Callisto Operation Manual Sept 2011

Table of Contents 1

TO KNOW BEFORE YOU START INSTALLATION ... 1.1

2

DRIVER INSTALLATION... 2.1

2.1

How to Install a Shortcut in the Noah3 Toolbar for direct access to the Software Suite ... 2.6

2.2

License ... 2.6

3

THE HARDWARE PLATFORM ... 3.1

3.1

Intended Use ... 3.1

3.2

Precautions ... 3.1

3.3

Warranty ... 3.3

3.4

General Maintenance Procedures ... 3.4

3.5

Unpacking and Inspection... 3.4

3.6

Concerning Repair ... 3.5

3.7

Callisto™ - Connection Panel Dictionary ... 3.5

3.8

Explanation to symbols which may be found on the instrument: ... 3.6

3.9

Manufacturer ... 3.6

4

AC440... 4.1

4.1

AC440 Quick Guides ... 4.1 4.1.1 Tone Audiometry ... 4.1 4.1.2 Speech Audiometry ... 4.3

4.2

About AC440 module ... 4.7

4.3

Launching AC440 together with databases ... 4.8 4.3.1 Launching AC440 from Noah3: ... 4.8 4.3.2 Launching AC440 from OtoAccess™ ... 4.9

4.4

The Tone Screen Elements ...4.10

4.5

The Speech Screen Elements ...4.14 4.5.1 Speech Audiometry in Graph Mode ... 4.16 4.5.2 Speech Audiometry in Table Mode ... 4.17 4.5.2.1 The SRT table... 4.17 4.5.2.2 The WR table ... 4.18

4.6

Clinical Application of the AC440 Tests ...4.19 4.6.1 Air Conduction Audiometry ... 4.19 4.6.2 High Frequency Audiometry ... 4.23 4.6.3 Multi Frequency Audiometry ... 4.24 4.6.4 Bone Conduction Audiometry ... 4.25 4.6.5 Masking ... 4.26 4.6.6 Speech Audiometry ... 4.28 4.6.6.1 Speech Reception Threshold (SRT) ... 4.30 4.6.6.2 Word Recognition (WR) ... 4.31 4.6.6.3 Speech Testing with a Microphone ... 4.33 4.6.6.4 Speech Testing with an external CD Player ... 4.34 4.6.6.5 Speech testing with wave files ... 4.35 4.6.7 Masking Level Difference (MLD) ... 4.35 4.6.8 Master Hearing Aid (MHA) ... 4.37 4.6.9 Hearing Loss Simulation (HLS) ... 4.39 4.6.10 Short Increment Sensitivity Index ... 4.40 4.6.11 Weber ... 4.42 4.6.12 Knaster ... 4.43 4.6.13 ABLB/Fowler ... 4.45 4.6.14 Stenger ... 4.46 4.6.15 TEN Test ... 4.48 4.6.16 QuickSIN ... 4.48

4.7

Working with Individual Setups (Test Protocols) ...4.50 4.7.1 Selecting a Test Protocol: ... 4.50 4.7.2 Creating new Test Protocols ... 4.51 4.7.2.1 Common setup ... 4.52 4.7.2.2 Tone testing setup ... 4.54 4.7.2.3 Speech testing setup ... 4.65 4.7.2.4 MLD testing setup ... 4.73 4.7.2.5 MHA counselling setup... 4.75 4.7.2.6 Knaster testing setup ... 4.77 4.7.2.7 HLS counselling setup ... 4.79 4.7.2.8 SISI testing setup ... 4.80 4.7.2.9 Weber testing setup ... 4.81 4.7.2.10 QuickSIN setup... 4.82 4.7.2.11 ABLB/Fowler and Stenger setup ... 4.83 4.7.2.12 TEN test setup ... 4.84 4.7.3 Finishing the test protocol ... 4.85 4.7.4 Changing a test protocol permanently ... 4.85 4.7.5 Changing a test protocol temporarily ... 4.86 4.7.6 Importing and exporting test protocols ... 4.87 4.7.6.1 Importing a test protocol: ... 4.87 4.7.6.2 Exporting a test protocol: ... 4.87

4.8

General Setup ...4.89 4.8.1 Symbol Settings ... 4.89 4.8.2 Protected Settings ... 4.92

4.9

The AC440 Menu Items ...4.93

4.10

PC Shortcuts ...4.95

4.11

FAQ ... 4.129

4.12

Appendix 1 ... 4.131 4.12.1 Importing Wave Files – Speech from Harddrive (ISF440)... 4.131

4.13

Appendix 2 ... 4.136 4.13.1 Knaster Report. ... 4.136

4.14

Appendix 3 ... 4.137 4.14.1 Audiometer Implementation of the TEN(HL) Test for Diagnosing Cochlear Dead Regions4.137

4.15

Appendix 4 ... 4.144 4.15.1 QuickSIN Manual ... 4.144

4.16

Technical Specifications of the AC440 Software ... 4.145

4.17

Survey of Reference and max Hearing Level Tone Audiometer ... 4.149 4.17.1 ANSI ... 4.153 4.17.2 IEC 153

4.18

Survey of Reference and max Hearing Level Speech Audiometer. ... 4.154 4.18.1 ANSI Speech ... 4.154 4.18.2 IEC Speech Calibration ... 4.155 4.18.3 Speech Calibration Sweden ... 4.156 4.18.4 Speech Calibration Norway ... 4.157

4.19

Equivalent Free Field ... 4.158

4.20

General Properties for Earphones ... 4.158

4.21

Included and Optional Parts for the Callisto

5

REM440 ... 5.1

5.1

Quick Guide ... 5.1

5.2

About REM440 ... 5.3

5.3

REM440 Tests ... 5.3

5.4

Launching REM440 together with Databases ... 5.4 5.4.1 Launching REM440 from Noah3: ... 5.4 5.4.2 Launching REM440 from OtoAccess™: ... 5.5

5.5

The REM Screen Elements ... 5.7

5.6

Background on Real-Ear Measurements using REM440 ...5.14 5.6.1 Required Items ... 5.14 5.6.2 Calibration ... 5.16 5.6.3 Gain versus Response View ... 5.17 5.6.4 Real-ear Measurements on Open Fittings ... 5.19 5.6.4.1 Calibrate for Open Fit ... 5.19 5.6.5 Probe Placement ... 5.21 5.6.6 Stimuli for Real-ear Measures ... 5.21 5.6.6.1 Tone Stimuli ... 5.21 5.6.6.2 Speech Stimuli/ISTS ... 5.21

TM

AC440 software ... 4.159

5.6.6.3 Composite Signals/ICRA ... 5.22 5.6.6.4 What Stimulus to Choose? ... 5.22 5.6.6.5 Presenting a Stimulus ... 5.23 5.6.7 Working with Fitting Targets ... 5.23 5.6.7.1 Calculating the Target ... 5.23 5.6.7.2 Choosing a Fitting Prescription ... 5.24 5.6.7.3 DSL m[i/o] options ... 5.25 5.6.7.4 NAL-NL1/NAL-NL2 options ... 5.27 5.6.8 Comparing to the Hearing Aid Fitting Software ... 5.28 5.6.8.1 On Top Mode ... 5.28 5.6.8.2 Table Mode ... 5.29 5.6.8.3 Show Cursor on the Graph ... 5.29 5.6.9 Display Peaks and Valleys ... 5.30 5.6.10 Preconditioning and Sweep Delay ... 5.30 5.6.10.1 Preconditioning ... 5.30 5.6.10.2 Sweep Delay ... 5.30 5.6.11 Smoothing a Curve ... 5.31 5.6.12 Comparing Curves ... 5.31 5.6.13 Managing Multiple Curves ... 5.32 5.6.13.1 Curve Display Options ... 5.32 5.6.13.2 Deleting Curves ... 5.33 5.6.13.3 Combined Screen View ... 5.33 5.6.13.4 Changing the Curve Colour ... 5.33 5.7

Clinical application of Real-Ear Measurements using REM440 ...5.34 5.7.1 REUR/REUG measurements ... 5.34 5.7.1.1 Predicted REUR ... 5.36 5.7.1.2 REUR from a previous session ... 5.37 5.7.1.3 REUR/REUG in both ears view ... 5.37 5.7.2 REAR/REAG measurements ... 5.38 5.7.3 REIG measurements... 5.40 5.7.4 RECD Measurements ... 5.42 5.7.4.1 RECD using the client’s own ear mould ... 5.44 5.7.4.2 RECD using the SPL Probe ... 5.46 5.7.4.3 Own Mould versus SPL Probe ... 5.48 5.7.4.4 Predicted RECD Curve ... 5.48 5.7.4.5 Measured RECD compared to a predicted RECD ... 5.49 5.7.4.6 Re-using a Coupler Curve ... 5.49 5.7.4.7 RECD from a previous session ... 5.49 5.7.4.8 Test Box/Coupler Base Fitting (Simulated REM) ... 5.50 2.0 2.0 5.7.4.9 The “Coupler Approach” (Affinity /Equinox ) ... 5.50 5.7.4.10 The “Coupler Approach” (Callisto™ ) ... 5.52 5.7.4.11 The “Real-ear approach” ... 5.53 5.7.4.12 Importing the RECD into the Hearing Aid Manufacturers Software ... 5.53 5.7.4.13 Counselling the Parents in Visible Speech Mapping ... 5.53 5.7.5 REOR/REOG measurements ... 5.54 5.7.6 Measuring Input/Output ... 5.56 5.7.7 Directionality measurements ... 5.58

5.8

Working with Individual Setups (Test Protocols) ...5.60 5.8.1 Selecting a Test Protocol ... 5.60 5.8.2 Creating new Test Protocols ... 5.61 5.8.2.1 REUG/REUR Settings ... 5.64 5.8.2.2 REAR/REAG Settings ... 5.66 5.8.2.3 REIG Settings ... 5.68

5.8.2.4 RECD Settings ... 5.70 5.8.2.5 REOR/REOG Settings ... 5.72 5.8.2.6 Input/Output Settings ... 5.74 5.8.2.7 Directionality Settings ... 5.76 5.8.2.8 Pause Settings ... 5.78 5.8.2.9 Visible Speech Mapping Settings ... 5.78 5.8.3 Combined Screen Setup ... 5.79 5.8.4 Fitting Prescription Setup ... 5.80 5.8.4.1 DSL m[i/o] Settings ... 5.81 5.8.4.2 NAL-NL1/NAL-NL2 Settings ... 5.82 5.8.5 Print Layout Settings ... 5.84 5.8.6 Finishing the Test Protocol ... 5.84 5.8.7 Changing a Test Protocol Permanently ... 5.85 5.8.8 Changing a Test Protocol temporarily ... 5.86 5.8.9 Importing and Exporting Test Protocols ... 5.86 5.8.9.1 Importing a Test Protocol ... 5.86 5.8.9.2 Exporting a Test Protocol... 5.87 5.9

General Setup ...5.88

5.10

The REM 440 Menu Items ...5.91

5.11

Visible Speech Mapping (VSPM440) ...5.93 5.11.1 About Visible Speech Mapping ... 5.93

5.12

The Visible Speech Mapping Screen ...5.94

5.13

Verification with Visible Speech Mapping ... 5.100 5.13.1 Considerations before you begin ... 5.100 5.13.2 Visible Speech Mapping (in ear mode) ... 5.100 5.13.3 Visible Speech Mapping (in coupler mode/test box mode) ... 5.102

5.14

Visual Tools for Counseling and Verification ... 5.104 5.14.1 Percentile Analysis ... 5.104 5.14.2 Display Peaks and Valleys ... 5.105 5.14.3 Show Examples ... 5.105 5.14.4 Speech Intelligibility Index ... 5.106 5.14.5 Speech Spectrum ... 5.106 5.14.6 Dynamic Range View ... 5.107 5.14.7 Aided versus Unaided ... 5.107

5.15

Visible Speech Mapping Settings ... 5.108

5.16

FAQ ... 5.111

5.17

Appendix 1 ... 5.117

5.18

The REM440 Test Signal Characteristics... 5.117

5.19

REM PC Shortcuts ... 5.119

5.20

Technical Specifications of the REM Software ... 5.120

5.21

Included and Optional Parts REM440 ... 5.122

6

PRINTING AND MAKING REPORTS... 6.123

6.1

The Print Wizard ... 6.123 6.1.1 Designing a Customized Print Template ... 6.125 6.1.2 Design Elements... 6.126 6.1.2.1 General elements ... 6.126 6.1.2.2 General elements ... 6.130 6.1.2.3 AUD elements ... 6.133 6.1.2.4 REM elements... 6.134 6.1.2.5 Taskbar ... 6.137

6.2

Creating Reports ... 6.138

6.2.1 Operation of the Report Editor ... 6.138 6.2.1.1 The Report Editor ... 6.138 6.2.1.2 The Template Editor ... 6.139

7

REFERENCES ... 7.141

1 To know before you Start Installation You must have administrative rights to the computer on which you are installing the Callisto™ Suite. DO NOT connect the Callisto™ hardware to the computer before the software has been installed! What you will need: 1. Callisto™ Suite Installation DVD 2. USB Cable 3. Callisto™ Hardware Supported Noah3 Office Systems  Noah 3.7 (from HIMSA)  AuditBase System 4  Mirage  Practice Navigator  Power Office  AkuWin  He@r-O  Entendre 2 TM

To use the software in conjunction with a database (e.g. Noah3 or OtoAccess ), make sure the database is installed prior to the Callisto™ Suite installation. Follow the manufacturer’s installation instructions provided to install the relevant database. Note that if you are using AuditBase System 4 you must ensure to launch this office system prior to this installation of the Callisto™ Suite. Installation on various Windows® versions Installation on Windows® XP (SP2 or later), Windows® Vista and Windows 7 (32 and 64 bit) systems are supported. Note that with Windows® “N” versions, Media Player needs to be installed manually for the software suite to run. Software Installation on Windows®7 Insert the installation DVD and follow the steps below to install the Callisto™ Suite software. If the installation procedure does not start automatically, click “Start”, then go to “My Computer” and double click the DVD/CD-RW drive to view the contents of the installation DVD. Double click the “setup.exe” file to initiate the installation. 1. If the dialog below is shown, click install.

AC440

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2. Wait for the dialog shown below to appear, then click “Next”.

3. Click “Next”, to start the installation.

AC440

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4. If the dialog box below appears, select “Install this driver software anyway”.

5. When the installation is complete, the dialog box below is shown. Click “Close” to finish the installation. The Callisto™ Suite is now installed.

AC440

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Software Installation on Windows® XP Insert the installation DVD and follow the steps below to install the Callisto™ Suite software. If the installation procedure does not start automatically, click “Start”, then go to “My Computer” and double click the DVD/CD-RW drive to view the contents of the installation DVD. Double click the “setup.exe” file to initiate the installation. 1. If the dialog below is shown, click install.

2. Wait for the dialog shown below to appear, then click “Next”.

3. Click “Next”, to start the installation and wait while the Callisto™ Suite is being installed.

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4. If the dialog box below appears, select “Install this driver software anyway”.

5. If the dialogs below appear, click “Yes” to confirm file replace.

6. When the installation is complete, the dialog box below is shown. Click “Close” to finish the installation. The Callisto™ Suite is now installed.

AC440

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AC440

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2 Driver Installation Now that the Callisto™ Suite software is installed, you must install the driver for the Callisto™ . For Windows®7: 1. Connect the Callisto™ hardware to the PC via the USB connection. 2. The system will now automatically detect the hardware and a pop-up will appear on the task bar near the clock indicating that the driver is installed and the hardware is ready for use. For Windows®XP: 1. Connect the Callisto™ hardware to the PC via the USB connection. 2. A pop-up indicating “New Hardware Found” will appear near the clock on the task bar. 3. Wait for the dialog shown below to appear. Select “No, not this time” and click “Next”.

4.

AC440

Select “Install the software automatically (Recommended)”.

Page 2.1

AC440

5.

Click “Next” and wait while the software installs

6.

Press “OK” if the dialog below appears. The system automatically selects the recommended location for the files (C:Program FilesInteracousticsCallisto™ SuiteDriversMagnum Driverx86).

Page 2.2

7.

When the installation is complete, the dialog box below is shown. Click “Finish”. The Callisto™ driver is now installed.

8.

To finalize the installation process, start the Callisto™ Suite by clicking Start | All Programs | Interacoustics | Suite for Callisto™ modules | Suite Launcher. Select the desired Regional settings and Language when the pop-up below appears.

Important note: If the sound card has not been correctly configured during the installation, the dialog below will appear the first time you open the Callisto™ Suite. Select “Video instructions” or “Written instructions” depending on your preference and follow the instructions to change the sound card settings.

AC440

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Sound Device Settings for Windows®7: In the “Start” menu find the “Control Panel” and select “Sound”. 1.

In the “Playback” tab make sure to set the default playback device to the original default device. In this case “Conexant 20585 SmartAudio HD”.

2. In the “Recording” tab make sure to set the default recording device to your original device. In this case “Internal Microphone”

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Sound Device Settings for Windows®XP: In the “Start” menu find the “Control Panel” and select “Sound and Audio Devices”. In the “Audio” tab make sure to reset your sound playback/recording settings to the original default device. In this case “Conexant HD Audio output”.

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2.1

How to Install a Shortcut in the Noah3 Toolbar for direct access to the Software Suite

If you are using HIMSA’S Noah3 Office System and you want a button shortcut for the installed module, please follow these steps. 1. 2. 3. 4. 5.

Start Noah3 Go to the menu item “Tools” Select “Module buttons” Choose one of the two available buttons and select the software name in the drop down list. Press “OK” and your module will be launched when the appropriate button gets pushed.

How to install a shortcut for launching without Noah3 If you do not have Noah3 on your computer you can make a shortcut for direct launching of the software suite as a stand-alone module. You can find the executable file (.exe) for this purpose through the following path start/All Programs/Interacoustics/Suite for Callisto™ Suite Launcher. Right click on the last item with the mouse and select “Create shortcut”. However, you will not be able to save your recordings when using this way of working. Working with OtoAccess™ If you want to launch the software suite from OtoAccess™ this is also possible. 1. Start the database by clicking on the OtoAccess™ shortcut or select the OtoAccess™ from the “Start” menu. 2. Select a patient from the list in the “Client” tab 3. Double click on the Callisto™ Suite icon under “Select Instrument”

For further instructions about working with the database, please see the operation manual for OtoAccess™.

2.2

License

When you receive the product it already contains the licenses to access the ordered software modules. If you would like to add additional modules, please contact your dealer.

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