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otometrics Bio-Logic NavPRO ONE - User Manual

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Natus Medical Denmark ApS. +45 45 75 55 55. otoinfo@natus.com
Natus Medical Incorporated. 1-800-289-2150. otoorder.us@natus.com
www.otometrics.com
Bio-logic
®
NavPRO ONE
®
ASSR
Quick Start Guide
Doc. No.7-26-1389-EN/00
Part No.7-26-13809-EN
Bio-logic
®
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Summary

Turning On;Off, and Charging the Device

Start Menu Navigation

Testing Procedures

Auditory Steady State Response (ASSR)

Details the connection and setup for Auditory Steady State Response (ASSR) testing.

Configurable Test Parameters

Explains how to adjust test parameters like stimulus bandwidth, masking noise, and test modes.

ASSR Test Screen Overview

Describes the components and data displayed on the ASSR test screen during a test.

ASSR Test Results Interpretation

Guides on viewing and interpreting the results and audiograms from ASSR tests.

Quick Guide Information

Copyright and Legal Notice

Summary

Turning On;Off, and Charging the Device

Start Menu Navigation

Testing Procedures

Auditory Steady State Response (ASSR)

Details the connection and setup for Auditory Steady State Response (ASSR) testing.

Configurable Test Parameters

Explains how to adjust test parameters like stimulus bandwidth, masking noise, and test modes.

ASSR Test Screen Overview

Describes the components and data displayed on the ASSR test screen during a test.

ASSR Test Results Interpretation

Guides on viewing and interpreting the results and audiograms from ASSR tests.

Quick Guide Information

Copyright and Legal Notice

Overview

The Bio-logic® NavPRO ONE® ASSR is a portable device designed for Auditory Steady State Response (ASSR) testing, offering a comprehensive solution for audiological assessments. This quick start guide outlines the device's core functionalities, from basic operation to advanced testing and result interpretation.

Function Description

The primary function of the Bio-logic® NavPRO ONE® ASSR is to perform Auditory Steady State Response (ASSR) tests. ASSR is an objective audiological test used to estimate hearing thresholds in individuals who cannot provide reliable behavioral responses, such as infants, young children, or individuals with developmental disabilities. The device generates auditory stimuli and records the brain's electrical activity in response to these stimuli, allowing for the estimation of hearing thresholds across different frequencies.

The device supports both monaural and binaural testing, providing flexibility for various clinical scenarios. It can be used with different transducers, including headphones, insert earphones, and ear probes, to accommodate diverse patient needs and testing environments. The system is designed to provide frequency-specific information, which is crucial for accurate diagnosis and management of hearing loss.

In addition to ASSR, the device's start menu indicates the potential for other audiological tests, such as QuickABR, ABR (Auditory Brainstem Response), Audio, and DPOAE Diag (Distortion Product Otoacoustic Emissions Diagnostics). While this quick start guide focuses on ASSR, the presence of these options suggests a multi-functional platform capable of a broader range of audiological evaluations, making it a versatile tool for hearing healthcare professionals.

Usage Features

The Bio-logic® NavPRO ONE® ASSR is designed for ease of use, featuring a clear and intuitive interface.

Powering On/Off and Charging: The device is turned on or off using a dedicated button located on the right side. It can be charged via a power supply connector, ensuring the device is ready for use when needed.

Start Menu Navigation: Upon powering on, the device presents a start menu with various test options, which may vary depending on the specific setup. Users can select the desired test, such as ASSR, from this menu. The screen also displays the current time and provides options to customize settings or turn off the device. An "Additional information" button offers context-sensitive help for the current screen's options.

Electrode and Transducer Connection: For ASSR testing, the device requires the connection of an electrode cable and a transducer. The electrode cable connects to a white connector, while the probe connects to a red connector. Transducers like headphones or insert earphones connect to a blue connector, and a second probe for binaural testing also connects to a blue connector. This color-coded system simplifies the setup process, reducing the chance of incorrect connections.

Patient Preparation and Electrode Placement: Proper patient preparation is crucial for accurate results. The guide emphasizes cleaning the patient's skin before placing electrode pads. Recommended electrode montage includes:

  • White: High forehead
  • Black: Cheek
  • Red: Mastoid For binaural testing, an additional red electrode is placed on the nape. This detailed guidance ensures optimal signal acquisition.

Transducer Placement: If using insert earphones, selecting the correct size ear tips and placing them properly in the ear canal is essential. For headphones, they should be placed over the ears.

Protocol Selection and Parameter Configuration: After selecting ASSR, users choose a protocol from a list of presets, such as "Fixed 40Hz," "Thres 40Hz," "Fast Thres," "Fine Thres," and "FastScreen." To modify parameters, users select a preset and then use the "tools" button at the bottom of the screen.

Configurable Test Parameters: The device offers extensive configurability for ASSR tests:

  • Stimulus Frequencies: Users can select specific frequencies for testing, with half-octave stimuli providing better frequency specificity, albeit with longer test times.
  • Stimulus Bandwidth: Options include octave, 1½-octave, and 2 octaves.
  • Masking Noise: Masking noise can be selected for monaural testing, which is important for preventing cross-hearing.
  • Test Mode: Two modes are available:
    • Fixed: Tests all selected levels.
    • Adaptive: Used for threshold search, allowing users to set start, minimum, and maximum levels.
  • Stimulus Rate: Options include 40 Hz (for awake and adult patients), 80 Hz (for babies and higher frequencies), and Auto (mixed rate, optimized for performance).

Test Ear Selection: Users select the test ear (Right, Left, or Right + Left for binaural testing) by pressing the corresponding button. Binaural testing is available when headphones, insert phones, or two ear probes are connected, especially when stimulating at low intensity levels.

Patient Comfort and Impedance Check: Ensuring the patient is sitting or lying down comfortably is important. Before measurement, an impedance check is performed. An impedance below 6 kOhm makes the start button available, with an impedance below 4 kOhm allowing for autostart if configured. If impedance is between 6 kOhm and 12 kOhm, a "skip" button becomes available. An impedance below 6 kOhm is recommended for best test results.

Calibration: If an ear probe is used, a calibration is performed alongside the impedance check. Users can choose between "simple calibration" or "expert calibration" modes in the device setup.

ASSR Test Screen: During the test, the screen displays:

  • Progress for each tested frequency: Shows the ongoing status of the test.
  • Frequency being tested: Indicates the current frequency under evaluation.
  • Intensity level being tested: Displays the stimulus intensity.
  • Overall EEG: A value that should remain in the lower third for optimal recording. Pressing this area enables a raw EEG view.
  • Impedance monitor: Continuously displays impedance values.
  • Test progress: A visual indicator of the overall test progression. Users can stop, pause, or skip a single test during the measurement.

ASSR Test Results: The device presents test results in various formats:

  • Estimated Audiogram: Available in adaptive test mode, showing estimated hearing thresholds.
  • Detailed Views: Circles on the screen indicate the availability of other views. Users can swipe right or left to navigate between these screens.
  • Check Mark/Circle Details: Pressing on a check mark or circle provides detailed information about specific test points.
  • Print Options: Results can be printed to a label or saved as a PDF file.
  • Test Conditions: A dedicated screen displays the parameters and conditions used for the test, ensuring transparency and reproducibility.

Maintenance Features

While the quick start guide does not explicitly detail maintenance features, several aspects imply the device's design for reliability and longevity:

  • Software Updates: The guide mentions "Firmware Rev. 2.1, Mira PC Software Rev. 1.6.4" and states that the latest revision of the Quick Start Guide is available online. This indicates that the device's software and documentation are subject to updates, suggesting a commitment to continuous improvement and bug fixes. Regular software updates can enhance device performance, add new features, and address potential issues, contributing to its long-term usability.
  • Calibration: The inclusion of a calibration process for ear probes highlights the importance of maintaining measurement accuracy. Regular calibration, either simple or expert, ensures that the device provides reliable and consistent results over time. This is a critical aspect of maintaining the device's diagnostic integrity.
  • Cleaning: Although not explicitly stated for the device itself, the instruction to "Clean the patient's skin" before electrode placement implies a general understanding of hygiene and cleanliness in a clinical setting. For a medical device, routine cleaning of external surfaces and connectors would be standard practice to prevent contamination and ensure proper functioning.
  • Troubleshooting (Implied): The impedance check and the display of "Overall EEG" values serve as immediate indicators of potential issues during testing. If impedance is too high or EEG values are not optimal, the user is prompted to take corrective action. This built-in feedback mechanism helps in identifying and resolving common problems, reducing downtime and ensuring successful tests.
  • Documentation and Support: The availability of a quick start guide, contact information for Natus Medical Denmark ApS and Natus Medical Incorporated, and a website for downloads (www.pathme.de/download) indicates a robust support system. Access to documentation and technical support is crucial for troubleshooting, understanding device functionalities, and obtaining assistance with any maintenance-related queries.
  • Robust Design (Implied): As a portable medical device, the Bio-logic® NavPRO ONE® ASSR is likely designed to withstand the rigors of daily clinical use. While not explicitly detailed, the emphasis on ease of use and clear instructions suggests a design that minimizes user error and promotes consistent performance.

In summary, the Bio-logic® NavPRO ONE® ASSR is a sophisticated yet user-friendly device for ASSR testing, offering comprehensive features for accurate hearing threshold estimation. Its intuitive interface, configurable parameters, and clear result presentation make it an effective tool for audiological professionals, while implied maintenance practices ensure its reliability and longevity.

otometrics Bio-Logic NavPRO ONE Specifications

General IconGeneral
CategoryMedical Equipment
ManufacturerOtometrics
ReportingCustomizable reports
Device TypeDiagnostic Audiometer
Stimulus TypesClick, Toneburst, Chirp
Filter SettingsAdjustable
Testing CapabilitiesABR, OAE
OAE FeaturesDPOAE, TEOAE
ConnectivityUSB
Channels2
Stimulus RateAdjustable
Stimulus IntensityAdjustable
Power SupplyAC adapter, Battery
WeightLightweight
ModularityModular design for flexible configurations
DimensionsCompact and portable design

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