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Instruction Booklet for
Hearing Care Professionals

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Summary of Contents for Phonak Lyric2

  • Page 1 Instruction Booklet for Hearing Care Professionals...
  • Page 2 ‚ Hassle-free hearing — no cleaning or maintenance required ‚ 100% invisible This booklet provides you with instructions on all aspects of Lyric2 fittings, from setting up your workspace to counseling your patients and troubleshooting fitting issues. The booklet is also available as download at www.lyricresourcecentre.com...
  • Page 3: Table Of Contents

    Lyric2 insertion tool instruction Lyric2 sizing instruction Lyric2 lubrication instruction Lyric2 programming procedure SoundLync instruction Counseling instruction Equipment cleaning and maintenance instruction Troubleshooting flowcharts: Converting a Lyric patient to Lyric2 Occlusion Pain assessment Feedback Migration Dead device Information and description of symbols...
  • Page 4: Important Safety Information

    Lyric2. Medical imaging procedures, such as MRI scans, may cause injury to the ear or damage the hearing aid. Lyric2 Changes or modifications to the hearing aid that were must be removed prior to having an MRI scan because it not explicitly approved by Phonak are not permitted.
  • Page 5: Overview Of Fitting Process

    (p.14) Determine maximum ‚ Sizing instruction ‚Length Sizer 2 insertion depth (p.17) ‚ Insertion tool instruction (p.15) ‚Lyric2 Sizer ‚ Sizing instruction Determine device size ‚Insertion Tool (p.17) ‚Lubricant ‚ Lubrication instruction (p.18) ‚ Turn patient around and repeat sizing process of the other ear ‚...
  • Page 6: Device And Soundlync Description

    Device and SoundLync description Lyric2 SoundLync Removal loops Keychain housing Microphone protection Magnet “This side up” indication Removal tool Lateral seal Medial seal Receiver Signal processor Battery Microphone Insertion Handle Fitting range Lyric2 Avoid steeply sloping hearing losses with more than 30 dB / octave...
  • Page 7: Lyric2 Devices And Accessories

    Lyric2 devices and accessories Lyric2 devices Lyric2 Fitting Kit 054-0696 Lyric2 XS 078-0025 Lyric2 sizer XS 054-0697 Lyric2 S 078-0024 Lyric2 sizer S 054-0698 Lyric2 M 078-0023 Lyric2 sizer M 054-0699 Lyric2 L 078-0022 Lyric2 sizer L 054-0700 Lyric2 XL...
  • Page 8: Anatomy Diagram

    Anatomy diagram Outer Ear Middle Ear Inner Ear Helix Lobulus auriculae Malleus Vestibular organ Fossa triangularis Cartilaginous ear canal Incus Helicotrema Crura anthelicis Posterior meatus Stapes Cochlear organ Anthelix Bony cartilaginous juncture Eustachian tube Cochlear nerve Cavum conchae Bony ear canal Antitragus Eardrum...
  • Page 9: Patient Journey

    Patient journey ‚Audiometry ‚Obtaining patient history other hearing aid Short introduction to Lyric2 (benefits, fitting procedure, high-end device) Wax removal? ‚Anatomy check other hearing aid ‚Health check ENT Referral other hearing aid ‚Lifestyle check Further medical clarification required? Lyric2 model...
  • Page 10: Lyric2 Work Environment Set-Up Instructions

    Lyric2 work environment set-up instruction Please carefully follow the “instruction for use” enclosed in the packaging when assembling your microscope. ‚ To have an ergonomic and comfortable seating position ‚ Work effectively on patients’ ear ‚ Smallest possible space requirement ‚...
  • Page 11: Getting Started With The Microscope

    Getting started with the microscope Step 1 Adjusting eye distance à When examining the ear it is recommended to focus on the concha first. Gradually move the microscope forward to see a focused Important image of the ear canal. Work your way from the outside to the It is not necessary to have a sharp focus during this step! Before inside, finishing with a focused view of the tympanic membrane.
  • Page 12: Lyric2 Candidacy Checklist

    Lyric2 candidacy checklist Lyric Candidacy & Fitting Client Name: Date: To size and fit Lyric, the ear canal and the tympanic membrane must be clean and healthy. For any medical conditions/therapies present (Yes) in “Section 3. Medical History”, please note recommended action indicated in (green) to the right.
  • Page 13: Request For Medical Clearance For Extended Wear Hearing Aid(S)

    Request for Medical Clearance for Extended Wear Hearing Aid(s) Request for Medical Clearance for Extended Wear Hearing Aid(s) Date: Patient Name: Date of Birth: Your patient, , is interested in being fit with Lyric hearing aids (please see reverse side for description).
  • Page 14: Otoscopy Instruction

    (candidacy pushed medially. checklist on page 12 for details). ‚ For Lyric2 refits, always ensure that the ear canal is healthy and ‚ Develop the “flight path“ during ear canal visualization prior free of cerumen and debris.
  • Page 15: Lyric2 Insertion Tool Instruction

    Introduction The depth collar and the connected sliding depth ring The Lyric2 insertion tool is used to insert Lyric2 sizers and devices are used to set the maximum insertion depth using the depth scale. Therefore the depth collar can be moved forward and in the ear canal.
  • Page 16 Sizi Thread the removal loops into the loading notch. To do so, position Release the sizer/device by pulling back the moving tension ring the sizer/device face down and guide the loops into the notch. completely. Remove the insertion tool. ‚ In Removal Once both loops are in place, slowly release the moving tension ‚...
  • Page 17: Lyric2 Sizing Instruction

    XS-sizer. finger and the floor of the ear canal. ‚ If the XS-sizer is still too big, the ear is contraindicated for Lyric2 ‚ Insert length sizer until the soft tip touches the tympanic use. If the ear canal is too large, you will see gaps between the membrane, at which point you will feel or see the length sizer canal wall and sizer indicating that you should try a larger sizer.
  • Page 18: Lyric2 Lubrication Instruction

    The following instruction shows you how to apply glycerin during a sizing and device insertion appointment. For Lyric2 , the sizers are replicas of the devices. Therefore the lubrication is done the same way for sizers and devices. The frequency of lubrication depends on the number of insertions.
  • Page 19 Lyric2 is shipped in a dedicated shipping mode in an airsealed aluminum pouch. Please be aware that the only way to activate Lyric2 out of the shipping mode is to program the instrument using Phonak Target Software and the programming wand. The labels on the pouch and the device box include a serial number (eg.
  • Page 20: Soundlync Instruction

    Example sequences. Lyric2 is switched ON, VOL set to 2, MaxVol set to 4, patient wants to change volume from level 2 to 3. Toggle between ON and SLEEP-Mode If Lyric2 is ON, briefly holding the magnet close to the...
  • Page 21: Counseling Instruction

    Do not push on Lyric2 when 1. Awareness removing it. Do not put Lyric2 back in the ear. The user 2. Annoyance guide (chapter 4.7) contains further information for the 3. Discomfort patient on removal.
  • Page 22: Equipment Cleaning And Maintenance Instruction

    Equipment cleaning and maintenance instruction ‚ Agents used to clean and disinfect or sterilize the The length sizer is for single use only and insertion tool and the specula must be non-irritating must not be cleaned. Use a new length sizer and chloride-free to ensure long life.
  • Page 23: Troubleshooting Flowcharts

    Troubleshooting flowcharts The following flowcharts help to troubleshoot the most common issues that might come up during or after a Lyric2 fitting: ‚ Lyric patient converting to Lyric2 ‚ Feedback ‚ Occlusion ‚ Migration ‚ Pain assessment ‚ Dead device...
  • Page 24: Occlusion

    Troubleshooting flowcharts Occlusion Occlusion (voice hollow, ear feels plugged or down in a barrel) Turn on Device Verify device is ON DONE device was OFF Already ON Resend program DONE Better wait for the acknowledging beep Still occluded Increase LFC DONE Better For less LF gain...
  • Page 25: Pain Assessment

    2. Medical treatment of ear if deemed necessary 7 days 3. Wait 10-14 days (or until ear is healed) Once ear is healthy If discomfort If NO Pain Verifiy size (refit) goes away or discomfort Still pain or discomfort Success Continue Lyric2 use Remove device and contraindicate...
  • Page 26: Feedback

    Troubleshooting flowcharts Feedback Feedback (FB) Minor Otoscopy Major (only audible Check for undersizing (audible all the time) when triggered) (look for gaps in lateral seal) Reposition DONE HFB: Turn HF boost OFF Push in slightly (0.5 to 1 mm) or change DONE GONE GONE...
  • Page 27: Migration

    Troubleshooting flowcharts Migration Migration causing compromised sound quality, comfort, visibility or prevents extended wear use of Lyric2 Query Patient Patient had MRI Re-counsel (did he/she manipulate?) Jaw movement moving Re-counsel Re-evaluate insertion device? depth, resize, check (check under microscope insertion depth inspection) Remove &...
  • Page 28: Dead Device

    Troubleshooting flowcharts Dead device Dead device in ear (cannot hear amplification or beeps) Verify device is ON Turn on DONE Device was OFF Already ON Resend program DONE (wait for the acknowledging beep) Still dead Perform otoscopy (check for cerumen or water exposure) Remove device Perform listening check Refit...
  • Page 29: Information And Description Of Symbols

    Information and description of symbols With the CE symbol, Phonak AG confirms that this Phonak product – including accessories – meets the requirements of the XXXX Medical Devices Directive 93/42/EEC. The numbers after the CE symbol correspond to the code of the certified institutions that were consulted under the above-mentioned directive.
  • Page 30 Manufacturer Phonak AG Laubisrütistrasse 28 CH-8712 Stäfa Switzerland US Representative Phonak LLC 4520 Weaver Parkway US-Warrenville, IL 60555-3927 www.phonakpro.com 0459...

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