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Audio Traveler AA222 User Manual

Audio Traveler AA222
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Operation Manual
Hand Held Impedance Audiometer MT10
Valid from serial 01
ty 05 0050 00002
Hand Held Impedance Audiometer MT10
Valid from serial 01
ty 05 0050 00002
Hand Held Impedance Audiometer MT10
Hand Held Impedance Audiometer MT10
Valid from serial 01
ty 05 0050 00002
Hand Held Impedance Audiometer MT10
Valid from serial 01
ty 05 0050 00002
Hand Held Impedance Audiometer MT10
Valid from serial 01
ty 05 0050 00002
Hand Held Impedance Audiometer MT10
Hand Held Impedance Audiometer MT10
Valid from serial 01
ty 05 0050 00002
Audio Traveler AA222
Valid from serial no. 776588 software version 2.00200
80658225 vers. 02/2011

Table of Contents

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Audio Traveler AA222 Specifications

General IconGeneral
BrandAudio Traveler
ModelAA222
CategoryMedical Equipment
LanguageEnglish

Summary

Introduction

Intended Use

Defines the purpose and scope of the AA222 audiometer and its intended applications.

Precautions

Outlines safety warnings, cautions, and important notices for instrument operation and user safety.

Explanation to Symbols

Instrument Symbols Explained

Explains the meaning of various symbols found on the instrument and in documentation.

Warranty Information

General Theory of Impedance Measurements

Understanding Tympanograms

Explains how tympanograms are generated, interpreted, and the factors influencing their shape.

Classification of Tympanograms

Details the standard categories and types of tympanograms based on measured parameters.

Tympanogram Classifications

Type A, AD, AS, B Characteristics

Describes the characteristics and potential pathologies associated with Type A, AD, AS, and B tympanograms.

Type C, D, E Characteristics

Describes the characteristics and potential pathologies associated with Type C, D, and E tympanograms.

Interpretation of Test Results

Tympanometric Curves and Pathologies

Correlates specific tympanometric curve features with various middle ear pathologies.

Reflex Interpretation

Onset, Offset, Noise, and Negative Onset

Discusses reflex onset/offset slopes, noise interference, and negative onset interpretation.

Reflex Threshold Determination

Defines how reflex threshold is measured and factors affecting its determination.

Pathways for the Stapedius Reflexes

Stapedius Reflex Nature and Stimulation

Explains how stapedius reflexes are elicited and their thresholds.

Non Acoustic Stimulation Methods

Details eliciting reflexes using non-acoustic stimuli like air puffs.

Reflex Decay Interpretation

Measuring and Interpreting Reflex Decay

Explains how to measure and interpret reflex decay for diagnostic purposes.

Examples of Interpretation

Typical Tympanogram Interpretations and Pathologies

Illustrates common tympanograms and their associated pathologies with examples.

Specific Pathological Interpretations

Acute Serous Otitis Media Presentation

Explains acute serous otitis media and its tympanometric presentation.

Middle Ear Drainage Tubes Status

Discusses middle ear drainage tubes and their impact on audiometry.

General Theory about Air and Bone Conduction

Air Conduction Principles and Procedures

Explains the principles and procedures of air conduction audiometry.

Air Conduction Testing Details

Threshold Determination Methods

Details the process of determining hearing thresholds using various methods.

Bone Conduction Audiometry

Bone Conduction Principles and AC-BC Gap

Explains bone conduction and the significance of the AC-BC gap.

Masking Considerations in Audiometry

Cross Damping and Minimum Masking Levels

Explains head damping for AC/BC tests and minimum masking levels.

Advanced Masking Techniques

Maximum Masking and Insert Earphones

Defines maximum masking levels and using insert earphones for efficiency.

Masking Procedure - Step by Step

Step-by-Step Masking Guidance

Provides a step-by-step guide for performing the masking procedure.

Basic Functions Overview

Patient Communication and Pause Function

Details patient communication methods and the use of the pause feature.

Preparing the Test

Warm-up, Patient Instructions, and Visual Checks

Covers instrument warm-up, patient instruction, and visual ear canal checks.

Ear Tip Selection and Probe Seal

Guides on selecting the appropriate ear tip and achieving a good probe seal.

Probe System and Headset Fitting

Probe Transformation and Clinical Headset Fitting

Details transforming the probe and fitting the clinical headset.

Achieving a Good Probe Seal

Making a Good Probe Seal

Provides tips and techniques for achieving an airtight probe seal.

Main Menu Operations

Power-up Modes and Menu Navigation

Describes the default power-up modes and how to navigate the main menu.

Test Procedures Overview

Data Deletion Before Testing

Instructions for deleting stored patient data before starting a new test.

Printing Test Results

Printout Examples and Options

Shows examples of different printout formats and available options.

Connecting the AA222 to a PC

Software Requirements and Setup Configuration

Lists compatible software and details PC connection setup.

Installing Printer Paper

Printer Paper Loading Procedure

Step-by-step guide for loading the printer paper roll into the instrument.

Reflex and Tympanometry Tests

Selecting Test Modes and Execution Steps

Explains how to select test modes and outlines execution steps.

Test Execution Details

Probe Placement and Test Sequence

Details probe placement and the sequence of tests.

Changing Tympanometry Scale

Adjusting Tympanometry Scale

Explains how to adjust the tympanometry scale for different measurements.

Modifying Reflex Tests

Accessing and Modifying Reflex Tests

Describes how to access the modify menu and change reflex test parameters.

Ipsilateral and Contralateral Reflexes

Configuring Reflex Types

Explains how to set up ipsilateral and contralateral reflexes for testing.

Tympanometry - Only Mode

Selecting Ear and Probe Placement

Guides on selecting the test ear and placing the probe correctly.

Tympanometry Extended Functions

Extend Function and Probe Fit

Explains how to extend the pressure range and achieve probe fit.

Tympanometry with High Probe Tone

Availability and Usage of High Probe Tone

Information on high probe tone tympanometry availability and settings.

Performing High Probe Tone Tests

Test Execution and Comparison

Describes how to perform and compare high probe tone tympanometry tests.

Automatic Reflex Test Mode

Selecting Ear and Probe for Reflex Tests

Guides on selecting the test ear and placing the probe for reflex tests.

Automatic Reflex Test Details

Clinical Headset Use and Probe Fit

Instructions for using the clinical headset and achieving probe fit.

Manual Reflex Tests

Performing Manual Reflex Tests

Details the procedure for performing manual reflex tests.

Editing Reflexes

Browsing, Repeating, and Deleting Reflexes

Describes how to browse, repeat, and delete recorded reflexes.

Manual Reflex Decay Tests

Performing Manual Reflex Decay

Guides on performing manual reflex decay tests.

Eustachian Tube Function Test

ETF Test Selection and Procedure

Explains how to select and conduct the Eustachian Tube Function test.

Child Function for Pediatric Testing

Activating and Using Child Function

Introduces and explains the Child Function for pediatric testing.

Automatic and Manual Audiometry

Selecting Audiometry Modes and Procedures

Explains mode selection and the automatic audiometry procedure.

Audiometry Test Procedure Details

Test Instructions and Manual Audiometry

Provides test instructions and guidance for manual audiometry.

Masking in Audiometry

Normal and Insert Masking Techniques

Describes normal masking and the use of insert masking.

Speech Audiometry

Selecting and Initiating Speech Audiometry

Guides on selecting and initiating speech audiometry tests.

Speech Signal Calibration

Calibrating Microphone and CD/Tape Signals

Details the process for calibrating speech signals from various sources.

Automatic Speech Scoring

Speech Score Calculation and Configuration

Outlines speech score calculation and configuration options.

Speech Audiometry Management

Managing Speech Curves and Options

Describes managing speech curves and options like masking.

ABLB Test

ABLB Test Selection and Patient Instructions

How to select and perform the ABLB test, including patient instructions.

Stenger Test

Stenger Test Selection and Parameter Adjustment

How to select and alter parameters for the Stenger test.

SISI Test

Purpose and Procedure of SISI Test

Explains the purpose and steps of the Short Increment Sensitivity Index test.

Performing the SISI Test

SISI Test Selection and Execution

Guides on selecting and executing the SISI test.

Handling and Cleaning Ear Tips

Ear Tip Handling and Cleaning

Recommendations for ear tip handling, cleaning, and usage.

Probe Tip Cleaning Procedures

Instructions for cleaning the probe tip to ensure measurement accuracy.

Functions of Buttons

Function Keys and Navigation Overview

Explains the functions of the six soft function keys and navigation.

Communication, Monitoring, and Input Keys

Describes keys for communication, monitoring, and input selection.

Output, Transducer, and Mode Selection Keys

Explains keys for output, transducers, and test mode selection.

Control Dial Functions

Store, Tone, HL dB, Frequency, Intensity Dials

Explains the functions of control dials for parameter adjustments.

Technical Specifications

Standards Compliance and Safety

Lists safety, EMC, and audiometer standards compliance.

Power, Environment, and Printer Specs

Details power requirements, operating environment, and printer specs.

Impedance Measuring System Specifications

Probe Tone, Air Pressure, and Compliance

Specifications for probe tone, air pressure control, and compliance range.

Tympanometry Types and Setup

Details tympanometry types and setup options.

System Indicators, Memory, and Calibration

Indicators, Memory, Calibration Properties, and Transducers

Details indicators, memory, calibration properties, and transducers.

Units of Measurement

Defines the units used in measurements.

Reflex and Audiometer Functions

Signal Sources and Input/Output Connections

Lists signal sources and describes input/output connections.

Reflex and Audiometry Function Details

Reflex Sensitivity, Detection, Air, Keyboard, Tolerance, THD

Details reflex parameters and system specifications like tolerance and THD.

Attenuator Range and Test Types

Specifies attenuator range and types of audiometry tests.

Stimulus Properties and Functionality

Manual Reflex, Decay, SISI, Warble, Stenger, ABLB

Details specifications for manual reflex, decay, SISI, and other tests.

Memory, Stimuli Properties, and Earphone Specs

Covers memory capacity, stimuli properties, and earphone specifications.

Frequency and Intensity Ranges

Noise Specifications and Electrical Outputs

Specifies noise properties and electrical output timings.

Frequency and Intensity Ranges Table

Table showing frequency and intensity ranges for audiometry.

AA222 Parts and Accessories

Included Parts List

Lists the standard parts included with the AA222 instrument.

Available Additional Parts

Lists optional accessories available for purchase.

Connection Panel Overview

Input/Output Connections Diagram

Visual guide to the instrument's connection panel layout.

Unpacking and Inspection

Damage Checks and Carton Storage

Instructions for inspecting shipment and storing the original carton.

Contents of Standard Shipment

Lists the items included in the standard AA222 package.

Reporting Imperfections and Faults

Pre-connection Inspection and Fault Reporting

Procedures for pre-connection inspection and reporting instrument faults.

Care and Maintenance Recommendations

Transducer Handling and Calibration

Guidelines for transducer care and calibration to maintain accuracy.

Troubleshooting Common Issues

Data Transmission, Tymp Curve, and Blocked Tip Problems

Solutions for data transmission, tymp curve, and blocked ear tip issues.

Troubleshooting Printer and Display

Printer Malfunctions and Display Brightness

Tips for resolving printer response issues and adjusting display brightness.

Frequently Asked Questions

Reflex Test Configuration and Setup Modification

FAQs on configuring reflex tests and modifying pre-programmed setups.

FAQ: Probe Light, Test Start, Remote Switch

Probe Light, Automatic Test Start, Remote Switch Functions

Addresses FAQs on probe light status, automatic test start, and remote switch functions.

FAQ: Instrument Modes, Reflex Review, Gradient, Sensitivity

Instrument Mode, Reflex Review, Gradient, Icon Boxes, Sensitivity

Addresses FAQs on instrument modes, reflex review, gradient, and sensitivity settings.

Recommended Literature

Dictionary of Terms

Acoustic Terms Definitions

Definitions for acoustic admittance, compliance, and immittance.

Reflex and Device Term Definitions

Definitions for reflex, ear tip, ETF, and probe terminology.

More Dictionary Definitions

Reflex, Surgical, and Ossicular Chain Terms

Definitions for reflex, myringoplasty, myringotomy, and ossicular chain terms.

Pressure Units and Probe Terminology

Definitions for Pascal, probe, probe ear, and probe signal.

Final Dictionary Definitions

Probe Tip, Immittance, and Test Definitions

Definitions for probe tip, immittance, Toynbee test, and tympanogram.

Tympanometry Process Explanation

Explains the process and purpose of tympanometry.

Appendix A: Setup Menus

Main Setup Menu Navigation

How to access and navigate the main setup menu.

Individual Setup Menu Navigation

How to navigate within specific setup menus.

Tympanometry Setup Menu

Start and Stop Pressure Settings

Defines start and stop pressure settings for tympanometric sweeps.

Tympanometry Setup Details

Pump Speed Settings and Compensated Mode

Explains pump speed settings and the Compensated Mode.

Tympanometry Setup Parameters

Gradient Unit, High Probe Tone, Scale Adjustment

Details gradient unit calculation, high probe tone, and scale adjustment.

Setup Menu for Reflex Tests

Choosing and Configuring Reflex Methods

Details the four reflex methods and how to configure their parameters.

Reflex Methods Explained

Fixed Intensity Method

Explains the Fixed Intensity reflex method with fixed parameters.

Reflex Sensitivity Explanation

Understanding Reflex Sensitivity Levels

Explains the concept and levels of reflex sensitivity.

Reflex Sensitivity System Functions

Examples of Reflex Sensitivity Functions

Shows examples of how reflex sensitivity functions work with pass boxes.

Reflex Methods: Screening

Screening (10 dB steps) Reflex Method

Describes the Screening reflex method using 10 dB steps.

Reflex Methods: Auto

Auto (5 dB steps) Reflex Method

Describes the Auto reflex method using 5 dB steps.

Reflex Methods: Sequence

Sequence Reflex Method and Options

Describes the Sequence reflex method and its configuration options.

Sequence Method Advanced Settings

Level Increase, Warning, and Drift Compensation

Covers level increase settings, warnings, and drift compensation.

Sequence Stop Criteria & Sensitivity

Test Stop Criteria and Reflex Sensitivity (Automatic)

Setting stop criteria and reflex sensitivity for automatic mode.

Audiometry Setup Menu

Default Intensity Setting

How to set the default intensity for audiometry.

Audiometry Setup Parameters

Masking Intensity and Not Heard Lines

Configuration for masking intensity and not heard lines.

Output Bone Masking Options

Selecting transducers for bone masking output.

Audiometry Setup: Bone, Mic, Masking, Mode

Bone 8kHz, Mic Selection, Output Ch2, Mode Preselect

Settings for bone conduction, microphone, masking, and audiometer mode.

Manual Audiometry Setup Options

Intensity Stepdown and Frequency Settings

Settings for intensity stepdown and audiometer frequencies.

Frequency Jump, Pulse, and Level Decr/Incr

Settings for frequency jump mode, pulse function, and level adjustment.

Speech Audiometry Setup Menu

Number of Words and Score Method

Configuration for the number of words and scoring method.

Speech Audiometry Curve Options

Standard Curve Options and Modification

Information on standard speech curves and how to modify them.

Common Setup Menu Options

Power-up, Pause, Communication, Remote Switch

Configuration for power-up, pause, communication, and remote switch settings.

Manual Reflex Attenuator

Adjusting intensity levels for manual reflexes.

Common Setup: Reflex Boxes and Printer

Reflex Icon Boxes and Printer Settings

Settings for reflex icon boxes and the internal printer.

Subject and Clinic Data Printout

Options for printing subject and clinic data.

Common Setup: Clinic Data, Print After Test, Language

Clinic Data Entry and Print After Test

Entering clinic data and enabling automatic print after test.

Language Selection

Choosing the display language for the instrument.

Appendix B: Installing USB Driver

Connecting Instrument and Driver Search

Steps for connecting the instrument and searching for the USB driver.

USB Driver Installation and COM Port Identification

Completing Driver Installation and COM Port Identification

Finishing driver installation and identifying the COM port.

Managing COM Port Settings

Changing COM Port Number in Advanced Settings

Procedure for changing the COM port number in advanced settings.

Appendix C: General Maintenance

Annual Overhaul, Electrical Safety, Placement

Recommendations for annual overhaul, electrical safety, and instrument placement.

Regular Tests and Instrument Ventilation

Importance of regular tests and ensuring proper instrument ventilation.

Instrument Care and Cleaning

Cleaning, Protection, and Patient Contamination Prevention

Procedures for cleaning, protecting the instrument, and preventing contamination.

Return Report Form

Drawing of Front Plate