Phonak Lyric2 Instruction Booklet

Instruction Booklet for Hearing Care Professionals
2
Welcome
Thank you for choosing Lyric2, the world‘s first extended wear hearing aid which provides the following unique advantages:
This booklet provides you with instructions on all aspects of Lyric2 fittings, from setting up your workspace to counseling your patients and troubleshooting fitting issues.
The booklet is also available as download at www.lyricresourcecentre.com
Contents
3
Important safety information Overview of fitting process Device and SoundLync description Fitting range Lyric2 devices and accessories Anatomy diagram Patient journey Lyric2 work environment set-up instructions Getting started with the microscope Lyric2 candidacy checklist Request for Medical Clearance for Extended Wear Hearing Aid(s) Otoscopy instruction Lyric2 insertion tool instruction Lyric2 sizing instruction Lyric2 lubrication instruction Lyric2 programming procedure SoundLync instruction Counseling instruction Equipment cleaning and maintenance instruction
Troubleshooting flowcharts: Converting a Lyric patient to Lyric2 Occlusion Pain assessment Feedback Migration Dead device
Information and description of symbols
4 5 6 6 7 8 9
10
11 12 13
14 15 17 18 19 20 21 22
23 24 25 26 27 28
29
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Important safety information
As outlined in Lyric user guide
Please read and maintain the following important safety information when you start working with Lyric2.
Please refer to the Lyric/Lyric2 User Guide for important safety information, compliance information and information about FDA regulations.
If any abnormalities are detected during otoscopy the customer must be referred to an ENT doctor. As for any other hearing aid, it is recommended to have the ear canal assessed by an ENT doctor prior to the initial sizing and fitting of Lyric2.
Changes or modifications to the hearing aid that were not explicitly approved by Phonak are not permitted. Such changes may damage the ear or the hearing aid. Phonak is not responsible for situations resulting from the insertion of a modified device.
The SoundLync contains a magnet. If a medical device like a pacemaker is used, read the specific user guide to clarify possible impact of magnetic fields to the medical device. The SoundLync must not be placed in the breast pocket. Keep a distance of at least 15cm (6 inches) between the SoundLync and the medical device.
The hearing aid is a potential choking or swallowing hazard so it should be kept out of reach of children, mentally challenged people and pets. If hearing aids are swallowed, consult a medical practitioner immediately!
The hearing aids must not be used in explosive areas (mines or industrial areas with danger of explosions).
If Lyric2 stops working for any reason, it must be removed within 24 hours and the patient should see a hearing care professional to check the ear canal.
Do not put cotton swabs or anything else in the ear canal. They could damage the hearing aid and/or injure the ear.
Scuba diving or diving underwater as well as skydiving may cause injury to the ear or damage to the hearing aid. These activities are prohibited while wearing Lyric2.
Medical imaging procedures, such as MRI scans, may cause injury to the ear or damage the hearing aid. Lyric2 must be removed prior to having an MRI scan because it contains metallic parts.
Complete submersion of the ears while wearing Lyric2 is not recommended unless a custom made ear plug is worn as this may cause damage to the hearing aid.
Lyric2 is designed for single-use. Once removed, it cannot be reinserted.
Using the SoundLync: the SoundLync should not rest against the skin of those with allergies to nickel.
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Overview of fitting process
Speculum
Length Sizer 2
Lyric2 Sizer Insertion Tool Lubricant
Programming Wand SoundLync Stethoclip*
Insertion Tool Lubricant
Otoscopy
(both ears)
Determine maximum insertion depth
Determine device size
Programming and preparation
Lyric insertion
Counseling
 Otoscopy instruction
(p.14)
 Sizing instruction
(p.17)
 Insertion tool instruction
(p.15)
 Sizing instruction
(p.17)
 Lubrication instruction
(p.18)
 Turn patient around and repeat sizing
process of the other ear
 Programming instruction
(p.19)
 SoundLync instruction
(p.20)
 Lubrication instruction
(p.18)
 Insertion tool instruction
(p.15)
 Counseling instruction
(p.21)
 Refer to user guide if necessary
Fitting process
Tools
Support documents
* Not included in Fitting Kit
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Device and SoundLync description
Lyric2
Lyric2
Fitting range
SoundLync
910 8 7
6
321 4 5
3 4
1 2
Removal loops Microphone protection “This side up” indication Lateral seal Medial seal Receiver Signal processor Battery Microphone Insertion Handle
Avoid steeply sloping hearing losses with more than 30 dB / octave
1 2 3 4 5 6 7 8 9
10
1 2 3 4
Keychain housing Magnet Removal tool Cap
dB
0
10
20
30
40
50
60
70
80
90
100
110
HL
125 250 500 1000 2000 4000
8000
Hz
77
Lyric2 devices and accessories
Lyric2 XS
Lyric2 S
Lyric2 M
Lyric2 L
Lyric2 XL
Lyric2 devices
Lyric2 sizer XS
Lyric2 sizer S
Lyric2 sizer M
Lyric2 sizer L
Lyric2 sizer XL
Insertion tool
Length sizer2
Ear speculum set
Lubricant (Glycerin)
SoundLync
Lyric2 Fitting Kit
078-0025
078-0024
078-0023
078-0022
078-0026
054-0696
054-0697
054-0698
054-0699
054-0700
054-0703
054-0695
026-1270
054-0309
098-0369
054-0607
IC
IC
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Anatomy diagram
Helix Fossa triangularis Crura anthelicis Anthelix Cavum conchae Antitragus
Lobulus auriculae Cartilaginous ear canal Posterior meatus Bony cartilaginous juncture Bony ear canal Eardrum
Malleus Incus Stapes Eustachian tube
Vestibular organ Helicotrema Cochlear organ Cochlear nerve
1 2 3 4 5 6
7 8
9 10 11 12
13 14 15 16
17 18 19 20
Outer Ear Middle Ear Inner Ear
19
18
20
1
11
4
5
9
3
3
6
7
8
8
12
11
16
15
17
10
10
14
13
8
2
8
9
Patient journey
Satisfied
Lyric2
patient
other hearing aid
other hearing aid
other hearing aid
other hearing aid
other hearing aid
other hearing aid
other hearing aid
Wax removal?
Further medical clarification required?
ENT Referral
Short introduction to Lyric2
(benefits, fitting procedure, high-end device)
Audiometry Obtaining patient history
Trial phase
Anatomy check Health check Lifestyle check
Lyric2 model
(subscription, trial phase)
Lyric2 fitting
ok
Sign
subscription
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