The Welch Allyn AM 232 Manual Audiometer is a single-channel, pure
tone, air conduction, portable instrument designed to provide basic
audiometric capability for physicians’ offices, schools and industry. The
lightweight design allows easy transport to a variety of testing locations
and the built-in storage cavity and case provide enough room to contain
all instrument accessories. The clearly labeled front panel controls and
full frequency range make accurate, reliable testing a simple matter for
any user.
The Welch Allyn AM 232 Manual Audiometer is a precisely designed
and calibrated instrument. With proper care it will deliver accurate
sound-pressure levels for years to come. The Welch Allyn AM 232
Manual Audiometer should be recalibrated yearly (or sooner if a problem develops). See Section 4.
1.2 UNPACKING AND INSPECTION
Although your Welch Allyn AM 232 Manual 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 your distributor if any damage is
noted.
Carefully remove your Welch Allyn AM 232 Manual Audiometer 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 materials so that the claim adjuster
can inspect it as well. As soon as the carrier has completed the inspection, notify your Welch Allyn 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
necessary adjustments.
Check that all accessories itemized in Table 1-1 are received in good
condition. If any accessories are missing, contact your Welch Allyn representative immediately. See Specifications Section of this manual for
the catalog numbers of accessories and also for a listing of optional
accessories.
TABLE 1-1: Accessories Supplied
Test Headset Assembly (TDH39)
Audiogram Pad (1 Pad of 50)
Battery Pack Assembly (used with model #23210 and #23215 only)
AC Power Cord
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1.3 CONNECTORS, CONTROLS AND INDICATORS
FIGURE 1-1: Front and Rear Panel
F2
Front Panel
F1
F3
F10
LO BAT
F4
F3
90
F5
F8
F9
F6
F7
Rear Panel
2
R3R2
12 VDC
200 MM
R1
1.3.1The Front Panel Controls and Indicators (Figure 1-1)
F1 Power switch and indicator for ON and OFF
F2 Range extension push-button allows operator to increase the
stimulus intensity 10 dB above the standard maximum HL at
any frequency. When in use, a “+” appears on the LCD.
F3 HL control for setting stimulus intensity level. Level is indicated
on LCD.
F4 Present bar for stimulus presentation.
F5 Stimulus being presented via earphone. Presentation indicated
by illuminated green LED.
F6 Subject response indicator shows the operator when the test
subject has pressed the handswitch button by an illuminated
green LED (with optional handswitch only).
F7 Control for setting stimulus frequency. Frequency is indicated
in window adjacent to control.
F8 Routing switch for stimulus presentation to the earphone. Left
or right indicated by illustration of subject.
F9 Switch for setting the stimulus tone type.
FM = warble tone
= steady tone
= pulsed tone
F10 Low battery indicator to alert the operator of a limited oper-
ating time. Recharge or replace batteries (dependent on
whether NiCad or Alkaline batteries are used).
1.3.2 Rear Panel Connectors and Indicators (Figure 1-1)
R1 Power input jack (5-pin DIN Connector) with front panel illus-
tration showing its location and a rear panel label giving the
input power specifications.
R2 Earphone output jacks (standard phone jacks). Front panel
illustration shows left and right phone.
R3 Response handswitch input jack (standard phone jack) with
front panel illustration showing location.
1.3.3Symbols
Attention, consult accompanying document for instructions or
warnings pertaining to these parts.
Entry by qualified service personnel only.
This symbol is located inside the storage compartment.
It denotes a Type B, Class II product per IEC 878 as referenced in IEC 601 Standard.
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1.4 INSTALLATION
Warning
The AM 232 Manual Audiometer is designed to be used with a hospital grade
outlet. Injury to personnel or damage to equipment can result when a threeprong or two-prong adapter is connected between the AM 232 Manual Audiometer power plug and an AC outlet or extension cord. Additionally, the AM 232
Manual Audiometer is equipped with a specific power transformer which
should not be interchanged with any other transformer or supply.
The above symbol indicates the location of a service adjustment part and is
intended for service personnel use only. The AM 232 Manual Audiometer is
a specifically calibrated audiometer and the periodic service and adjustments
which the instrument may require should be done only by an authorized Welch
Allyn service technician.
Plug the power module into the appropriate jack (R1) on the back panel
of the instrument, then plug the other end into a line power (mains) outlet.
Plug the earphones into the earphone jacks (R3) on the rear panel. Note
the symbol along the top of the front panel which indicates which is
right and which is left. The right earphone is red, the left earphone
is blue. Turn the power switch to ON.
NOTE
For battery operation, please refer to Section 2.
1.5 PRE-TEST PROCEDURE
NOTE
The AM 232 Manual Audiometer is a versatile audiometer designed for use in
doctors’ offices, schools, industrial settings, the military, etc. This manual,
therefore employs the generic term “subject” to identify the person whose
hearing is being evaluated.
Although the AM 232 Manual Audiometer is simple enough to be operated by practically anyone, any program aimed at obtaining reliable records of hearing thresholds should be staffed and supervised by appropriately-trained individuals. Training courses leading to certification are
available for audiometric technicians in most urban areas.
Two prerequisites are of particular importance to the procurement of
reliable audiograms:
• Prior to testing, allow adequate time for the subject to recover
from the effects of previous exposure to high-level sound.
• Tests should be done in a quiet area.
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1.5.1 Pre-Test Noise Recover Period
Exposure to high levels of sound (unmuffled lawn mowers, many power
tools,
loud music, gunfire) tends to create a temporary threshold shift
(TTS) which diminishes with time after exposure. Any subject tested
soon after such exposure may manifest a hearing loss that does not reflect his or her normal hearing threshold. It is, therefore, important that
the testing procedure prescribe some time interval — usually at least 16
hours — between the last exposure to high-level sound and the administration of any hearing test.
1.5.2 Elimination of Ambient Noise
Excessive noise in the test environment such as that produced by conversation, typewriters, or other machines also reduces test validity because it tends to mask the test signals, particularly at the lower frequencies where earphone cushions provide less effective attenuation.
An acoustically-tested room may be required if ambient noise at the
subject’s ears reaches an objectionable level—i.e., sufficient to cause
apparent hearing loss at the low frequencies. Also, Audiocups are available from Welch Allyn as an optional accessory. If the test subject is in
the same room as the audiometer, it is recommended that the subject
be seated about one meter (3 ft) away from the instrument.
Maximum permissible test environment sound-pressure levels are specified by American National Standard Criteria for Permissible Background Noise during Audiometric Testing, S3.1-1991. Table 1-2 shows
the maximum background levels that can be present inside the room
while a valid hearing test is being conducted. For more comprehensive
information about hearing testing and hearing conservation, refer to the
Bibliography.