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In-The-Ear, In-The-Canal, Completely-In-Canal
Custom Hearing Aids
OPERATIONS MANUAL
Table of Contents
Overview
Features, Controls and Identification ............. 1
Preparation
Batteries ................................... 4
Battery Indicators ............................ 6
Insertion and Removal ........................ 7
Operation
On & Off .................................. 9
Volume Control ............................. 10
Multimemory Settings ........................ 11
Directional Settings .......................... 13
Telephone Use .............................. 14
T
2
(touch-tone) Function ...................... 18
Self Check ................................. 20
Reminder .................................. 21
Summary of Settings ......................... 22
Hearing System Care
Instrument Care ............................. 24
Service and Repair ........................... 25
Troubleshooting Guide ....................... 25
Tips for Better Communication
For You .................................... 26
For Your Family and Friends ................... 27
FDA Information
Required Information ......................... 28
My hearing instrument is a/an:
ITE (In-The-Ear) see page 1
ITC (In-The-Canal) see page 2
CIC (Completely-In-Canal) see page 3
1
ITE Overview
Features, Controls and Identification
Your hearing system controls include:
1. Microphone opening(s)
2. Battery compartment (on/off control)
3. Vent (optional)
4. Sound outlet (receiver) and wax
protection system
Your hearing system can be identified by:
5. Location of serial number:
RED Right
BLUE Left
1
2
3
Multimemory
Button (Optional)
Volume Control
(Optional)
ITE Battery Size: 13
4
0
0
-
0
0
0
0
0
0
0
0
5
2
ITC Overview
Features, Controls and Identification
Your hearing system controls include:
1. Microphone opening(s)
2. Battery compartment (on/off control)
3. Vent (optional)
4. Sound outlet (receiver) and wax
protection system
Your hearing system can be identified by:
5. Location of serial number: REd Right
BLUE Left
1
2
3
4
0
0
-
0
0
0
0
0
0
0
0
5
Multimemory
Button (Optional)
Volume Control
(Optional)
ITC Battery Size: 312
3
Features, Controls and Identification
Your hearing system controls include:
1. Multimemory button (optional)
2. Microphone opening
3. Sound outlet (receiver) and wax
protection system
4. Battery compartment (on/off control)
5. Removal handle
6. Vent (optional)
Your hearing system can be identified by the color
of the instrument case (red is for the right ear and
blue is for the left ear) and the serial number:
7. Location of serial number
CIC Overview
3
2
4
6
5
1
00-00000000
7
CIC Battery Size: 10
4
Preparation
Batteries
Your hearing system uses a battery as its power
source. This battery size can be identified by the
orange (13), brown (312), or yellow (10) color code
on the packaging.
To insert or replace
the battery:
1. Use the nail grip on the battery door.
2. Open the battery door gently and remove
the old battery.
3. Remove the tab from the new battery.
4. Line up the battery’s “+” sign (flat side of the
battery) with the “+” on the battery door.
5. Close the battery door.
My hearing instrument uses a:
13 battery (ITE) – Orange
312 battery (ITC) – Brown
10 battery (CIC) – Yellow
5
Preparation
1 2
3 4
5
6
Preparation
Battery Indicator Tones
An indicator will sound when the battery voltage
is low. You have approximately 20 minutes* to
replace the battery. A different indicator will
sound just before the battery stops working.
* Actual time between low battery indicator and shut
down will vary depending on environmental noise
levels and brand of battery used.
Helpful Hints
• NEVERFORCETHEDOORSHUT;thiscould
resultinseriousdamage;ifthedoorwillnot
close securely, check that the battery is
inserted correctly
• Donotopenthebatterydoortoofarordamage
is likely to occur
• Becauseoftheirsize,it’sagoodideato
change and replace batteries above a table
or desk to reduce the risk of dropping the
instrument or battery
• Disposeofusedbatteriesimmediatelyinthe
proper waste or recycling container
• Becausebatteriescanvaryinsizeand
performance, your hearing care professional
is your best source for lifespan estimates and
vericationthatyouareusingthepropersize
and type
7
Preparation
Insertion and Removal
To insert the hearing instrument:
1. Hold the instrument with your thumb and
forefinger on the outer edges of the case.
2. Tilt your hand slightly forward and gently
insert the canal tip of the instrument into your
ear canal and rotate the instrument backward.
Softly press the instrument into place with
your fingertip.
To remove the hearing instrument:
Grasp the instrument with your thumb and
forefinger; gently rotate it as you pull outward.
Devices with removal handle: grasp removal handle
and gently remove from ear.
1 2
8
Preparation
Helpful Hints
• Minorirritationandinammationmayoccur
as your ear becomes accustomed to having an
object in it; if so, please contact your hearing
care professional
• Ifanactualallergicreactionoccurs,alternative
materials are available; contact your hearing
care professional
• Severeswelling,dischargefromtheear,
excessive wax, or other unusual conditions
warrant immediate consultation with a physician
Warnings
Batteries are dangerous if swallowed. To help
prevent the accidental ingestion of batteries:
Keep out of reach of children and pets
Check your medications before taking them –
batteries have been mistaken for pills
Never put batteries in your mouth, as they can
easily be swallowed
National Button Battery Ingestion Hotline:
202-625-3333
9
Operation
Insert a battery and
completely close the
battery door.
Devices with volume control: Rotate forward
to turn device on.
To turn OFF:
Open the battery door until the battery is no
longer touching the battery contacts.
Some hearing instruments are programmed to
have a Power-On delay. Your hearing professional
will place a check in the box below if your hearing
instruments have this feature.
The Power-On delay means that your instruments
will take several seconds to power up once they
have been turned on. This feature allows you to
get the hearing instruments in your ear before they
start to amplify sound.
On & Off
To turn ON:
My volume control is also an on/off switch.
My hearing instrument has a Power-On delay.
10
Operation
Volume Control
To turn the instrument
“on,” use your fingertip to
rotate the volume control
forward, toward your face.
You should feel it “click”
on if the instrument was
correctly turned off.
1. To make sounds louder,
continue to rotate the
control forward, toward
your face.
2. To make sounds softer,
use your fingertip to
rotate the control toward
the back of your head.
3. Your hearing instruments
may be programmed to
beep when you reach
the correct setting.
On Or VOlume
Increase
decrease VOlume
Or Off
My hearing instrument has a volume control.
Please read the section below.
My hearing instrument volume is
set automatically. See page 11.
11
Operation
Your hearing system has been set to a specific
volume level by your hearing care professional.
If sounds are generally too loud or too soft, please
contact your hearing care professional for advice
and adjustment.
Multimemory Settings
Your hearing care professional
can set up to four hearing
programs for you. These
additional programs are
accessed by pressing the
Multimemory button inward.
My hearing instrument has Multimemory. Please
read the section below.
My hearing instrument does not have Multimemory.
See page 13.
My hearing system has:
Optimal volume control indicator
Minimum volume control indicator
Maximum volume control indicator
12
Operation
When you press the Multimemory button, you
may hear an indicator or a tone series indicating
the device has changed to the next program.
Your hearing instrument has been set up with the
following environments.
Program Tone Speech Environment
1 1 Tone “One” Normal
2 2 Tones “Two”
3 3 Tones “Three”
4 4 Tones “Four”
13
Operation
Directional Settings
Directional microphones help improve speech
understanding in noisy situations.
Your hearing system has been set up with the
following directional settings:
Program Directional Setting
1 Automatic Manual Off
2 Automatic Manual Off
3 Automatic Manual Off
4 Automatic Manual Off
My hearing system uses directional microphones.
Please read the information below.
My hearing system uses omnidirectional microphones.
See Telephone Use section on page 14.
14
Operation
When the directional microphones are activated
automatically (automatic), the hearing instrument will
continually monitor the environment and gradually
adjusttotheappropriatemodetooptimizespeech
intelligibility.
When the directional microphones are activated by
pushing the Multimemory button (manual), the hearing
instrumentoptimizesspeechwhenyouselectthe
directional memory.
Ask your hearing care professional about your particular
directional settings.
Telephone Use
Your hearing instruments are equipped with tools
to help you effectively communicate on the telephone.
Your hearing professional will check the box/boxes that
represent the telephone settings in your instruments.
My hearing instruments have the following telephone
setting(s):
Automatic Telephone Response. See page 15.
Automatic Telecoil. See Page 15.
Telecoil. See page 16. The telecoil is located
in Program _____________________________.
A beep or indicator tone is enabled on my
instruments to signal when the device
switches to the telephone setting.
15
Operation
Automatic Telephone Response and
Automatic Telecoil
These options activate the telephone response
automatically when used with a hearing aid
compatible telephone. To use, place the
telephone receiver on your ear as you normally
would and the hearing instrument will select the
telephone setting. It might be necessary to move
the telephone receiver slightly to find the best
reception. Once the telephone is removed from the
ear, the hearing instrument will switch back to the
normal listening mode.
Note: If you have a hearing aid compatible
phone, but your Automatic Telephone Response
or Automatic Telecoil does not switch to the
telephone setting automatically, your hearing
professional can provide you with a small magnet
to place on your telephone receiver. This magnet
will help activate your automatic telephone option.
16
Operation
Telecoil and Manual Switching
Hearing instruments with a manual telecoil allow
you to switch the devices to telephone mode
when needed.
Manually switched telecoils
are activated by choosing
the telecoil setting using the
Multimemory button.
General Telephone Use
Some hearing instruments
work best by holding the
phone close to, but not fully
covering your ear. In some
instances, if you encounter
whistling (feedback), tilt the
receiver at an angle until
the whistling stops. Your
hearing professional can give
instructions and techniques
for your specific needs.
17
Operation
Some hearing aid users have reported a buzzing sound
in their hearing aids when they are using cell phones,
indicating that the cell phone and hearing aid may not
be compatible. According to the ANSI C63.19 standard
(ANSI C63.19-2006 American National Standard Methods
of Measurement of Compatibility Between Wireless
Communications Devices and Hearing Aids), the
compatibility of a particular hearing aid and cell phone
can be predicted by adding the rating for the hearing
aid immunity to the rating for the cell phone emissions.
For example, the sum of a hearing aid rating of 2 (M2/
T2) and a telephone rating of 3 (M3/T3) would result in a
combined rating of 5. Any combined rating that equals at
least 5 would provide “normal use”; a combined rating of
6 or greater would indicate “excellent performance.”
The immunity of this hearing aid is at least M2/T2. The
equipment performance measurements, categories
and system classifications are based upon the best
information available but cannot guarantee that all users
will be satisfied.
NOTE: The performance of individual hearing aids may
vary with individual cell phones. Therefore, please try this
hearing aid with your cell phone or, if you are purchasing
a new phone, be sure to try it with your hearing aid prior
to purchase. For additional guidance, please ask your
cell phone provider for the booklet entitled “Hearing Aid
Compatibility with Digital Wireless Cell Phones.”
18
Operation
T
2
(touch-tone) Function
You may use a cell phone, cordless telephone, or
corded telephone to adjust your hearing system.
The telephone MUST “beep” when the keys are
pressed for this function to work. If your telephone
does not “beep” when the keys are pressed,
consult your telephone operator’s manual or
contact your telephone service provider.
•Holdthephoneapproximately
3 inches from the ear
•Press**to“wake”T²(atoneseries
indicates that it is ready for a command)
•Pressthetelephonekeythatcorresponds
to the desired function
•T²will“sleep”after20seconds
My hearing instrument has T
2
capability.
Please read the section below.
My hearing instrument does not have
T
2
capability. See page 20.
19
Operation
Use the following keypad buttons to
remotely adjust your hearing aid settings.
SYMPTOM POSSIBLE CAUSES SOLUTIONS
Hearing system
not responding
to telephone
command
Telephone keys not
emitting beep tones
Consult telephone
operator’s manual to
enable beep tones
T²notunlockedprior
to command
Press ** and listen for
uniqueT²indicator
Telephone too far
from hearing system
Bring telephone closer
to hearing system
microphone
Incorrect key command
Press ** to wake then
press 2 or 8 to increase
or decrease volume or
4 or 6 to change programs
if device has multiple
programs
Hearing system
responded but
won’t respond to
later command
T²automatically
“sleeps” 20 seconds
after last command
Press ** to wake then
press key that corresponds
to desired action
Troubleshooting Guide
Volume
Memory
Memory
Press 2 times to
wake/sleep
Mute
Volume
20
Operation
Self Check
Some hearing systems can run a diagnostic test of
their own performance. This feature is called
Self Check. Your hearing care professional will
check the box below if this feature is activated.
To perform the Self Check:
1. Open and close the battery door three times.
2. Place the hearing system in your ear.
3. Listen for the status indicator.
4. Schedule an appointment with your hearing
care professional, if needed.
My Self Check feature is activated.
My Self Check indicator is a:
Speech Indicator (“Good”/ “Make Appointment”)
Tone Indicator
21
Operation
Reminder
Some hearing systems have been programmed
with a Reminder indicating that it is time to
schedule an appointment. Your hearing care
professional will check the box below if this feature
is activated.
The Reminder will occur automatically. When you
hear the Reminder indicator, please contact your
hearing care professional.
My Reminder feature is activated.
My Reminder indicator is a:
Speech Indicator (“Make Appointment”)
Tone Indicator
22
Operation
Summary of Settings
Environment Directional Setting Indicator Tone On Indicator Tone Type
Program 1 Normal
Off
Automatic
Yes
No
Speech
1 Tone
Program 2
Off
Automatic
Manual
Yes
No
Speech
2 Tones
Tone Series
Program 3
Off
Automatic
Manual
Yes
No
Speech
3 Tones
Tone Series
Program 4
Off
Automatic
Manual
Yes
No
Speech
4 Tones
Tone Series
Low Battery
Yes
No
Speech
Tone Series
Battery End of Life
Yes
No
Speech
Sustained Tone
Standby
Yes
No
Tone Series
Push and Hold
Yes
No
Speech
Tone Series
Self Check
Yes
No
Speech
Tone Series
Reminder
Yes
No
Speech
Tone Series
Volume Control
Yes
No
Optimal VC
Minimum VC
Maximum VC
Tone Series
23
Environment Directional Setting Indicator Tone On Indicator Tone Type
Program 1 Normal
Off
Automatic
Yes
No
Speech
1 Tone
Program 2
Off
Automatic
Manual
Yes
No
Speech
2 Tones
Tone Series
Program 3
Off
Automatic
Manual
Yes
No
Speech
3 Tones
Tone Series
Program 4
Off
Automatic
Manual
Yes
No
Speech
4 Tones
Tone Series
Low Battery
Yes
No
Speech
Tone Series
Battery End of Life
Yes
No
Speech
Sustained Tone
Standby
Yes
No
Tone Series
Push and Hold
Yes
No
Speech
Tone Series
Self Check
Yes
No
Speech
Tone Series
Reminder
Yes
No
Speech
Tone Series
Volume Control
Yes
No
Optimal VC
Minimum VC
Maximum VC
Tone Series
Operation
24
Hearing System Care
Instrument Care
Do your best to keep your hearing instrument clean at all
times. Heat, moisture and foreign substances can result
in poor performance.
• Cleandailyoverasoftclothtopreventdamagefrom
a fall to a hard surface
• Useacleaningbrushtocleandebrisfromaroundthe
microphone, receiver and the battery compartment
• Neverusewater,solvents,cleaninguidsoroilto
clean your instrument
Your hearing care professional can provide further
information on additional maintenance procedures for
your hearing system if needed.
Helpful Hints
• Whennotwearingyourhearinginstruments,openthe
battery door to allow any moisture
to evaporate
• Whennotinuse,removethebatteriescompletely;
place your hearing system in the storage container
and store:
– In a dry, safe place
Away from direct sunlight or heat to avoid extreme
temperatures
– Where you can easily find them
– Safely out of reach of pets and children
• Donottakeapartyourhearinginstrumentsorinsert
the cleaning tools inside them
25
Hearing System Care
Service and Repair
If, for any reason, your hearing system does not operate
properly, do NOT attempt to fix it yourself. Not only are
you likely to violate any applicable warranties or insurance,
you could easily cause further damage. Should your
hearing system fail or perform poorly, check the guide
below for possible solutions. If problems continue, contact
your hearing care professional for advice and assistance.
Troubleshooting Guide
SYMPTOM POSSIBLE CAUSES SOLUTIONS
Not Loud Enough
Low battery Replace battery
Wax or debris in
the microphone or
receiver
Clean both microphone
and receiver with brush
Change wax prevention
system
Hearing change Contact your hearing
care professional
Inconsistent
Performance
Low battery Replace battery
Unclear, Distorted
Performance
Low battery Replace battery
Defective hearing
instrument
Contact your hearing
care professional
Dead
Low battery Replace battery
Wax or debris in
the microphone or
receiver
Clean both microphone
and receiver with
brush. Change wax
prevention system.
26
Tips for Better Communication
Your hearing care professional will recommend an
appropriate schedule to help you adapt to your
new hearing system. It will take practice, time and
patience for your brain to adapt to the new sounds
that your hearing system provides. Hearing is only
part of how we share thoughts, ideas and feelings.
Reading lips, facial expressions and gestures
can help the learning process and add to what
amplification alone may miss.
Please review the following simple
communication tips:
For You
•Moveclosertoandlookatthespeaker
• Sitface-to-faceinaquietroom
• Trydifferentlocationstondthebestplace
to listen
• Minimizedistractions
• Backgroundnoisesmaybefrustratingatrst;
remember, you have not heard them for a while
27
Tips for Better Communication
• Letothersknowwhatyouneed;keepinmind
that people cannot “see” your hearing loss
• Developrealisticexpectationsofwhatyour
hearing instruments can and cannot do
• Betterhearingwithhearinginstruments
is a learned skill combining desire, practice
and patience
For Your Family and Friends
Your family and friends are also affected by your
hearing loss. Request that they:
• Getyourfullattentionbeforebeginning
to speak
• Lookatyouorsitface-to-faceinaquietroom
• Speakclearlyandatanormalrateandlevel;
shouting can actually make understanding
more difficult
• Rephraseratherthanrepeatthesamewords;
different words may be easier to understand
• Minimizedistractionswhilespeaking
28
FDA Information
Required Information
The following additional information is provided in compliance with
U.S. Food and Drug Administration (FDA) regulations:
WARNING TO HEARING INSTRUMENT DISPENSERS. A hearing
instrument dispenser should advise a prospective hearing instrument user
to consult promptly with a licensed physician (preferably an ear specialist)
before dispensing a hearing instrument if the hearing instrument
dispenser determines through inquiry, actual observation, or review of
any other available information concerning the prospective user, that the
prospective user has any of the following conditions:
i. Visible congenital or traumatic deformity of the ear.
ii. History of active drainage from the ear within the previous 90 days.
iii. History of sudden or rapidly progressive hearing loss within the
previous 90 days.
iv. Acute or chronic dizziness.
v. Unilateral hearing loss of sudden or recent onset within the previous
90 days.
vi. Audiometric air-bone gap equal to or greater than 15 decibels at
500 Hertz (Hz), 1,000 Hz and 2,000 Hz.
vii. Visible evidence of significant cerumen accumulation or a foreign
body in the ear canal.
viii. Pain or discomfort in the ear.
Special care should be exercised in selecting and fitting a hearing
instrument whose maximum sound pressure level exceeds 132 decibels
because there may be risk of impairing the remaining hearing of the
hearing instrument user.
RF IMMUNITY LEVEL. These hearing instruments have a cell phone
immunity rating of M4/T4. For your cell phone to be compatible with
these hearing instruments, the cell phone needs an immunity rating of
M1/T1 or higher. Please consult your cell phone specifications for your
cell phone immunity rating.
IMPORTANT NOTICE FOR PROSPECTIVE HEARING INSTRUMENT
USERS. Good health practice requires that a person with a hearing
loss have a medical evaluation by a licensed physician (preferably a
physician who specializes in diseases of the ear) before purchasing
a hearing instrument. Licensed physicians who specialize in diseases
of the ear are often referred to as otolaryngologists, otologists, or
otorhynolaryngologists. The purpose of the medical evaluation is to
assure that all medically treatable conditions that may affect hearing
are identified and treated before the hearing instrument is purchased.
FDA Information
29
Following the medical evaluation, the physician will give you a written
statement that states that your hearing loss has been medically evaluated
and that you may be considered a candidate for a hearing instrument.
The physician will refer you to an audiologist or hearing instrument
dispenser, as appropriate, for a hearing instrument evaluation.
The audiologist or hearing instrument dispenser will conduct a hearing
instrument evaluation to assess your ability to hear with and without a
hearing instrument. The hearing instrument evaluation will enable the
audiologist or dispenser to select and fit a hearing instrument to your
individual needs.
If you have reservations about your ability to adapt to amplification, you
should inquire about the availability of a trial-rental or purchase-option
program. Many hearing instrument dispensers now offer programs
that permit you to wear a hearing instrument for a period of time for
a nominal fee after which you may decide if you want to purchase the
hearing instrument.
Federal law restricts the sale of hearing instruments to those individuals
who have obtained a medical evaluation from a licensed physician.
Federal law permits a fully informed adult to sign a waiver statement
declining the medical evaluation for religious or personal beliefs that
preclude consultation with a physician. The exercise of such a waiver is
not in your best health interest and its use is strongly discouraged.
A hearing aid will not restore normal hearing and will not prevent or
improve a hearing impairment resulting from organic conditions. Use
of a hearing aid is only part of hearing habilitation and may need to be
supplemented by auditory training and instruction in lip reading. In most
cases infrequent use of a hearing aid does not permit a user to attain full
benefit from it.
CHILDREN WITH HEARING LOSS. In addition to seeing a physician for
a medical evaluation, a child with a hearing loss should be directed to
an audiologist for evaluation and rehabilitation since hearing loss may
cause problems in language development and the educational and social
growth of a child. An audiologist is qualified by training and experience
to assist in the evaluation and rehabilitation of a child with a hearing loss.
Starkey World Headquarters
6700 Washington Avenue South
Eden Prairie, MN 55344
Wm. F. Austin House, Bramhall Technology Park
Pepper Road, Hazel Grove, Stockport SK7 5BX
United Kingdom
www.starkey.com
008
6
© 2009 Starkey Laboratories, Inc. All Rights Reserved.
84047-000 05/09 BKLT0097-01-EE-ST Rev.B
A global hearing technology
company headquartered in
Eden Prairie, Minnesota, U.S.A.
Starkey Laboratories, Inc.
6700 Washington Avenue South
Eden Prairie, MN 55344-3476
800.328.8602
www.starkey.com
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