User guide. Behind-The-Ear hearing aids. resound.com

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1 User gude Behnd-The-Ear hearng ads resound.com

2 Left Hearng Ad Seral number Model Battery sze Seral number Model Rght Hearng Ad Specfc features supported by your hearng system: Smart Start on page 14 Phone Now on page 24 Telecol on page 26 Drect Audo Input on page 29 Battery door lock on page 38 Tnntus Sound Generator on page 32 Open/ standard fttng: Small Medum Large Tulp Small Medum Large Earmould Hearng ad type desgnatons for models ncluded n ths user gude are: BE60, FCC ID: X26BE60, IC: 6941C-BE60; BE70, FCC ID: X26BE70, IC: 6941C-BE70; LO85, FCC ID: X26LO85, IC: 6941C-LO85. Please see page 11 for a lst of models referrng to these types. Open dome Power dome Programme Beep Descrpton Ths devce operates n the frequency range of 2.4 GHz GHz. Ths devce ncludes an RF transmtter that operates n the range of 2.4 GHz GHz. NOTE: Your hearng system mght not support four envronmental programmes. Ask your hearng care professonal for detals. 2 3

3 1 Introducton Congratulatons on the purchase of your new hearng ads. ReSound s nnovatve sound technology and desgn, combned wth the customzed programmng selected by your hearng care professonal, wll make hearng a more enjoyable experence. Please read ths manual carefully n order to wholly beneft from the use of your hearng ads. Wth proper care, mantenance, and usage, your hearng ads wll ad you n better communcaton for many years. Ask your hearng care professonal f you have any questons. 2 Intended use Generc ar-conducton hearng ads are wearable sound-amplfyng devces ntended to compensate for mpared hearng. The fundamental operatng prncple of hearng ads s to receve, amplfy, and transfer sound to the eardrum of a hearng-mpared person. 3 Becomng accustomed to amplfcaton Whle purchasng hearng ads s a major step, t s only one step n a process toward more comfortable hearng. Successfully adaptng to the amplfcaton your hearng ads provde takes tme and consstent use. dfferent from adjustng to contact lenses. Speak to your hearng care professonal, who can desgn a schedule talored just for you. As you get more comfortable wth them, ncrease the wearng tme and wear your hearng ads n multple types of lstenng envronments. It may take as long as several months for your bran to get used to all the new sounds around you. Followng these suggestons wll gve your bran tme to learn how to nterpret amplfcaton and ncrease the benefts you get from usng ReSound hearng ads. 4 Statement Ths devce comples wth part 15 of the FCC rules and ICES-003 of the IC rules. Operaton s subject to the followng two condtons: 1. Ths devce may not cause harmful nterference. 2. Ths devce must accept any nterference receved, ncludng nterference that may cause undesred operaton. You wll enjoy more benefts from your ReSound hearng ads by takng the followng actons: Wear the hearng ads regularly n order to get comfortable wth usng them. It takes tme to get used to hearng ads. It may help to begn by wearng them for short perods even as lttle as 15 mnutes and then gradually ncreasng your wearng tme. In a way, t s no 4 5

4 NOTE: Ths equpment has been tested and found to comply wth the lmts for a Class B dgtal devce, pursuant to part 15 of the FCC rules and ICES-003 of the IC rules. These lmts are desgned to provde reasonable protecton aganst harmful nterference n a resdental nstallaton. Ths equpment generates, uses and can radate rado frequency energy and, f not nstalled and used n accordance wth the nstructons, may cause harmful nterference to rado communcatons. However, there s no guarantee that nterference wll not occur n a partcular nstallaton. If ths equpment does cause harmful nterference to rado or televson recepton, whch can be determned by turnng the equpment off and on, the user s encouraged to try to correct the nterference by one or more of the followng measures: Reorent or relocate the recevng antenna. Increase the separaton between the equpment and recever. Connect the equpment nto an outlet on a crcut dfferent from the one n whch the recever s connected. Consult the dealer or an experenced rado/tv techncan for help. Changes or modfcatons can vod the user s authorty to operate the equpment. The products comply wth the followng regulatory requrements: In EU: the devce conforms to the Essental Requrements accordng to Annex I of Councl Drectve 93/42/EEC for medcal devces (MDD) and essental requrements and other relevant provsons of Drectve 1999/5/EC (R&TTE). The declaraton of conformty may be consulted at In US: FCC CFR 47 Part 15, subpart C. Other dentfed applcable nternatonal regulatory requrements n countres outsde the EU and US. Please refer to local country requrements for these areas. In Canada: these hearng ads are certfed under the rules of IC. Japanese Rado Law and Japanese Telecommuncatons Busness Law Complance. Ths devce s granted pursuant to the Japanese Rado Law ( 電波法 ) and the Japanese telecommuncatons Busness Law ( 電気通信事業法 ) Ths devce should not be modfed (otherwse the granted desgnaton number wll become nvald) Patents: US 7,593,537 US 8,00,849 Behnd-the-ear (BTE) hearng ads of type BE60 wth FCC ID X26BE60, IC number 6941C-BE60 and sze 312 battery are avalable n the followng varants: LT967-DW, LT767-DW, LT567-DW Behnd-the-ear (BTE) hearng ads of type BE70 wth FCC ID X26BE70, IC number 6941C-BE70 and sze 13 battery are avalable n the followng varants: LT977-DW, LT777-DW, LT577-DW Behnd-the-Ear (BTE) hearng ads type LO85 wth FCC ID X26LO85, IC number 6941C-LO85 and sze 13 battery are avalable n followng varants: LT988-DW, LT788-DW, LT588-DW The dentfcaton number for the BE60, BE70, and LO85 devce models can be found at locaton 10 as ndcated n the llustratons on the followng pages. 6 7

5 5 Contents 1 Introducton Intended use Becomng accustomed to amplfcaton Statement Contents Descrptons Your hearng ad LNX 3D 67, 77 and Recognsng left and rght hearng ad Gettng started On/Off functon Smart Start Insertng/Replacng the battery Low battery ndcator Low battery ndcator when pared wth wreless accessores only Insert/Remove hearng ad Insert earmould Remove earmould Insert thn tube wth dome Remove thn tube wth dome Operaton of the hearng ad Volume control (optonal) Programme button Telephone use Usng ReSound Smart Hearng Ads wth 8.2 Usng ReSound hearng ads wth Generator (TSG) hearng ad TSG precautons Smart phone apps Important notce for prospectve sound 19.2 TSG warnng to hearng care 8.3 Cellular phones generator users professonals Phone Now Battery door lock for ReSound LNX 3D 20 Battery warnngs Placement of Phone Now magnets (optonal) Hearng ad expectatons Phone Now usage How to apply domes Warnng to hearng ad professonals 8.5 Telecol (optonal) ReSound domes (US Only) Tele loop systems ReSound Tulp domes Important notce for prospectve hearng HAC Telephone Wreless accessores ad users (US Only) Drect Audo Input (optonal) ReSound Assst (Optonal) Chldren wth hearng loss (US Only) Connectng DAI Care and mantenance Techncal specfcatons Dsconnectng DAI Daly mantenance Mn BTE Flght mode (optonal) Cleanng earmoulds BTE Tnntus Sound Generator (TSG) module Cleanng thn tubes and domes Power BTE Intended use for the TSG module General warnngs Troubleshootng gude User nstructons for the TSG module Usng ReSound hearng ads wth 27 Warrantes and repars Descrpton of the devce ReSound apps for smart phones Temperature test, transport and storage Explanaton of how the devce functons Intended use of ReSound apps for smart nformaton TSG volume control phones: Usng TSG wth smart phone apps General precautons The scentfc concepts that form the bass 17 Phone Now warnngs for the devce Phone Now precautons Techncal Specfcatons Important ponts for FM Audo sgnal technology Tnntus Sound Generator (TSG) Avalable sounds warnngs Phone, Pad, and Pod touch (optonal) Prescrpton use of a Tnntus Sound 9

6 6 Descrptons 6.1 Your hearng ad - LT 67/LT 77/LT LT 77-DW/LT 88-DW LT 67-DW Tradtonal fttng (earmould and tube) 1. Push button 2. Battery door & On/Off swtch 3. Sound outlet 4. Front mcrophone nlet 5. Back mcrophone nlet 6. Volume control (not for model 67) 7. Drect audo nput (not for model 67) 8. Left/rght ndcator (Left = blue, Rght = Red) 9. Battery lock (optonal) 10. Model (n battery chamber) 11. Manufacturer 12. Seral number (n battery chamber) 13. Earhook 14. Earmould and tubng 15. Thn tube 16. Domes/earmould a. Open dome b. Tulp c. Custom earmould /9 3 8/ Open fttng (Thn Tube and dome) a b 16.c

7 6.2 Recognsng left and rght hearng ad If you have two hearng ads, they may be tuned dfferently. One for your left ear, the other for your rght. Do not swap them. Please pay attenton to ths when cleanng, storng and nsertng the hearng ads. Left Rght You mght want to ask your hearng care practtoner to mark your hearng ads wth a coloured Left and Rght ndcaton: Left s blue and Rght s red

8 7 Gettng started Once you have placed the hearng ads on your ears, you can turn them on. The hearng ad always starts n programme 1 and wth the pre-set volume. 7.1 On/Off functon 1. Close the battery door to turn on the hearng ad n programme 1 (one). 2. Open the battery door to turn off the hearng ad. Use your fngernal to pull t open Smart Start Smart Start delays the tme before the hearng ad turns on after you close the battery door. Wth Smart Start, you wll hear a beep ( etc.) for each second of the delay perod (5 or 10 seconds delay). If you do not want to turn on the hearng ads pror to placng them on your ear, ask your hearng care professonal to de-actvate Smart Start. On Off 4. Insert the new battery wth the postve sde n the correct poston. Always nsert the battery n the door: never drectly nto the hearng ad. 5. Gently close the battery door. 1. Always use new Znc-Ar batteres that have a 3 mnmum remanng shelf lfe of 1 year. 2. Whenever the hearng ads are not n use, remember to turn them off to avod unnecessary battery consumpton. 3. At nght, swtch off the hearng ad and open the battery door completely to allow mosture to evaporate and prolong the hearng ad s lfespan. 4. If the hearng ad s experencng frequent loss of connecton to ReSound wreless accessores contact your hearng care professonal for a lst of low mpedance batteres. WARNING: Batteres contan dangerous substances and should be dsposed of carefully n the nterest of your safety and for the envronment. Also, keep batteres away from pets, chldren and mentally dsabled persons Insertng/Replacng the battery 1. Open the battery door completely by usng your fngernal. Remove the used battery f present. 2. Prepare the new battery (please refer to page 2 for nformaton on approprate battery type/sze for your hearng ad). Remove the protectve fol to actvate the battery. 3. Wat for 2 mnutes before nsertng the battery nto the hearng ad

9 7.3 Low battery ndcator The hearng ad wll reduce amplfcaton and play a melody f battery power gets too low. Ths sgnal wll recur every 15 mnutes untl the hearng ad automatcally swtches off. If you do not want the low battery warnng, ask your hearng care professonal to de-actvate t. NOTE: Keep spare batteres on hand Low battery ndcator when pared wth wreless accessores only The batteres dran faster when you use wreless functonaltes lke drect streamng from your Phone or streamng sound from your TV wth our TV Streamer. When the batteres deplete, the support of some ReSound wreless accessores shuts down. Full functonalty returns when you nsert a new battery. The table below shows how the functonalty decreases wth the depleton of the batteres. Battery level Sgnal Hearng ad Remote Control Streamng Fully charged P P P Low P P O Depleted (change battery) P O O 7.4 Insert/Remove hearng ad For comfort, always turn off your hearng ads before you nsert or remove them Insert earmould 1. Hold the earmould between your thumb and ndex fnger and poston ts sound outlet n your ear canal. 2. Slde the earmould all the way nto your ear wth a gentle, twstng movement. 3. Turn the top part of the earmould gently backwards and forwards so that t tucks behnd the fold of skn above your ear canal. 4. Move the earmould up and down and gently press to place t correctly n the ear. Openng and closng your mouth can ease nserton. 5. Make sure the hearng ad sts frmly behnd the ear. By expermentng, you may dscover an easer method. Wth proper nserton, hearng ads should ft snugly but comfortably. NOTE: It may be helpful to pull your ear up and outward wth your opposte hand durng nserton. CAUTION: Never attempt to modfy the shape of the hearng ad, earmoulds, or tubng yourself

10 7.4.2 Remove earmould 1. Lft the hearng ad from behnd the ear. For a moment, let t hang besde your ear. 2. Usng your thumb and ndex fnger, gently pull the earmould (not the hearng ad or the tubng) loose from the ear. 3. Remove the earmould completely by gently twstng t Insert thn tube wth dome 1. Hang the hearng ad over the top of the ear. 2. Hold the thn tube where t bends and gently place/push the dome nto the ear canal. Push the dome far enough nto the ear canal so that the thn tube les flush wth the head (check wth a mrror). NOTE: To avod whstlng, t s mportant that the tube and the dome ft correctly nto your ear. For other possble reasons, check wth the Troubleshootng gude. CAUTION: Never attempt to modfy the shape of the hearng ad, earmoulds, or tubng yourself Remove thn tube wth dome 1. Hold the thn tube wth your thumb and forefnger and remove the tube. 2. For thn tube custom earmoulds, grasp the removal strng and pull the earmould outward

11 7.5 Operaton of the hearng ad Volume control (not for LT67) Your hearng ad has automatc volume control, whch s ndvdually set durng the fttng sesson. However, the volume control allows you to adjust the volume of your hearng ads to your lkng. 1. To ncrease the volume, push the volume control up. 2. To decrease the volume, push the volume control down. When you change the volume, the hearng ad responds wth a beep. When you reach the upper or lower lmts, the hearng ad responds wth a low-ptched beep. NOTE: Not avalable for LT67. NOTE: If you have two hearng ads wth the Synchronsed Volume Control functon enabled, volume control adjustments to one hearng ad automatcally repeat n the second hearng ad. When you change the volume on one of the hearng ads, t responds wth one or more beeps. A beep n the second ad follows. NOTE: Your hearng care professonal can dsable the volume control or replace the volume control wth a non-functonal cover Push button Your hearng ad has a push button allowng you to use up to four dfferent lstenng programmes. The lst on page 2 tells whch programs have been enabled. 1. Tap the push button to swtch between programmes. 2. You wll then hear one or more beeps. The number of beeps ndcates whch programme you have selected (one beep = programme one, two beeps = programme two, etc.). 3. When you turn the hearng ads off and then back on, they always return to the default settng (programme one and pre-set volume). NOTE: If you have two hearng ads wth the Synchronsed Push Button enabled, programme changes to one hearng ad automatcally repeat n the second hearng ad. When you change a programme n one hearng ad, t responds wth one or more beeps. The same number of confrmaton beeps n the second ad follow

12 8 Telephone use Your hearng ad allows you to use the telephone as you ordnarly do. Fndng the optmal poston for holdng a telephone may requre practce. One or more of the followng suggestons may be helpful: 1. Hold the telephone up to your ear. 2. Hold the telephone towards the top of the ear (closer to where the mcrophones are). 3. If whstlng occurs, t may take a few seconds of holdng the telephone n the same poston before the hearng ad elmnates the feedback. 4. Whstlng may stop by holdng the telephone slghtly away from the ear. NOTE: Dependng on your ndvdual needs, your hearng care professonal may actvate a programme specfcally for telephone use. 8.1 Usng ReSound Smart Hearng Ads wth Phone, Pad, and Pod touch (optonal) ReSound LNX 3D s Made for Phone and allows for drect communcaton and control wth an Phone, Pad, or Pod touch. NOTE: For assstance wth parng and usng these products wth your ReSound LNX 3D devce, please contact your hearng care professonal or vst our support ste at The app must only be used wth ReSound devces for whch t s ntended, and ReSound takes no responsblty f the app s used wth other devces. If you would lke a prnted verson of the user gude for a smart phone app, please consult customer support or go to our webste at Cellular phones Your hearng ad comples wth the most strngent Standards of Internatonal Electromagnetc Compatblty. However, not all cell phones are hearng ad compatble (HAC). Any degree of dsturbance can be due to the nature of your partcular cellular phone or of your wreless telephone servce provder. NOTE: If you fnd t dffcult to obtan a good result whle usng your cellular phone, your hearng care professonal wll be able to gve you advce on avalable wreless accessores to enhance lstenng capabltes. 8.2 Usng ReSound hearng ads wth smart phone apps Use wth smart phone apps: Notfcatons of app updates should not be dsabled, and t s recommended that the user nstalls all updates to ensure that the app wll functon correctly and wll be kept up to date

13 8.4 Phone Now The Phone Now functon automatcally swtches your present lstenng programme to your telephone programme when a telephone recever, equpped wth a magnet, s close to your ear. When you remove the telephone recever from your ear, the hearng ad automatcally returns to the prevous lstenng programme Placement of Phone Now magnets Place Phone Now magnet on your telephone recever to allow operaton of the Phone Now functon. In order to place Phone Now magnet properly: 1. Clean the telephone recever thoroughly. 2. Hold the telephone vertcally, n a poston smlar to when makng a telephone call. 3. Place the magnets just below the telephone recever. Make sure not to cover the mcrophone openngs. If necessary, move the magnet to another poston to mprove ease of use and comfort whle speakng. NOTE: If you are not satsfed wth the strength of Phone Now, you can reposton the Phone Now magnet or add addtonal Phone Now magnets. NOTE: Pror to placng the magnet on the telephone or cell phone, use a recommended cleanng agent to clean the telephone Phone Now usage 1. Use your telephone n a normal manner. 2. A short melody ndcates that the Phone Now feature has automatcally swtched on the telephone programme. NOTE: Intally, you may need to move the telephone recever slghtly to fnd the best poston for relable Phone Now actvaton and good hearng on the telephone. If you have two hearng ads wth enabled Comfort Phone functonalty, the hearng ad on the non phone ear automatcally reduces the volume

14 8.5 Telecol (optonal) Your hearng ad may be equpped wth a telecol. The Telecol programme may help to mprove speech understandng wth Hearng Ad Compatble telephones and n theatres, cnemas, houses of worshp etc. that have tele-loop nstalled. The telecol cannot work wthout a tele-loop (a.k.a. nducton-loop) or a Hearng Ad Compatble (HAC) telephone. When you swtch on the Telecol programme, your hearng ads pck up sgnals from the teleloop or HAC telephone. NOTE: If you are havng trouble hearng wth the tele-loop, ask you hearng care professonal to adjust the programme. NOTE: If there s no sound from the hearng ads n a tele-loop system and an actve Telecol programme, the tele-loop system may not be turned on or s not operatng correctly. NOTE: Your hearng care professonal wll gladly provde nformaton regardng a tele-loop system at your home. Ask your hearng care professonal for more nformaton HAC Telephone The telecol pcks up the HAC telephone s telecol sgnal and converts t to sound. To use the HAC telephone, follow these steps: 1. Swtch your hearng ad to the Telecol programme. 2. Pck up the telephone and place a call or answer a call. 3. Hold the telephone behnd your ear close to the hearng ad, and tlt t slghtly outwards. 4. Lsten to the dallng tone and move the telephone to get the best recepton. 5. If needed, adjust the volume. 6. When you hang up, swtch to a mcrophone programme. NOTE: If the phone has a poor telecol sgnal, use the mcrophone programme. To avod whstlng, do not hold the handset too tghtly aganst your ear Tele loop systems To use tele loop systems, follow these steps: 1. Swtch your hearng ad to the Telecol programme. 2. Fnd a good spot. Recepton s not clear n all locatons; t depends on the nducton loop. Look for sgns or fnd another spot to st. 3. If needed, adjust the volume. 4. When you leave, swtch to a mcrophone programme

15 8.6 Drect Audo Input (optonal) Your hearng ad s equpped wth a Drect Audo Input faclty. Drect Audo Input allows drect connecton of sound sources, a rado, televson or even school equpment, to your hearng ad. Often, ths wll mprove sound qualty Connectng DAI 1. Algn the tp of the DAI clck-on adaptor wth the groove just above the battery door and below the model number. 2. Once n place, move the DAI clck-on adaptor n the drecton of the battery door. 3. Gently clck the DAI clck-on adaptor onto the hearng ad. Drect audo The sound source transmts to your hearng ad va a cable and a clck-on devce. The hearng ad automatcally detects the Drect Audo Input (DAI) source. The DAI supports the systems for wreless use as well. Your hearng ad professonal can adjust your hearng ads to ft the mx between the dgtal audo nput and the mcrophones on your hearng ads. You may, e.g. select to lower the ambent sounds and amplfy the sounds from the transmtter Dsconnectng DAI 1. Press and hold the button on the front sde of the DAI clck-on adaptor. 2. Gently remove the DAI clck-on adaptor from the hearng ad. Ths accessory connects to the bottom of the hearng ads. Once clcked nto place, the hearng ads automatcally close the mcrophones and swtch to DAI. NOTE: DAI s not avalable for LT

16 8.7 Flght mode (optonal) WARNING: When boardng a flght or enterng an area where RF transmtters are prohbted, wreless functonalty must be deactvated. Your ReSound LNX 3D hearng ad allows you to control t from your smart phone or ReSound Remote Control. However, n some areas you are requested to turn off wreless communcaton. Follow these steps to turn off wreless mode: 1. For each hearng ad, open and close (open-close, open-close, open-close) the battery door three tmes wthn a 10-second perod. 2. Double-dngs for ten seconds ( etc.) ndcate that your hearng ad s n Flght mode. Follow these steps to actvate wreless mode: 1. For each hearng ad, open and close the battery door once. 2. Your hearng ads are n wreless mode after 10 seconds. NOTE: Both hearng ads must be set n Flght mode - even wth synchronsaton enabled. NOTE: It s mportant to wat an addtonal 15 seconds after wreless functon resumes before openng and closng the battery door agan for any reason. Flght mode wll resume f you open and close the battery door durng ths 15-second wndow

17 9 Tnntus Sound Generator (TSG) module 9.1 Intended use for the TSG module Your ReSound hearng ad ncludes the Tnntus Sound Generator functon, a tool for generatng sounds to be used n tnntus management programmes to releve sufferng from tnntus. The Tnntus Sound Generator can generate sounds adjusted to the specfc therapeutc needs and your personal preference as determned by your doctor, audologst, or hearng care professonal. Dependng on the selected hearng ad programme and the envronment you are n, you wll sometmes hear the therapeutc sound resemblng a contnuous or fluctuatng whstlng. 9.2 User nstructons for the TSG module Descrpton of the devce The Tnntus Sound Generator (TSG) Module s a software tool that generates sounds to be used n tnntus management programmes to releve sufferng from tnntus Explanaton of how the devce functons The TSG module s a frequency and ampltude shaped whte-nose generator. Nose sgnal level and frequency characterstcs can be adjusted to the specfc therapeutc needs as determned by your doctor, audologst or hearng care professonal. Your doctor, audologst or hearng care professonal can modulate the generated nose wth the purpose of makng t more pleasant. The nose can then resemble, for example, crashng waves on a shore. be enabled by your hearng care professonal that allows you to select predefned sounds that smulate sounds from nature, such as breakng waves or runnng water. If you have two wreless hearng ads that support ear-to-ear synchronsaton ths functonalty can be enabled by your hearng care professonal. Ths wll cause the Tnntus Sound Generator to synchronse the sound n both hearng ads. If your tnntus troubles you only n quet envronments, your doctor, audologst or hearng care professonal can set the TSG Module so that t becomes audble exclusvely n such surroundngs. The overall sound level can be adjusted va an optonal volume control. Your doctor, audologst or hearng care professonal wll revew wth you the need for havng such a control. For hearng ads where ear to ear synchronsaton s enabled your hearng care professonal can also enable envronmental montorng synchronsaton so that the TSG nose level s automatcally adjusted smultaneously n both hearng ads dependent on the background sound level. Addtonally f the hearng ad has a volume control then the background nose level montored by the hearng ad and the volume control can be used smultaneously to adjust the generated nose level n both hearng ads TSG volume control The sound generator s set to a specfc loudness level by the hearng care professonal. When swtchng the sound generator on, the volume wll have ths optmal settng. Therefore, t mght not be necessary to control the volume (loudness) manually. However, the volume control provdes the ablty to adjust the volume, or amount of stmulus, to the lkng of the user. Modulaton level and speed can also be confgured to your lkes and needs. An addtonal feature can 32 33

18 9.3 Usng TSG wth smart phone apps The Tnntus Sound Generator control va hearng ad push buttons can be enhanced wth wreless control from a TSG control app on a smart phone or moble devce. Ths functonalty s avalable n supported hearng ads when a hearng care professonal has enabled the TSG functonalty durng fttng of the hearng ad. To use smart phone apps the hearng ad must be connected wth the smart phone or moble devce. 9.4 The scentfc concepts that form the bass for the devce The TSG module provdes sound enrchment wth the am of surroundng the tnntus sound wth a neutral sound, whch s easly gnored. Sound enrchment s an mportant component of most approaches to tnntus management, such as Tnntus Retranng Therapy (TRT). To assst habtuaton to tnntus, ths needs to be audble. The deal level of the TSG module, therefore, should be set so that t starts to blend wth the tnntus, and so that you can hear both your tnntus as well as the sound used Avalable sounds Whte nose sgnal whch can be shaped wth the followng confguratons: The whte nose sgnal can be modulated n ampltude wth an attenuaton depth of up to 14dB. Hgh-pass flter Low-pass flter 500 Hz 2000 Hz 750 Hz 3000 Hz 1000 Hz 4000 Hz 1500 Hz 5000 Hz 2000 Hz 6000 Hz In a majorty of nstances, the TSG module can also be set to mask the tnntus sound, so to provde temporary relef by ntroducng a more pleasant and controllable sound source. 9.5 Techncal Specfcatons Audo sgnal technology Dgtal 34 35

19 9.6 Prescrpton use of a Tnntus Sound Generator (TSG) hearng ad The TSG module should be used as prescrbed by your doctor, audologst or hearng care professonal. In order to avod permanent hearng damages, the maxmum daly usage depends on the level of the generated sound. The sound generator nstrument s a tool to generate sounds to be used wth approprate counsellng and/or n a tnntus management programme to releve patents sufferng from tnntus. Should you develop any sde effects from usng the sound generator, such as dzzness, nausea, headaches, perceved decrease n audtory functon or ncrease n tnntus percepton, you should dscontnue use of the sound generator and seek medcal evaluaton. The target populaton s prmarly the adult populaton over 18 years of age. Ths product may also be used wth chldren 5 years of age or older. However, chldren and physcally or mentally dsabled users wll requre tranng by a doctor, audologst, hearng care professonal or the guardan for the nserton and removal of the hearng ad contanng the TSG module. 9.7 Important notce for prospectve sound generator users A tnntus masker s an electronc devce ntended to generate nose of suffcent ntensty and bandwdth to mask nternal noses. It s also used as an ad n hearng external noses and speech. Good health practce requres that a person wth a tnntus condton have a medcal evaluaton by a lcensed physcan (preferably a physcan who specalzes n dseases of the ear) before usng a sound generator. Lcensed physcans who specalze n dseases of the ear are often referred to as otolaryngologsts, otologsts or otorhnolaryngologsts. The purpose of medcal evaluaton s to assure that all medcally treatable condtons that may affect tnntus are dentfed and treated before the sound generator nstrument s used

20 10 Battery door lock for ReSound LNX 3D (optonal) Your hearng ad can be equpped wth a lock on the battery door. The lock wll mpede chldren and mentally dsabled persons from openng the battery door, thus mnmsng the rsk of them accdentally swallowng the battery. To unlock the battery door of ReSound LNX 3D: 1. Wth the battery door n ts off poston, slde the battery lock slder to the left by pressng from the rght sde of the battery door. Once you lock the battery door, you can turn the hearng ad on and off. You have to unlock the battery door to replace the battery. To lock the battery door of ReSound LNX 3D: 1. Open the battery door to ts off poston. 2. Wth the battery door n ts off poston, slde the battery lock slder to the rght by pressng from the left sde of the battery door. NOTE: Not avalable for LT

21 11 How to apply domes It s recommended that your hearng care professonal shows you how to change the domes, because ncorrect dome replacement could result n the dome beng left n the ear when you remove the hearng ad. 3. Then push the largest petal backwards, and t wll be placed on top of the smaller petal ReSound domes Follow these steps to mount domes: 1. Push the new dome over the rbs flange on the thn tube. 2. Make sure that the new dome s properly and securely mounted. 1 2 NOTE: It s mportant to note that the largest petal s the outermost petal. 4. Make sure that the new dome s properly and securely mounted ReSound Tulp domes The Tulp domes are mounted n a smlar manner to the ordnary domes, but a few extra steps are requred. The Tulp domes consst of two petals. Follow these steps to mount domes: 1. Push the largest petal away from the thn tube usng a fnger. Ths bends the petal forward. 2. Push the new tulp dome over the flange. 12 Wreless accessores Wth ReSound wreless accessores, you can stream sound from your TV or musc player drectly to your ReSound hearng ads and you can also control them wthout wearng an ntermedary devce around your neck. Ask your hearng care professonal for more nformaton on the range of ReSound wreless accessores

22 13 ReSound Assst (Optonal) If you sgn up to use the ReSound Assst servce avalable wth your hearng ads, you can allow your hearng ads to be adjusted remotely wthout even havng to travel from where you are at the moment. Ths allows you to experence unprecedented freedom and flexblty: 1. Request assstance remotely to adjust your hearng ads to be a better ft for you Ask your hearng care professonal for assstance or request adjustments to programs whle nstallng the changes at your convenence wherever you are 2. Keep your hearng ad up to date wth the latest software to ensure the best performance possble Updates to the hearng ad software avalable for nstall at your convenence NOTE: Your hearng ads shut down durng the nstall and update process. For optmum performance, make sure the hearng ads are connected to the ReSound Smart 3D TM app and placed close to the Phone or Androd smart phone before applyng the changes. Your hearng care professonal wll gladly provde nformaton regardng ReSound Assst, and how t works wth the ReSound Smart 3D app. 14 Care and mantenance Please follow the nstructons below to have the best user experence and to prolong the durablty of your hearng ads: 1. Keep your hearng ad clean and dry. Wpe the case wth a soft cloth or tssue after use to remove grease or mosture. Do not use water or solvents, as these can damage the hearng ad(s). 2. Never mmerse hearng ads n water or other lquds, as lquds may cause permanent damage to the hearng ads. 3. Avod rough handlng of hearng ads or droppng them on hard surfaces or floors. 4. Do not leave hearng ads n or near drect heat or sunlght, such as n a hot, parked car, as excessve heat can cause damage or deform the casng. 5. Do not wear your hearng ad whle showerng, swmmng, n heavy ran or n a most atmosphere such as a steam bath or sauna. 6. If your hearng ad does get wet, or f t has been exposed to hgh humdty or perspraton, t should be left to dry out overnght wth the battery out and the battery door open. It s also a good dea to put the hearng ad and battery n a sealed contaner together wth a dryng agent (desccator) overnght. Do not use the ad untl t s completely dry. Consult your hearng care professonal as to whch dryng agent to use. 7. Remove your hearng ad when applyng cosmetcs, perfume, aftershave, har spray, and suntan loton. These mght get nto the ad and cause damage

23 14.1 Daly mantenance It s mportant to keep your hearng ad clean and dry. On a daly bass, clean the hearng ads usng a soft cloth or tssue. In order to avod damage due to humdty or excessve perspraton, the use of a dryng kt s recommended Cleanng earmoulds 1. Remove the earmould and attached tubng from the hearng ads pror to cleanng. 2. Clean the earmould usng a mld soap, and rnse wth lukewarm water. 3. After cleanng, dry earmoulds thoroughly and remove any resdual water and debrs from the tubng utlzng an ar bulb and wre loop Cleanng thn tubes and domes 1. Remove thn tubes from hearng ads before cleanng by unscrewng them counter clockwse. 2. Wpe down thn tubes and domes wth a damp cloth. 3. In order to clear the thn tube of mosture and debrs, push the black cleanng rod through the thn tube, begnnng at the end opposte the dome. NOTE: We recommend that you change the thn tube and the dome systems every three months. If the components get stff or brttle, change them sooner. Pull the earmould and devce apart. NOTE: Earmould tubng may become stff, brttle, or dscoloured over tme. Contact your hearng care professonal regardng tube changes

24 15 General warnngs 1. Consult a hearng care professonal f you thnk there may be a foregn object n your ear canal, f you experence skn rrtaton, or f excessve earwax accumulates wth the use of the hearng ad. 2. Dfferent types of radaton, from e.g. NMR, MRI, or CT scanners, may damage hearng ads. It s recommended not to wear hearng ads durng these or other smlar procedures. Other types of radaton, such as burglar alarms, room survellance systems, rado equpment, moble telephones, contan less energy and wll not damage hearng ads. However, they have the potental to momentarly affect the sound qualty or temporarly create undesred sounds from hearng ads. 3. Do not wear hearng ads n mnes, ol felds, or other explosve areas unless those areas are certfed for hearng ad use. 4. Do not allow others to use your hearng ads. Ths may cause damage to the hearng ads or to the hearng of the other ndvdual. 5. Hearng Ad usage by chldren or mentally dsabled persons should be supervsed at all tmes to ensure ther safety. The hearng ad contans small parts that could be swallowed by chldren. Please be mndful not to leave chldren unsupervsed wth ths hearng ad. 6. Hearng ads should be used only as prescrbed by your hearng care professonal. Incorrect use may result n sudden and permanent hearng loss. 7. Warnng to hearng care professonals: Specal care should be exercsed n selectng and fttng hearng ads wth maxmum sound pressure level that exceeds 132dB SPL wth an IEC 60711:1981 occluded ear smulator. There may be a rsk of mparment of the remanng hearng. 8. Be careful when boardng flghts to deactvate the wreless functonalty. Turn off your wreless functonalty by usng the flght mode n areas where rado frequency emsson s prohbted. 9. If devce s broken, do not use. 10. External devces connected to the electrcal nput must be safe accordng to the requrements of IEC , IEC 60065, or IEC , as approprate (wred connecton, for example HI-PRO), SpeedLnk). 1. ReSound wreless devces nclude a RF transmtter that operates n the range of 2.4 GHz GHz. 2. For use of wreless functonalty only use ReSound wreless accessores. For further gudance regardng e.g. parng, please refer to the user gude of the relevant ReSound wreless accessory

25 16 Usng ReSound hearng ads wth ReSound apps for smart phones 16.1 Intended use of ReSound apps for smart phones: ReSound smart phone apps are ntended to be used wth ReSound wreless hearng ads. ReSound smart phone apps send and receve sgnals from the ReSound wreless hearng ads va smart phones for whch the apps have been developed General precautons 1. When wreless functon s actvated, the devce uses low-powered dgtally coded transmssons n order to communcate wth other wreless devces. Although unlkely, nearby electronc devces may be affected. In that case, move the hearng ad away from the affected electronc devce. 2. When usng wreless functonalty and the devces are affected by electromagnetc nterference, move away from the source. 3. Use only orgnal GN ReSound consumables e.g. tubes and domes. 4. Only connect ReSound hearng ads to ReSound wreless accessores ntended and qualfed to be used wth ReSound hearng ads. 17 Phone Now warnngs 1. Keep magnets out of reach of pets, chldren and people wth mental dsabltes. If a magnet s swallowed, please seek advce from a medcal practtoner. 2. The magnet may affect some medcal devces or electronc systems. The manufacturer of any magnetcally senstve devces (e.g. pacemakers) should advse you regardng approprate safety precautons when usng your hearng nstrument and magnet n close proxmty to the medcal devce or electronc system n queston. If the manufacturer cannot ssue a statement, we recommend keepng the magnet or a telephone equpped wth the magnet 30 cm (12 ) away from magnetcally senstve devces (e.g. pacemakers) Phone Now precautons 1. Hgh dstorton durng dallng or phonng may mean that the magnet s not n the optmal poston relatve to the telephone recever. To avod the ssue, please move the magnet to another place on the telephone recever. 2. Only use magnets suppled by ReSound

26 18 Important ponts for FM 1. Do not use two transmtters on the same FM channel. 2. Do not use water or fluds for cleanng the FM boot. 3. Do not use an FM transmtter n locatons where t s forbdden to use electronc devces, for nstance n arplanes. 4. Be aware that FM sgnals mght also be pcked up and overheard by other recevers. 5. Before usng the system n another country, contact your hearng care professonal to make sure your rado channel s permtted n that country. 6. Your FM boot and transmtter may only be repared by an authorzed servce centre. 19 Tnntus Sound Generator (TSG) warnngs 1. Sound generators can be dangerous f mproperly used. 2. Sound generators should be used only as advsed by your doctor, audologst, or hearng care professonal. 3. Sound generators are not toys and should be kept out of reach of anyone who mght cause themselves njury (especally chldren and pets) TSG precautons 1. Should the user develop any sde effects from usng the sound generator, such as dzzness, nausea, headaches, perceved decrease n audtory functon or ncrease n tnntus percepton, the user should dscontnue use of the sound generator and seek medcal evaluaton. 2. Chldren and physcally or mentally dsabled users wll requre guardan supervson whle wearng the TSG hearng ad. 3. The volume control s an optonal feature n the TSG module used for adjustng the sound generator output level. To prevent unntended usage by paedatrc or physcally or mentally dsabled users, the volume control must, f enabled, be confgured to only provde a decrease of the sound generator output level TSG warnng to hearng care professonals A hearng care professonal should advse a prospectve sound generator user to consult promptly wth a lcensed physcan (preferably an ear specalst) before gettng a sound generator f the hearng care professonal determnes through nqury, actual observaton, or revew of any other avalable nformaton concernng the prospectve user that the prospectve user has any of the followng condtons: 50 51

27 1. Vsble congental or traumatc deformty of the ear. 2. Hstory of actve dranage from the ear wthn the prevous 90 days. 3. Hstory of sudden or rapdly progressve hearng loss wthn the prevous 90 days. 4. Acute or chronc dzzness. 5. Unlateral hearng loss of sudden or recent onset wthn the prevous 90 days. 6. Audometrc ar-bone gap equal to or greater than 15dB at 500 hertz (Hz), 1000 Hz, and 2000 Hz. 7. Vsble evdence of sgnfcant cerumen accumulaton or a foregn body n the ear canal. 8. Pan or dscomfort n the ear. CAUTION: The maxmum output of the sound generator falls nto the range that can cause hearng loss accordng to OSHA regulatons. In accordance wth NIOSH recommendatons, the user should not use the sound generator for more than eght (8) hours a day when set to a level of 85 db SPL or above. When the sound generator s set to levels of 90 db SPL or above, the user should not use the sound generator for more than two (2) hours per day. In no case should the sound generator be worn at uncomfortable levels. 20 Battery warnngs Batteres contan dangerous substances and should be dsposed of carefully n the nterest of your safety and for the envronment. Please note: 1. Keep batteres away from pets, chldren and mentally dsabled persons. 2. DO NOT place batteres n your mouth. Consult a physcan mmedately f a battery has been swallowed, as they can be harmful to your health. 3. Do not attempt to recharge batteres (Znc Ar) whch are not specfcally desgnated as rechargeable because they may leak or explode. 4. DO NOT attempt to dspose of batteres by burnng them. 5. Used batteres are harmful to the envronment. Please dspose of them accordng to local regulatons or return them to your hearng care professonal. 6. Remove the batteres to prevent leakage when the hearng ads are not n use for an extended perod of tme. 21 Hearng ad expectatons A hearng ad wll not restore normal hearng and wll not prevent or mprove a hearng mparment resultng from organc condtons. Consstent use of the hearng ad s recommended. In most cases, nfrequent use does not permt you to attan full beneft from t. The use of a hearng ad s only part of hearng rehabltaton and may need to be supplemented by audtory tranng and nstructons n lp-readng

28 22 Warnng to hearng ad professonals (US Only) A hearng care professonal should advse a prospectve hearng ad user to consult promptly wth a lcensed physcan (preferably an ear specalst) before dspensng a hearng ad f the hearng care professonal determnes through nqury, actual observaton, or revew of any other avalable nformaton concernng the prospectve user, that the prospectve user has any of the followng condtons: 1. Vsble congental or traumatc deformty of the ear. 2. Hstory of actve dranage from the ear wthn the prevous 90 days. 3. Hstory of sudden or rapdly progressve hearng loss wthn the prevous 90 days. 4. Acute or chronc dzzness. 5. Unlateral hearng loss of sudden or recent onset wthn the prevous 90 days. 6. Audometrc ar-bone gap equal to or greater than 15 decbels at 500 hertz (Hz), 1,000 Hz, and 2,000 Hz. 7. Vsble evdence of sgnfcant cerumen accumulaton or a foregn body n the ear canal. 8. Pan or dscomfort n the ear. 23 Important notce for prospectve hearng ad users (US Only) Good health practce requres that a person wth a hearng loss have a medcal evaluaton by a lcensed physcan (preferably a physcan who specalzes n dseases of the ear) before purchasng a hearng ad. Lcensed physcans who specalze n dseases of the ear are often referred to as otolaryngologsts, otologsts or otorhnolaryngologsts. The purpose of medcal evaluaton s to assure that all medcally treatable condtons that may affect hearng are dentfed and treated before the hearng ad s purchased. Followng the medcal evaluaton, the physcan wll gve you a wrtten statement that states that your hearng loss has been medcally evaluated and that you may be consdered a canddate for a hearng ad. The physcan wll refer you to an audologst or a hearng care professonal, as approprate, for a hearng ad evaluaton. The audologst or hearng care professonal wll conduct a hearng ad evaluaton to assess your ablty to hear wth and wthout a hearng ad. The hearng ad evaluaton wll enable the audologst or hearng care professonal to select and ft a hearng ad to your ndvdual needs. If you have reservatons about your ablty to adapt to amplfcaton, you should nqure about the avalablty of a tral-rental or purchase-opton programme. Many hearng care professonals now offer programmes that permt you to wear a hearng ad for a perod of tme for a nomnal fee after whch you may decde f you want to purchase the hearng ad. Federal law restrcts the sale of hearng ads to those ndvduals who have obtaned a medcal evaluaton from a lcensed physcan. Federal law permts a fully nformed adult to sgn a waver statement declnng the medcal evaluaton for relgous or personal belefs that preclude consultaton wth a physcan. The exercse of such a waver s not n your best health nterest and ts use s strongly dscouraged

29 24 Chldren wth hearng loss (US Only) 25 Techncal specfcatons 25.1 Mn BTE In addton to seeng a physcan for a medcal evaluaton, a chld wth a hearng loss should be drected Models: LT967-DW, LT767-DW, LT567-DW to an audologst for evaluaton and rehabltaton snce hearng loss may cause problems n language development and the educatonal and socal growth of a chld. An audologst s qualfed by tranng and experence to assst n the evaluaton and rehabltaton of a chld wth a hearng loss. Open Closed Reference test gan (60 db SPL nput) HFA db Full-on gan (50 db SPL Input) Maxmum output (90 db SPL nput) Total harmonc dstorton Max HFA Max HFA 500 Hz 800 Hz 1600 Hz db db db SPL db SPL % % % Telecol senstvty 31.6 ma/m) db SPL Equvalent nput nose (w/o nose reducton) db SPL Frequency range (DIN 45605) Hz Current dran (n test mode) ma Output (db SPL) Gan (db) MAXIMUM OUTPUT (OSPL 90) 2cc Coupler Frequency (Hz) FULL-ON AND REFERENCE TEST GAIN 70 2cc Coupler Full-on gan db SPL nput Reference test gan db SPL nput 10 Data n accordance wth IEC Edton , IEC and ANSI S , supply Voltage 1.3V Open confguraton 56 Closed confguraton 57 Frequency (Hz)

30 25.2 BTE Models LT977-DW, LT777-DW, LT577-DW Open Closed Reference test gan (60 db SPL nput) HFA db Full-on gan (50 db SPL Input) Maxmum output (90 db SPL nput) Total harmonc dstorton Max HFA Max HFA 500 Hz 800 Hz 1600 Hz db db db SPL db SPL % % % Telecol senstvty 31.6 ma/m) db SPL Equvalent nput nose (w/o nose reducton) db SPL Frequency range (DIN 45605) Hz Current dran (n test mode) ma Data n accordance wth IEC Edton , IEC and ANSI S , supply Voltage 1.3V Output (db SPL) Gan (db) MAXIMUM OUTPUT (OSPL 90) 2cc Coupler Frequency (Hz) FULL-ON AND REFERENCE TEST GAIN 2cc Coupler Full-on gan 50 db SPL nput Reference test gan 60 db SPL nput Open confguraton Frequency (Hz) 25.3 Power BTE Models LT988-DW, LT788-DW, LT588-DW Data n accordance wth IEC Edton , IEC and ANSI S , supply Voltage 1.3V MAXIMUM OUTPUT (OSPL 90) 140 2cc Coupler Frequency (Hz) FULL-ON AND REFERENCE TEST GAIN 80 2cc Coupler 70 Full-on gan db SPL nput Reference test gan 60 db SPL nput Frequency (Hz) 58 Closed confguraton 59 Closed Reference test gan (60 db SPL nput) HFA 51 db Full-on gan (50 db SPL Input) Maxmum output (90 db SPL nput) Total harmonc dstorton Max HFA Max HFA 500 Hz 800 Hz 1600 Hz db db db SPL db SPL Telecol senstvty 31.6 ma/m) 111 db SPL Equvalent nput nose (w/o nose reducton) 22 db SPL Frequency range (DIN 45605) % % % Hz Current dran (n test mode) 1.4 ma Output (db SPL) Gan (db)

31 26 Troubleshootng gude SYMPTOM CAUSE POSSIBLE REMEDY Feedback, whstlng Is your earmould or dome nserted correctly? Put t n agan. Is the volume very loud? Is the plastc tube or the earmould clogged or broken? Are you holdng an object (e.g. a hat, a telephone recever) close to a hearng ad? Is your ear full of wax? Reduce t. Replace or vst your hearng care professonal. Move your hand away to create more space between the hearng ad and the object. Vst your physcan. No sound Is the hearng ad turned on? Swtch t on. Is the hearng ad n telecol mode? Is there a battery n the hearng ad? Is the battery stll good? Is the plastc tube or the earmould clogged or broken? Is your ear full of wax? Swtch to the mcrophone program. Insert a new battery. Replace wth a new one. Vst your hearng care practtoner. Vst your physcan. If there are any other problems not mentoned n ths gude, please contact your hearng care professonal

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