometry Module: 1. Switch on the audiometer. Otometrics - MADSEN Xeta...
Explain how the test will be done, including which ear will be tested first. • Describe what the presented signals may sound like. • Explain what the patient will be expected to do. This includes using the patient responder and responding to the presented signals. Otometrics - MADSEN Xeta...
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5 Preparing for testing Otometrics - MADSEN Xeta...
If the test cannot determine a threshold at this starting frequency, the entire test is aborted. Reinstruct the patient and try again. AT Frequencies Frequency • Use the knob to scroll between frequencies. • Use the Right level knob to set to . 1000 Hz is always and cannot be changed. Otometrics - MADSEN Xeta...
The stimulus level is displayed and the signal indicator lights up when stimulus is presented. 6.1.2 Auto Screening test settings • To change settings, press Setup ► • To return to the Auto Screening test, see Automatic Screening Otometrics - MADSEN Xeta...
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AS Do AT when AS fails ► 57, to include Auto Threshold in your Auto Screening test. Right level Use the knob to set the threshold detection criterion to: 1 of 1 2 of 3, or 3 of 5 Otometrics - MADSEN Xeta...
5. The most recently selected item will also be the one displayed the next time you activate Setup 6. To exit this function press 6.2.1 Return to default settings To return to the default settings, see Setup ► Otometrics - MADSEN Xeta...
Here you can select (ON) or cancel (OFF) the frequencies to be included in manual audiometry tests. The frequencies are selected using the Frequency knob. Right level ON/OFF is selected using the knob. Default ON: 250, 500, 1000, 2000, 3000, 4000 Otometrics - MADSEN Xeta...
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ABOVE THR New fixed value above any previously located threshold value (nn). Masking presentation Mask. present. Set mode for masking presentation: NORMAL The masking signal follows the masking interrupter. The masking signal appears when button is pressed. Otometrics - MADSEN Xeta...
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FIX SIGNAL ON L The signal is shown on the left side, and masking on the right side. FIX SIGNAL ON R The signal is shown on the right side, and masking on the left side. Otometrics - MADSEN Xeta...
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TDH39 (Use this setting also for ME 70 transducers) • EAR3A (E-A-R-TONE® 3A) BC transducer BC transducer Choose between calibrated bone conductors. • - - - (None) • B-71M (Mastoid) Pulse frequency Pulse frequency Sets the pulse frequency: • 0.25 to 2.50 Hz Otometrics - MADSEN Xeta...
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57600 Light intensity in LEDs Light intensity Selection of brightness in LEDs (All LEDs are lit). Right level knob to adjust. Display brightness Disp. brightness Changes the brightness of the display. Right level knob to adjust. Otometrics - MADSEN Xeta...
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BC Store: Change freq. • WRAP Start level • 20 dB New freq. Level • No change Mask. present. • Toggled Mask. assistant • Extended range • Auto Display • SIGNAL AS L/R Level knob • FOLLOW DISPLAY Otometrics - MADSEN Xeta...
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First calibrated transducer BC transducer • First calibrated transducer Pulse frequency • 1.50 Hz Stimulus timing • 1.50 seconds Warble range • Warble frequency • Internal beep • Baudrate • 57600 Baud Light intensity • Disp. brightness • Otometrics - MADSEN Xeta...
SISI (Short Increment Sensitivity Index) ► ► – The Stenger test – ABLB (Alternate Binaural Loudness Balance) ► Changing settings • MADSEN Xeta Test Settings ► to change settings. Air Conduction threshold test (manual) Modified (ascending) Hughson-Westlake. Prerequisites • Press Otometrics - MADSEN Xeta...
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20 dB above the patient's presumed threshold. Level If the patient does not respond to the presented signal, turn the knob to increase the signal level in steps of 10 dB until the patient responds. Otometrics - MADSEN Xeta...
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If the difference between the thresholds in the two ears is 40 dB or greater, it is recommended that you test the poorer ear again with masking applied to the better ear. See Testing with mask- ► Previous/Next New Patient 14. If required, select the next patient record (press ) or press Otometrics - MADSEN Xeta...
Typical starting frequency: 1000 Hz. The signal is usually presented for each tone in the following order: 1000 Hz and increasing frequencies, followed by frequencies below 1000 Hz in descending order. The typical test frequencies are: 250 Hz to 4000 Hz. Otometrics - MADSEN Xeta...
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Frequency knob to select the next frequency. You can link the Store and Next Frequency functions, so that the test progresses with the Store ► next frequency when you press . See AC store: Change freq. Otometrics - MADSEN Xeta...
It is recommended to use the default setup used in connection with selecting for present- ing the masking signal as continuous presentation. This means that you will not be using the Interrupter button to control the masking signal. Otometrics - MADSEN Xeta...
4. Present the tone to the test ear at the previously confirmed unmasked bone conduction threshold level. If the tone is not heard, increase the level in 5 dB steps until the patient responds. 5. When the patient responds, increase the masking level in 5 dB steps. Otometrics - MADSEN Xeta...
2. To start the SISI test press The test stops automatically when the selected number of steps in intensity has been reached, and a beep is heard. Automatic scoring of responses • The percentage of correct responses (% score) is updated automatically. Otometrics - MADSEN Xeta...
To change the signal type press and hold the key and turn the knob. 7.6.2 Using STORE in the SISI test Note A maximum of four different sets of SISI values can be stored for both left and right ear. • Otometrics - MADSEN Xeta...
– press the button to present the signal continuously. You can then interrupt the test signal by pressing Present Signal button. Reverse Signal presentation (normal/ ) follows the normal rules (see Present signal buttons ► 23). Otometrics - MADSEN Xeta...
10 dB below the threshold in the poorer ear. 6. You can present the signal in two ways: Present Signal – present the signal to the patient by pressing the button, or Otometrics - MADSEN Xeta...
Deleting patient records You can delete patient records one by one or collectively. Clear 1. To delete data use the button. 2. You will be prompted to select “Current” or “All”. 3. Select and confirm your selection. Otometrics - MADSEN Xeta...
Masking Assistant Masking Criteria Define the masking criteria for insert phone(s), earphones, and high frequency earphones (if applicable). Air-Bone Gap Criterion Set the dB level for the Air-Bone gap criterion. Otometrics - MADSEN Xeta...
9 Communicating with the device Communicating with the device Connecting to the device OTOsuite is designed to communicate with and display test data generated by Otometrics test devices. • When you start up OTOsuite, click on the Control Panel icon. OTOsuite will automatically connect to the test device.
10.1 Service and repair It is recommended that you keep the packing material in which MADSEN Xeta was delivered. If you need to send it in for service, the original packing material will ensure protection against damage during transport, etc.
Clean the bone oscillator between patients, e.g. with a non-alcohol based antibacterial wipe, such as Audiowipes. 10.3 Calibration You can download new software to MADSEN Xeta, and if this involves no change to the transducers, MADSEN Xeta does not need recalibration. Annual calibration The audiometer, headphones, bone oscillators, and sound field speakers must be calibrated once a year by your authorized service department.
• Before you start using MADSEN Xeta, it is recommended that you leave it at room temperature for 30 minutes - par- ticularly if it has been stored at very cold or warm temperatures, e.g. if it has been in a car.
– Powering – Connecting to a pc ► 3. Switch on MADSEN Xeta. 4. Run the Configuration Wizard in OTOsuite to connect to and set up communication with MADSEN Xeta. See see Con- figuring the Audiometry Module ► 11.3.1 Powering 1.
11 Unpacking and installing Insert phones • Connect the Insert phones to the right and left AC socket in the rear panel of MADSEN Xeta. They must be connected according to calibration. Setup • To verify the transducer used, press and select to view the transducer selected.
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11 Unpacking and installing Otometrics - MADSEN Xeta...
7 (RTSin) 30 V AC *±30 V DC pin 8 (CTSout) 15 V AC *±15 V DC pin 9 (nc) 240 V AC ±240 V DC Relative to pin 5 on the RS232 interface socket. Otometrics - MADSEN Xeta...
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12 Maximum non-destructive voltage Otometrics - MADSEN Xeta...
MANU manual MASK masking microphone modulation narrow band noise right ear parameters right signal SISI short increment sensitivity index sound pressure level STEN Stenger threshold tone Otometrics - MADSEN Xeta...
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13 Abbreviations transducer TRANSD transducer temporary threshold shift volume unit warble left ear Otometrics - MADSEN Xeta...
ANSI/AAMI ES60601-1 (2005) + AMD 1 (2012), IEC 60601-1-6, CAN/CSA-C22.2 No. 60601-1 (2014) and CAN/CSA-C22.2 No. 60601-1-6 (2011). Complies with Type B requirements of IEC60601-1. Suitable for alternating current only. Power ON. Power OFF. The device is susceptible to electrostatic discharge. Do not reuse. Otometrics - MADSEN Xeta...
12. The bone conductor cable and insert phone cable must not be removed or tampered with while MADSEN Xeta is powered on. Either disconnect the bone conductor or insert phone entirely from the instrument, or make sure that the instrument itself is disconnected from the power source.
• The equipment is used in accordance with the instructions for use. The manufacturer reserves the right to disclaim all responsibility for the operating safety, reliability and performance of equipment serviced or repaired by other parties. Otometrics - MADSEN Xeta...
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14 Standards and safety Otometrics - MADSEN Xeta...
Technical specifications 15.1 MADSEN Xeta Type identification MADSEN Xeta is type 1067 from Natus Medical Denmark ApS. Channels 2 separate and identical channels Pure tone frequencies 11 standard 125 - 8000 Hz 250 - 8000 Hz standard frequencies Insert phones 125 - 8000 Hz standard frequencies Accuracy: Better than 1 %.
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TDH39 and insert phones, and insert phone mono. BC-1, B-71 (Mastoid) Mono insert: Insert phone, mono Transducer options depend on how MADSEN Xeta is calibrated. Outputs 2 x mono jack, 1/4 " 1 x mono jack, 1/4 " Mono insert: 1 x mono jack, 1/4 "...
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(Operation at temperatures exceeding -20°C or +60°C may cause permanent damage.) Warm-up time < 10 min. Disposal MADSEN Xeta can be disposed of as normal electronic waste, according to WEEE and local regulations. Dimensions Approx. 355 x 415 x 130 mm, 14 x 16.5 x 5.1 inches Weight Approx.
Guidance and manufacturer's declaration - electromagnetic emissions for all equipment and systems MADSEN Xeta is intended for use in the electromagnetic environment specified below. The user of MADSEN Xeta should ensure that it is used in such an envir- onment.
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Guidance and manufacturer's declaration - electromagnetic immunity for all equipment and systems MADSEN Xeta is intended for use in the electromagnetic environment specified below. The user of MADSEN Xeta should ensure that it is used in such an envir- onment.
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TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which MADSEN Xeta is used exceeds the applicable RF com- pliance level above, the MADSEN Xeta should be observed to verify normal operation.
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15 Technical specifications Recommended separation distances between portable and mobile RF communications equipment and MADSEN Xeta Rated maximum output Separation distance according to frequency of transmitter power of transmitter 150 kHz to 80 MHz outside ISM bands 80 MHz to 800 MHz 800 MHz to 2.5 GHz...
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Start/Pause Audiometry STIMULUS basic functions Store managing the client list Talk Over menu bar Timed OTOsuite toolbar Warble Auto Threshold testing Automatic Screening Cables connecting test equipment Baud Calibration rate setting certificate 24-25 BC connection Cleaning Otometrics - MADSEN Xeta...
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Default settings Clear Default test parameters Contra Air, Masking Delete display records Extended Range Display setup Mask.Lock Display brightness Mono Insert, Masking More New Patient Output selection Pulsed Extended range Response button Reverse timeout, setting Start/Pause Otometrics - MADSEN Xeta...
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Mono Insert, Masking, button Installation More button AC headphones connecting AC accessories New Patient button connecting BC accessories connections insert phones ON/OFF Instrument overview power switch Intended use Output indicators Interface cable Output types connection Otometrics - MADSEN Xeta...
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Patient communication parameters Mic. Setup button Talk over Shortcut Patient list parameters Patient responder SISI Patient response changing number of small incre- shown on front panel ments switch connection selecting test PC interface storing results cable connection Otometrics - MADSEN Xeta...
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Test parameters the test device set default Unscheduled patients Test report Test settings changing View menu Testing audiogram legend air conduction combined audiogram Auto Threshold frequency range Auto Screening left-right audiogram bone conduction Masking Assistant Extended Range Otometrics - MADSEN Xeta...
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Index Overlays right-left audiogram View menu (Aud) audiogram legend combined audiogram frequency range masking assistant Overlays Voltage maximum non-destructive Warble frequency modulation size Warble button Warning notes 59-60 Wrap Otometrics - MADSEN Xeta...
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