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AccuScreen PRO Otoacoustic Emissions and Automated ABR Screener Quick Guide Doc. No. 7-26-6820/04 1 2 7 5 0 1 2 4...
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Warranty/Disclaimer The warranty of GN Otometrics A/S and the manufacturer, Fischer-Zoth Diagnosesysteme GmbH/ Natus Europe GmbH with regard to operation, quality or functionality of the AccuScreen does not apply if: The equipment is not installed and used in accordance with the instructions in the manual. Installation, assembly, extensions, readjustments, modifications, service and repair are performed by per- sonnel other than those authorized by GN Otometrics.
Table of Contents AccuScreen PRO Otoacoustic Emissions and Automated ABR Screener Quick Guide Before testing ..............5 1.1 Preparing for the test .
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Table of Contents - AccuScreen PRO Otoacoustic Emissions and Automated ABR Screener • Quick Guide Testing the patient ..............9 Interpreting test results .
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Status and error messages ............29 10 Safety information .
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Table of Contents - AccuScreen PRO Otoacoustic Emissions and Automated ABR Screener • Quick Guide...
AccuScreen PRO. To do so, see “From a PC to AccuScreen PRO” on page 22 If this is the first test of the day, switch on the AccuScreen PRO and make a probe test: Fit the probe Note ·...
Before testing - Preparing the test environment Preparing the test environment • Make sure that the test environment is as quiet as possible. • Be sure to follow any established infection control procedures for the setting in which you are working.
Preparing for ABR testing If you are preparing for an ABR test, place the electrodes on the patient as shown on the electrode cable and make sure that they fit tightly on the skin. White: High on the forehead Black: On the cheekbone Red: On the nape of the neck...
Before testing - Fitting the ear tip on the probe • Place the Ear Coupler with the red adapter over the right ear of the baby, and the Ear Coupler with the blue adapter over the left ear of the baby. Make sure that the adapters face upwards.
• Select "Test" from the Main Menu. • The AccuScreen PRO displays a list, where patients are listed either by their last names or ID numbers (depending on the setting in "Options" - "Settings 2" - "Patient list mode"). Select the name or number of the patient to be tested and press OK.
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Testing the patient - Fitting the ear tip on the probe • When calibration/impedance testing has been successfully completed, testing begins automati- cally. The LED flashes green during testing. If it flashes red, noise levels are high and/or the probe may not fit correctly.
Interpreting test results A patient screened by the AccuScreen PRO is either given a PASS or a REFER. If the result is a PASS, no further action is required. If the result is a REFER, it is recommended that you retest the patient. If the patient is given yet another REFER, this patient should be referred for further testing.
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Interpreting test results - Fitting the ear tip on the probe...
Viewing results You can view the individual test results in two ways: • Select "View results" in the specific test screen. The results relating to the specific patient are shown. • Go to the Main Menu and select "View results". The name of the last tested patient appears auto- matically.
Viewing results - DPOAE/DPOAE Diagnostic results A "good" REFER is when the A and S levels do not exceed the critical limits (see below), indicating that test conditions were good. A "bad" REFER is when the A and S levels have been exceeded, indicating that test conditions were not optimal.
ABR results PASS A PASS indicates that an auditory brainstem response to a 35 or 45 dB nHL broadband stimulus was detected. This method mainly tests the frequencies from 2000 to 4000 Hz, which carry the most important acoustic information for speech development. A PASS result ensures that a significant hear- ing loss in these frequencies can be ruled out with 99.5% confidence.
Caution · Testing is not possible when the label printer is connected to the AccuScreen PRO. Note · Do not switch off the AccuScreen PRO while printing is in progress. Doing so may result in distorted Note · test data.
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Printing - Printing a report 6. If you select "Single Results", a list of results appears. The most recent is highlighted by a black bar. Scroll to select the required result. For all other types of printout printing starts when you press PRINT.
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DPOAE results The most recent DPOAE results for the four tested frequencies are printed. DPOAE Diagnostic results When you select "DD Results", the most recent results for the four tested frequencies at two levels are printed. ABR results The most recent ABR results are printed. Otometrics...
• Select "Transfer/Delete data" from the Main Menu followed by "Transfer via cable". Via infrared • Position the AccuScreen PRO with the infrared window at the top of the device facing the PC at a distance of no more than 80 cm from the PC.
Transferring data - From a PC to AccuScreen PRO From a PC to AccuScreen PRO • Connect the cable from the AccuScreen PRO to the PC. Activate the AccuLink program on the PC and run the transfer operation to AccuLink.
Memory usage When 80% of the AccuScreen PRO memory is used, a warning message appears. From this point on, you can carry out approximately 20 tests before the memory is completely full. Every 5 tests after the first reminder, the percentage of memory used will be displayed again.
Maintenance The probe Wipe the probe tip with a disinfectant between patients. Note · Check the channels in the probe tip every time you have used the probe. Even small amounts of ceru- Note · men or vernix can block the probe channels. Clean the channels, if required. Cleaning the probe •...
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Maintenance - The probe • Use the cleaning wire (C) to take out the acoustic filter disc from the probe tip. • Use the cleaning wire (C) to clean the sound channels of the probe. Always clean from the rear. Remember to clean the cleaning wire, especially when it protrudes from the probe tip.
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The probe body contains sensitive components. Never try to clean the sound apertures in the probe Caution · body mechanically or with liquids. Doing so may cause damage to the probe. The acoustic filter If the calibration procedure fails and the message "Probe Error!" is displayed, the acoustic filter of the Note ·...
Status and error messages The status and error messages below are listed in alphabetical order. Error message Cause Solution • Battery charge low. • Replace the battery before continuing with the test. Cal FAIL • Stimulus level calibration • Ensure stable probe place- failed.
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Status and error messages - The probe Error message Cause Solution Interference! (during ABR • Ambient interference • Try to eliminate interference test only) sources. See section 5.5.1, ‘Placing electrodes for ABR testing’ in the AccuScreen PRO User Manual. LCD test failed •...
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Error message Cause Solution Paper jam • Labels not correctly • Adjust labels. adjusted. Poor testing conditions! • When there is too much • Improve testing conditions. noise in more than 75% of testing time, EEG and/or • Reduce noise. interference is too high.
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Status and error messages - The probe Error message Cause Solution Ringing! (during TEOAE • Poor probe fit. • Reposition probe. test only) Stimulus too high (duing • ear probe slipped during • Refit probe and restart test ABR test only) ABR measure Stimulus too high! •...
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Error message Cause Solution The calibration date has • The calibration date has • Contact your service depart- expired. Please have the expired. ment for calibration. device calibrated soon. Too much noise! • Baby or testing environ- • Reduce noise. ment is too noisy.
Special note should be made of the following: The AccuScreen PRO is marked with this symbol when it is important that the user refers to associ- ated warnings given in this manual. Please pay special attention to these warnings.
• During application of HF surgical devices, the AccuScreen PRO must not be used. • During application of defibrillators, the AccuScreen PRO must not be used. • The probe socket is intended to connect the ear probe to the AccuScreen PRO device. No other device may be connected to this socket.
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