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Issue A patient with poor manual dexterity requires extra time to insert his hearing aids. More often than not, he is still trying to put them in after they have powered on, resulting in some short-term feedback. You also determine he would feel reassured to hear the Power On sound that he keeps missing.
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Solution Change the Power-On Delay • Go to the Fitting Summary screen. • Under Status, increase the Power-On Delay from Short to Long. Ensure the Power-On Sound Indicator is Audible • Go to the Indicators screen. • Select Power-On Sound and demo it through the hearing aids by clicking on the hearing aid icon.
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Issue Your patient is wearing AI 2400 hearing aids. He would like a convenient way to start/stop streaming from his TV accessory and adjust the streaming volume when he doesn’t have his smartphone handy. What can you do in the Inspire X software to help? ®...
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Solution Enable User Controls Add a Remote Accessory • Go to the User Controls screen. • Go to the Accessories screen. • Click on the Accessory Start/ • Choose Accessory Start/Stop Stop button and drag it to one for the Remote Favorite Button or both Double Tap positions.
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Issue You have a patient who is an avid golfer, so you gave him an Outdoors memory. You would like to personalize his indicator so he hears something more meaningful as he cycles through his memories. What can you do in the Inspire X software to help? ®...
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Solution Change the Speech Indicator to Golf • Go to the Indicators screen. • Select Memory/Home. • Use the drop-down box adjacent to the Outdoors memory and select ‘Golf’. The patient will now hear “Golf” when he cycles through his memories.
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Issue You want to modify the hearing aid response for a new hearing aid user to match target using real ear measures and then set the overall response to a softer level before she leaves the office to ensure she is comfortable wearing her new hearing aids.
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Solution Automatic Experience Manager • Go to the Experience Manager screen • Automatic Experience Manager will move the response from a softer level to target over the period of time you select once the feature is enabled. Using the Feature with Real Ear Measures •...
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Issue A patient with a severe hearing loss has been fit with AI hearing aids and AP earmolds. He is hearing well but reports that sometimes things are “eerily quiet” especially when he’s home alone. What adjustment in the Inspire X software will help ®...
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Solution Adjust the Quiet Setting • Go to the Sound Manager screen. • Decrease the level of the Quiet (Expansion) setting in one or more environments to reduce the amount of noise adaptation occurring for soft sounds that fall below the WDRC kneepoint.
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Issue A patient reports that streamed phone calls from her smartphone are too soft and that she hears too much background noise during calls. What can you do in the Inspire X software to remedy ® these issues? ...
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Solution Increase the Volume of Streamed Calls • Ensure the patient knows how to use the buttons on the side of the phone to increase the volume of the streamed signal. • Go to the QuickFit screen. • Select the Stream Boost memory. •...
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Issue A patient who uses his Normal memory most of the time reports hearing additional beeps when the microwave oven turns off and sometimes hears the open-door chime in the car for a few seconds after the door is closed. What can you do in the Inspire X software to address this? ®...
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Solution Adjust the Feedback Canceller to Address Entrainment • Go to the Feedback Canceller screen. • Select the Normal memory. • Use the dropdown menu to change feedback sensitivity to Adaptive, Low Sensitivity.
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Issue Your patient is a mechanic and reports that he is having difficulty hearing the differences in engine sounds when he is working. How can you use the Inspire X software to help him? ®...
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Solution Create a Unique Memory for Work Go to the QuickFit screen • Create a second Normal memory. Go to the Sound Manager screen • Turn Machine noise adaptation Off in the new memory. • Also consider turning the Directionality mode to Omni to capture all sound angles equivalently.
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Issue Your patient has four memories and several user controls enabled in her hearing aids. She mentions that she cannot remember all of the different settings. How can you use the Inspire X software to help her? ®...
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Solution Print the Device Guide The Device Guide includes the hearing aid settings. To view the guide: • Click on the printer icon on the top menu bar. • Select Device Guide. • Select Print Preview. NOTE: The Device Guide can also be accessed by clicking on the word ‘Print’...
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Issue You configured your patient’s AI 2400 user controls so she could use the right rocker switch to change hearing aid settings (Memory and Hearing Aid Volume) and the left to manage streamed signals (Accessory Volume and Accessory Start/Stop). She mentions that it is easy to remember to go to the right user control to adjust hearing aid volume, but the Maximum, Home and Minimum hearing aid volume indicators are confusing because they’re all the same. ...
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Solution Change the Hearing Aid Volume Indicators to Make them Distinguishable • Go to the Indicators screen. • Select Hearing Aid Volume. • Change the Max Stimulus to a higher frequency than what is being used for the Home Stimulus. •...
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Issue You have a patient whose native language is German. What are some helpful tools in the Inspire X software? ®...
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Print the Device Guide Indictors to German in German • Go to the Indicators • Select the printer icon at screen. the top of Inspire X and choose Device Guide. • Select All Indicators. The Translate feature • Use the Print Language •...
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Issue Your patient enjoys his TV streamer and AI 2400 hearing aids immensely. However, when he is sitting and watching TV with his wife, he has a hard time hearing her voice. What can you do in the Inspire X software to help him ®...
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TV streamer. NOTE: Any changes to the Hearing Aid Mic While Streaming settings in Inspire X will impact all streamed signals including phone calls. The hearing aid mic while streaming settings can be...
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Issue Your patient is back for follow-up and reports that her right AI hearing aid seems weak in comparison to the left hearing aid. What tool in the Inspire X software can you use to ® determine if there is an issue and help you decide if the hearing aid needs to be sent in for repair?
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Check test is dependent upon • When complete, you will the baseline being established see a functional report of within the Inspire X software at the receiver, microphone an earlier fitting session. and circuit. The patient can also run Self Check using •...
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Issue A patient wearing AI hearing aids keeps forgetting to turn them off when she’s not wearing them. Is there something that can be done in the Inspire X ® software to help preserve battery life?
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Solution Enable the Auto On/Off feature • Go to the Fitting Summary screen. • Turn on the Auto On/Off feature under the Status section. The Auto On/Off feature can also be turned on within the Thrive ® Hearing Control app by going to Settings > Device Settings > Auto On/Off.
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Issue A patient has one custom memory for his favorite coffee shop. He would like it included in rotation when he changes his hearing aid memories using the Rocker Switch on his hearing aids. What do you need to do in the Inspire X software ®...
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Solution Add a Custom Memory into the User Control Rotation • Go to the Memories screen. • Select Additional Configuration Options. • Check the box adjacent to Include Custom memory in rotation. When enabled, the last-used custom memory will be available when cycling through the hearing aid memories via the user control.
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Issue You’ve just completed the First Fit with a previous hearing aid wearer, you’ve connected his hearing aids to his smartphone and instructed him how to make and answer phone calls. He would like more bass in the streamed signal. What can you do to accommodate this preference in the Inspire X software?
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Solution Optimize Streaming Sound Quality • Go to the QuickFit screen. • Select the Stream Boost memory. • Increase gain using the Low Hz control. • You can also consider increasing MPO using the Output control. • Go to the Fine Tuning screen •...
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Issue You’ve had several visits with a patient and adjusted the hearing aid response a number of times. You’ve also personalized many features using the Inspire X software to fit his needs and lifestyle. ® Gain is set softer than the target response, and the patient is reporting some difficulty with conversational speech. You decide you want to adjust gain to target, but you don’t want to reset the other features back to default settings. ...
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Solution Use Target Match • Go to the QuickFit or Fine Tuning screen. • Click on Best Fit in the center of the screen. • Choose Target Match Current Memory or Target Match All Memories. This will reset the response curves back to target without changing any feature settings.
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Issue A patient who only uses a landline phone has her 4th memory environment configured as Autophone Left Sends Signal to Right. When on a call, she wants to be able to hear people and sounds around her as well as the person on the phone. What can you do in the Inspire X software to help? ®...
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Solution Adjust the Hearing Aid Microphone Offset • Go to the Memories screen. • Select Configure Phone Options. • Use the drop-down box under Memory 4 and select one of the Mic On options that meets the patient’s needs/preference. NOTE: The dB values indicate how much the hearing aid microphone signal will be attenuated.
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Issue A patient comes in for a follow-up visit and reports an issue with her Restaurant memory. She tells you she can hear people at other tables better than the people she is sitting with. What can you do in the Inspire X software to help her? ®...
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Solution Use a Directional Microphone mode If more help is needed, adjust gain and/or compression: • Go to the Sound Manager screen. • Go to the Fine Tuning screen and select the Restaurant memory. • Change the Directionality setting from Adaptive to Directional in the Restaurant memory to prioritize signals •...
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Issue You gave a patient one hearing aid memory, Normal, at the fitting appointment to keep things simple in order to help him focus on acclimating to amplification vs. worrying about making hearing aid adjustments (memory/volume). He is back for follow-up and reports that he is pleased with the sound quality of his hearing aids and the way the Normal memory adapts to different environments with one exception: music doesn’t sound as good as he would like it to when he...
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Solution Add a Dedicated Music Memory • Go to the QuickFit screen. • Add a dedicated Music memory using the memory drop-down menu. This memory uses a fitting rationale specific to music and a different compression architecture to address the unique needs of music signals.
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Issue Your patient is back for a follow-up appointment, and the Data Log indicates she is only wearing her hearing aids 3 hours per day. You counsel her on the importance of wearing the hearing aids more often, and she agrees to do so.
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Solution Reset the Data Log • Select the Data Log screen. • Use the Reset Data Log button on the top, left corner of the screen. TIP: Reset the Data Log after each follow-up visit to acquire new data based on the hearing aid adjustments that are made.
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Issue A patient and his wife are back for follow-up and report that he is hearing well in virtually all situations with the exception of hearing his wife who is very “soft spoken”. She is frustrated that he misses a lot of what she says. What can you do in the Inspire X software to confirm ®...
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Solution Use Speech Mapping • When the second measurement appears, click the pause button and compare the • Go to Advanced Tools. recordings. The bottom trace in each measurement shows the unaided response • Choose the Input + Gain display and select (input), and the top trace shows the aided the Soft and Loud Target Responses in the response (gain).
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Issue It would be a time-saver if there was a way to make fine tuning adjustments to all memories using one memory. How can you do that in the Inspire X software? ®...
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Solution Use One-way Memory Linking • Go to the QuickFit or Fine Tuning screen. • The icon containing the arrow and link that appears adjacent to the first hearing aid memory signifies One-Way Memory Linking. • If you do not see the icon, enable the feature under Preferences >...
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Issue Your patient is a power user fit with 70 gain AP receivers. She complains that her hearing aids are still not loud enough. You are considering sending the receivers back and ordering more powerful receivers (woofers), but they may not fit her ears very well because they are bigger. ...
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Solution Try a Linear Fitting Formula • Start with NAL R. • Progress to another linear formula if needed.
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