Grason-Stadler TM262 Service Manual

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Covers Welch Allyn TM262 Auto Tymp
Service Manuals

WARRANTY

We, Grason-Stadler, Inc. warrant that this product is free from defects in material and workmanship and, when properly installed and used, will perform in accordance with applicable specifications. meet this standard, it will be repaired, or at our option, replaced at no charge except for transportation costs, when returned to an authorized Grason-Stadler service facility.
If field service is requested, there will be no charge for labor or material; however, there
will be a charge for travel expense at the service center’s current rate.
Changes in the product not approved in writing by Grason-Stadler shall void this warranty. Grason-Stadler
shall not be liable for any indirect, special or
consequential damages, even if notice has been given
in advance of the possibility of such damages.
THIS WARRANTY IS IN LIEU OF ANY OTHER
WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, MERCHANTABILITY OF FITNESS FOR A PARTICULAR PURPOSE.
If within one year after original shipment it is found not to
NOTE
ANY IMPLIED WARRANTY OF

WARNING

The GSI damage to equipment can result when a three-prong to two-prong adapter is connected
between the GSI 38 power plug and an AC outlet or extension cord. Additionally, those
GSI 38 Auto Tymps that are equipped with power transformers, use a specific transformer (8000-0260, 800-0261, or 8000-0262) which should not be interchanged with any other transformer or supply.
The GSI 38 is a specifically calibrated device and the periodic which the instrument may require should be done only by an authorized Grason-Stadler service technician.
38
is designed to be used with a hospital grade outlet. Injury to personnel or
service
1
and adjustments

PRODUCT SPECIFICATION

2
GSI 38 PRODUCT SPECIFICATIONS (RI)

CATALOG LISTINGS

1738-9700
1738-9705 1738-9706
1738-9708
1738-9710
1738-9715 1738-9716 1738-9716
1738-9720
1738-9725 1738-9726 1738-9728
1738-9730
1738-9735 1738-9736 1738-9738
GSI 38 Auto Tymp, GSI GSI 38 Auto Tymp, GSI
GSI 38 Auto Tymp, V2, GSI GSI 38 Auto Tymp, V2, Export, GSI 38 Auto Tymp, V2, Export, 240V
GSI 38 Auto Tymp, V3, USA GSI GSI 38 Auto Tymp, V3, Export, GSI 38 Auto Tymp, V3, Export, 240V
GSI 38 Auto Tymp, V4, USA GSI GSI 38 Auto Tymp, V4, Export, GSI 38 Auto Tymp, V4, Export, 240V

DESCRIPTION

38 38
38
38
38
Auto Auto
Auto
Auto
Auto
Tymp, Tymp,
Tymp,
Tymp,
Tymp,
Vl,
USA
Vl,
Export
Vi,
Export,
V1,,
Export,
240V
USA
V2,
Export
V3,
Export
V4,
Export
100V
100V
100V
100V
Tymp + lpsi Reflex
Tymp +
Tymp
lpsi/Contra
+Ipsi/Contra
+ Aud.
Tymp + lpsi + Aud.
Reflex
The GSI 38 is an automatic acoustic admittance and reflex measurement system with a screening audiometer.
The instrument consists of a probe and a desk-to-base interconnected via a cable. It is a combination of GSI 17 and GSI 37 plus acoustic reflex testing capabilities, both ipsilateral and contralateral. The audiometric portion is a single channel pure tone audiometer, with a pair of air-conduction earphones. Int he
tympanometric mode, the measurement of acoustic admittance is corrected for the
acoustic admittance of the external auditory meatius, and the ear canal volume is
displayed. Also a test cavity assembly is provided.

INSTRUCTION MANUAL

The GSI 38 is supplied with an instruction manual which meets the requirements of the
applicable standards.
3

STANDARDS

Acoustic Admittance Accuracy
ANSI S3.39 - 1987
Aural Acoustic Impedance and Admittance Standard Type 3
(Middle Ear)
ANSI S3.6 - 1989
IEC 1027-l 991
IS0 645
IEC 601-l
Audiometric Standard Type 4 (Audiometer) Aural Acoustic Impedance/Admittance Type 3 Type 4 (Audiometer) Medical Electrical Equipment General Requirements For Safety
Designed to Meet International Standards Organization requirements fo r Magnetic Compatibility and Safety
ACOUSTIC ADMITTANCE MEASUREMENT SYSTEM - AUTO TYMP
Probe Signals
Frequenc y:
Sound Pressure Level :
Harmonic Distortion:
226 Hz,
85.5
d B
(ANSI <
5%
Spe c
+/-
3%
SPL ,
90
+/-
2.0
d B
SPL Max)
dB,
Measured in a 2. 0
cm3
coupler
Electro-
Acoustic Admittance Range
0.0 to 1.5
cm3 or 0.0 to 3.0
cm
3
-
selected automatically for compensated
tympanogram.
0.2 to 6.0 The 0.2 to 6.0
cm3- ECV/cavity
limits for initiating pressurization (starting test)
cm3 is the sum of the ear canal volume and the middle ear admittance.
(Full pressure sweep for 6 cc up to 7000 ft. altitude with no leak)
3
+/- 5% or
Tvmpanogram Gradient:
Pressure interval at 50% of compensated admittance
+/-
0.1 cm
whichever is greater
peak.
Pneumatic Svstem
Pressure
Pressure sweeps to at least -100 dapa if tymps complete otherwise sweeps to -400 daPa
Pressure Accuracv: Rate of Sweep: 200
Test Time
Approximately 1
Direction of Sweep:
ACOUSTIC - REFLEX ACTIVATING STIMULUS SYSTEM
Stimulus Frequencies:
Range
daPa/sec -
(corrected for altitude): + 200 to - 400 dapa (1 dapa = 1.02 mm
water)
+/-
15% or
600
daPa/sec -
for tymp slopes
sec
(high relative tymp will take longer).
Positive to Negative
500, 1000, 2000, and 4000 Hz
+/-
10
for tymp slopes of
=,>
0.2 ml per 24
daPa
whichever is greater.
daPa
<0.2
ml per 24
daPa
+/-
Stimulus Freauencv Accuracv: Stimulus Total Harmonic Distortion: Stimulus
Output
IPSI:
(Time multiplexed with probe tone, 106 ms On/53 ms Off Cycle) CONTRA: (Steady tone, non multiplexed)
Equivalent Hearing Threshold Levels, in DB SPL
Levels:
500, 4000 Hz
1000, 2000 Hz
500, 1000, 2000 and 4000 HZ 90, 100, 110 db HL
3%
<5% measured acoustically
where speaker driving signal
80, 90, 100 85, 95, 105 dB HL
dB
HL
except at 4 khz
is measured
Transducer
TvPe
Stimulus Tone
Frequency (HZ) Contra (Insert Phone)
(in HA-l Coupler)
IPSI
(in HA-l Coupler)
Contra (Insert Phone)
(in IEC 711 Coupler) Rise/Fall Time: Pressure:
Automatically set to the pressure of peak compliance - 20
5 to 10
Reflex Determination:
Test Time:
Approximately 2 -12 seconds, depending on number of test frequency
selections and if tymp only test. (four maximum) Probe LED indicators:
Green
-
blinking: Ready to test Green - steady: Test in progress Orange - steady: leak or other error
Yellow - steady:
500 1000
6.0
7.0
9.5
1.0
4.5 2.0
5.5 11.5
2000
6.0
4000
3.0
3.5
15.0
msec
Minimum compliance change - 0.05
Occlusion
cm
daPa.
3

AUDIOMETER

Test Stimulus
Pure Tone
Specifications:
A pure tone is the only stimulus source for this
audiometer.
Discrete
Frequencies:
125,
250,500.750,
and8000
1000,1500,
Hz.
2000,3000,
Equivalent Hearing Threshold Levels. in dB SPL for TDH 39 Earphones: Frequency
Reference Frequency Reference
Frequency
(Hz) 125 250 500
Threshold
(dB)
(Hz)
Threshold
Accuracy:
(dB) 9.0
+/-
45.0 2000
3%
Total Harmonic Distortion (From
25.5 11.5 7.5 3000
10.0
125Hz
40006000
9.5 15.5
to 3000 Hz, measured Acoustically at the
750
10001500
7.0 6.5 8000
13.0
Maximum HL, measured electrically at 4000 & 6000 Hz) < 3%.
4000,6000
6
Output Hearing Level Control
Calibrated in dB HL. Measured in increments of 5 Ranges:
Additionally a
"+1
frequencies by IO Accuracy
of all
125Hz -10to
500
to 6000 Hz
250
and 8000 Hz
0
dB"
Extended Range switch, which extends the Maximum HL at all
dB.
settings
of Hearing Level control:
125
to 4000 Hz
6000 to 8000 Hz
Signal
to Noise ratio (in
1/3
Octave):
(for levels less than 60 dB HL)
Tone Switch:
This electronic switch turns the stimulus signal on/off with minimal audible distortion.
Modes:
Normal state:
Activated state:
dB
>70 dB
Stimulus Off Stimulus On
50
dBBHL
-10to90dBB
-10to70dBB
+/-
3
dB
+/- 5
dB
HL HL
or less than -10 dB HL
Rise/Fall Time:
20-50
msec
Measured at the -1 dB and -20 dB points on the signal envelope.
On/Off Ratio:
Above 60 dB HL
With the tone switch off, the output will be at least -10 dB below standard reference equivalent threshold with HL setting of 60
setting:
>70
dB
dB.
Cross Channel Leakage: At HL settings of 70 dB or greater, the unwanted signal in
the non test earphone shall be at least 70 dB below the tone
in the test earphone.
Stimulus Signals
Continuous signals Continuous FM Pulsed
7
Signal Format
-
Continuous
Signal steady as long as present bar is depressed
Pulsed
Pulse rate:
Duty Cycle:
Rise/Fall Time:
2.5
pulses/sec
50%
20 - 50
msec On/Off Ration (between pulses): > 20 Frequency Modulation FM Rate: FM deviation:
Transducers
Headset: Insert Phone:
Output
5Hz
+/-
5%
TDH-39 Earphones with 60 ohm impedance
Audiovox Model SM-N Earphone,
impedances and voltages on back
dB
panel
Eartip, Eartip
adapter and cord.
Left
Phone 130 ohm 2.5 volts rms max open circuit Right Phone 130 ohm 2.5 volts rms max open circuit in Audiometer mode Insert Phone <1 ohm 2.5 volts rms max open circuit Subject response input 47 kohm pull up to 5 volts
8
DESK-TOP FRONT PANEL CONTROLS AND BACK PANEL CONNECTORS

FRONT PANEL CONTROLS

CONTROLS
Mode
Stimulus
Frequencies
Intensity
Tone on Stimulus
Extended Range
Left/Right
Recall or Page Memory
Scroll
TYMP & REFLEX
Tymp Tymp & Reflex
Program Ipsi, Contra or lpsi
&
Contra 500,
1K,
2K or 4KHz
Autoset
Automatically controlled
N/A L or R (uses R phone for
contra) Page (scrolls through
screens)
AUDIOMETER
Audiometer
Pulse, Steady or FM
Frequency Up, Down
250, 500,....or 8KHz
Rotary Knob (numeric)
dBHL
Present Press to turn on
+
10 dB
L or R
Clear
Program Mode
M- Erase Screen M- Erase All
Save (saves program
M- Erase Screen M- Erase All
Save
state)
Print
Print Screen Print All
Print Screen Print All
Paper Advance (Press to advance paper, or abort print during printing)
-
Power Switch Subject Response
Power On Switch on Back Panel Green indicator light on Front panel.
-
Subject Response Indicator on LCD screen
9
Display
The display consists of an LCD panel which will display alpha-numeric, icons and graphics (240 X 64 pixels). Items displayed are:
. . .
. . . . . .
. .
.
Frequencies (alpha-numeric) and Intensity (alpha-numeric) in
Tympanogram (graphics)
Ear Canal Volume (alpha-numeric) Tymp Peak-Admittance (numeric) Gradient (alpha-numeric) Tymp Peak-Pressure (numeric)
Left/Right Ear (symbol)
Memory Ml to
IPSI/CONTRA
M8
(alpha-numeric) Reflex Tracing (graphics) Reflex with
dBHL/No Altitude calibration or sea level calibration (icon - only in altitude calibration mode.
. .
Generic Error (Error Code)
Audiogram
(dBHL,
format.

Back Panel Connectors

.
. . .
Left/Right Earphone Insert Earphone Power Cord Patient Response Switch
dBHL
Reflex (alpha-numeric)
Frequencies, cursor on frequency under test) or tabular
PRINTER Printer: Printed Data Format:
Used to provide a hardcopy of the test data.
Graphical area 3.75” horizontal X 6.75” vertical (Audiogram or Tymp & Reflex for 2 ears), 51 columns/in horizontal
4 0
rows /in vertical
Choice of Audiogram or Audiotable:

Printer

Speed:
approximately 1.5 minutes to print three screens Tymp and reflex data for each ear and audiogram for both ears.
and
3 choices of reflex printouts
10
Wallmount power supplies of various types with 5 pin DIN connections are available.
Either three prong plugs (grounded) or two prong plugs (ungrounded) are provided
depending upon the safety requirements of the country.
OR The internal power supply, powered by AC line, 50 or 60 Hz via IEC 320 power inlet with fuse and on/off switch on the rear panel, is also available, for the countries where
the wallmount power supplies are not available. Two
voltage ranges are provided 200 to 250 V or 90 115 V.
+/-
Line
Voltage variation
Line
frequency range
Line
Voltage Current
Power Consumption Line Frequency variation Low voltage input for Wallmount power supplies 10
10 %
-
60 Hz
50
0.2 amps at 120 V or 0.1 amps at 240 V AC. 15 watts maximum while printing
+/-
5%
-
11 V DC 970
mA.
Hi Pot 3000 volts

SUPPLIED ACCESSORIES

VERSION 1
VERSION 2
VERSION 3
1738-0520 1700-l 030 1700-9622 1738-0100 1738-9600 1738-9610
(1738-0401
‘1738-0520
1700-1030 1700-9622 1700-9660 1738-0100 1738-9610
8000-0079
(1738-0402 1738-0520
1700-1030 1700-9622 1700-9660 1738-0100 1738-9600 1738-9610 8000-0175 8000-0079 (1738-0403
Wall Chart Rolled Ass'y
Test Cavity (0.5, 2.0 and 5.0 cc)
Eartips
Package (screening) Instruction Manual Printer Paper (3 rolls supplied with new unit) Kit, Grease, 0 Ring Label Version 1 installed at factory)
Wall Chart Rolled Ass'y
Test Cavity (0.5, 2.0 & 5.0 cc) Eartips Eartips
Package (screening)
Package (Contra Phone / Diagnostic) Instruction Manual Kit, Grease, 0 Ring Contra Insert Phone Ass’y
Label Version 2 installed at factory)
Wall Chart Rolled Ass’y Test Cavity (0.5, 2.0, & 5.0 cc)
Eartips Eartips
Package (Screening)
Package (Contra Phone / Diagnostic)
Instruction Manual Printer Paper (3 rolls supplied with new
unit)
Kit, Grease, 0 Ring
Test Headset Assembly (TDH-39)
Contra Insert Phone Ass’y Label Version 3 installed at factory)
11
SUPPLIED ACCESSORIES CONT.
VERSION 4
1738-0520 1700-1030 1700-9622 1738-0100 1738-9600
1738-9610 8000-0175 (1738-0404

OPTIONAL ACCESSORIES

1738-9680 1738-9620
4204-0505 7874-0156 8000-0155
1738-0110
1738-9600 8000-0175 Consisting of:
Carrying Case Dust Cover Patch Cord Subject Response Handswitch
Audiocups
Service Manual
Printer Paper Thermal 4” (10.16 cm wide) 5 rolls Test Headset Ass’y TDH 39 8000-O 142 8000-0046 4204-0147 Earphone Cord Ass’y 8000-0143 Earphone Cushion
8000-0079
Consisting of:
Contra Insert Phone Ass’y 4204-0209 Cable, Coaxial 8000-0037 Earphone, Audiovox, 470 ohm
8000-0255SVC Eartip
1700-9622
Eartips Contains:
1700-9600
Eartips Package Contra Phone / Diagnostic Contains:
Wall Chart Rolled Assembly Test Cavity (0.5, 2.0 & 5.0 cc) Eartops
Package (Screening) Instruction Manual Printer Paper (3 rolls supplied with new unit) Kit, Grease, 0 Ring Test Headset Ass’y (TDH-39) Label Version 4 installed at factory)
(1Ea.)
Head band Ass’y Earphone, 60 ohm, plastic, TDH 39P
Modified
Package Screening
2 Ea. of
19mm,
8mm 11mm,
size
Eartips
4 Ea. of 7mm Yellow, 8mm Pink,
10mm Green, 1 mm, Pink, 12mm Yellow, 13mm Blue, 14mm Green
(1Ea.) MX41AR
6"
(1Ea.)
13mm, 15mm, 17mm,
9mm
Blue,
12

FUNCTIONAL DESCRIPTION

13
INTRODUCTION

INSTRUMENT DESCRIPTION

The
GSI
38 Auto Tymp is a versatile combination instrument which provides testing capability for tympanometry alone, tympanometry combined with screening acoustic reflex measurements, and screening audiometry. Four different versions are available to meet your individual testing needs. operation, tympanometry alone and tympanometry plus screening ipsilateral acoustic reflex testing.
A second version permits tympanometry alone and tympanometry
combined with ipsilateral and contralateral screening acoustic reflex measurements.
The third version provides testing capability for all three test modes, i.e., tympanometry
alone, tympanometry combined with ipsilateral and contralateral screening acoustic reflex measurements, and screening audiometry.
tympanometry alone, tympanometry combined with ipsilateral acoustic reflex screening testing and screening audiometry. It is possible to field retrofit versions one, two and four with the full functionality provided with version number three original purchase.
The basic version provides two modes of
Finally, the fourth version allows
after
the time of

PROBE INDICATORS

The probe indicators are show in Figure
2-1
Figure 2-1: Probe Indicators
PI
Yellow:
the probe is occluded; remove the probe and inspect for cause of
occlusion
P2
Green lamp: blinking
-
GSI 38 Auto Tymps is ready to begin a Tymp; steady
green - test successfully started and in progress.
and a description follows.
P3 Orange:
a pressure leak has been detected.
14

FRONT PANEL CONTROLS AND INDICATORS

Figure 2-2: Front Panel
Fl
F2
F3
F4
F5
F6
F7
F8
Power on indicator and label: indicator is illuminated when the GSI 38 is
receiving power.
Print Screen: pushbutton used to print the currently displayed page of memory.
Print All Memory: used to print all pages of data from memory.
Paper Advance:
causes paper to feed through printer; may be used to load
paper or to provide space between printouts.
FM: used during the Audiometry mode to select a frequency modulated test tone when the present bar is depressed; causes the letters FM to appear on the display when selected.
Steady: used during Audiometry mode to select a continuous test tone when present bar is depressed; causes the steady symbol to appear on the display.
Pulsed: used during Audiometry mode to select a pulsed tone when the present bar is depressed; causes the pulsed symbol to appear on the display.
(dB
Attenuator Knob
HL): used to increase or decrease the intensity of the
test tone presented in Audiometry mode; counterclockwise rotation causes the
intensity to be lowered; clockwise rotation causes the intensity to be increased.
F9
FlO
dB:
+10
used to temporarily extend the intensity range by 10
dB;
causes a large + sign to appear on the display indicating that the extended range has been selected.
M+: save key; during Audiometry mode, causes the threshold information per
frequency to be saved on the display; during Program mode, causes option to
be selected; during Tymp/Reflex mode, causes frequency to be stored as a default parameter.
15
Fll
<
and > Hz:
selecting
Selecting < causes the cursor to move the next lower frequency;
>
causes the cursor to move to the next higher frequency.
F12
F13
F14
F15
F16
F17
F18
Present Bar:
Push downward to present test signal to appropriate earphone;
release to turn test tone off.
Prog(ram):
press to select Program mode screen which lists setting available to reflex presentation format, printout header format, audiogram vs. tabular format, display normal box, and identify frequency range for Audiometry mode.
Aud(iometry):
press to select Audiometry mode. (Available in Versions 3 & 4
only).
TYMP:
Tymp Reflex:
R:
press to select Tympanometry only mode.
press select Tympanometty and Reflex mode.
used to identify right ear under test so that data stored in memory and/or
printed is properly identified; for Versions 3 and 4, used to select right earphone
for audiometry.
L: used to identify left ear under test so that data stored in memory and/or printed is properly identified: for Versions 3 and 4, used to select
left
earphone
for audiometry.
F19
F20
F21
F22
F23
F24
F25
F26
F27
IPSI:
used to select an ipsilateral reflex test.
to
CONTRA: used
select a contralateral reflex test (available with Versions 2
and 3 only).
Hz
500: selects 500
as a stimulus during reflex testing. 1000: selects 1000 Hz as a stimulus during reflex testing. 2000: selects 2000 Hz as a stimulus during
as
4000: selects 4000 Hz
PAGE:
used to scroll through test results stored in memory.
a stimulus during reflex testing.
reflex
testing.
M-: used to erase currently displayed page of data from memory.
M-:
used to erase all pages of data from memory.
16

PRINTER AND DISPLAY

The printer cover can be removed to reload paper. See Figure 2-3 for location of the
printer and printer cover. Section 2-7 provides paper loading instructions.
Figure 2-3: Printer and Display
The display indicates test mode, parameters for test and test results. See Figure 2-3 for location of display. Figures 2-4 through 2-8 show the individual display format for each test mode.
Figure 2-4: Display Format for
TYMP
Only Test
Figure 2-5:Display Format for TYMP/REFLEX Test
(Reflex
test results given as “Yes” or “No”).
17
Figure 2-6: Display for
(Reflex test results given in
TYMP/REFLEX
"dB
HL”).
Test
Figure 2-7: Display Format
(Reflex test results given in
Figure 2-8:
REAR AND BOTTOM PANEL
"dB HL"
Display Format for AUDIOMETRY
LABELS/CONNECTORS
The rear panel labels and connectors each one follows.
TYMP/REFLEX
Test
and also shown with a “tracing”)
are shown in Figure 2-9 and a description of
18
Figure 2-9: Rear Panel
R1
R2
R3
R4
R5
R6
R7
R8
R9
Company name, address, model, serial number and country of origin.
Symbol denotes a
Type B, Class II Product per IEC 878 as referenced in IEC
601 Standard. Symbol denotes Attention, consult accompanying documents. Symbol indicates a service adjustment part that is intended for service personnel
use only. Connector for handswitch. Input impedance -47 k ohm pulls up to 5 volts. Connector for contralateral insert phone. < 1 ohm, 2.5 volts rms maximum open
circuit. Connectors for right and left earphone. 130 ohm, 2.50 volts rms maximum open
circuit. Label describing low input voltage and current from wall mounted power supply.
5-pin
Power Input Jack.
DIN connector for external wall mounted power supply.
RIO
Power Switch with ON/OFF indicators.
NOTE
There is a symbol on the bottom panel that indicates
entry by qualified service personnel only. This symbol
1"
is marked “B
in Figure
19
2-10
Bottom Panel.
Figure 2-10: Bottom Panel
Figure 2-11: Test Cavity
PRETEST
TYMP
CHECKS
For your convenience, a test cavity is provided with your GSI 38 Auto Tymp. This test cavity enables you to quickly verify, on a daily basis, the prober calibration of your unit.
GSI strongly recommends that you make this quick check a part of your daily routine. TYMP CALIBRATION VERIFICATIONS To initiate the quick check, select the Tymp only mode and insert the probe into the
0.5
cm3 opening on the test cavity. See Figure 2-l 1.
NOTE
Since the important that the probe is inserted as quickly and as smoothly as possible. During the calibration check, the probe must be held carefully and without movement. Do not place the probe on the same counter as the instrument or any moving object during this check as mechanical noise will be picked up by the probe and interfere with the calibration check.
GSI
38 is designed to start automatically, it is
20
The calibration check will start automatically if the probe has been inserted into the
cavity properly. This is confirmed by the green lamp changing from blinking to a steady condition. If the orange lamp is illuminated, the probe is not properly positioned within
the cavity so that a large pressure leak exists. If the yellow lamp is illuminated, the
probe tip has been occluded.In either case, remove the probe and wait for the blinking
green lamp. Insert the probe once again. Clean the probe tip if necessary (XXXXXX). When the test sequence is completed, the green lamp on the probe is no longer
illuminated.
Remove the probe from the test cavity and note that the green lamp is
blinking once again. The display will indicate a flat line on the tympanogram along with
the value of the test cavity next to the letters ECV (ear canal volume) i.e., 0.5. The
letters NP will appear next to the labels
cm3
and
daPa
and three dashed lines will appear next to the letters GR (gradient). Since the test cavity is a hard-walled cavity, the tympanogram should be a flat line indicating that there is no mobility in the system. The GSI 38 places the letters NP next to the
cm3 and
daPa
headers to indicate that
there is no peak compliance and, therefore, no peak pressure can be determined
during the quick check. Also, since there is no compliance peak detected, it is not possible to calculate a gradient. Therefore, the GSI 38 displays the dashed lines when a gradient calculation isn’t possible. Using the same sequence, place the probe in the
test cavity opening
0.5
cm3 measurement except for the value placed next to the letters ECV 2.0. If you
wish, the same sequence can be followed with the 5.0
labelled
2.0
cm3
Note that the display looks the same as with the
cm3 opening on the test cavity.
To keep a record of this test cavity calibration check, simply press the print all
pushbutton on the front panel of the GSI 38. Since sound pressure will vary with altitude and barometric pressure, some variation
3
from the 0.5, 2.0 and 5.0 cm
readings may be observed. Your GSI 38 is carefully calibrated at our factory which is at approximately 250 feet above sea level. If you are located at an elevation of 1000 feet or higher, your instrument may need to be
recalibrated to account for your elevation (See Section XXXX). If is not necessary to
recalibrate for barometric pressure changes on a daily basis. Just keep in mind that a change in barometric pressure (i.e., from low to high or high to low) will slightly affect
the test cavity readings. ALTITUDE ADJUSTMENT The Altitude calibration adjustment allows the instrument operator to “correct” the ear
canal volume
(ECV)
measurement and test cavity volume measurement
for variations
due to altitude. Because the GSI 38 is a pressure-sensitive device which makes
measurements relative to ambient air pressure, changes in air pressure due to weather
or altitude will affect the ECV read-out of the instrument. The slight pressure change
resulting from changing weather conditions will usually yield volume read-outs within +/- 0.1
these cavity values by as much as 30%. These
the accuracy of the compliance measurement system in any way.
cm3
of the expected cavity value, but pressure changes due to altitude can shift
changes in pressure do not affect
However, many
instrument operators prefer that their equipment give ECV values as they would appear
at sea level. The altitude calibration mode allow the operator to adjust his/her Auto Tymp without the services of a qualified GSI representative.
21
TABLE 2-1 Altitude Correction
-
ALTITUDE CORRECTION
Altitude (ft)
0
-
1,500 2,000-3,500 4,000- 6.000
6.500- 7.600
6.600- 6.000 24+/-
6.500-10,000
---
20
2.1
2.2
2.3
2.5
Altitude
+/-
0.1
+/-
0.1
+/-
0.1
0.1
+/-
0.1
Table (cm3)
The altitude calibration mode can only be entered when the
GSI
38 is powered up from its “off’ state while the program mode pushbutton, PROG is depressed. Hold the PROG pushbutton for approximately five seconds.
STEP 1
When entering the altitude mode the display will read as follow:
Altitude Mode
ECV 2.0 cm3 9.99 Standard
(E71) is displayed in the bottom right corner of the display until the probe is in the 2.0 cm3 cavity.
STEP 2
Place the probe into the
2.0cm3 cavity provided with the instrument and check
cm
3
value against the altitude correction table for accuracy.
STEP 3
If the measured volume is not within the published table value
+/-
.1cc, then the operator should exit the altitude mode by pressing the PROGRAM MODE pushbutton and contact field service. Providing the measured volume agrees with the published
table
With
+/-
.1cc, the operator may proceed with the altitude adjustment.
STEP 4
the probe still in the 2.0
cm3 cavity, select the page pushbutton to enter the
custom calibration mode. Custom will appear on the fourth line of the display.
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STEP 5
3
The value now displayed in the c m to the current altitude.
If the value displayed is 2.0 cc then the volume is adjusted to
the current site. If the value is not 2.0 cc
display area is the volume measured and adjusted
+/- .1,
then press the SAVE pushbutton M+ to customize the volume measurement to the current altitude. The measured volume should now read 2.0 cc.
STEP 6
To exit the altitude mode press the PROG pushbutton to return to normal mode.
PROGRAM MODE
To enter the program mode, select the
PROGram
pushbutton located on the front
panel. The following screen appears the first time you enter the Program mode after
you receive your GSI 38 from the factory. (in other words, there are the default settings
used at the factory during production).
Program Mode
l
Reflex HL + Curve
Reflex HL only Print - Aud Table Reflex Yes/No l Normal Box ASHA
* Pm Header GSI
Pm Header Off Pm Header Custom Aud Range Narrow
Note that these selections. fall into
five
-
User Selections
l Print - Audiogram
Normal Box Off
* Aud Range Normal
different groups of controls:
Reflex format for printer Print header format
Audiometric test result format
Status of normal box
Audiogram frequency range
The default setting for each group of controls has an asterisk
(*)
before it so that it is
easy to scan the settings selected for each group.

REFLEX FORMAT

Reflex test results can be displayed and printed in three different ways: reflex dB HL
dB
plus curve; reflex
dB
reflex
HL plus curve. This means that all reflex test results will appear on the
HL only; or reflex yes/no. The default setting for this grouping is
display and the printout with the following information.
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NOTE
If you the square cursor next to the asterisk Header custom and press M+ to cause the line appear display.The word SAVED will appear at the lower tight
margin indicating that the custom header is still
selected.
had previous/y entered a custom header, position
(*)
in front of Pm
cursor
to
at the left-hand margin along the bottom of the
To move the cursor from the left-hand margin without inserting a letter or number,
select the character which represents a space (i.e., rotate the knob one position to right of the letter A). Use the > Hz pushbutton to move over to the next character position. Repeat this sequence until the cursor is moved over to the desired start position for the
first character to appear in your header.
Rotate the
dB
HL knob to select the
appropriate characters to spell out the desired header. After selecting each character,
use the > Hz pushbutton to move over to the next character position. Once all of the header characters have been added, press the M+ pushbutton to save your header in
memory. The word SAVED will appear on the right-hand margin indicating that you
header is now saved. The square cursor will reappear next to Pm Header Custom. It is now possible to exit the program mode or to sequence on the next user selection.
To exit the program mode, press the pushbutton labeled PROG. Enter a single test
result and select print screen to see how the custom header looks. AUDIOMETRIC FORMAT DURING PRINTING The audiometric test results can be printed out in an audiogram format (PRINT
-
AUDIOGRAM) or in a tabular format (PRINT - AUD TABLE). The default setting for this function is the audiogram format.
NOTE
When a specific frequency is deselected for testing, the result will be frequency. threshold exists at that untested frequency.
Move the < or > Hz pushbutton
AUD TABLE.
Next, select the M+ pushbutton to save this format as the new default
parameter. Note that the
a break in the audiogram line at that
This eliminates the assumption that a
to
position the cursor in front of the description
word
SAVED appears in the lower right-hand comer of the
PRINT-
display to indicate that this new setting has been saved. With PRINT-AUD TABLE selected, all audiometric test results will appear in a table with the frequency range typed horizontally along the top of the table followed by two lines of test data. The test
results for the right ear will appear next to the letter R and below each frequency
tested. Similarly, the test results from the left ear will follow below the right ear results.
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This setting (PRINT-AUD) selects the format for the printout only. An audiogram always appears on the screen while in this mode.

NORMAL BOX FORMAT

NOTE
It is possible to have the normal box, as described by tympanogram screen and printout. The boundaries for this normal box are -150 to
+100 daPa
and 0.2
cm3 to 1.4
cm3.
ASHA,
appear on the
daPa
NOTE
A compliance value of 7.5 automatically turn off the
ASHA
cm3 or greater will
normal box.
The normal box is the default setting. To deselect this normal box, move the square cursor with either the < or > Hz so that it is placed in front of the words Normal Box Off.
While the cursor is in this position, select the M+ pushbutton to save this feature as the
new default setting. Note that the word SAVED appears in the lower right-hand margin.
This message assures you that the normal box ill not appear on the tymp screen or
printout.
AUDIOGRAM RANGE All eleven frequencies are available during audiometry or the range can be abbreviated
to eight frequencies.
The default setting is Aud Range Normal. To select the
abbreviated frequency range, position the square cursor in front of the feature Aud
Range Narrow. Press the M+ pushbutton to save this narrow range for audiometric
testing. Note that the word SAVED will appear in the lower right-hand margin and the
asterisk now appears in front of the narrow range selection. The normal range of
frequencies include 125 Hz through 8000 Hz. The narrow range of frequencies
includes 500 Hz through 6000 Hz. Please note that in the Aud mode, if the narrow range is selected, the < and > Hz pushbuttons will allow you to scroll through this
abbreviated frequency range only. Both the screen and printout will still be
labelled
with the full range of frequencies. i.e., 125 Hz through 8000 Hz.
EXIT PROGRAM MODE Exit the program mode by selecting the PROG pushbutton. Note that you return to the
test mode which was operational prior to entering the program mode.
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TEST IN MEMORY The Tymp and TympReflex test results
.
test sequence
ends.
Audiometric test
are automatically stored in memory when the
results are stored in memory when the M+
pushbutton is pressed a total of eight memory locations are available with the GSI 38. Each test result is assigned a memory location number in order of sequence obtained starting with Ml and continuing up to M8.
To review the individual test results, press the PAGE pushbutton. Note that the screen
contains the appropriate format for each test type stored (e.g., tympanogram or audiogram). The memory number is located in the upper right-hand corner of each
screen.
If, for example, only five tests were stored in memory, only five memory
locations can be scanned. The memory can be scanned a page at a time by pressing
the PAGE pushbutton once and observing the results. The entire memory can be scrolled through by holding the PAGE pushbutton down continuously.

MEMORY ERASE

If there is a particular test result that you wish to delete before printing, PAGE to this
test result and press the M- pushbutton. This causes that particular test result to be erased from memory. The erase mode is accessed when the operator selects a test
to erase and presses the M- pushbutton. The LCD displays a blank screen for erased
memories with the memory location number located at the top right corner. Upon exit form the erase mode the stored memories reshuffle and replace the empty memory with the remaining tests in the order in which they were run. The erase mode will be exited once the operator presses the PRINT ALL or ERASE ALL pushbuttons or any
pushbutton that would normally begin the setup of a new test. Please note that when the erase mode is entered, a current audiogram is no longer accessible to change or to store new HL values.
*
NOTE
The instrument is programmed to default to the right ear
dB
at 0 audiometric test.
and 1000 Hz upon selection of a new
If you should wish to erase all tests from memory, press the M-(ERASE ALL) pushbutton. (For example, the test results have been printed and you wish to test another person).
NOTE
Be certain that you wish to remove all tests from
M--
memory before pressing the the erasure
pushbutton!
occurs
immediately upon pressing the
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pushbutton because
M--

PRINTING TEST RESULTS

The printout will begin with a header if it is selected during the program mode (i.e.,
GSI 38 or a custom header designed by you). The next two lines contain space for entering the individuals name and the test date. This is followed by the test results in the order
that they were obtained/selected.
Either a single test can be printed from memory or the entire group of tests in memory can be printed. To print a single test from memory, use the PAGE pushbutton to arrive
at the desired test result to print.
Once this test is displayed, press the PRINT
SCREEN pushbutton. To print all tests in memory, simply select the PRINT ALL pushbutton. When
PRINT ALL
is pressed and two audiogram tests are stored in memory, they will combine under the following conditions. There must be one left test and one right test sequentially stored in memory. A left and right audiometric pair of tests will not be combined if they are separated in the memory by a tymp test. Therefore, when tests are erased, the resorting could cause a change in left, right or right, left combined when
PRINT ALL is selected. Prior to selecting PRINT ALL the operator should scroll through the tests in memory to determine where the audiometric tests are located. This will help the operator to avoid combining tests from different patients.
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CIRCUIT THEORY

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