GSi 61 User Manual

GSI 61
USER MANUAL
Setting The Clinical Standard www.grason-stadler.com
Grason-Stadler, 7625 Golden Triangle Drive, Suite F, Eden Prairie MN 55344
800-700-2282 • 952-278-4402 • fax 952-278-4401 • e-mail info@grason-stadler.com
Part Number 1761-0100 Rev B
Title:
GSI 61 User Manual
Copyright © 2011 Grason-Stadler Inc
reproduced or transmitted in any form or by any means without the prior written permission of Grason-Stadler Inc. The information in this publication is proprietary to Grason-Stadler.
Compliance
The CE 0344 Stadler is an ISO 13485 certified corporation.
European Authority Representative
Grason-Stadler Kongebakken 9 2765 Smørum Denmark
0344
mark identifies compliance with the Medical Device Directive 93/42/EEC. Grason-
.
All rights reserved. No part of this publication may
be
1761-0100 Rev. B i
Warnings, Cautions and Errors
Warning! Accessory equipment
connected to the analog and digital interfaces must be
certified to the respective IEC standards (IEC950 for data processing or IEC
60601-1 for medical equipment) Furthermore, all configurations s hall comply
with the system standard IEC 60601-1-1 Everyone who connects additional
equipment to the signal input or signal output port configures a medical system,
and is therefore responsible that the system complies with
Cautions
the requirements of the system standard
IEC60601-1-1 doubt, consult the technical service
department or a local representative.
.
.
If in
The GSI 61 Clinical Audiometer is designed to be used with a hospital grade outlet. Injury to personnel or damage to equipment can result w hen a three-prong or two-prong adaptor is connected between the GSI 61 power plug and an AC outlet or extension cord.
Audiometers which bear the Underwriters Laboratories, Inc with accessories that have the proper electrical compatibility and are listed as meeting the requirements of the UL Medical and Dental Equipment Standard. Connecti on of accessories not meeting these requirements may result in electrical leakage currents in excess of those allowed by the standard and present a potential electrical shock hazard to the person being tested.
This warning icon found on the back of the LCD panel indicates dangerous voltage within the
panel. Access to the LCD pa nel is lim ited to authorized Grason-Sta dler service representatives.
.
When testing with the High Frequency earphones, do not allow the presentation of the signal at the maximum dB HL to exceed 10 m inutes. The buildup of increased temperature can cause harm to the earphones.
This caution label refers the user to the accompanying literature and manuals.
This icon indicates that the GSI 61 is in compliance with Class 1, T ype B requirements of IEC 601-1.
.
label should be interconnected
Cautions
ii
The following is the list of status messages which will occur with operation of the GSI 61 Audiomet er. These messages will be displayed in one of the bottom three message areas.
1761-0100 Rev. B
Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Status Messages
Using Default Data Indicates that the selected transducer and stimulus are not
Erasing Data Indicates that the GSI 61 is clearing stored test information. Saving Data Indicates that the test information is being saved into memory. No T est Data Stored Indicates that there is no test data available to be erased or
Check Hi-Freq Cables Indicates that the High Frequency function is enabled but the
Invalid Selection Indicates that an incorrect selection, such as incompatible
Not Available Indicates an uninstalled option has been selected. No T est Data Stored Indicates that there is no data available for printing, although
Data T ransfer Indicates that data has been processed either by the printer or
Check Printer A check is done to see if the printer is connected and ready to
Printing This is an informational message which is displayed while
No Printer Response If communications problems occur during the course of printing,
calibrated to standard specified (ANSI/ISO) levels.
printed.
cables plugged into the L&R phone jacks are not the GSI­specified type.
transducers, has been made.
the Print Audiogram button has been pressed.
by a remote computer .
receive data by checking the hardware flow control line. If printer is not ready this message will be flashed.
outputting data to the printer. It appears on th e lower right section of the LCD.
this error message will be flashed.
Communications Error Messages
The following communication errors may occur during data transmission through the RS 232 communications:
Comm error: par ity Check GSI 61 and PC parity settings. Comm error: framing Check GSI 61 and PC selections for number of stop
Comm error: overrun See ‘framing’. Comm error: multiple Check parity, baud rate, number of stop bit s and
Comm er ror: spurious Soft error. Should not be repeata ble; if so, problem
Comm error: break See ‘spurious’.
If the word “Help” followed by an error code is displaye d, note the Help Code number . See the GSI 61 Service Manual (1761-0110) for detailed descriptions of these. Turn off the power to the GSI61 and wait 30 seconds. Restart the instrument. Often the error will be cleared by this action. If the error persists, contact an authorized Grason-Stadler service representative.
bits and number of bits per comm and.
byte size on GSI 61.
could be anywhere in GSI 61 digital circuits or PC’ s communication circuits.
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Warranty
We, Grason-Stadler, 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. If within one year after original shipment, it is found not to 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 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.
Note: Changes in the product not approved in writing by Grason-Stadler shall void this warranty. Grason-Stadler shall not be responsible 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 ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
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Specifications
Standards
Pure Tone - Channel 1 and Channel 2
The GSI®61 Clinical Audiometer meets or exceeds the following st andards: ANSI S3.6-198 9; ANSI S3.43-1992; IEC 645-1 (1992); IEC 645-2 (1993); ISO 389; UL 2601-1 Medical Electrical Equipment; IEC 601-1 Medical Electrical Equipment and CSA C22.2, No. 601.1-M90 Electromedical Equipment.
The CE mark on this product indicates it conforms with the provisions noted in the 93/42/EEC Medical Devices Directive.
CE Mark per Medical Device Directive (93/42/EEC)
0344
European Authority Representative Grason-Stadler A/S Kongebakken 9 2765 Smørum Denmark
Frequency Range
Air Conduction 125 Hz to 12000 Hz High Frequency (optional) 8 k Hz to 20 k Hz Bone Conduction 250 H z to 800 0 Hz Sound Field (optional) 125 Hz to 12,000 Hz (125 Hz to 16,000 Hz
only with High Frequency option, 1761-9630, enabled) Paired Insert (optional) 125 Hz to 8000 Hz Single Insert (optional) 250 Hz to 6 000 Hz Accuracy ± 1 % T otal Harmonic Distortion £2% (earphones and paired insert phones*)
£5% (bone vibrator)
Intensity Range **
Air Conduction: -10 dB HL to 120 dB HL High Frequency:* -20 dB HL to 100 dB HL (with Sennheiser HDA 200
Phones) Bone Conduction:
Mastoid -10 dB HL to 80 dB HL
Forehead -10 dB HL to 70 dB HL Sound Field:* -10 dB H L to 96 dB H L Paired Inserts:* -10 dB HL to 110 dB HL Single Insert:* -10 dB HL to 110 dB HL
Masking Intensity Range (Calibrated in effective masking)
Narrow Band N oise: Maximum dB HL is 15 dB below tone
White Noise: Maximum dB HL is 30 dB below tone
* Optional accessories ** The maximum HL values are applicable to the middle frequencies only.
GSI® 61 is a registered trademark o f Grason-Stadler. All rights reserved.
1761-0100 Rev. B
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Grason-
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Speech Channel 1 and Channel 2
Microphone: For live voice testing and comm unications External A and External B: Accepts recorded speech material from external
stereo tape cassette or CD player
Intensity Range:
Air Conduction: -10 dB HL to 105 dB HL Bone Conduction:
Mastoid -10 dB HL to 65 dB HL
Forehead -10 dB HL to 55 dB HL Sound Field:*** -10 d B HL to 90 d B HL Paired Inserts:*** -10 dB HL t o 95 dB HL Single Insert:*** -10 dB H L to 95 dB H L
Masking Intensity Range
Speech Noise:
Air Conduction (TDH 50P and Ins ert Phones *) and Bone
Conduction
Maximum dB HL are the same as the speech type signals.
Sound Field: -10 dB HL to 80 dB HL White Noise: Equal to Speech Noise
*** Optional Accessories
Steady: Tone continuously present. Pulsed: T one pulsed 200 mSec ON, 200 msec OF F . FM : Tone modulated ± 5% of cente r frequency at a rate of 5 Hz.
Signal Format
Special Test Capabilities
Communications and Monitoring
Dimensions and Weight
ALT : T one alternating between Channel 1 an d Channel 2: Cha nnel
1 is 400 mSec ON, 400 mSec OFF followed by Channel 2, 400 mSec ON, 400 mSec OFF .
SISI: An intensity increment is added to a tone in the selected channel for
200 mSec, every 5 seconds. The HL increments are available in 1, 2 or 5 dB steps.
High Frequency: T one testing in the freque ncy range of 8 kHz to 20 kHz
using High Frequency phones or Sound Field. The frequencies available for testing are: 8 kHz, 9 kHz, 10 kHz, 11.2 kHz, 12.5 kHz, 14 kHz, 16 kHz, 18 kHz and 20 kHz (Optional).
Talk Forward: Permits the tester to speak through the test microphone into the
selected transducer at the intensity level set by the front panel controls.
Talk Back: Allows the tester to listen to comments from the subject in the
testing booth.
Monitor: Th e monitor h ead set or monito r speak er can be u sed b y the tester
to listen to Channel 1, Channel 2 and/or T a lk Back signals.
W x D x H : 20 inche s x 15 inches x 12.6 inches (LCD raised)
50 cm x 39 cm x 32 cm
Height with LCD lowered - 6 inches (15 cm) Weight: 19 pounds 8.7 kg Shipping Weight: 30 pounds 13 .6 kg
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1761-0100 Rev. B
Instrument Specifications
Power Consumption Accessories Supplied
Optional Accessories
90 Watts
Test Headset (Matched set TDH-50P) -------------------------------------------------- 8000-0063 Bone Vibrator (B71) ----------------------------------------------------------------------- 8000-0130 Subject Response Handswitch ----------------------------------------------------------- 7874-0156 Test Microphone/Monitor Headset with coiled cord ---------------------------------- 1761-9623 Talk Back Microphone -------------------------------------------------------------------- 8000-003 9 Patch Cords, 6 ft. Grey (4/each) ------------ ---------------------------------------------- 4204-0505 Power Cord --------------------------------------------------------- (Country and voltage specific) Instruction Manual - English -------------- -- -- -------------------------- -- --------------- 1761-0100 Instruction Manual - Spanish ------------ -- -- -------------------------- -- ----------------- 1761-0104 GSI Suite Audiometic Data Management Software ---------------------- ------------- 1010-9600
CD Player ----------------------------------------------------------------------------------- 1761-9621 Stereo Tape Cassette -------------------------------- -------------------------------------- 1761-9622
Speakers, Basic (90 dB) with cables (125 - 16 kHz) ------------------------------------- 1761-9630 Speakers, High Performance (96 dB) with cables (125 - 8 kHz) ----------------------- 1761-9635
Booster Amplifier (220-240V) with cables, for use with the High Performance Speakers only----------------------------------- 1761-9636 Booster Amplifier (100-120V) with cables, for use with the High Performance Speakers only----------------------------------- 1761-9637
Sound Field System, High Performance (102 dB, 220-240V , 125 - 8 kHz) includes High Performance Speakers and Booster Amp ---------------------------- 1761-9638 Sound Field System, High Performance (102 dB, 100-120V , 125 - 8 kHz) includes High Performance Speakers and Booster Amp ---------------------------- 1761-9639
Paired Insert Phones (E•A•R TONE E•A•R TONE E•A•R TONE
TM
Replaceme nt Foam Eartips , Std----------------------------------------- 1700-9604
TM
Replac ement Foa m Eartips , Small -------------------------------------- 1700-9605
TM
3A) ----------------------------------------------- 1700-9606
Single Insert Phone (470) -------------------------------- ---------------- ---------------- - 1700-9609
High Frequency Headphones w/booth cables ----------------------------------------- 1761-9602 High Frequency Cables (to sound booth) --------------------------- ------------------- 1761-9603 (If using High Freq Headphones, these cables are required to connect to the GSI 61)
High Frequency Headphones w/cables to GSI 61 ---- ---- ---- ---- ---- ---- ---- ---- ---- - 1761-96 04 High Frequency Cables (to GSI 61) ---------------------- -------------------- ------------ 1761-9605 (If using High Freq Headphones, these cables are required to connect to the GSI 61) Remote RS 232/Pr inter Inter face -------------------------- -------------------------- ------ 1761-9680 Printer, Color (North Am erica only) ------------------------------------------------------ 1761-9610 Service Manual ----------------------------------------------------------------------------- 1761-0110 Audiocups ---------------------------------------------------------------------------------- 8000-0155 OtoAccess (Network Software for GSI Suite) --------------------------------------- 1015-9600
1761-0100 Rev. B
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Grason-Stadler GSI® 61 CLINICAL
Catalog Listings
GSI 61 Clinical AudiometerwithoutRemote
English ---------------------------------------------------------------------------------- 1761-9700-XX French ------- -------------------------- -------------------------------------------------- 1761-9700-XX German --------------------------------------------- ------------------------ ------------- 1761-9700-XX
Italian -----------------------------------------------------------------------------------1761-9700-XXI
Spanish --------------------------------------------------------------------------------- 1761-9700-XXS
GSI 61 Clinical Audiometer with USB Remote
English ---------------------- ------------------------------------------------ -- -- -- ---- 1761-9780-XXE French --------------------------------------------------------------------------------- 1761-9780-XXF German ----------------------------------------- --------------------------------------- 1761-9780-XXG
Italian -----------------------------------------------------------------------------------1761-9780-XXI
Spanish--------------------------------------------------------------------------------- 1761-9780-XXS
Notes -XX refers to the voltage and plug requirements for the country of operation.
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1761-0100 Rev. B
Electromagnetic Compatibility (EMC)
1761-0100 Rev. B
ix
Table of Contents
Preface
Chapter 1
Introduction
Chapter 2
Installation
Title---------------------------------------------------------------------------------------------------------i
Warnings, Cautions and Errors- -----------------------------------------------------------------------ii
Warranty -------------------- -- -------------------------- ------------------------------------------------iv Specifications ------------------------------------------------ -- -------------------------- -- -- -----------v
Standards -------------------------------------------------------------------------------------------v Pure Tone - Channel 1 and Channel 2 --- ------------------------------------------------------v
Speech Channel 1 and Channel 2 --------- -----------------------------------------------------vi Signal Format ---------------------- -- -------------------------- -- -------------------------- -------vi Special Test Capabilities ------------------------------------------------------------------------vi Communications and Monitoring --- --------------------------------------------------- --------vi
Dimensions and Weight------------------------------ ------------------------ --------------------vi Power Consumption ---------- -------------------------------------------------------------------vii Accessories Supplied----------------------------------------------------------------------------vii Optional Accessories ----------------------------------------------------------------------------vii Catalog Listings ---------------------------------------------------------------------------------viii
Electromagnetic Compatibility (EMC)-------------------------------------------------------------ix
Introduction ------------------ -- -- -------------------------------------------------- ------------------- 1-1
External Inspection --------------------------------------------------------------------------------- 2-1 Unpacking ------------------------------------------------------------------------------------------- 2-1 Accessories Supplied ------------------------------------------------------------------------------ 2-1 Connectors, Controls and Indicators ------------------------------------------------------------- 2-2
Rear Panel -------------------------------------------------------------------------------------------- 2-2
Left Side Panel--------------------------------------------------------------------------------------- 2-4 Right Side Panel ------------------------------------------------------------------------------------- 2- 4 Front Panel Controls -------------------------------------------------------------------------------- 2-5
V ali d Stimuli Combi nations --------------------------------------------------------------------2-8
V alid T ransducer Combinations --------------------------------------------------------------2-8
Displays ----------------------------------------------------------------------------------------2-14
Test Microphone/Monitor Headset ----- ------------------- ------------------ ------------------ - 2-17
Optional Accessories ------------------------------------------------------------------------------2-18
Hearing Level And Freque ncy Limits------ ---------------- -------------- -------------- ----------2 - 2 4 Initial Installation ----------------------------------------------------------------------------------2-26
Single Room Environment ------------------------------------------------------- ------------2-27 Two Room Installation ------------------------ ------------------------------ ------------------2-27 Loudspeaker Installation ---------------------------- -----------------------------------------2-29
1761-0100 Rev. B
Contents-1
Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Grason-Stadler GSI® 61 CLINICAL AUDIOMETERGrason-Stadler GSI® 61 CLINICAL AUDIOMETER
Chapter 3
Operation
Preliminary Checks--------------------------------------------------------------------------------- 3-1
Patient Instructions ----------------------- ---------- -------- -------- ---------- -------- ---------- ---- 3-2
Placement of the Earphones ---------- --------------------------------------------------------3-2 Placement of the Insert Phone ---------------- ------ ------ ------ ------ ------ ------ ------ ------ 3-2 Placement of the Bone Vibrator ---------------------------------------------------------------3-2
Routine Test Procedures ------------- ------------------------ ------------------------------------- 3-3
Threshold Determination (Pure Tone): Modified Hughson-Westlake ------ -- -- -- -- ----3-3
Spondaic Speech Testing, Speech Reception Threshold (SRT) --------------------------3-4 Speech Discrimination (PB Words) -----------------------------------------------------------3-4
Chapter 4
Special Test Procedures
Alternate Binaural Loudness B alance (ABLB) or Fowler T est -------------------------- ------ 4-2 Monaural Loudness Balance (MLB) Test -------------------------------------------------------- 4-3 Short-Increment Sensitivity Index (SISI) --------------------------------------------------------- 4-4
Modifications to the SISI test ---------------------------------------------------------------- 4-4
High Frequency Testing (Optional)------------------------------------------------------------- -- 4-5
High Frequency Testing: Setup Diagrams ---------------------------------------------------4-5 Sensorineural Acuity Level (SAL) T est ---------------------------------------------------------- 4-6 Hearing Aid Evaluation -------------- -------------------------- -- -------------------------- -- ------ 4-6 Tone Decay Test ------------------------------------------------------------------------------------ 4-8
Lombard or Voice-Refl ex T est ---------------------------------------------------------------------- 4-8 Delayed Auditory Feedback (DAF)--------------------------------------------------------------- 4-9
Staggered Spondaic Word Test (SSW)---------------- ------------------------------------------4-10
Doerfler-Stewart T est ------------------------------------ ---------------------- --------------------4-1 1
Modified Doerfler-Stewart Test--------------------------------------------------------------4-11
Pure Tone Stenger Test ---------------------------------------------------------------------------4-12
Chapter 5
Routine Maintenance
Biological Calibration Che ck ----------------------------------------------------------------------- 5-1 Periodic Checks ------------------------------ ------------ ------------ ------------ ------------ ------- 5-1 Calibration Reference Levels ---------------------------------------------------------------------- 5-3
Line Voltage Brownout and Interruptions ---------- ---------------- ---------------- -------------- 5-6 The Message “CAL” -------------------------------------------------------------------------------- 5-6 The Message “Help” -------------------------------------------------------------------------------- 5-6
Contents-2
1761-0100 Rev. B
T able of Content s
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Chapter 6
Remote Options
RS 232 Configuration --------------------------------------------------------------------------------6-1 USB Overview ---------------------------------------------------------------------------------------- 6-3 Driver Installation and System Setup -------------------------------- ------------------------------6-4
GSI Suite -------------------------------------------------------------- ------------------------ ---------6-4
Data Flow Control Operation ------------------ ---------------- ------------------ ---------------- --- 6-5
Hardwa re Flow Contro l -------------------------------------- -------------------------- -------- 6-5 Softwa re Flow Co ntrol -------------------------------------- ------------------------ ----------- 6-5
Cable Connections---------------------------- ------------------------------------------------- 6-5
Data Transfer ----------------------------------------------------------------------------------------- 6-6
Record and Field Formatting ------------------------------------------------------------------ 6-6
Checksums -------------------------------------------------------------------------------------- 6-6
Remote Input Operation----------------------------------------------------------------------------- 6-7
Input Record Type -------------------------------------------- ---------------------------------- 6-7
Input Record Type 1 to 4 ---------------------------------------------------------------------- 6-7
Input Record Type 5 - Pushbutton Code Record ------------------------------------------- 6-7 T ype 6- Set Test Frequency Record --------------------------------------------------------- 6-11 T ype 7 - Set HL Record ------------ ------------------------ ---------------------- ------------- 6-12
Remote Output Operation---------------------------------------------------------------------------6-13
T ype 1- GSI 16 Compatible Short Data Record--------------------------------------------- - 6-13
T ype 4 - Error Record -------------------------------------------------------------------------- 6-16 Type 5 - GSI 61 Short Data Record ----------------------------------------------------------6-16 T ype 6 - Test Battery Data Record ------------------------------ ---------- ---------- ---------6 -18
Rec ord Pre fix ------------------------ ------------------------------------------ -----------------6-18
Left Ear T est Data - Pure T one ---------------------------------------------------------------6-18
Speech Test --------------------- ------------ -------------- -------------- ------------ -----------6-20 SISI Test ------------------------ -------------- ------------ -------------- -------------- ----------6-2 0
Alter nate (AB LB) ----------------------- ---------------------------------- ---------------------6-22
Right Ear T est Data ----------------------------------------------------------------------------6-23
Record Term inator ----------------------------------------------------------------------------6-23
T ype 7 - Instru ment Type --------- ------ ------ ------ ------ ------ ------ ---- ------ ------ ------ --6-2 3
Remote Output Operation continued ----------- --------------------------------------------------6-24
T ype 8 - Unit Configuration Record ---------------------------------------------------------6-24
Appendix
Bibliography
Regulatory S
mbols
Test Words ---------------------------------------------------------------------------------------- A1-1 Part One -------------------------------------------------------------------------------------------- A1-1 Part Two -------------------------------------------------------------------------------------------- A1 -1
Bibliography ------------ ---------------------- ---------------------- ------------------------ ---------- B-1 Bibliography for Test Procedures ------------ -------------- -------------- ---------------- --------- B-2
Regulatory Symbols------------------------------------------------------------------------------------C-1
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Chapter 1
Introduction
for the test sequence. The Tracking pushbutton allows the operator to synchronize intensity changes on Channel 2 with those m ade on Channel 1.
All data, including the instrument selected parameters, are displayed on an articulating Liqui d Crystal Display (LCD). Pure tone test results are presented in either a “status” or an audiogram format. The status format clearly shows all test conditions and permits the calibration check of input from the microphone or from recorded test materials. The audiogra m format for pure tone testing displays the stored threshold values for the patient un der test. The display can be tilted to improve the viewing angle for an individual user and to allow easy access to the rear jack panel.
Introduction
The GSI 61 Clinical Audiometer is a microprocessor controlled, two channel audiometer for use in the clinical/diagnostic environment. It has two separate sets of controls, one for eac h of the channels. Each channel can be operat ed indepe ndentl y by its tone bar, or the two channels can be activated simultaneously through use of the interlock button.
The GSI 61 permits the output routing of the test signal through earphones (matched TDH-50P), a bone vibrator (B71), optional loudspeakers, optional paired I nsert Phones (EAR) or sing le Insert Phone, and optional High Fre quency ( Sennheiser HDA
200) Earphones.
The diagnostic tests are easily selected through use of the ergonomically designed front key panel. Flexible routing selections permit the user to select that which is appropriate
The GSI 61 provides testing capabilities for a standard battery of diagnostic audiometric tests including ABLB, SISI, Tone Decay, Stenger, Doerfler-Stewart, Lombard, and Staggered Spondaic Word test (using a three head tape recorder). The High Frequency option extends the frequency range (from 8 kHz to 20 kHz) for ototoxic dru g monitoring.
The GSI 61 has the optional capability of printing the stored audiogram data or of sending the data to a remote computer through an RS 232 or USB interface. The RS 232 and USB interface a re bidirect ional to allow the operator to transmit test results to a computer and to control the audiometer from a remote computer system. The transmittable data record can be configured to be either a single value (threshold and frequency) or battery transfer (all stored parameters for a patient).
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Chapter 2
Installation
External Inspection
Although this GSI 61 Clinical Audiometer was carefully tested, inspected and packed for shipping, it is good practice after receiving the instrument to immediately examine the outside of the container for any signs of damage. Notify the carrier if any damage is observed.
Unpacking
Carefully remove th e GSI 61 from its shipping container. If the instrument appears to have suffered mechanical damage, notify the carrier immediately so that a proper claim can be made. Be certain to save all packing material so that the claim adjuster can inspect it as well. As soon as the carrier has completed the inspection, notify a Grason-Stadler representative.
If the instrument must be returned to the factory, repack it carefully (in the original container, if possible) and return it prepaid to the factory for the necessary adjustments.
Check that all accessories itemized below are received in good condition. If any accessories are missing, a Grason-Stadler representative should be notified immediately.
Installation
2
See the Specifications Section of this manual for the catalog numbers of accessories and also for a listing of the optional accessories.
Accessories Supplied
Test Microphone / Monitor Headset
Patient Talkbac Microphone
Patien
Handswitch
Response
Test Headset Assembly
Bone Vibrator Assembly
Not Shown: For Sound Booth use:
her
O
1761-0100 Rev. B
Handswitch Patch Cord (1) Bone Vibrator Patch Cord (1) Earphone Patch Cord (2)
:
Instruction Manual.....Power Cord and
GSI Suite CD
2-1
Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Connectors, Controls and Indicators Rear Panel
R1 - Monitor Headset
R2 - Ext A and Ext B
The connectors on the rear panel of the GSI 61 are shown in the following diagram. The label and jacks are visible looking down onto the instrument, behind the LCD.
R9 R8 R7 R6 R5 R4 R3 R2 R1
(Modular Phone Jack)
Pin Function
1
Mic High and +6 VDC 0.2 to 6.0 mV RMS 1.8 K ohm (output)
2
Phone Low GND 0 ohm
3
Phone High 3.0 mV to 1.0 V 300 ohm
4
Mic Shi eld GND 0 ohm
(RCA plug)
Output Voltage
Impedance
R3 - Talkback Microphone
R4 - Left and Right Ear
Phone Outputs
R5 - Left and Right
Input jacks for optional stereo tape cassette or CD player.
Voltage range required: 0.2 to 1.0 V to obtain 0 VU Input Impedance: 15 K ohm
(3.5 mm stereo jack)
Position Function
1 Tip Mic High 0.2 to 2.0 mV RMS and +6V AC 10 K ohm 2 Ring Mic Low - - - - - - - - - - 3 Shield Chassis Ground - - - - - - - - - -
(1/4 inch stereo jack)
Stereo phone jacks for left (blue) and right (red) earphones, patch cords, or High Frequency earphone connector cords.
Voltage: 1µV to 7.0 V RMS (4.45 V RMS for High Fre qu en cy ) Output impedance: 5 ohms or less
(1/4 inch monaural jack)
Output Voltage
Impedance
2-2
1761-0100 Rev. B
Chapter 2 - Installation
Insert Phone Outputs Monaural phone jacks for left and right insert phones or patch cords.
Voltage: 1µV to 4.0 V Output impedance: 5 ohms or less
Note: When the Single Insert Phone option is used, it must be plugged into the left
insert phone output.
R6 - Bone Vibrator (1/4 inch phone jack)
Jack for bone vibrator or gray patch cord.
Voltage: 200 µV to 5.00 V RMS Output impedance: 5 ohms or less
R7 - Subject (1/4 inch phone jack) Response Handswitch Accepts plug from the cable attached to the patient’s response handswitch or
handswitch patch cord.
Pin Function Voltage Impedance
1 Shield GND 0 ohm 2 Digital GND GN D 0 ohm 3
Response input +5V/GND 1K ohm/0 ohm
R8 - CD Player Power (2 pin power jack) Jack
Provides 5 V DC for CD Player.
R9 - Dip Switch/Cal An eighth position bank of switches accessible by an authorized service representative. Switch
R10 – Speakers (5 pin Din connector) Located on rear of instrument.
Connects to left and right loudspeakers.
Pin Function Impedance
1
Left speaker (high) 1.0 ohm
2
Left GND 0 ohm
3
Right speaker (high) 1.0 ohm
4
Left speaker (low) 1.0 ohm
5
Right speaker (low) 1.0 ohm
SHLD Right GND 0 ohm
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Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Left Side Panel
Right Side Panel
Please Note:
The connectors on the left side panel are shown below.
The power entry module is composed of the power switch, fuse drawer and voltage selection switch, and power cord with hospital grade plug appropriate for the country of destination.
When turned ON, the GSI 61 automatically initializes and displays a screen which states the type of audiometer (IEC and ANSI specified for speech audiometry) followed by a status screen. With the status display, the GSI 61 is brought to the initialization state.
The frequency is set at 1000 Hz and:
Channel 1 Channel 2
Steady tone NB Noise Phone-Right Phone-Left 0 dB HL -10 dB HL
Serial Port
This instrument has Remote and Printing capability, or t h e f o l l o wi n g connectors will be visible on the right side panel of the GSI61:
Depending on the date product configuration purchased, the GSI 61 is either equipped with a Serial Port, a USB Port, or no Remote port at all.
RS 232 Remote Port
USB Remote Port Printe
USB Printer Port DIP Switches
2-4
Port
!
RS232
Printer Port
Dip Switches
Remote Port
Remote/Printer Option
A mini-DIN connector uses a standard Apple “Hayes Modem” cable (supplied) to provide serial connection to th e equi pment.
A Standard A/B USB cable provides connection to a PC.
A 25-pin PC-Printer Interface Connector. Connects to t h e printer via a standard PC­parallel printer cable.
A Standard USB cable provides connection to a printer. See Chapter 6 for more For more detail on these DIP switch settings, and attaching and using a printer , refer to
the Optional Accessories section beginn ing on page 2-18.
1761-0100 Rev. B
Front Panel Controls
p
The controls on the front panel of the GSI 61 are shown below.
Chapter 2 - Installation
Attenuators (HL Controls) Channel 1 and Channel 2
dB Ste
Size
The GSI 61 contains two independent HL rotary controls for test signal and masking intensity l evel control with a ra nge of -10 dB HL to 120 dB HL (If the High Frequency option using Sennheiser earphones is installed and active, the High Frequency intensity level control ranges from -20 dB HL to 1 10 dB HL). Maximum dB HL values appl y to the mid-frequencies with earphones only. Refer to the specific transducer for dB HL limits in the Table on page 2-24.
These pushbuttons allow the operator to change the intensity step size to 1.0, 2.0 or
5.0 dB. When the GSI 61 is powered up, the dB step size is automatically set to the .
default of 5 dB increments
These pushbuttons are also used to select the intensity
increase when testing in the SISI mode.
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Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Signal Format (Frequency Modulation or Warble Tone) Selectors FM - This pushbutton enables pure tones to be warbled at a rate of 5 Hz with a ± 5%
allowable deviation around the selected center frequency. FM is available in all pure tone test modes, including SISI, Pulsed, ALT and High Frequenc y (optional).
Pulsed - This pushbutton causes the tone to be pulsed at the rate of 200 msec ON, 200 msec OFF. Note that the Pulsed tone is not available in SISI or ALTernate test conditions. When a speech test mode is activated, Pulsed is no longer activated.
Alternate - This pushbutton locks both channels together and alternates the tone presentation between the two channels: 400 msec ON Channel 1, 400 msec OFF Channel 1, 400 msec ON Channel 2, 400 msec OFF Channel 2. Both channels receive TONE as the input stimulus. The frequency is automatically set to 1000 Hz and the dB step size, HL settings and the routing reflect the conditions prior to the selection of ALTernate test type. The tones can be manually presented by depressing either PRESENT bar or automatically presented by pressing either INTERRUPT button. The intensity of the tones can be adjusted independently by use of the Channel 1 and Channel 2 attenuators.
SISI - This pushbutton provides an intensity increment every 5 seconds to a steady or FM tone in the selected channel for 200 milliseconds. The SISI test may be run at step sizes of 1.0, 2.0 or 5.0 dB. When SISI is selected, the GSI 61 automatically initializes Channel 1 to receive tone and Channel 2 to receive NB noise. The step size is initialized to 5.0 dB but may be changed to either 1.0 or 2.0 dB at any time during the test. Channel 1 and Channel 2 are set to 0 dB HL; the frequency is set to 1000 Hz. Output transducer and routing reflects the state of the GSI 61 prior to the selection of SISI. Depress the Interrupt pushbutton to allow the SISI increments to be presented every 5 seconds. Press the Interrupt button a second time to terminate the SISI presentation. (Operating the Channel 2 tone bar with Interlock selected in SISI also terminates the SISI increment presentation).
In order to deselect the preselected signal format, change to any non-compatible test stimulus or push the same signal format again. The following table illustrates the compatibilities of test stimulus and signal formats.
VALID SIGNAL FORMATS / STIMULUS COMBINATIONS
TONE
MIC
FM
PULSED
ALT
SISI
V
V
V
V
X
X
X
X
EXT A
X
X
X
X
EXT B
NBN
SPEECH
WHITE
X
X
X
X
X
V
V
X
X
X
X
X
X
V*
V*
X
V =Valid combination of signal format and stimulus. X = Invalid combination of signal format and stimulus. * = When White/White is selected stimulus, calibration for White noise will
be for speech.
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Stimulus Channel 1 Tone — The Tone pushbutton allows the selection of a pure tone presentation for and Channel 2 air/bone conduction testing with the choice of four transducer types; Phone (both the
standard TDH 50P and the optional High Frequency earphones), Bone, Speaker, or Insert. When Tone is selected, Narrow Band Noise automatically routes to the opposite channel if the stimulus type on the opposite channel is not compatible with Tone. Note that the selection of Tone on one channel and Mic on the opposite channel is a valid combination. This setting allows the operator to have contact with the patient, especially a young child, without the need to select Talk Forward.
Mic — The Mic pushbutton provides input capability from the test microphone for live-voice testing with the choice of four transducer types: Phone, Bone, Speaker, or Insert. When Mic is selected, Speech Noise automatically routes to the opposite channel if the stimulus type on the opposite channel is not compatible with MIC. Note that the selection of Mic on one channel and Tone on the opposite channel is a valid combination. This setting allows the operator to have contact with the patient, especially a young child, without the need to select Talk Forward.
Ext A, Ext B — External A and External B accept recorded speech material from an optional compact disc player, a two channel tape cassette or a reel-to-reel tape recorder . When Ext A or Ext B is selected on one channel, Speech Noise automatically routes to the opposite channel if the stimulus type on the opposite channel is not compatible with Ext A or Ext B. Note that the selection of Ext A, or Ext B, on one channel and Tone on the opposite channel is a valid combination.
Narrow Band Noise — The NB Noise pushbutton selects narrow band noise. This is a noise centered at each test frequency and available for all frequencies with a 3 dB down bandwidth of greater than octave but less than ½ octave. The maximum dB HL is 15 dB below the maximum pure tone level and is calibrated in effective masking.
Speech Noise — The Speech Noise pushbutton selects speech noise. This is a white noise filtered to a low and middle frequency band, simulating the average
.
spectrum of conversational speech
Speech noise is calibrated in effective masking level and consists of equal energy per frequency from 250 to 100 Hz with a 12 dB/ octave roll-off from 1000 to 6000 Hz. The maximum dB HL for speech noise is equal to the maximum HL for the speech type signals in each transducer.
White Noise — This pushbutton selects White Noise. White noise is a broad band signal containing acoustic energy at all frequencies between 125 Hz and 12000 Hz. White noise is calibrated for pure tone effective masking if a tone type signal is selected on the opposite channel, and for speech effective masking if a speech type signal is selected on the opposite channel. The maximum HL for white noise selected with a tone signal is 35 dB below the maximum pure tone level. The maximum HL for white noise selected with a speech signal is equal to the maximum HL for the speech signal.
Refer to the following table for the stimuli compatibilities listing.
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Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Valid Stimuli Combinations
Channel 1 Stimulus
Mic
Ext A
Tone
Ext B NBNoise S Noise White Noise*
* If White Noise is selected on both channels, then calibration is made to speech. If White Noise is selected on one channel only, calibration will be made to the stimulus type on the opposite channel.
Transducer Output Selector
Channel 2
Stimulus
Tone
Mic
Ext A
Ext B
NBNoise
S Noise
W Noise*
Valid
Valid
Valid
Valid
Valid
Invalid
Valid
Valid
Valid
Valid
Valid
Invalid
Valid
Valid
Valid
Valid
Valid
Invalid
Valid
Valid
Valid
Invalid
Valid
Valid
Valid
Valid
Invalid
Valid
Valid
Valid
Valid
Invalid
Valid
Valid
Invalid
Invalid
Valid
Invalid
Invalid
Valid
Valid
Invalid
Valid
Invalid
Valid
Valid
Invalid
Invalid
Valid*
These pushbuttons allow the easy selection of the transducer for each stimulus available for Channel 1 and Channel 2. A transducer selection may be changed at any time.
Valid Transducer Combin ation s
Channel 1
Bone
Speaker Insert
Valid
Valid
Valid
Valid
Valid
Valid
Channel 2
Phone
Bone
Speaker
Phone
Valid
Valid
Valid
Valid
Valid
Valid
Routing Output Selector
Tone Bar / Interrupt
Insert
Valid
Valid
Valid
Valid
These pushbuttons allow the easy selection of the routing from the stimulus to the output transducer available for Channel 1 and Channel 2. When first powered on, the routing for Channel 1 will be right and the routing for Channel 2 is left. Left/ Right mixes the stimuli from both channels to each transducer and drives both the left and right transducers with the combined signal. Both the Channel 1 and Channel 2 maximum dB HL limits in mixing are appropriately decreased from the non-mixed maximum dB HL limits. Left/Right -Left/Right routing is restricted to Phone/Phone, Speaker/Speaker and Insert/Insert (paired insert option). Left/Right routing is invalid for bone and the single insert phone.
Each tone bar operates independently to present the selected stimulus for as long as the bar is depressed. The channel turns off immediately when the bar is released. When ALTernate is selected and the tone bar is released, the complete presentation of both channel signals is completed. These pushbuttons determine the status of the respective tone bars and operate independently of each other. When the Interrupt is in the off position, the corresponding channel is activated by depressing the Tone bar bar and deactivated by releasing the Tone bar. To turn on the Interrupt, press the pushbutton. When Interrupt is in the on position, the corresponding channel is deactivated by pressing the Tone bar and activated by releasing the bar. When Interrupt active, an icon is displayed on the LCD. Note that in the ALTernate test mode, the Interrupt pushbuttons do not operate independently of each other.
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Interlock This pushbutton locks both tone bars together so that operating one channel will also
operate the other, according to the status of the Interrupt buttons. To unlock the Tone bars, press the Interlock button again. When the Interlock is active, a message is displayed on the LCD.
Save This pushbutton, when pressed, saves the current dB HL level representing the
threshold level, and effective masking level if selected, transducers and routing. In the Display Audiogram format, the appropriate symbol appears for each Save press.
Tracking
This pushbutton allows the Channel 2 hearing level to track the Channel 1 hearing
level by a selected dB difference. When in Tracking, any dB change to the Channel 1 HL causes the Channel 2 HL to change by the same amount, until the limit of the Channel 1 transducer is reached. If the dB HL limit is reached in Channel 2 before Channel 1, the Channel 2 dB HL display will temporarily flash and remain at this level. Tracking remains on. When the Channel 1 dB returns to a level at which the selected difference between the two channels can resume, Channel 2 again tracks Channel 1. Tracking is in the off state upon initialization of any test type. When tracking is selected, it is possible to manually change the intensity of Channel 2 to alter the dB difference between the two channels without deselecting Tracking. To exit T racking, press the button again. When T racking is active, a message is displayed on the LCD.
Frequency Up/Down These pushbuttons allow the choice of twelve standard audiometric frequencies: 125
Hz, 250 Hz, 500 Hz, 750 Hz, 1000 Hz, 1500 Hz, 2000 Hz, 3000 Hz, 4000 Hz, 6000 Hz, 8000 Hz and 12000 Hz. If the high frequency option is activated, these pushbuttons allow a choice of nine high frequencies: 8 kHz, 9 kHz, 10 kHz, 1 1.2 kHz, 12.5 kHz, 14 kHz, 16 kHz, 18 kHz, and 20 kHz. Each press of the right (R) pushbutton selects the next higher frequency. Each press of the left (L) pushbutton selects the next lower frequency. The new frequency is selected when the pushbutton is released. When at the lower limit of the frequency selection, pressing the (L)pushbutton will cause the display to roll over to the highest frequency limit, and vice versa. If a transducer with a narrower range is selected, only valid frequencies for that transducer are available.
See the Table entitled “dB HL Limits per Frequency and T ransducer” in the Hearing Limits and Frequency Levels Section (pages 2-24 and 2-25) for the allowable frequency ranges of the specific transducers.
Talk Forward Pressing this pushbutton allows the operator to speak directly to the patient through
the microphone at the level set by the Talk Forward control by interrupting the stimulus presentation. Talk Forward can be used with any available transducer , including the optional High Frequency earphones. While Talk Forward is on, the only control which can be activated is the Print, if available. The GSI 61 resumes the test status held prior to pressing the Talk Forward pushbutton when the pushbutton is released.
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Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Scorer/Timer The Correct, Clear and Incorrect pushbuttons are used for scoring results in Speech,
ALTernate or SISI tests. The scorer is displayed in the test status area of the Status screen. When Speech, SISI or ALT is selected, the scorer initializes to 0/0 = 0%. The operator presses the Correct or Incorrect pushbutton after each presentation, depending on the response. The display indicates the number of correct responses and the total number of presentations along with the percentage of those correctly identified. The display clears with the pressing of the Clear pushbutton.
During tone tests (excluding ALTernate and SISI), the Scorer/Timer pushbuttons may be used to start, clear and stop the timer. The timer is displayed in the test status area of the Status screen. When the timer is first selected, it initializes to 0:00 (0 minutes: 00 seconds). The timer starts when the Start pushbutton is pressed. Times up to 199 minutes and 59 seconds may be displayed before the timer resets to 0:00. The timer may be halted at any point by pressing the Stop pushbutton. The stopped time is displayed.
Upon pressing the Start pushbutton after the Stop
pushbutton, timing is resumed from the currently displayed value. Pressing Clear while the timer is running is invalid. Pressing Clear after Stop resets the timer to 0:00.
Displays These pushbuttons are used to select the format for the screen display format on the
LCD.
Display Status — When the Display Status pushbutton is pressed, the display is formatted as shown in the following Figure: Front Panel Display - Status. This display indicates the current instrument state and VU meters.
Display Status
Display Audiogram — When the Display Audiogram pushbutton is pressed, the display is formatted as shown in the following Figure: Front Panel Display -Audiogram. Two audiograms with the standard range of frequencies (125 Hz to 12,000 Hz), or the High Frequency ranges (8 kHz to 20 kHz), and the instrument status are displayed. Hold the Display Status key for 2.5 seconds to view the left audiogram on the left side, and right on the right side. Hold the Display Status key again to reverse back to the original setting..
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Display Audiogram
High Frequency — When the High Frequency pushbutton is pressed with the High Frequency option installed, the system allows tone testing in the extended range from 8 kHz to 20 kHz. The display remains in the Display Status or Display Audiogram format as previously selected. If the High Frequency option has not been installed and the pushbutton is pressed, the error message “Not Available” appears in the error message area of the display.
1761-0100 Rev. B
Display High Frequency
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Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Print Audiogram If the printer option is available and the Print Audiogram pushbutton is pressed, the
current saved test information in audiogram format is sent to the printer. If there is no data stored in the GSI 61 memory and the Print Audiogram pushbutton is pressed, the message “No Test Data Stored” appears in the error message area. If the printer option is not active and the pushbutton is pressed, the message “Not Available” appears.
Remote
When the Remote (RS232 or USB) option is installed, pressing the Remote pushbutton allows the GSI 61, when connected to an external computer, to transmit and receive data from this device. If the option is not installed and the pushbutton is pressed, the message “Not Available” appears.
Data Transfer
When Remote is enabled and the Data Transfer button is pressed, a data record containing the stored test data in a previously selected format is transmitted to a remote device. Data may be transferred point-by-point or as a complete battery of all saved test results. The data transfer format is set by an authorized GSI Service Engineer. If the pushbutton is pressed when the Remote option is not active, the message “Not Available” is displayed.
Data Erase When the Data Erase pushbutton is pressed for at least 0.5 second, all of the stored
test data in the GSI 61 is erased and the message “Erasing Data” is displayed on the LCD. If no data is stored in the GSI 61 memory, the message “No Test Data Stored” is displayed.
Contrast
This rotary control is used to set the brightness of the LCD.
Mic, Ext A and Ext B Level Controls
These rotary controls are used to adjust the signal intensity from the test microphone or the external devices, so that the level reflects accurately on the VU meters on the Status display. These inputs are adjusted by turning the appropriate control until an indication of 0 dB on the average is obtained on the selected channel VU meter.
Note: it has been suggested that for live voice speech testing, the operator should calibrate the GSI 61 to a 1000 Hz pure tone introduced into the microphone. When using an external source, calibrate to the 1000 Hz pretest tone.
Talk Forward Level Control
This rotary control allows the operator to adjust the intensity in a continuous range of 45 to 90 dB HL when givin g the subject instructions through use of the Talk Forward function. The level select ed by this control is calibrated to the transducer currently being used with the subject.
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Monitor Controls The Monitor Headphone or Speaker allows the operator to listen to the stimuli as
they are presented or to listen to the patient’s comments through the talk-back system. The Channel 1 and Channel 2 rotary controls adjust the intensity of the sound presented through the monitor headphone or speaker. The Talkback rotary control adjusts the intensity of the patient’s voice. The Monitor Spkr pushbutton is used to turn on the Monitor Speaker. When Mic is selected, or when the Talk Forward is operated, that channel’s input to the monitor speaker is disabled to reduce acoustic feedback.
Power This Power Monitor green light emitting diode (LED), located in the upper left portion
of the keypanel, is illuminated when power is supplied to the GSI 61.
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Grason-Stadler GSI® 61 CLINICAL AUDIOMETER
Displays
A Liquid Crystal Display (LCD) is hinged to the GSI 61 and is used to display all of the testing information from the instrument. When the LCD is in the lowered position, easy access to the rear connector panel is provided.
The data from the GSI 61 is provided in two formats, Instrument Status and Audiogram. The following figure shows the Instrument Status screen.
e
f
a
{
d
{
h
a.
b. c.
d. e.
f. g.
h.
c
b
{
g
}
h
The output, in dB HL, for Channel 1 and Channel 2. A graphical representation of the VU meters for each channel. The tone ON icon which is displayed when the presentation is made. The stimulus, transducer and routing currently selected for each channel. If the Interrupt is on, this is also displayed in this area. Frequency, in Hz, selected for Channel 1 or Channel 2. The indicator bar for the subject response displays when the handswitch is depressed. When a speech type condition is selected, this area is blank. Timer/Scorer. General system state, including tone presentation format, dB step size, special tests, monitor speaker, High Frequency (optional), Remote (optional) with data transfer, and print (optional). Error messages/status messages. Refer to Chapter 7 for a description of the error and status
}
a
h
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