ReSound Verso Fittings Manual

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ReSound Verso Fitting Guide
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A window will appear showing the status of the connection, and will alert you to any differences in audiometric or fitting data stored in Noah and in the hearing instrument(s). Once the connection process is finished, click “Continue” to proceed, or “Unite Accessories” to pair ReSound Unite™ accessories to the hearing instrument(s).
If you are changing receivers on a ReSound Verso instrument (e.g., NP to HP), it’s important to physically change to the correct receiver and reconfigure the instrument to ensure the proper gain settings.
If the current configuration of your instruments does not match the configuration of the recommended configuration, Aventa 3 will prompt you to reconfigure. Follow the instructions to reconfigure instruments for the appropriate power level and/or from an open or closed configuration.
During the fitting, reconfiguring instruments can be accomplished by accessing the Fitting Menu. Click “Reconfigure”.
Getting Started
Prior to connecting to Aventa 3:
1. Attach the appropriate receiver for the patient’s hearing loss to the hearing instrument(s), if applicable.
2. ReSound Verso requires a battery when fitting. Make sure the battery is fresh and that it is inserted correctly. When programming with new batteries, remove the seal from the back and wait up to 2 minutes for the zinc-air batteries to fully activate.
3. a) For wireless fittings, insert Airlink™ in a USB slot or USB cradle connected to the fitting PC and wait for the message that new hardware has been found. Then launch Aventa 3. b) For wired fittings make sure that the programming interface (Speedlink, Hi-PRO or NOAHlink) is connected to the PC.
4. Launch Aventa 3. For new fittings, Aventa 3 begins in the Start screen, where the client’s experience with amplification can be selected, and connection to hearing instrument(s) can be established.
Connecting to the hearing instrument(s)
Select the appropriate user experience level in the Patient information box. This will ensure the best starting gain settings for the patient.
Click “Connect”. A window opens to allow you to choose the appropriate programming interface. For wireless fittings, select Airlink™.
For wireless fittings, open and close the battery door of the hearing instrument(s). Once this is done, they will be in discovery mode for 120 seconds. Click “Connect” in the Connect dialog to start the wireless connection. The Airlink™ will search for the hearing instrument(s).
When the hearing instrument(s) have been identified, they can be assigned to the right or left ear. Click the “Beep” button to have the hearing instrument play a beep and facilitate assigning the right and left instruments correctly. When the instrument(s) have been assigned, click “Continue” to proceed to the Fit screen or “Back”.
For wired fittings, connect the hearing instrument(s) to the Speedlink, Hi-PRO or NOAHlink with the CS63 flex strip. Click “Connect” in the Connect dialog.
This fitting guide gives an overview of how to fit ReSound VersoTM wireless and non-wireless hearing instruments with ReSound Aventa
®
3.5. A ReSound Verso 9 (VO961-DRW) fitting is
assumed h ere. Note that not all features mentioned here are available in ReSound Verso 7 and 5.
The ReSound Aventa 3 fitting software supports all ReSound instruments built on the ReSound Range™ chips.
Choose patient experience level
Select Programming interface and
click ‘Connect’.
Play a beep to
determine right from
left hearing instrument
Assign hearing
instrument to right or
left ear
Click “Connect”
Device-to-device communication
ReSound Verso wireless BTE’s and wireless RIE’s all support device-to-device communication. The master switch to disable/enable this functionality can be found in the main menu under ‘Instrument’. When device-to­device communication is enabled, Program synchronization and Environmental Optimizer II will be ‘On’.
Throughout the fitting process, additional available device-to­device communication features can be enabled or disabled. These available features are Binaural Directionality, Volume Synchronization, Synchronized SoftSwitching, Comfort Phone (PhoneNow).
The device-to-device communication window keeps a continual record of the enabled device-to-device features. To get an overview of which features are enabled simply go to the device-to­device communication window in the main menu, which can be accessed from every Aventa 3 screen.
Reconfiguration recommended
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Program Handling Toolbar
Program management
The Program tabs are located between the graph and the gain handles. This is where programs can be changed, compared, recalculated, autorelated, copied, added or removed. To the right of the 4 standard programs are the PhoneNow program tab and the wireless accessory program tabs (if applicable).
Binaural Directionality™
With Binaural Directionality, the hearing instruments work together to dynamically select the best directional response for any listening environment. This provides the user with the best speech understanding in noise plus a more natural sense of surroundings ­even in the most difficult listening situations. It is available as a program option in dual-microphone ReSound Verso 9 BTEs as well as RIEs with wireless capabilities. Using ReSound’s 2.4 GHz wireless technology, the microphone modes between both hearing instruments are coordinated for an optimal binaural response. The result may be a bilateral omnidirectional, bilateral directional or a bilateral omnidirectional and directional response, depending on the analysis of speech and noise detectors from both hearing instruments.
Natural Directionality™ II
Natural Directionality™ II can be selected as a program in dual­microphone ReSound Verso models, or when device-to-device communication is disabled in wireless Verso 9 BTE and RIE. When this is done, choices for the Focus (fixed directional) and Monitor (omnidirectional) ears will appear in the Advanced Features screen. The Focus and Monitor ears are prescribed based on the audiogram and any speech audiometry data that may be available, but this selection can be reversed by the clinician.
Fitting
DFS calibration
Once the hearing instrument(s) are connected, an auto-prompt for DFS calibration will appear. It is strongly recommended to always run the calibration at the start of a new fitting, or if venting (including dome changes), receiver, or earmold changes are made. This is because any such changes affect the feedback path and thus the performance of DFS Ultra™ II. Counsel patients that a brief buzzing sound will be presented to each ear, and that they should sit quietly. Click “Yes” to begin the calibration.
Maximum stable gain and Safe Fitting
Once DFS Ultra™ II is calibrated, the Fit screen automatically opens with two shaded grey areas visible on the graph (in most cases). The darker grey shaded area indicates unavailable gain while the light grey indicates added maximum stable gain provided by DFS Ultra™ II. If Safe Fitting is enabled, gain settings will be locked at the dark grey border. Safe Fitting can be turned off and on in the Fitting menu or set as a user preference. Note that if you have not calibrated DFS Ultra™ II, there will only be one shaded area which indicates the full-on gain of the particular hearing instrument(s).
Maximum stable gain
Safe Fitting enabled Safe Fitting disabled
Unavailable gain
Manual gain controls
Binaural Directionality enables the hearing instruments to dynamically adjust microphone settings and choose the optimal directional pattern to suit any environment. This provides users with the information they need to choose what to focus on.
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Advanced Features
Feature settings including Expansion, DFS Ultra™ II, Auto DFS, NoiseTracker™ II, WindGuardTM, and directional options are accessed by clicking “Advanced Features” in the “Tools” menu. These settings apply to the currently selected program, and are summarized in the “Features Summary” below the “Wireless” and “Tools” menus. (A scroll bar may appear in some cases due to screen resolution settings). Note that not all features are available, and some options are not available in ReSound Verso 7 and 5.
Directionality
Directional options in standard programs except Binaural Directionality™ and Natural Directionality™ II include Omni, AutoScope Adaptive Directionality™, SoftSwitching and Fixed Directionality. When AutoScope Adaptive Directionality™ is selected, the beam width can be modified in the AutoScope menu. AutoScope menu options include “Narrow”, “Medium”, “Wide” and “AutoScope”, an option that enables the beam width to automatically widen or narrow depending on the acoustic surroundings. The SoftSwitching option seamlessly enables and disables AutoScope Adaptive Directionality™ depending on the listening environment. The response can be either omnidirectional or directional, based on the signal-to-noise ratio of the listening situation. A fixed hypercardioid directional response can also be selected instead of the adaptive directional options. For ReSound Verso 7 dual-microphone products, MultiScope Adaptive Directionality™ and SoftSwitching options offer beam width selections of “Narrow”, “Medium” or “Wide”.
Select mixing point with visual link
Selecting “Advanced Features”
allows for changing feature
settings
Tools
Gain Adjustment
When fitting Verso hearing instruments, Aventa 3 offers a third input level curve for 65 dB SPL. This allows for greater flexibility for fine-tuning gains, as well as excellent precision for matching targets of generic prescriptive formulas. By default, Aventa calculates the gain settings for the particular audiogram using the Audiogram+ fitting rationale. To fine-tune a program, adjust the gain manually by using the gain handles or by using the Aventa Guide, where solutions to patient complaints can be automatically applied.
Once fine-tuning is complete, the relative gain changes can be applied to any other program in your fitting. This can be done by clicking the “AutoRelate” button in the tool bar beneath the program tabs. Gain adjustments can be autorelated to all or to selected programs. Select which programs to autorelate to by checking the boxes.
Programs can be directly copied and pasted into a different program in Aventa 3. Enter the program you want to copy and click “Copy” in the program toolbar. Then enter the Program toolbar you want to copy to and click “Paste”. Available programs to paste to are briefly highlighted. This copying and pasting of programs can be applied for one or both ears for each program except Binaural Directionality or Natural Directionality™ II, which require both ears to have the same program simultaneously.
Auto-Relate to one or multiple programs
Copy and paste entire program
Directional Mix
All directional programs and options in the ReSound Verso product line use the Directional Mix Processor, which applies a directional response for high frequencies and an omnidirectional response for low frequencies. The Directional Mix setting defines the frequency at which the omnidirectional processing converts to directional processing. This also determines the degree of directionality in the output of the hearing instrument(s). A higher Directional Mix setting indicates more of the signal is being processed with directionality. The default Directional Mix setting is prescribed depending on the hearing instrument model selected and the degree of low-frequency hearing loss.
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Physical Properties
Physical Properties can also be found in “Tools” on the Fit screen. Dome and tube selection, as well as vent configuration changes can be made. Apart from record-keeping for the fitting, selections in this screen affect the display of gains in the Fit screen. For example, when venting is changed, the amount of roll-off in the low frequencies will be adjusted to show how this physical change affects the expected real ear response.
Select vent and tube size
Both overall gain and NoiseTracker II levels are dependent on the
acoustic environment.
Auto DFS options are grayed out
when DFS data is used
Adjust any available feature setting
Choose the desired DFS Ultra setting.
Environmental Optimizer™ II
Another tool in the Fit screen is the Environmental Optimizer™ II. General gain and noise reduction adjustments in a given program may not be optimal for all types of listening environments encountered while the listener is in that program. The Environmental Optimizer™ II allows specific gain and NoiseTracker™ II adjustments for a possible combination of seven different environments, ensuring the user receives optimal gain and noise reduction settings as the acoustic environment changes. If device­to-device communication is enabled, the hearing instruments will utilize the ReSound’s 2.4 GHz wireless communication to optimize and synchronize the Environmental Optimizer™ II gain and noise reduction settings for a binaural fitting.
Every listening situation is accurately classified with respect to seven different environmental catagories
- the most detailed classification offered by any manufacturer. The instruments then automatically adjust gain optimal audibility. And our industry-leading Noise Tracker™ II sets the most appropriate level of noise reduction for optimal listening comfort in every environment.
VOLUME NOISE
REDUCTION
DFS Ultra™ II
DFS Ultra II combines feedback cancellation and WhistleControl™. Possible settings are “Off”, “Mild”, “Moderate”, “Strong” and “Music Mode”. Choosing “Off” disables DFS Ultra™ II entirely. The “Mild”, “Moderate”, and “Strong” settings are most appropriate for speech and everyday inputs, and refer to the levels of WhistleControl™ that will be active together with the feedback cancellation. WhistleControl™ restores gain to the desired response in feedback­critical situations like phone use. The new “Music Mode” setting controls feedback while maintaining a truer representation of music. The default setting for DFS Ultra™ II is “Mild” in every program except the Music program, in which the default setting is “Music Mode”. If gain increases are made during fine-tuning, or if intermittent feedback is reported by the patient, the setting should be changed to “Moderate” or “Strong”.
Auto DFS is a new feature option that allows for a standard setting of DFS to be applied, in certain cases where it is not possible to calibrate DFS while the patient is wearing the hearing instrument (e.g., if the hearing instruments are being pre-programmed or the patient is not present ). Auto DFS is automatically turned ‘On’ when the “No” response is chosen for the auto-prompt to calibrate DFS. Auto DFS can also be turned ‘Off’ in the “Advanced Features” section. If DFS has already been calibrated, the Auto DFS options (‘On’ and ‘Off’) are automatically grayed out.
Expansion
Expansion options include “Off”, “Mild”, “Moderate” and “Strong”. These settings are available in all microphone-enabled programs.
NoiseTracker™ II
In ReSound Verso, NoiseTracker™ II is set to be environmentally dependent for all listening programs except Music. This means that the degree of noise reduction applied at any moment depends on the listening environment. NoiseTracker™ II settings include the traditional “Mild”, “Moderate”, “Considerable” and “Strong” settings per program, or the “Per Environment” settings (see “Binaural Environmental Optimizer™ II” in this guide for further information).
WindGuard
TM
WindGuardTM is available in dual-microphone Verso models, and uses signal processing to reduce wind noise. Available settings include “Off”, “Mild”, “Moderate” and “Strong”.
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Beeps and Volume Control
Once fine-tuning is complete, click on “Beeps and Volume Control” in the Tools section on the Fit screen. A screen will appear where all the acoustic indicators can be demonstrated, changed, added and removed. Low or high frequency beeps can also be selected.
ReSound Unite™ Accessory Management
The functionality for managing accessories can be accessed both from the Start screen and from the Fit screen. In a new fitting, click the “Manage Accessories” button after the instrument(s) have been assigned. To manage accessories from the Fit screen, click the “Unite Accessories” button in the Wireless section on the left side. The same page will come up regardless of the way it is accessed.
To pair an accessory with the hearing instrument(s) click “Add” and follow the instructions on the screen that will put the accessory in pairing mode. Once the accessory is successfully paired, it is displayed with a graphic of the device and the “Add” button changes to “Remove”.
Once all the required accessories are paired with the hearing instrument(s), click “Done” and continue with the fitting.
Adjust beep levels and demo beeps
Select which beeps will be activated Adjust the Volume Control range
Select “Done” to return to the
hearing instrument fitting
Selecting the “Print” button allows for customization
of the clinician or patient report
Saving to database and instrument(s) in progress
Saving the Fitting
Once the fitting is complete, click “Save” at the bottom right of the Fit screen. A Saving dialog will appear, indicating the progress of the saving to database and/or instrument(s). When completed, it is safe to remove the instrument(s). Click “Exit Aventa” to end the session, or “Continue Fitting” to continue the session. When removing the instrument(s) after ended fitting, be sure to reboot the instrument(s) to activate all the just fitted features and functionality.
Another option is to go to the summary screen. If any changes are made the confirmation will disappear and it will be necessary to re-save the data before disconnecting.
Summary
The summary page allows the clinician to print information for the patient, a third party, or clinic notes for a chart. Notes can be entered, saved and printed as needed.
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M200909-GB-13.03-Rev.A
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ReSound® helps people rediscover hearing. We develop hearing
solutions that emulate the natural ear to let people forget their hearing
loss and that they wear hearing instruments – enabling them to live
rich, active and fulfilling lives.
Now, ReSound breaks new ground again with ReSound Verso™.
A versatile hearing solution that empowers users to tune in to what they
want to hear, so hearing becomes like second nature.
ReSoun d and rediscover he aring are registe red trademarks o f the GN ReSound Gro up. © 2012 the GN Re Sound Group, all ri ghts reserved.
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