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Otodynamics Manuals
Medical Equipment
DP+TE
User manual
Otodynamics DP+TE User Manual
Hearing screening and diagnostic instrument
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Contents
Table of Contents
Troubleshooting
Bookmarks
Table of Contents
Table of Contents
1 Introduction
Intended Use
General Guidance
General Use Precautions
Types of Otoacoustic Emissions
Oaes and Screening
Auditory Brainstem Response
2 Equipment Identification
Supplied Only in Otoport OAE+ABR Kit
Supplied Only in Otoport DP+TE Kit
Supplied in both Kits
Optional Accessories
Controls, Indicators and Connections
OAE Labelling
Otoport OAE+ABR Controls, Indicators and Connections
ABR Labelling
3 Getting Started
Assembling the ABR Module with an Otoport
Removing the Otoport from the ABR Module
Otoport OAE+ABR with Non-Removable Module
Connecting Probes and Electrodes
Initial Charge
Quickstart Guides
Using the Keys and Keypad
Connecting the Probe to the Otoport
Disconnecting the Probe
4 Switching on
Switch on Screen
Logo Screen
Mode Select
Login
Test Choice
5 Test Preparation
General Checks before Testing
Environment Checks for ABR
Tip Selection and Probe Fitting
Electrode Fitting
6 Test Troubleshooting
OAE Test Problems
ABR Test Problems
7 Test Selection
Choose Test Type or Worklist
Patient Details
Select Test Ear
Checkfit
8 DPOAE Test
DP Stimulus Calibration
DP Test Screen
Test Stop Reasons
DPOAE Test Results
9 TEOAE Test
TE Stimulus Adjustment
TEOAE Test Screen
Test Stop Reasons
TEOAE Test Results
10 ABR Test
Impedance Check
Checkfit
Ear Cup Checkfit
ABR Test
Bilateral ABR Testing
11 Saving the Test
Quick Save Option
Patient Details
Review
Last
Result
12 Link-Test
13 Work List
Adding Patients
Editing Details
Deleting Patients
Testing from the Work List
14 Utilities
Patients Tested
Patient Details
Summary Results
Detailed Results
15 Configuration
Quality Tests
Test Settings
Date and Time
System
Users
16 Printing and Downloading
Bluetooth Wireless Printing and Download
Wired Downloading
When You Can Print
The Printing Process
Printer Fault Detection
Printer Light Summary
Paper
Charging the Printer
Changing the Battery
17 Quality Tests
Probe Test
ABR Cable Test
Cavity Test
Occlusion Test
Real Ear Test
18 Probe, Tips and Accessories
Probe and Service Accessories
Probe Cable Clip
DPOAE+TEOAE Probe Tips
19 Probe Care
Cleaning
Changing Probe Coupler Tubes
Probes Safety Note
20 Care of the Otoport
Use of the Otoport and Cleaning
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Otoport
OAE
+
ABR
User Manual for Otoport DP+TE models
Including: DP Clinical, DP Clinical Flexi, DP+TE and Otoport Flexi
Otoport
OAE+ABR
Otoport DP+TE models
Issue 5
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Summarization of Contents
Introduction to Otoport OAE+ABR
Intended Use of the Otoport Device
Specifies the device's purpose for screening hearing disorders using objective, non-invasive means, suitable for infants.
General Guidance for Otoport Operation
Provides general advice on using the instrument for hearing assessments, emphasizing quiet environments and patient stillness for optimal results.
General Use Precautions for Otoport
Highlights essential safety measures, including avoiding simultaneous use with HF surgical equipment and proper probe handling.
Types of Otoacoustic Emissions (OAEs)
Explains TEOAEs (click stimulus) and DPOAEs (pure tone stimulus) for assessing peripheral auditory function.
OAEs and Hearing Screening
Discusses the role of OAE testing as a primary hearing screen, particularly in newborns, and its relation to ABR testing.
Auditory Brainstem Response (ABR) Explained
Describes ABR as an electrophysiological response measuring the auditory system's reaction to sound, using electrodes and stimuli.
Equipment Identification and Components
Otoport OAE+ABR Kit Contents
Lists items included exclusively in the Otoport OAE+ABR kit, such as the main unit and electrode cables.
Otoport DP+TE Kit Contents
Details components exclusively supplied with the Otoport DP+TE kit, including the device and its equipment case.
Items Supplied in Both Kits
Identifies accessories common to both Otoport OAE+ABR and DP+TE kits, like probes and probe cable clips.
Optional Accessories for Otoport
Presents optional accessories like docking stations, printers, and ear cups that enhance the Otoport's functionality.
Otoport Controls, Indicators, and Connections
Illustrates and labels the key controls, indicators, and connection ports on the Otoport device for user interaction.
OAE Labelling and Symbols Explained
Details the symbols found on the Otoport OAE System label and explains their meaning according to safety standards.
Otoport OAE+ABR Controls and Connections
Provides a detailed view of the Otoport OAE+ABR unit, highlighting its controls, indicator LEDs, and connection sockets.
ABR Labelling and Symbols Explained
Explains the symbols and markings on the ABR Module label, referencing safety and operational standards.
Getting Started with the Otoport
Assembling the ABR Module with Otoport
Step-by-step guide on how to attach the ABR Module to the Otoport unit, emphasizing correct alignment and procedure.
Removing the Otoport from the ABR Module
Instructions for safely detaching the Otoport unit from the ABR Module, covering both standard and non-removable sleeve types.
Otoport OAE+ABR with Non-removable Module
Describes the Otoport OAE+ABR when the module sleeve is permanently fitted, noting the differences in clip design.
Connecting Probes and Electrodes
Details the process of connecting the OAE probe and ABR electrodes to the respective sockets on the module.
Initial Battery Charge Procedure
Recommends fully charging the Otoport unit before its first use to ensure optimal battery performance.
Overview of Quickstart Guides
Mentions the availability of quickstart guides for OAE and ABR tests included in the document pack.
Using the Otoport Keys and Keypad
Explains the functionality of the control keys, navigation buttons, and data entry keypad for device operation.
Connecting the Probe to the Otoport
Provides instructions on how to properly align and connect the probe to the Otoport, ensuring correct keyway engagement.
Disconnecting the Probe from the Otoport
Details the correct procedure for disconnecting the probe from the Otoport, including unscrewing the sleeve.
Switching On and Initial Setup
Otoport Switch-On Screen
Describes the process of powering on the Otoport, including the confirmation prompt for unit switch-on.
Logo Screen and System Checks
Explains the logo animation displayed during system checks and the battery status indicator shown on the screen.
Mode Selection: Screen vs. Clinical
Details the two distinct operating modes, Screen and Clinical, and their respective uses for testing efficiency and depth.
Otoport Login Procedure
Outlines the steps for logging into the device, including user name and password entry for security.
Test Choice Screen Overview
Presents the test selection screen, allowing users to choose between different test types like TEOAE, DP, or ABR.
Test Preparation Procedures
General Checks Before Testing
Lists essential pre-test checks, including ensuring the Otoport is charged and the testing environment is suitable.
Environment Checks for ABR Testing
Provides guidance on minimizing electrical interference and planning the testing setup for ABR assessments.
Tip Selection and Probe Fitting
Explains the importance of selecting the correct probe tip and achieving a good fit for successful OAE recordings.
Electrode Fitting and Skin Preparation
Details the process of preparing the skin for electrode placement to ensure low impedance for optimal signal recording.
OAE Test Troubleshooting
Common OAE Test Problems and Solutions
Addresses frequent issues in OAE recordings, such as probe fit, debris, and environmental noise, offering troubleshooting steps.
ABR Test Troubleshooting
ABR Test Problems: Impedance and Noise
Covers issues like high impedance, high myogenic activity, and environmental noise affecting ABR test performance.
Test Selection and Procedure
Choosing Test Type or Worklist
Guides users on selecting the appropriate test type (TEOAE, DP, ABR) or utilizing the Work List feature.
Entering and Managing Patient Details
Details how to enter patient demographic information, including ID, DOB, gender, NICU, location, and facility.
Selecting the Test Ear (Right, Left, Both)
Explains how to specify the ear(s) to be tested (Right, Left, or Both) for OAE and ABR assessments.
Checkfit Procedure for Test Readiness
Describes the Checkfit screen's role in assessing test conditions like ambient noise and probe fit before starting a test.
DPOAE Test Procedures and Results
DP Stimulus Calibration Process
Explains the Otoport's automatic calibration of stimulus tones to account for individual ear canal acoustics.
DPOAE Test Screens Overview
Details the various DPOAE test screens, including line/bar graphs, circles display, and infant distraction screens.
DPOAE Test Stop Reasons
Covers the possible ways a DPOAE test can stop: AutoStop, Test Timeout, and Manual End, and their implications.
Interpreting DPOAE Test Results
Lists and explains the possible DPOAE test results, such as Pass, No Valid OAE, Noisy, and Poor Probe Fit.
TEOAE Test Procedures and Results
TE Stimulus Adjustment and Test Start
Describes how the Otoport adjusts stimulus levels for TEOAE tests and handles out-of-range conditions.
TEOAE Test Screens Overview
Explains the TEOAE test displays, including bars, circles, infant distraction screens, and response waveforms.
TEOAE Test Stop Reasons
Details the four ways a TEOAE test can stop: AutoStop, Maximum NLo Sweeps, Test Timeout, and Manual End.
Interpreting TEOAE Test Results
Lists and explains the possible TEOAE test results, including Pass, No Valid OAE, Noisy, and Poor Probe Fit.
ABR Test Procedures and Parameters
ABR Test Setup and Initial Screens
Guides on selecting ABR test screens and notes on configuration options like powerline frequency settings.
Impedance Check for Connection Quality
Explains the impedance check process, evaluating electrode connections and noise levels for test readiness.
Checkfit Procedure for ABR Tests
Describes the Checkfit screen for ABR tests, including options for ear cup usage and cavity detection.
ABR Test Screen and Data Summary
Details the ABR test screen, progress indicators, and the data summary screen with parameters like Fsp, TC, and Time.
Bilateral ABR Testing Procedure
Explains how to perform bilateral ABR tests sequentially on both ears, including Checkfit and test progression.
Saving and Reviewing Test Results
Quick Save Option Configuration
Explains the Quick Save feature (On/Off) and its impact on test result saving and patient detail entry options.
Managing Patient Details
Details how to enter and manage patient information, including saving, editing, and linking results to existing records.
Reviewing Test Results Before Saving
Describes how to review completed test data, with options to Print, Retest, or Finish and return to the main menu.
Accessing the Last Test Record
Explains how to access and utilize the last tested patient's record for adding further tests or amending details.
Result Display and Saving Options
Details how to view detailed results, print tests, or save results, with options to review or discard the test.
Link-Test Functionality
Automated Test Sequences with Link-Test
Explains the Link-Test function for running a sequence of available tests automatically on the same ear.
Work List Management for Efficient Testing
Adding Patients to the Work List
Guides on how to add multiple patient details to the Otoport's Work List for faster, more flexible testing.
Editing Patient Details in the Work List
Details how to select and edit patient information stored within the Work List via the Patient Details screen.
Deleting Patients from the Work List
Explains how to remove individual patients or all patients from the Work List, with confirmation prompts.
Initiating Tests from the Work List
Describes how to select a patient from the Work List and start a test, utilizing pre-entered patient details.
Utilities and System Management
Accessing Records and Patient Lists
Explains how to use the Utilities menu to view previous test results and access the list of tested patients.
Patient List and Detail View
Details how to navigate the patient list, view patient details, and initiate new tests or review saved results.
Summary Results Overview
Describes the test summary screen, providing an overview of test results and options to print or view details.
Detailed Results Review and Printing
Guides on how to review detailed test data on separate screens and print results, accessed via the test summary.
Configuration Settings for Otoport
Performing Quality Tests
Explains how to access and perform quality tests for probes and electrode cables to ensure instrument performance.
Configuring Test Settings (Modes, Display)
Details how to configure test settings, including Screen/Clinical modes, display options (Bars/Circles), and neonate mode.
Setting Date and Time
Provides instructions on how to alter the device's date and time settings, including date format options.
System Settings Management
Covers system settings like memory status, controls (volume, brightness, backlight), battery information, and system info.
User Management and Access Control
Details how to add, view, and edit users, manage login settings, and control access rights to device functions.
Printing and Downloading Test Results
Bluetooth Wireless Printing and Download
Explains how to use Bluetooth for wireless printing or downloading test results to a PC or mini-printer.
Wired Downloading Procedures
Details the process of downloading test results to a PC using a wired connection via the Otolink software.
Printing Options: When, How, and Format
Covers flexible printing options from various interface areas, including end-of-test printing and setup configurations.
The Printing Process: Wired and Wireless
Describes the steps involved in initiating and completing prints using both wired and wireless connections to the printer.
Printer Fault Detection and Error Messages
Explains how the Otoport detects printer faults like 'out of paper' or 'open lid' and how to resolve them.
Printer Status Light Summary
Interprets the various color combinations of the printer's front light, indicating operational status and conditions.
Paper Loading and Handling
Provides instructions on how to load paper rolls into the printer and use the paper feed function.
Charging the Otoport Printer
Details the procedure for charging the printer's battery, including connection and charge indicators.
Changing the Printer Battery Pack
Guides on how to replace the printer's battery pack, including safety notes regarding approved battery packs.
Quality Tests for Otoport System
Performing the Probe Test
Explains how to perform a probe test to monitor calibration and response, setting a baseline for future tests.
ABR Cable Continuity Test
Details the ABR cable test, which checks the continuity of electrode cables using a cable tester.
Cavity Test for Fault Detection
Describes the cavity test procedure to identify if OAE responses are generated by a fault rather than the ear.
Occlusion Test for Probe Assembly
Explains the occlusion test to verify correct probe assembly and performance by blocking sound leakage.
Real Ear Test for Data Reproducibility
Guides on performing a real ear test with a known good ear to check test data reproducibility.
Probe, Tips, and Accessories
Probe and Service Accessories Included
Lists the probe and service accessories included in the kit, such as coupler tubes and spare probe body/lid.
Using the Probe Cable Clip
Explains the practical use of the probe cable clip for positioning and securing the cable during OAE testing.
DPOAE+TEOAE Probe Tips Selection Guide
Provides a guide to selecting the correct DPOAE+TEOAE probe tip size based on ear canal dimensions.
Probe Care and Maintenance
Recommended Probe Cleaning Methods
Details suggested methods for cleaning the probe cable, casing, and coupler assembly using appropriate fluids.
Changing Probe Coupler Tubes
Provides instructions on how to replace probe coupler tubes, emphasizing regular intervals and contamination checks.
Important Probe Safety Notes
Highlights safety precautions regarding the use of disposable probe tips and the risks associated with incorrect usage.
Care and Cleaning of the Otoport
General Otoport Handling and Cleaning
Provides guidelines for careful handling and cleaning of the Otoport instrument and its accessories to maintain precision.
Otoport Power Management
Understanding Otoport Battery Life
Details the Otoport's rechargeable battery performance, including expected running time and factors affecting battery life.
Initial Battery Charge Recommendation
Recommends fully charging the Otoport battery before first use to ensure optimal performance.
Standby Mode and Automatic Shutdown
Explains the Otoport's standby mode for power saving and the automatic shutdown sequence to conserve battery.
Battery Charge Level Indicators
Describes the battery indicator on the opening screen and the meaning of low and critical battery warnings.
Charging the Otoport Device
Provides instructions for charging the Otoport using the supplied charger or a PC connection.
Otoport Battery Conditioning Process
Details the annual battery conditioning process to maintain optimal performance by fully discharging and recharging.
Connecting Otoport OAE+ABR for Charging
Explains how to connect the Otoport OAE+ABR to the charger cable, including power and charging indicator lights.
Equipment Troubleshooting Guide
Otoport Lock-up and Recovery
Addresses Otoport lock-up issues and provides procedures for power cycling or forcing a unit shutdown and restart.
Troubleshooting Switch-On Failures
Guides on resolving issues if the Otoport fails to switch on or complete its startup sequence, advising to check charge.
System Details for Fault Diagnosis
Explains how to access system details in the Configuration menu for Otoport hardware information and fault reporting.
Instrument Fault Message Resolution
Details the 'Instrument Fault' message, its potential causes (e.g., probe connection), and troubleshooting steps.
Hardware Fault Message Interpretation
Explains how to interpret hardware fault messages, including error codes, and provides guidance on contacting support.
Operator Training Requirements
Importance of Proper Otoport Training
Emphasizes the necessity of operator training before using the instrument and highlights sections requiring training.
Obtaining Service and Technical Support
Service, Repair, and Warranty Information
Details the procedure for obtaining service or repair, including warranty terms and contact information for Otodynamics.
Otoport Calibration Procedures
Calibration Schedule and Importance
Explains the Otoport's precision calibration, advising periodic checks (annually or every 3 years) for accurate measurements.
Otoport Modes of Operation
DPOAE Test Parameters and Settings
Details parameters for DPOAE tests, including stimulus, sample rate, FFT, noise calculation, and frequency ratio.
TEOAE Test Parameters and Settings
Covers parameters for TEOAE tests, such as stimulus types, sample rate, stimulus pattern, noise rejection, and averaging.
ABR Test Parameters and Configurations
Lists parameters for ABR tests, including stimulus level, rate, polarity, type, evaluation method, and electrode montage.
Hearing Level Determination with Stimuli
Explains how hearing thresholds are determined using stimuli and the relationship between dBppSPL and dBHL values.
ABR Screening Sensitivity Analysis
Discusses ABR screening sensitivity, focusing on the device's ability to detect hearing loss and minimize false passes.
ABR Screening Specificity Analysis
Defines ABR specificity as the ability to identify ears with normal hearing and factors affecting it, like noise levels.
Technical Specifications
Otoport Physical and Interface Specifications
Provides details on the Otoport's physical dimensions, weight, interfaces, indicators, and keypad layout.
Electromagnetic Compatibility: Otoport
Details EMC information for the Otoport, including guidance on electromagnetic emissions and immunity.
Electromagnetic Compatibility: Otoport OAE+ABR
Provides EMC information specific to the Otoport OAE+ABR, covering emissions and immunity guidelines.
EN60645-3 Conformance Notes
Details conformance notes related to EN60645-3 for electroacoustic audiometric equipment and short duration stimuli.
ABR Module Specifications
Outlines the physical, interface, and indicator specifications for the Otoport ABR Module.
Explanation of Technical Symbols
Defines various symbols used in the manual and on the device, including safety, connectivity, and functional indicators.
Document Index
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