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Otodynamics Otoport OAE+ABR User Manual

Otodynamics Otoport OAE+ABR
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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

Table of Contents

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Otodynamics Otoport OAE+ABR Specifications

General IconGeneral
BrandOtodynamics
ModelOtoport OAE+ABR
CategoryMedical Equipment
LanguageEnglish

Summary

Introduction to Otoport OAE+ABR

Intended Use and Device Indications

Device indications for screening hearing disorders using objective, non-invasive means, especially for infants.

General Guidance for Otoport Operation

Provides evidence of normal peripheral hearing function, suitable for infants and various environments.

General Use Precautions and Safety

Safety precautions for device use, including electrode connection, noise levels, and probe insertion.

Understanding Otoacoustic Emissions

Types of Otoacoustic Emissions Explained

Explains TEOAEs (click stimulus) and DPOAEs (pure tones) for hearing assessments.

OAEs and Screening Applications

Common primary hearing screen in newborns; indicates middle ear/cochlear function.

Auditory Brainstem Response (ABR) Overview

Measures auditory system response to sound via electrodes; uses averaging to enhance signal.

Otoport Equipment Identification

Components in Otoport OAE+ABR Kit

Lists components included exclusively in the Otoport OAE+ABR kit.

Components in Otoport DP+TE Kit

Lists components included exclusively in the Oport DP+TE kit.

Shared Kit Components

Lists common components included in both Oport OAE+ABR and DP+TE kits.

Optional Otoport Accessories

Details optional accessories available for Oport devices.

Otoport Controls and Connections

Device Controls, Indicators, and Ports

Identifies and describes the device's controls, indicators, and connection ports.

OAE System Label Explained

Explains the symbols and markings found on the OAE system label.

Otoport OAE+ABR Unit Details

Details the specific controls, indicators, and connections for the Oport OAE+ABR unit.

ABR Module Label Explained

Explains the symbols and markings found on the ABR module label.

Getting Started with Otoport

Assembling ABR Module with Otoport

Step-by-step instructions for attaching the ABR module to the Oport unit.

Removing Otoport from ABR Module

Instructions for detaching the Oport unit from the ABR module.

Otoport with Non-Removable Module

Information on Oport units with permanently attached sleeves.

Connecting Probes and Electrodes

Guidance on connecting the OAE probe and ABR electrodes to the device.

Initial Otoport Charging Procedure

Instructions for the first-time charging of the Oport unit before use.

OAE QUICKSTART Guide

Otoport Setup for OAE Testing

Initial steps for setting up the Oport device for testing.

Earpiece Fitting for OAE Tests

Instructions for correctly fitting the earpiece and probe tip into the ear.

Performing an OAE Test

Steps for performing an OAE test, including patient selection and data entry.

Disconnecting the OAE Probe

Procedures for safely disconnecting the probe from the Oport device.

ABR QUICKSTART Guide

Device Setup for ABR Testing

Initial steps for setting up the Oport and ABR module together.

Getting Ready for ABR Tests

Pre-test preparations including skin prep and electrode placement.

Performing an ABR Test

Steps for conducting an ABR test, including impedance checks and data collection.

Otoport Keypad and Navigation

Understanding Otoport Control Keys

Explanation of the function of the device's control keys for screen interaction.

Using Arrow Navigation Buttons

Description of the arrow keys used for navigating menus and options.

Entering Data with the Keypad

Guide to entering text and data using the device's keypad.

Foreign Character Input Method

Information on accessing and using the foreign character input table.

Entering and Editing Dates

Instructions for entering date information using the device's interface.

Navigating Choice Bars

Explanation of how to navigate and select options using choice bars.

Character Deletion and Backlight Settings

Method for deleting characters input and managing backlight settings.

Stimulus/Noise Indicators and Hard Reset

Explains blue LEDs for stimulus/noise levels and procedure for hard reset.

Connecting and Disconnecting the Probe

Connecting the Otoport Probe Correctly

Detailed instructions and alignment guidance for connecting the probe.

Safely Disconnecting the Otoport Probe

Steps for properly disconnecting the probe from the Oport device.

Switching On and Initial Setup

Otoport Power-On Screen Sequence

Describes the initial screen sequence when powering on the Oport.

Otoport Logo Screen and System Checks

Explains the logo animation and system checks displayed after powering on.

Selecting Otoport Operating Mode

Describes the two operating modes: Screen and Clinical, and how to select them.

Otoport Device Login Procedure

Instructions for logging into the device, including user and password entry.

Choosing the Test Type on Oport

Overview of selecting different test types after login or from the logo screen.

Test Preparation Essentials

General Pre-Test Checks for Otoport

Essential pre-test checks to ensure optimal device and patient readiness.

ABR Test Environment Preparation

Guidance on preparing the testing environment, especially for ABR tests, to minimize interference.

Probe Tip Selection and Fitting Guide

Importance of correct tip selection and probe fit for successful OAE recordings.

Fitting Probe for Newborn Ears

Specific instructions for fitting the probe tip into a newborn's ear canal.

Probe Fitting with Ear Cups and for Adults

Guidance on fitting probes with ear cups for newborns and for adult ears.

Electrode Fitting and Skin Preparation

Procedures for proper electrode placement and skin preparation for good impedance.

Electrode Placement Montage

Recommended electrode placement sites (forehead, nape, shoulder) for optimal signal acquisition.

Troubleshooting Otoport Tests

Common OAE Test Problems and Solutions

Common issues encountered during OAE recordings and their solutions.

ABR Test Problems and Troubleshooting

Solutions for ABR test failures, including high impedance and myogenic activity.

Selecting and Performing Tests

Choosing Test Type or Worklist

Guide to selecting the appropriate test type (TEOAE, DP, ABR) or using the worklist.

Managing Patient Details for Testing

How to enter and manage patient information before or after a test.

Selecting the Test Ear

Procedure for selecting the ear (Right, Left, or Both) to be tested.

Otoport Checkfit Procedure

Assesses testing environment, probe fit, and noise levels before starting a test.

Interpreting Checkfit Indicators

Explains the fit size indicator and how to interpret Checkfit condition messages.

Noise Level and Checkfit Information

Describes noise level indicator and how to adjust noise reject threshold.

DPOAE Test Procedures

DP Stimulus Calibration Process

Process of calibrating stimulus tone levels to patient's ear canal acoustics before DPOAE testing.

Navigating DP Test Screens

Overview of the different DP test display screens and how to switch between them.

Interpreting DPOAE Line and Bar Graphs

Interpretation of graphical displays showing DPOAE signal and noise levels.

DPOAE Circles Display Explained

Explanation of the Circles display for SNR and pass/fail indication.

Infant Distraction Screens for OAE

Features to engage young patients during OAE testing.

DPOAE Data Tables and Noise Indicators

Details on interpreting DPOAE data tables and noise level indicators.

DPOAE Test Condition Information

Information on how test conditions are displayed during DPOAE testing.

Minimum Recordable Signal Levels for DPOAE

Details minimum signal levels required for DPOAE recording at different frequencies.

Understanding DPOAE Test Stop Reasons

Explains the different ways a DPOAE test can stop (AutoStop, Timeout, Manual End).

Interpreting DPOAE Test Results

Lists and describes possible DPOAE test results and their meanings.

TEOAE Test Procedures

TE Stimulus Adjustment Process

Process of adjusting stimulus levels for TEOAE testing based on ear canal conditions.

TEOAE Test Screen Overview

Overview of the TEOAE test display and SNR measurement.

Interpreting TEOAE Bar Graphs

Interpretation of the Bar display showing TEOAE signal and noise levels.

TEOAE Circles Display Explained

Explanation of the Circles display for TEOAE SNR and pass/fail indication.

Infant Distraction Screens for TEOAE

Features to engage young patients during TEOAE testing.

TEOAE Response Waveform Analysis

Analysis of TEOAE waveforms to assess recording quality and troubleshoot issues.

TEOAE Data Tables and Noise Indicators

Details on accessing and interpreting TEOAE data tables and noise level indicators.

TEOAE Test Condition Information

Information on how test conditions are displayed during TEOAE testing.

Understanding TEOAE Test Stop Reasons

Explains the different ways a TEOAE test can stop (AutoStop, Max NLo, Timeout, Manual End).

Interpreting TEOAE Test Results

Lists and describes possible TEOAE test results and their meanings.

ABR Test Procedures

ABR Test Overview and Setup

Introduction to performing ABR tests, including mode selection and patient preparation.

ABR Impedance Check Procedure

Checks electrode connection quality and noise levels before starting an ABR test.

Otoport Checkfit for ABR Tests

Assesses testing environment and probe fit for ABR, including options for ear cup use.

Ear Cup Checkfit Configuration

Specific procedures for performing Checkfit when using ear cups.

ABR Test Screen and Progress

Details the ABR test screen and progress indication.

ABR Data Summary Metrics Explained

Explains the data summary screen, including Fsp, TC, and Time metrics.

Interpreting ABR Waveform Display

Interpretation of averaged ABR waveforms to assess signal quality and noise.

ABR Impedance and Stimulus Monitoring

How impedance and stimulus levels are monitored during ABR testing.

Pausing and Resuming ABR Tests

Procedure for temporarily pausing an ABR test and its implications.

Understanding ABR Test Stop Reasons

Explains the various ways an ABR test can stop (AutoStop, Timeout, etc.).

Interpreting ABR Test Results

Lists and describes possible ABR test results and their meanings.

Performing Bilateral ABR Testing

Instructions for performing ABR tests on both ears sequentially.

Saving and Managing Test Results

Otoport Quick Save Options

Explains the Quick Save feature and its impact on test result options.

Quick Save Off: Test Result Options

Describes the options available when Quick Save is turned off.

Quick Save On: Test Result Options

Describes the options available when Quick Save is turned on.

Managing Patient Details for Saving

How to enter and manage patient details for saving test results.

Reviewing and Finalizing Test Results

Options to review, retest, or print test results after saving.

Using the 'Last' Function for Records

How to add further tests to a patient record or edit details using the 'Last' function.

Accessing Detailed Test Results

Options to review and print detailed test results for the current patient.

Link-Test and Work List Features

Automated Test Sequencing with Link-Test

Function to run a sequence of tests automatically on the same ear.

Otoport Work List Management

Feature to enter multiple patient details prior to testing for faster workflow.

Adding Patients to the Work List

Steps for adding new patient records to the Oport's worklist.

Editing Patient Details in Work List

How to edit existing patient information within the worklist.

Deleting Patients from the Work List

Procedures for removing patient records from the worklist.

Initiating Tests from the Work List

How to initiate tests for patients selected from the worklist.

Otoport Utilities and System Management

Accessing Otoport Utility Functions

Access to various utility functions like Record, Config, and System.

Viewing and Managing Patient Records

How to view and navigate the list of previously tested patients.

Viewing Selected Patient Details

Viewing detailed information for a selected patient.

Reviewing Summary Test Results

Overview of test results for a patient, showing test summaries.

Accessing Detailed Test Results

Accessing and reviewing detailed OAE test data.

Otoport Configuration Settings

Performing Otoport Quality Tests

Procedures for performing quality tests on the probe and ABR cables.

Configuring Test Settings

Configuration options for Screen and Clinical modes, including general and specific test settings.

Selecting Otoport Operating Modes

How to enable or disable Screen and Clinical modes for testing.

Clinical and Screen Mode Settings

Details on General, OAE, and ABR settings within Clinical and Screen modes.

General Otoport Test Configuration

General test settings including display options (dBSPL, Circles).

Neonate Mode and Noise Rejection Settings

Setting to warn users of large ear canals and configuring noise rejection thresholds.

Extend Test Duration and Noise Mode

Option to extend test duration and settings for calculating DP test noise floor.

ABR Mains Frequency Configuration

Configuration of mains frequency (50Hz/60Hz) for optimal ABR recording in mains noise.

TEOAE Test Configuration Settings

Configuration settings for TEOAE tests, including TE Quick and mode settings.

DPOAE Test Mode Configuration

Configuration of DPOAE test modes (DP High, DP Low, DP 12 Freq) and DP Levels.

Setting OAE Norms and Test Start/Stop

Setting expected OAE levels, test start mode, and automatic stop criteria.

ABR Test Configuration: Stimulus and Pass Criteria

Defining ABR stimulus type, start/stop, and pass criteria (Fsp, TC).

Otoport Date and Time Settings

Setting the device's current date and time.

Otoport System Information and Management

Access to system info including memory status, and managing user accounts.

Managing Otoport User Accounts

Managing user accounts, including adding new users and setting access levels.

Adding and Editing New User Profiles

Steps to add a new user profile, including name, User ID, and password.

Viewing and Editing User Accounts

Displaying and navigating the list of saved user accounts and editing them.

Printing and Downloading Otoport Data

Bluetooth Wireless Printing and Download

Using Bluetooth for wireless printing or data download to a PC.

Wired Data Downloading Procedure

Procedure for downloading test data to a PC using a wired connection.

When Printing is Possible on Oport

Explains various scenarios and locations within the interface where printing is possible.

Printing Test Results Post-Test

How to print patient details and test results immediately after test completion.

Printing/Downloading from Records

Printing or downloading results from the Oport Records area.

Oport Print Format Options

Describes the two print formats: Summary and Detailed.

Oport Printer Connection and Operation

Detailed steps for connecting and operating the Oport printer, both wired and wireless.

Oport Printer Fault Detection

How the Oport detects and reports printer faults like out-of-paper.

Understanding Printer Light Indicators

Explains the meaning of different printer light indicators.

Loading and Changing Printer Paper

Instructions for loading and changing paper rolls in the Oport printer.

Charging the Oport Printer

Steps for charging the Oport printer's battery.

Replacing the Oport Printer Battery

Instructions for replacing the printer's battery pack.

Otoport Quality Checks and Maintenance

Importance of Otoport Quality Tests

Importance and types of quality tests to ensure instrument accuracy.

Performing the Otoport Probe Test

Procedure for testing probe functionality using the Otodynamics test cavity.

Interpreting Otoport Probe Test Results

Possible results (Pass, Fail) of the probe test and their interpretations.

Understanding Query and Noisy Probe Test Results

Interpretation of 'Query' and 'Noisy' results in the probe test.

Dual Probe Test Results Display

How results are displayed when testing with two probes simultaneously.

Detailed Otoport Probe Test Results

Viewing detailed probe test results, comparing new and stored values.

ABR Cable Continuity Test

Procedure to check the continuity and functionality of ABR electrode cables.

Performing the Otoport Cavity Test

Test to determine if OAE responses are generated by the device or a fault, using a test cavity.

Conducting the Otoport Occlusion Test

Checks if the probe coupler is fitted correctly to prevent sound leakage.

Real Ear Test for Reproducibility

Verifies test data reproducibility using a known good ear.

Otoport Probes, Tips, and Accessories

Otoport Probe Components and Accessories

Overview of probes, tips, and accessories included with the Oport system.

Otoport Probe and Service Accessories

Details on DPOAE probes, coupler tubes, and spare parts.

Using the Otoport Probe Cable Clip

Information on the probe cable clip and its use for stability and noise reduction.

Attaching and Using the Probe Cable Clip

Instructions on how to attach and use the probe cable clip.

Selecting DPOAE+TEOAE Probe Tips

Guide to selecting the correct probe tip size for different ear canal sizes.

Safe Use of Otoport Probe Tips

Safety and hygiene guidelines for using disposable probe tips.

Otoport Probe Care and Maintenance

General Otoport Probe Care Guidelines

General guidelines for maintaining and cleaning the Oport probe.

Cleaning Otoport Probe Components

Recommended methods for cleaning probe components with antiseptic fluid.

Replacing Probe Coupler Tubes

Instructions for replacing the probe's coupler tubes.

Disassembling the Otoport Probe

Steps for dismantling the probe to replace coupler tubes.

Reassembling the Otoport Probe

Steps for reassembling the probe after replacing coupler tubes.

Probe Safety Notes for Otoport Use

Safety warnings regarding the use of disposable probe tips and their importance.

Otoport Device Care and Cleaning

General Otoport Handling and Care

General advice on handling and caring for the Oport instrument.

Otoport Device and Probe Cleaning Procedures

Recommended cleaning procedures for the Oport device and probe.

Otoport Power Management

Otoport Battery Life and Initial Charge

Details on the Oport's battery performance, usage patterns, and initial charging.

Otoport Standby Mode Operation

How the Oport enters standby mode to conserve power and how to resume.

Otoport Battery Charge Indicators

Explanation of the battery indicator and charging status.

Low and Critical Battery Warnings

Warning messages and actions for low and critical battery levels.

Charging the Otoport Device

Procedures for connecting the Oport to a charger or PC for charging.

Connecting Otoport for Charging

Steps for connecting the Oport to its power source for charging.

Additional Otoport Charge Indicators

Explains the additional power and charging indicator lights on the device.

Disconnecting the Oport After Charging

How to disconnect the Oport after charging.

Conditioning the Oport Battery

Process for conditioning the battery to maintain optimal performance.

Oport OAE+ABR Charging Connection

Steps for connecting the Oport OAE+ABR to the charger.

Oport OAE+ABR Charge Indicator Lights

Explanation of the charge indicator lights on the Oport OAE+ABR.

Otoport Equipment Troubleshooting

Troubleshooting Otoport Lock-up

Procedure for recovering from a device lock-up or unresponsiveness.

Troubleshooting Oport Switch-On Failures

Troubleshooting steps if the Oport fails to switch on or complete startup.

Accessing Oport System Details

Accessing system details for hardware information and fault reporting.

Handling Instrument Fault Messages

Handling and interpreting the 'Instrument fault' message and its potential causes.

Interpreting Hardware Fault Messages

Information on interpreting hardware fault codes and troubleshooting steps.

Otoport Training and Service Information

Importance of Otoport Operator Training

Importance of operator training and how to identify training-required sections.

Obtaining Service and Repairs for Oport

Information on warranty service, repairs, and contacting Otodynamics for support.

Oport Calibration and Operation Modes

Oport Calibration Importance and Schedule

Importance of calibration, recommended checks, and scheduling calibration.

Oport Mode of Operation Overview

Overview of the device's operational modes and parameters.

DPOAE Test Technical Parameters

Technical parameters and calculations specific to the DPOAE test.

TEOAE Test Technical Parameters

Technical parameters and calculations specific to the TEOAE test.

ABR Test Technical Parameters

Technical parameters for the ABR test, including stimulus, sampling, and electrodes.

ABR Stimuli Description

Details on click and chirp stimuli used in ABR testing.

ABR Hearing Level Determination

How hearing thresholds are determined using ABR stimuli.

Oport Sensitivity for ABR Screening

Explanation of device sensitivity in detecting hearing loss.

ABR Screening Sensitivity Data

Measured sensitivity and pass criteria for ABR screening.

Oport Specificity in ABR Screening

Definition and measurement of device specificity in ABR screening.

Otoport Technical Specifications

Otoport Device Overview

General overview of the Oport's technical details.

Oport Physical Characteristics

Specific physical dimensions and weights of the Oport and its charger.

Oport Interfaces and Connectivity

Details on probe connectors, charging/data connectors, and Bluetooth options.

Oport Indicators and Keypad

Explanation of Oport indicators (display, LEDs, audible) and keypad layout.

Oport Clock, Power, and Hardware Specs

Details on clock, power, hardware options, processing, analogue performance, and accuracy.

Oport Environmental Operating Conditions

Environmental conditions for transport, storage, and operation.

Oport Classifications and Standards Compliance

Lists relevant classifications and standards the device complies with.

Oport Electromagnetic Compatibility (EMC)

EMC information and guidance for the Oport device.

Oport OAE+ABR EMC Information

EMC information and guidance for the Oport OAE+ABR device.

EN60645-3 Conformance Notes

Notes on conformance to EN60645-3 for electroacoustic audiometric equipment.

ABR Module Technical Specifications

Technical specifications for the ABR module, including physical attributes and interfaces.

Explanation of Otoport Symbols

Explains various symbols used on the Oport device and its accessories.

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