Advanced. NEW! Four times faster DPOAE: concurrent measurement of both ears while recording two DPs simultaneously in each ear!

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1 Advanced The all in one instrument for OAE, ABR, ASSR and Audiometry Advanced the modular approach! Designed, engineered and made in Germany. Configure your system with a choice of modules: TEOAE, DPOAE, Binaural ABR (incl. frequency specific chirps) ASSR - 8 frequencies BINAURAL, simultaneously, tone and speech audiometry. The emphasis is on test flexibility, ease of use, reliable diagnostics, and minimum test time. Future upgrades are easy, simply add modules to increase your test capabilities! NEW! Four times faster DPOAE: concurrent measurement of both ears while recording two DPs simultaneously in each ear! PATH medical GmbH Landsberger Str. 65 D Germering Germany tel: +49(0) web: Worldwide Sales enquiries to: info@pathme.de

2 The all in one instrument for OAE, Tympanometry and Audiometry The world s first integrated OAE + Tymp + Audiometer Diagnostic tympanometry, ipsilateral and contralateral acoustic reflex, pure tone audiometry and otoacoustic emissions in ONE portable lightweight device. Compact and portable, handheld, battery powered Easy to use, colour touch screen, menu guided Flexible, configurable middle ear test battery: Tympanometry, impedance measurement, ipsilateral and contralateral acoustic reflex, ETF tests, PTA, TEOAE+DPOAE. Detailed test results and test history. Up to 1000 tests stored Data and patient management software MIRA (PC based) Easy interface, USB port for data communication

3 Press Release PATH medical GmbH presents the, the world s first and only device incorporating multi-frequency tympanometry, multi frequency otoacoustic emissions and audiometry. PATH medical GmbH develops, manufactures and distributes audiology solutions (ABR, ASSR, Tympanometry, OAE, Speech/Tone/play Audiometry, and pathtrack tracking software) through a network of distributors in over 70 countries worldwide. PATH products are designed and manufactured in Germany. For the first time, PATH medical is exhibiting at MEDICAL JAPAN 2016 from 22.Feb. to 23.Feb, together with Bayern International, booth A COMPLETE ENT clinic integrated in a portable, standalone instrument The latest product from PATH medical, the integrates Tympanometry and acoustic reflexes, Otoacoustic emissions (OAE, both Transient OAE and Distortion Product OAE) in addition to pure tone and speech audiometry options in a single device. Available in 9 different variations, the user can select their preferred configuration including screening to occupational health or full diagnostic/clinical applications. With access to over a century of R&D in the field of otoacoustic emissions, PATH medical has introduced innovations such as Frequency Modulated DPOAE (FMDPOAE TM ) and the ability to record Otoacoustic Emissions with multi-frequency stimulation resulting in test durations up to 4 times faster than any other OAE manufacturer. Diagnostic auditory brainstem responses (ABR) and auditory steady state responses (ASSR) in a handheld instrument Handheld integrates ABR, ASSR and Otoacoustic emissions (both TEOAE and DPOAE) in addition to pure tone and speech audiometry options in a handheld device. Available to suit all needs from screening to diagnostic/clinical applications and with the ability to show ABR results on a remote display via WLAN ( Remote application), the user is now in a unique position to customize their own device matching their own personal specifications, needs and demands. Tracking and follow-up of results in a central database enables telemedicine and real evidence based medicine pathtrack is a software based application designed by PATH medical to provide a reliable, simple and efficient method of follow-up to screening or telemedicine programs. results recorded with and other instruments can be forwarded automatically to a central data cloud without the need for the remote user to have access to a computer. For operation - one button press is sufficient.

4 For further processing, analysis or for telemedicine applications the data cloud can be utilized for central control of screening programs with integrated follow up and quality data analysis. PATH medical is rethinking audiology solutions! Method Short description / Intended use Devices PURE-TONE AUDIOMETRY PTA Pure-tone audiometry MAGIC Multiple-choice graphic interactive check SUN Speech Understanding In Noise MATCH Mainzer Audiometric Test for Children MAUS Munich Auditory Screening Test for Processing Disorders Pure-tone audiometry according to IEC including high-frequency audiometry up to 16 khz and automatic threshold detection procedures. Frequency-specific determination of hearing thresholds in cooperative subjects for audiological diagnostics and occupational medicine. Image-based pure-tone audiometry. - MAGIC Screen: screening mode with fixed user-defined stimulus levels - MAGIC Audio: threshold mode with automatically controlled stimulus levels. Frequency-specific determination of hearing status in cooperative subjects (especially in pre-school and school children) for audiological diagnostics. SPEECH AUDIOMETRY Speech audiometry with logatoms and ipsilateral noise. - SUN Predefined: screening mode with fixed userdefined speech level - SUN Adaptive: threshold mode with automatically controlled speech levels Determination of speech intelligibility in noise in cooperative subjects for audiological screening (especially in the elderly) (SUN Fixed) and diagnostics (SUN Adaptive). Image-based speech audiometry with realistic words. - MATCH Fixed: fixed user-defined speech level - MATCH Adaptive: threshold mode with automatically controlled speech levels Determination of speech intelligibility in quiet and in noise in cooperative subjects for audiological diagnostics. Speech material and images are optimized for 2-yearold children. Speech-based test with subtests regarding sequence of syllables, words in noise, phoneme differentiation and identification. Screening for auditory processing disorders (ADP) in cooperative subjects (especially in children, 6 to 11 years). 1 UST Speech audiometry with words (e.g. monosyllabic 1

5 Method Short description / Intended use Devices Universal Speech Test e.g. Freiburger Speech Test words, numbers) including optional ipsilateral or contralateral noise, multiple word lists. Determination of speech intelligibility in quiet and in noise in cooperative subjects for audiological diagnostics. Intended age group depends on the speech material of the particular test. BASD Bochum Auditory Speech Discrimination Test HHIE-S Hearing Handicap Inventory for the Elderly- Screening TEOAE Transient Evoked Otoacoustic Emissions DPOAE Distortion Product Otoacoustic Emissions Auditory discrimination test with subtests regarding consonants, frequency, level, and time. Diagnostics of auditory processing and speech development disorders in cooperative subjects. Questionnaire concerning activity limitations, participation restrictions, associated feelings and emotions of daily life. Determination of subjective hearing status in cooperative adult subjects for audiological screening. OTOACOUSTIC EMISSIONS Objective test for a rough non-frequency specific checking outer hair cell functionality within frequency range from ca. 0.7 to 4 khz. - TEOAE Quick: fixed stop criterion - TEOAE Diagnostic: user-defined stop criterion in different frequency bands Determination of outer hair cell status in subjects of all age groups (especially in newborns and infants) for screening and audiological diagnostics. Objective test for checking outer hair cell functionality at specific frequencies. - DPOAE Quick/Diagnostic: one/multiple fixed userdefined stimulus level(s) - DPOAE Threshold: threshold estimation with automatically controlled stimulus levels Additional features: - DPHIRES: user-defined frequency selection (start, stop, step size), allows for assessing DPOAE fine structure - FMDPOAE: frequency-modulated DPOAE, allows for reducing the impact of the 2 nd DPOAE source Determination of outer hair cell status in subjects of all age groups for audiological purposes: e.g., follow-up after newborn hearing screening, confirmation of cochlear hearing loss, topological hearing diagnostics, detection of beginning cochlear impairment during noise over-exposure or ototoxic drug administration; frequency-specific determination of hearing thresholds (DPOAE Threshold). AUDITORY EVOKED POTENTIALS [SOH100098, SOH100360] [SOH100098, SOH100360] ABR Objective test for checking cochlear and neural sound

6 Method Short description / Intended use Devices Auditory Brainstem Responses ASSR Auditory Steady-State Responses Tympanometry Acoustic Reflex processing with statistic response detection and optional contralateral masking. Stimuli: chirp and click. - Frequency-specific (ABR-FS): low/mid/high chirp - ABR-BIN: binaural measurement Determination of hearing status along the auditory pathway up to the brainstem in subjects of all age groups for audiological purposes: e.g. follow-up diagnostics after newborn hearing screening, neurological diagnostics, topological hearing diagnostics, determination of hearing thresholds. Objective test for checking cochlear and neural sound processing with frequency-specific chirp stimuli (cochlear travelling wave compensated), 40 and 80 Hz stimulus rate, statistic response detection. ASSR Fixed: fixed user-defined stimulus levels. ASSR Threshold: threshold estimation with automatically controlled stimulus levels Determination of hearing status along the auditory pathway up to the brainstem (80 Hz) and subcortical regions (40 Hz) in subjects of all age groups for audiological purposes: e.g. follow-up diagnostics after newborn hearing screening, neurological diagnostics, topological hearing diagnostics, frequency-specific determination of hearing thresholds. MIDDLE EAR TESTS Objective test for measuring middle ear impedance dependent on static pressure (+/-) in the outer ear canal. Determination of middle ear status in subjects of all age groups for audiological purposes: e.g. detection of middle ear pathologies (e.g. otitis media, middle ear effusion, perforation of eardrum, dysfunction of auditory ossicles, Eustachian tube dysfunction, otosclerosis, tympanosclerosis) or blockage of the ear canal. Objective test for measuring ipsilateral or contralateral acoustic reflex elicited by tones with different levels and frequencies or broad-band noise. Determination of acoustic reflex thresholds in subjects of all age groups for audiological purposes: e.g. topological diagnostics and detection of middle ear pathologies (e.g. otosclerosis) or neural pathologies (e.g. facial nerve dysfunction). [SOH100360] [SOH100360] 1 only available for Senti [model SIH100097] and [model SIH100098] devices with enhanced memory (i.e. PCB rev. 67)