HP Hewlett Packard Hearing Aid RM500SL User Manual

RM500SL REAL-EAR HEARING AID ANALYZER  
USER’S GUIDE  
Version 2.8  
November 2006  
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6.7  
6.8  
Printing to a network file.........................................................................................................30  
Data storage to a network file.................................................................................................30  
7
Hearing Instrument Tests Setup.....................................................................................31  
7.1  
Section overview....................................................................................................................31  
HIT A or B display..................................................................................................................31  
Graph or table format.............................................................................................................31  
Output or gain scale...............................................................................................................31  
Hide or Show HIT curves........................................................................................................32  
1996 or 2003 ANSI standard..................................................................................................32  
ANSI test frequencies.............................................................................................................32  
HIT calibration facts ...............................................................................................................33  
Calibration of HIT reference microphone ................................................................................34  
7.2  
7.3  
7.4  
7.5  
7.6  
7.7  
7.8  
7.9  
7.10 Calibration check for coupler microphone...............................................................................35  
7.11 Coupling the hearing instrument.............................................................................................36  
7.12 Positioning the hearing instrument..........................................................................................37  
ANSI S3.22 Hearing Aid Tests.........................................................................................38  
8
8.1  
8.2  
8.3  
8.4  
8.5  
8.6  
8.7  
8.8  
8.9  
Section overview....................................................................................................................38  
ANSI S3.22-1996 facts...........................................................................................................38  
ANSI S3.22-2003 facts...........................................................................................................39  
ANSI 1996 Linear and AGC tests...........................................................................................39  
ANSI 2003 Linear and AGC tests...........................................................................................40  
ANSI test results ....................................................................................................................41  
ANSI input-output curves........................................................................................................42  
ANSI telecoil terminology .......................................................................................................43  
ANSI telephone simulator (TMFS) test ...................................................................................44  
8.10 Telecoil test results ................................................................................................................45  
9
Other Hearing Instrument Tests .....................................................................................46  
9.1  
9.2  
9.3  
9.4  
9.5  
9.6  
9.7  
9.8  
Section overview....................................................................................................................46  
Harmonic distortion................................................................................................................46  
Multicurve procedure..............................................................................................................47  
Multicurve results...................................................................................................................47  
Spectral analysis in Multicurve ...............................................................................................48  
Battery drain test....................................................................................................................48  
Manual control procedure.......................................................................................................49  
Sound level meter using manual control.................................................................................49  
Real-Ear Measurement Setup......................................................................................50  
10  
10.1 Section overview....................................................................................................................50  
10.2 REM calibration facts .............................................................................................................50  
10.3 Calibration of REM probe microphone....................................................................................51  
10.4 Calibration check for probe module ........................................................................................52  
10.5 Max TM SPL setup.................................................................................................................53  
10.6 ABR nHL to eHL setup...........................................................................................................53  
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Page 3  
10.7 Positioning the client ..............................................................................................................54  
10.8 Positioning the probe tube......................................................................................................54  
11  
REM Screen Setup .......................................................................................................55  
11.1 Section overview....................................................................................................................55  
11.2 REM right or left ear display ...................................................................................................55  
11.3 Graph, table or 2cc target format............................................................................................55  
11.4 SPL or HL scale.....................................................................................................................56  
11.5 Hide or show REM curves......................................................................................................56  
12  
REM Manual Control ....................................................................................................56  
12.1 Section overview....................................................................................................................56  
12.2 Manual control measurements ...............................................................................................57  
12.3 Sound level meter using REM probe ......................................................................................57  
13  
Sensory Loss Simulator ..............................................................................................58  
13.1 Sensory loss simulator description .........................................................................................58  
13.2 Sensory loss simulator operation............................................................................................58  
14  
Occlusion Effect Test...................................................................................................59  
14.1 Occlussion effect measurement..............................................................................................59  
15  
RECD (real-ear to coupler difference).........................................................................60  
15.1 Section overview....................................................................................................................60  
15.2 RECD facts............................................................................................................................60  
15.3 RECD coupler response.........................................................................................................61  
15.4 RECD real-ear response ........................................................................................................62  
15.5 RECD results.........................................................................................................................63  
16  
Insertion Gain...............................................................................................................64  
16.1 Section overview....................................................................................................................64  
16.2 Insertion gain in SPL..............................................................................................................64  
16.3 Insertion gain in HL................................................................................................................65  
16.4 Audiometric data entry ...........................................................................................................66  
16.5 REUR measurement procedure..............................................................................................67  
16.6 REAR measurement procedure..............................................................................................68  
16.7 SII calculation in Insertion gain...............................................................................................69  
17  
Speechmap ® ...............................................................................................................70  
17.1 Section overview....................................................................................................................70  
17.2 Speechmap facts ...................................................................................................................70  
17.3 DSL 5.0 in Speechmap ..........................................................................................................71  
17.4 DSL 5.0 changes ...................................................................................................................72  
17.5 NAL-NL1 in Speechmap.........................................................................................................72  
17.6 Using Speechmap..................................................................................................................73  
17.7 Screen tour – unaided screen.................................................................................................74  
17.8 Screen tour - aided screen .....................................................................................................74  
17.9 REM or S-REM mode.............................................................................................................75  
17.10 SII calculation in Speechmap .................................................................................................76  
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18  
Speechmap Fitting Procedures...................................................................................77  
18.1 Section overview....................................................................................................................77  
18.2 Assessment data entry...........................................................................................................77  
18.3 Assessment data choices - 1..................................................................................................78  
18.4 Assessment data choices - 2..................................................................................................79  
18.5 Fitting to targets for soft speech .............................................................................................80  
18.6 Fitting to targets for loud sounds.............................................................................................81  
18.7 Fitting to targets for mid-level speech .....................................................................................82  
18.8 Open fittings in Speechmap ...................................................................................................82  
18.9 FM fitting and verification........................................................................................................83  
19  
Speechmap Technical Details.....................................................................................84  
19.1 Section overview....................................................................................................................84  
19.2 Speechmap stimuli.................................................................................................................84  
19.3 Stimulus levels.......................................................................................................................85  
19.4 Microphone location effects....................................................................................................86  
19.5 Speech signal analysis...........................................................................................................87  
20  
Troubleshooting...........................................................................................................88  
20.1 Section overview....................................................................................................................88  
20.2 Self test failures .....................................................................................................................88  
20.3 HIT high distortion or noise.....................................................................................................89  
20.4 HIT curves inconsistent..........................................................................................................89  
20.5 HIT curves differ from specifications.......................................................................................90  
20.6 HIT speaker overdriven..........................................................................................................90  
20.7 No HIT reference mic. detected..............................................................................................90  
20.8 Invalid HIT calibration.............................................................................................................91  
20.9 No REM ref. mic. detected .....................................................................................................91  
20.10 Invalid REM calibration...........................................................................................................91  
20.11 REM speaker overdriven........................................................................................................92  
20.12 Barcode scanner malfunction.................................................................................................92  
21  
Technical Specifications .............................................................................................93  
Glossary........................................................................................................................94  
References....................................................................................................................98  
Appendix 1: AudioNote 2.1 VERIFIT and RM500SL Test Signals and Analysis.....101  
22  
23  
24  
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The Audioscan® RM500SL User’s Guide Version 2.8  
1
About RM500SL  
1.1 Section overview  
This section provides a listing of features new in this software release,  
instructions for accessing the electronic User’s Guide, contact, warranty and  
trademark information, and notices for the European Community.  
Help is available on the following topics by pressing <Help>  
2: Getting Started  
12: REM Manual Control  
13:Sensory Loss Simulator  
14: Occlusion Effect Test  
15: RECD (real-ear to coupler difference)  
16: Insertion Gain  
3: General Operation  
4: General Setup  
5: Networking  
6: Printing and Storing Results  
7: Hearing Instrument Tests Setup  
8: ANSI S3.22 Hearing Aid Tests  
9: Other Hearing Instrument Tests  
10: Real-Ear Measurement Setup  
11: REM Screen Setup  
17: Speechmap ®  
18: Speechmap Fitting Procedures  
19: Speechmap Technical Details  
20: Troubleshooting  
In addition you will find a glossary, references and more information in the  
electronic user’s guide on the Audioscan software CD.  
FastFacts 1.1: RM500SL Help topics  
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1.2 New in this software release  
Software 2.8 introduces the following significant additions and changes:  
1) A Sensory Loss Simulator (SLS) which provides an accurate simulation of  
cochlear hearing loss for parents, teachers and others to experience.  
2) DSL® 5, which provides targets for adults, allowances for ABR and bone  
conduction thresholds and speech targets for the stimulus level selected. (Note  
that targets do not appear until an REAR test has been started.)  
3) Open Fitting protocol in Speechmap which can be used to fit instruments with  
large vents or open ear molds.  
4) A new calibrated speech passage to augment the “carrots” passage.  
5) Screen images and test data may be saved to files on a USB memory stick.  
6) Support for PostScript printers, including color laser printers.  
7) Realtime rms levels for broadband signals like speech and pink noise.  
8) The Scroll wheel on a mouse may be used to traverse long lists and Help.  
9) RECD measurements are now less sensitive to ambient noise.  
10) MPO tone bursts have been lengthened to 128ms for better correlation with  
loudness perception.  
11) Input-Output screens now have a cursor readout. Left click on any graph.  
12) New calibration & equalization signals improve accuracy and noise rejection.  
13) Speech level now goes down to 50dB SPL.  
14) Hatching legends and curve numbers are shown on printouts for better  
identification on black and white printouts.  
Please consult the relevant section of this User’s Guide or Help for more details.  
FastFacts 1.2: New in this software release  
1.3 Electronic user’s guide  
A printable user’s guide is on the Audioscan CD-ROM supplied with a new  
instrument or mailed as a software update. A .pdf file viewer, such as Acrobat  
Reader (5.0 or higher) or Foxit Reader is required to view the User’s Guide. Foxit  
Reader is supplied on the CD-ROM.  
1) Insert the CD-ROM into the CD drive on your computer.  
2) Select My Computer, then the CD drive and the User’s Guide folder.  
3) To install Foxit Reader, copy FoxitReader.exe to an appropriate location on  
your PC. To run FoxitReader.exe double click it.  
4) To view the User’s Guide, double-click the RM500SLUsersGuide.pdf file.  
The User’s Guide may also be downloaded from www.audioscan.com.  
FastFacts 1.3: Electronic users guide  
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1.4 Warranty, Trademarks, Acknowledgements  
The Audioscan RM500SL is manufactured by Etymonic Design Inc.,  
41 Byron Ave., Dorchester, Ontario, Canada  
Phone: 800-265-2093 (USA only); 519-268-3313 Fax: 519-268-3256  
www.audioscan.com Email: [email protected] or [email protected]  
N0L 1G0.  
Warranty: The RM500SL is warranted against defects for two years from date of  
purchase. Within this period, it will be repaired without charge for parts, labor or  
return shipping when returned prepaid to your authorized Audioscan service  
agent. This warranty does not apply to battery substitutes (pills), which carry  
a 90 day warranty, or to equipment that, in our sole judgement, has been subject  
to misuse, or unauthorized alteration or repair.  
Trademarks: Audioscan, Verifit, Speechmap and Quikscan are registered  
trademarks of Etymonic Design Inc. DSL is a registered trademark of The  
University of Western Ontario. HP LASERJET is a registered trademark of  
Hewlett-Packard Company. IBM is a registered trademark of International  
Business Machines Corporation. K-AMP is a registered trademark of Etymotic  
Research Inc. KEMAR is a registered trademark of Knowles Electronics Inc.  
QUEST is a trademark of Quest Technologies Inc. PostScript is a registered  
trademark of Adobe Systems, Inc.  
Acknowledgements: In addition to the contributions of our entire staff, we  
acknowledge the support received from past and present staff at the National  
Centre for Audiology at the University of Western Ontario in implementing the DSL  
method. DSL 5.0 is used under license from the University of Western Ontario  
(UWO). We are indebted to the University of Memphis Hearing Aid Research  
Laboratory for permission to use some of their recorded speech material.  
FastFacts 1.4: Warranty, trademarks, acknowledgements  
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1.5 Notices for the European Community  
Authorised Audioscan representative within the European Community:  
PC Werth Ltd., Audiology House, 45 Nightingale Lane, London SW12 8SP UK  
Phone: +44 (0)20 8772 2700 www.pcwerth.co.uk  
Electromagnetic Compatability (EMC)  
Medical electrical equipment needs special precautions regarding EMC and needs  
to be installed and put into service according to the following information:  
v The RM500SL should not be used adjacent to or stacked on other equipment.  
If this is necessary, its operation should be verified as normal in this  
configuration.  
v Portable and mobile RF communications equipment can affect medical  
electrical equipment and may affect the performance of the RM500SL.  
v The RM500SL has not been tested for immunity to electromagnetic  
disturbances. Performance degradation due to such disturbances (including  
electrostatic discharge) is considered normal and acceptable.  
FastFacts 1.5: Notices for the European Community  
1.6 Declaration of EMC compliance for the European Community  
The compliances listed in the following table are met with the Audioscan SL-100  
RECD transducer connected. The use of other accessories may result in  
increased emissions.  
Guidance and manufacturer’s declaration - electromagnetic emissions  
The RM500SL is intended for use in the electromagnetic environment specified  
below. The user of the RM500SL should assure that it is used in such an  
environment.  
Emissions test  
Compliance  
Electromagnetic environment - guidance  
The RM500SL uses RF energy only for its  
internal function. Therefore, its RF emissions  
are very low and not likely to cause any  
interference in nearby electronic equipment.  
RF emissions  
CISPR 11  
Group 1  
RF emissions  
CISPR 11  
The RM500SL is suitable for use in all  
establishments other than domestic and those  
directly connected to the public low-voltage  
power supply network that supplies buildings  
used for domestic purposes.  
Class A  
Class A  
Harmonic emissions  
IEC 61000-3-2  
Voltage fluctuations/  
flicker emissions  
IEC 61000-3-3  
Complies  
FastFacts 1.6: Declaration of EMC compliance for the European Community  
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2
Getting Started  
2.1 Section overview  
This section provides help on unpacking the RM500SL and connecting various  
components and accessories. Note that battery pills (SL-110), the RECD  
transducer (SL-100), the barcode scanner (VA-120) and a microphone  
extension cable (VA-130) are accessories for the RM500SL and must be ordered  
separately.  
The following topics are covered in this section:  
2.2: Unpacking and connecting  
2.3: Microphone connection  
2.4: Microphone care  
2.5: Battery pill use and care  
2.6: Mouse, keyboard, barcode scanner  
2.7: External printer, auxiliary audio outputs  
FastFacts 2.1: Getting started  
2.2 Unpacking and connecting  
1) Carefully unpack the RM500SL and check the contents of the shipping box  
against the enclosed packing list. Note that some parts may be packed inside  
the test chamber.  
2) Unwrap the power cord from its stowage hooks - noting carefully how it has  
been packed. To avoid serious damage to the display screen, always  
repack the cord this way.  
3) Connect the power cord to the socket next to the power switch on the right side  
of the unit. Plug the other end into a grounded 100 – 240 volt power outlet.  
FastFacts 2.2: Unpacking and connecting  
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2.3 Microphone connection  
1) Plug the reference microphone and the coupler microphone into the connectors  
in the test chamber as shown.  
2) Plug the probe  
microphone assembly  
into the probe connector  
located at the left of the  
test chamber as shown.  
NOTE: A microphone  
extension cable (VA-130) is  
available from Audioscan.  
Standard audio extension  
cables should not be used.  
They will substantially  
increase noise levels.  
FastFacts 2.3: Microphone connection  
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2.4 Microphone care  
Coupler microphone:  
1) DO NOT twist the cable when attaching a coupler to the coupler microphone.  
Turn only the coupler or unplug the coupler microphone before turning it.  
2) DO store the coupler microphone in its mounting clip when transporting.  
3) DO make sure that the 2cc coupler is tightly screwed to the coupler microphone  
when performing hearing instrument tests. Coupler leakage can cause  
feedback and erratic response curves.  
4) DO ensure there are no cracks in the #13 tubing on the BTE (HA-2) coupler.  
5) DO replace the tubing on the BTE coupler with 3/8” (10 mm) of #13 tubing.  
Probe microphone:  
1) DO NOT reuse probe tubes. Debris and liquid from cleaning attempts can  
lodge in the enlarged base of the probe tube and subsequently clog the probe  
microphone port.  
2) DO NOT attempt to open or repair the probe microphone. Attempting to repair  
the probe module may lead to damage or alteration of the factory calibration.  
3) DO keep the probe module and probe tubes in a clean area.  
4) DO stow the probe module when not in use or when transporting the RM500SL.  
FastFacts 2.4: Microphone care  
2.5 Battery pill use and care  
Battery pills are optional. The thin connecting strip of each battery pill is  
fragile. When inserting pills into hearing instrument battery compartments, take  
care that this strip is not pinched or bent severely as the battery door is closed.  
1) Select a battery pill that is appropriately sized for the hearing instrument that  
you are testing.  
2) Insert the pill into the hearing instrument, carefully closing the battery door over  
the thin connecting strip.  
3) Plug the pill’s cable into the battery pill jack inside the RM500SL HIT test  
chamber (to the left of the coupler microphone connection).  
4) Turn the hearing instrument on.  
FastFacts 2.5: Battery pill use and care  
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2.6 Mouse, keyboard, barcode scanner  
The RM500SL may be operated from the built-in keypad, a USB mouse (not  
included) or a standard USB computer (QWERTY) keyboard (not included), which  
may also be used to enter headers and comments on printouts: See 3.2 Input  
device operation.  
An optional barcode scanner may be connected to the USB port to enter  
threshold, UCL and RECD data directly from a RM500SL or Verifit printout.  
Barcoded threshold data printed by some Grason-Stadler audiometric equipment  
may also be scanned. Scanners other than that supplied by Audioscan may not  
work and are not supported by Audioscan.  
Multiple USB devices may be used together by connecting them to the RM500SL  
USB port via a USB hub.  
..In the European Community, if this device is connected to one or more  
other devices to make a system, the CE mark on this device is only valid if the  
other devices in the system carry a CE mark in respect of the Medical Device  
Directive and if the supplier has stated that the requirements of the Medical Device  
Directive will be met for this particular combination.  
FastFacts 2.6: Mouse, keyboard, barcode scanner  
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2.7 External printer, auxiliary audio outputs  
An external printer may be connected to the the USB port. It may be color or  
black & white but it must be PCL3, PCL5 or PostScript compatible. The  
external printer must first be selected in Setup. See 6: Printing and Storing Results  
Auxiliary audio output jacks are not active with this version of software.  
..In the European Community, if this device is connected to one or more  
other devices to make a system, the CE mark on this device is only valid if the  
other devices in the system carry a CE mark in respect of the Medical Device  
Directive and if the supplier has stated that the requirements of the Medical Device  
Directive will be met for this particular combination.  
FastFacts 2.7: External printer, auxiliary audio outputs  
General Operation  
3
3.1 Section overview  
The RM500SL is operated by using the built-in keypad, a USB QWERTY  
keyboard (not included) or a USB computer mouse (not included). Any of these  
pointing devices can be used to select items from menus, operate on-screen  
buttons and to enter audiometric data. In addition, audiometric data printed in  
barcode form by the RM500SL, the Verifit VF1 or some Grason-Stadler products,  
may be scanned into the RM500SL.  
This section covers the following topics:  
3.2: Input device operation  
3.3: Barcode data input  
3.4: Keypad keys  
3.5: Menus, lists and buttons  
3.6: Screen messages  
3.7: Program memory removal and replacement  
3.8: Software updating  
FastFacts 3.1: General operation  
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3.2 Input device operation  
The RM500SL may be operated by means of the built-in keypad, an external  
mouse (not included) or an external QWERTY keyboard (not included). These  
devices are used to summon on-screen menus and select items from them, to  
operate on-screen buttons and to input data. The scroll wheel on a mouse will  
scroll through long lists in list boxes and in Help. Clicking the right mouse button  
generates an image of the keypad which may be operated by the mouse.  
Clicking the left mouse button when the mouse pointer is on a graph will display  
a screen cursor with a digital readout of X and Y co-ordinates. Clicking again will  
dismiss the cursor.  
Function  
Keypad  
<Help>  
<Setup>  
QWERTY  
Mouse  
Summon Help menu  
Summon Setup menu  
Summon Test menu  
Summon Session menu  
Switch between ears or  
Switch between A/B Data  
Print  
F1  
F2  
F3  
F4  
F5  
Right click  
Right click  
Right click  
Right click  
Right click  
<Tests>  
<Session>  
<Left/Right>  
<Print>  
ó Arrows  
ô Arrows  
Print Scrn  
ó Arrows  
ô Arrows  
Right click  
Roll  
Move across screen columns  
Move within a screen column  
Roll  
Select a highlighted item or  
operate a screen button  
Enter numeric data  
Round key  
(<PICK> key)  
Select point on  
chart  
Numeric  
Enter Key  
Numeric  
keypad  
Left click  
Left click on a  
point on chart  
Not possible  
Enter text  
Not possible  
Any key  
Proceed from current state  
Revert to previous state  
<Continue>  
<Cancel>  
Click Continue  
Click Cancel  
Enter ¿  
Esc  
Also see 2.6: Mouse, keyboard, barcode scanner and 3.3: Barcode data input  
FastFacts 3.2: Input device operation  
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3.3 Barcode data input  
In Speechmap and Insertion gain tests, audiometric data in barcode form on a  
RM500SL or Verifit printout may be entered by scanning the appropriate barcode.  
In Speechmap, threshold, UCL, RECD, transducer, age and ABR nHL to eHL  
conversion factors are encoded. In Insertion gain, threshold and transducer type  
are encoded. The type of data and the ear (left, right) is shown below the barcode.  
Only data for the displayed ear are imported. Barcodes may be scanned in any  
order and it does not matter if the barcode is “upside down”.  
1) Select Speechmap or Insertion gain from the Tests menu.  
2) Hold the printout so that the barcode to be scanned is flat. With the scanner  
6” - 8” from the barcode, press the trigger on the scanner and center the  
illuminated red line along the length of the barcode.  
3) When the scan is successful, the scanner will  
“beep”, the red line will extinguish and a  
Barcode Entry poster will appear on the  
screen. A green checkmark on the poster  
shows which data have been accepted. A  
message will advise if the barcode does not  
contain data for the screen you are viewing.  
4) When all desired data have been accepted,  
select [Done] to apply the data.  
See 6.3: Barcodes, headers and comments on  
printouts. Barcodes on some Grason-Stadler  
printouts may also be scanned into the RM500SL.  
FastFacts 3.3: Barcode data input  
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3.4 Keypad keys  
Keypad  
Button  
Function  
<Help>  
Summon context-sensitive Help  
Screen.  
<Setup>  
Summon Setup Menu containing a list  
of RM500SL features that can be  
modified. Any modifications made will  
be maintained after power off.  
<Tests>  
Summon Test Selection Menu  
containing a list of the available test  
procedures.  
<Session>  
Summon Session Data Menu to erase  
or export data  
<Left/Right> Used to alternate between ears or A/B  
Data.  
<Print>  
Print on internal or external printer or  
print to file.  
Move across screen columns.  
Move within a screen column.  
ó Arrows  
ô Arrows  
Round Key  
(<PICK>  
key)  
Select a highlighted item or operate a  
screen button.  
<Continue> Proceed from current state.  
<Cancel> Revert to previous state.  
FastFacts 3.4: Keypad keys  
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3.5 Menus, lists and buttons  
Menu  
Setup Box  
List Box  
Screen Buttons are identified by a circle within a raised block  
and are located  
at the right hand end of a line of screen text. A screen button highlighted using the  
keypad or a QWERTY keyboard is surrounded by a heavy line. A screen button  
highlighted by the mouse pointer changes color from light to dark gray. A  
highlighted screen button is operated by pressing the <PICK> (round) key on the  
keypad, the numeric Enter key on a keyboard or by clicking the left mouse button.  
This process also selects the highlighted item in a list box.  
There are three different types of screen buttons:  
When selected, a Menu Button displays a menu, a setup box or a test screen.  
When selected, a List Button displays a drop-down list box.  
The current list item is shown in the window  
.
When selected, a Toggle Button alternates between states.  
The current state is shown in the window.  
FastFacts 3.5: Menus, lists and buttons  
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3.6 Screen messages  
The Title bar (top line of the display screen) informs you of the selected Test (e.g.,  
Multicurve).  
The Message bar (bottom line of the display screen) suggests the next step in a  
test or informs you of the state of the instrument or conditions that could affect your  
data. For example, it will inform you if the microphones need to be calibrated.  
FastFacts 3.6: Screen messages  
3.7 Program memory removal and replacement  
Operating software is contained on a USB flash drive located in the test chamber  
under the printer paper roll cradle as shown. Software updates are shipped on a  
CD-ROM and must be transferred to the USB flash drive in order to be used. This  
requires that the USB flash drive be removed from the RM500SL and plugged into  
the USB port on a PC that has a CD-ROM drive.  
To remove the USB flash drive, ensure that the RM500SL power is off and:  
1) Open the test chamber and remove the foam from the test chamber floor.  
2) Pull the USB flash drive straight toward the front of the unit until it is free.  
To install the USB flash drive, ensure that the RM500SL power is off and:  
1) Open the test chamber and remove the foam from the test chamber floor.  
2) Gently insert the USB flash drive into the USB port, with its foam pad down.  
3) Replace the foam in the floor of the test chamber.  
NOTE that the USB  
flash drive has been  
especially configured  
for the RM500SL.  
Replacing this flash  
drive with another  
can cause erratic  
operation. Such  
replacement should  
be done only when  
authorized and  
ONLY by an  
Audioscan service  
representative.  
FastFacts 3.7: Program memory removal and replacement  
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3.8 Software updating  
Software updates, along with a new User’s Guide, are shipped on a CD-ROM. The  
software must be transferred to the USB flash drive in the RM500SL in order to be  
used. This transfer requires a PC with a CD-ROM drive and a USB port. To  
update the RM500SL software:  
1) Refer to 3.7: Program memory removal and replacement and remove the USB  
flash drive from the RM500SL.  
2) Insert the software update CD-ROM into the CD-ROM drive on your PC.  
3) Double-click on My Computer, then double-click on the CD-ROM drive.  
4) Double-click on rm500sl_update.exe and follow instructions to complete the  
update.  
5) Remove the USB memory stick from the PC.  
6) Refer to 3.7: Program memory removal and replacement and install the USB  
flash drive in the RM500SL.  
See 1.3: Electronic user’s guide for help in accessing the new User’s Guide.  
FastFacts 3.8: Software updating  
General Setup  
4
4.1 Section overview  
This section covers the following topics:  
4.2: Date and time setup  
4.3: Display settings  
4.4: Saving test setup  
FastFacts 4.1: General setup  
4.2 Date and time setup  
To set the date and time that appears on printouts and calibration screens:  
1) Press <Setup>, then highlight and <PICK> [Date & Time] on the Setup poster.  
2) To change the date, highlight and <PICK> the month window to display a drop-  
down list of months.  
3) Highlight and <PICK> the desired month on the list.  
4) Repeat the previous step to change the date, year and time in the appropriate  
windows.  
5) When the new date and time information has been set, press <Continue> to  
exit.  
FastFacts 4.2: Date and time setup  
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4.3 Display settings  
This feature sets the screen saver timing and the background color used on the  
graphic test displays. The screen saver blanks the screen after 60, 90 or 120  
minutes of inactivity to prolong the life of the display.  
To change display settings:  
1) Press <Setup>, then highlight and <PICK> [Display].  
2) To change the screen saver timing, highlight and <PICK> the current setting  
3) Highlight and <PICK> the desired screen saver timing from the drop-down list.  
4) To change the background color of the graphic display on the various test  
screens, highlight and <PICK> [Color] to toggle between black and white.  
5) Press <Continue> to exit setup.  
FastFacts 4.3: Display settings  
4.4 Saving test setup  
This feature lets you retain the last-used stimulus type and level for most tests  
when the power is turned off. It also lets you retain the last-used target method  
and transducer type in Speechmap and Insertion Gain tests.  
To enable/disable this feature:  
1) Press <Setup>, then highlight and <PICK> [Test setup]  
2) Highlight and <PICK> [Save test setup] to toggle between Yes and No.  
FastFacts 4.4: Saving test setup  
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5
Networking  
5.1 Section overview  
The RM500SL may be connected to a network using a Cat 5, RJ-45 cable. This  
allows screen images to be printed on a network printer or on a shared printer on  
a networked PC. Images and underlying data may also be saved to a shared  
folder on a networked PC. See 6: Printing and Storing Results for details. The  
RM500SL may also be connected to a single computer using a network hub.  
This section covers the following topics:  
5.2: Networking requirements  
5.3: Networking setup  
5.4: Single computer connection  
FastFacts 5.1: Networking  
5.2 Networking requirements  
The RM500SL may be connected to a network using a Cat 5, RJ-45 cable. The  
network connector is next to the serial number label on the recessed panel. For  
automatic address assignment, the network must have a Dynamic Host  
Configuration Protocol (DHCP) server.  
For manual addressing, the remote computer must be running Windows 95 or  
higher, File and Printer Sharing for Microsoft Networks must be enabled and the  
TCP/IP Connection must be configured so that the IP address of the remote  
computer is on the same subnet as the RM500SL. These settings should be  
obtained from your network administrator.  
FastFacts 5.2: Networking requirements  
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5.3 Networking setup  
Check 5.2: Networking requirements and connect the RM500SL to your network.  
1) Press <Setup> then highlight and <PICK> [Network]  
2) In the Network poster, highlight and <PICK> [Enable networking].  
3) If your network supports automatic address assignment (DHCP), highlight and  
<PICK> [Obtain automatically]. Highlight and <PICK> [Test connection].  
4) For manual configuration, highlight and <PICK> [Obtain manually]. Then  
highlight each of the 4 boxes in each row and highlight and <PICK> the  
numbers, provided by your network administrator, from the drop-down lists.  
5) Highlight and <PICK> [Test connection]. The RM500SL will prompt you for an  
IP address of a computer or router on your network. In a single PC-to-  
RM500SL network, this is the IP address of the PC you are connecting to.  
FastFacts 5.3: Networking setup  
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5.4 Single computer connection  
The computer must be running Windows 95 or higher, with a functioning network  
card connected to one port on a Ethernet network hub or switch. Connect a Cat  
5, RJ-45 cable from a hub port to the RM500SL connector. To set up the PC:  
1) Right click Network Neighborhood (or My Network Places) & select Properties.  
2) Right click Local Area Network Connection & select Properties.  
3) If Internet protocol TCP/IP is not installed, install it from your Windows disk.  
4) Highlight Internet Protocol (TCP/IP) & select the Properties button.  
5) Check “Use the following IP address” and enter the following in the IP address  
box: 172. 30. 1. 1. Enter 255. 255. 255. 0 in the Subnet mask box.  
On the RM500SL, see  
5.3 Networking setup  
and manually configure  
as shown:  
FastFacts 5.4: Single computer connection  
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6
Printing and Storing Results  
6.1 Section overview  
Pressing <Print> will cause the current screen image to be printed on the internal  
printer, on an external local printer, on a network printer, on a Windows-shared  
printer on a networked PC, or saved to file on a USB memory stick, or a Windows-  
shared file on a networked PC. Date, time, barcoded audiometric data and fixed or  
variable headers and comments (via a connected keyboard), may be added to  
printouts (but not when saving to a file). Session data may also be saved as a  
delimited text file to a USB memory stick or in a Windows-shared folder on a  
networked PC for further analysis.  
The following topics are covered in this section:  
6.2: Internal printer paper loading  
6.3: Barcodes, headers and comments on printouts  
6.4: Local printer setup  
6.5: Printing to a USB memory stick  
6.6: Network printer setup  
6.7: Printing to a network file  
6.8: Data storage to a network file  
FastFacts 6.1: Printing and storing results  
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6.2 Internal printer paper loading  
On-screen instructions on paper replacement are provided if you try to print to the  
internal printer when it is out of paper or when the paper lever has been raised.  
To load a new roll of paper:  
1 Lift the printer head using the small black lever to the left of the printer.  
2 Press the <Print> key for on-screen instructions.  
3 Remove the empty spool from the paper tray and any remaining paper from the  
printer.  
4 Hold a new roll in front of the paper tray  
with paper feeding from the top of roll.  
5 Insert the paper’s leading edge into the  
lower slot at rear of tray.  
6 Feed the paper by highlighting the on-  
screen ‘Paper Feed’ button and pressing  
<PICK>.  
7 Advance the paper until it comes out of  
the upper slot.  
8 Place the roll in the paper tray and advance another 10” (25 cm) of paper.  
9 Lower the printer head using the small black lever. Press <Continue> to print  
or <Cancel> to cancel the print job.  
If nothing shows on the paper when you press <Print> and the paper is coming out  
–check that the glossy side is up as it comes out of the printer.  
Thermal paper may darken if stored for prolonged periods at elevated  
temperatures and lose contrast if subjected to light. Keep long-term supplies and  
printouts in a cool dry place out of direct light.  
FastFacts 6.2: Internal printer paper loading  
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6.3 Barcodes, headers and comments on printouts  
The date and a header, such as facility or patient name, may be added to  
printouts. Barcodes representing hearing threshold, UCL and RECD, where  
applicable, may be added to printouts of Speechmap, Insertion gain and RECD  
tests. Lines for hand-written notes or typed comments may also be added.  
1) Connect a computer keyboard to the USB port.  
2) Press <Setup>, then highlight and <PICK> [Printing].  
3) Highlight [Page setup] and press <PICK> to display the page setup poster.  
4) To print the date and time on each printout, highlight and <PICK> [Date].  
5) To print lines for handwritten notes, highlight and <PICK> [Lines].  
6) To add barcodes for audiometric data, highlight and <PICK> [Barcode].  
7) To print a fixed header on printouts, highlight and <PICK> [Header]. Connect  
a keyboard to the USB port and enter the desired header (up to 35  
characters). Press <PICK> (or Enter key on the keyboard number pad) to  
complete the entry. To be prompted for a new header for each printout,  
highlight and <PICK> [Ask].  
8) To print fixed comments following a printout, highlight and <PICK>  
[Description]. Connect a keyboard to the USB port and enter comments. Press  
<PICK> (or Enter on the keyboard number pad) to complete the entry. To be  
prompted for new comments for each printout, highlight and <PICK> [Ask].  
9) To be prompted for a file name when you print to a USB memory stick or a  
network file, highlight and <PICK> [Ask]. Do not use space $ \ / or tab in the  
file name. USB file names are limited to 8 characters. See 6.7: Printing to a  
network file.  
10) Press <Continue> to exit page setup and <Continue> to exit Setup.  
FastFacts 6.3: Barcodes, headers and comments on printouts  
6.4 Local printer setup  
1) Connect an external printer to the USB port. Only PCL3, PCL5 or PostScript  
compatable printers are supported.  
2) Press <Setup>, then highlight and <PICK> [Printing].  
3) Highlight & <PICK> [USB].  
4) Highlight & <PICK> [Printer details] (automatic if printer type is set to None).  
5) Highlight & <PICK> [Printer type].  
6) Highlight & <PICK> your printer type. Select  
Color(1) for a printer with a single ink cartridge;  
color(2) for a printer with separate color and  
black ink cartridges. Check [Black only] for black  
printouts on a color printer  
7) Press <Continue> to exit printer setup and <Continue> to exit Setup.  
FastFacts 6.4: Local printer setup  
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6.5 Printing to a USB memory stick  
1) Plug a USB memory stick into the USB port next to the product label on  
recessed panel. The RM500SL may be either on or off.  
2) Press <Setup>, then highlight and <PICK> [Printing].  
3) Highlight and <PICK> [Print to USB file].  
4) Highlight and <PICK> [Printer details] to change the file type [Bitmap (bmp)] or  
[Internet GIF (gif)] and the captured area [Full screen], [Main window] (full  
screen without the message line or [Active window] (foreground image only).  
5) To save a screen image to a file, press <Print>. After about 4 seconds, a  
message will advise that data is being saved. Do not unplug the USB stick  
until this message disappears.  
6) To input a file name from a connected keyboard each time you print, highlight  
and <PICK> [Page setup], then highlight & <PICK> [Ask]. File names are  
limited to 8 characters plus .bmp or .gif. Do not use space $ \ / or tab in the  
file name.  
7) To save all test data as a space-delimited text file, press <Session>, then  
<Pick> the [Erase all data] button to show a list of options. Highlight and  
<Pick> [Export data to file on USB stick] and press <Continue>.  
Data from this file may be copied to the clipboard and pasted to most spreadsheet  
programs. After pasting to Excel, select Text to Columns in the Data menu and  
indicate that the data are space-delimited (need not repeat if file remains open).  
FastFacts 6.5: Printing to a USB memory stick  
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6.6 Network printer setup  
To print to a network printer or to a Windows-shared printer on the network, you  
must first enable networking. See section 5: Networking. To print to a printer on a  
Windows PC connected to a network, you must also share the printer on the PC by  
selecting Start, Settings and Printers. Then right click on the printer you wish to  
share and select Sharing. Only PCL 3, PCL 5 or PostScript compatible printers  
are supported. In Windows2003 Server you must add permission to allow  
Anonymous Logon to print to the shared printer.  
1) Press <Setup>, then highlight and <PICK> [Printing].  
2) Highlight & <PICK> [Other network printer] or [Windows shared printer].  
3) Highlight & <PICK> [Printer details] (automatic if printer type is set to None).  
4) Highlight & <PICK> [Printer type], then select from Deskjet Color(1) (single ink  
cartridge), Deskjet Color(2) (both color and black ink cartridges), Laserjet Black  
or PostScript. Check [Black only] for black printouts on a color printer.  
5) Connect a computer keyboard to the USB port and fill in the boxes with the  
requested information. Highlight and <PICK> each box to open it for data entry  
and again to close it (or use the Enter key on the keyboard’s numeric keypad).  
Obtain needed information from your network administrator.  
FastFacts 6.6: Network printer setup  
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6.7 Printing to a network file  
To save the screen image as a file on a network PC, you must first enable  
networking. See 5: Networking. You must also "share" a folder in the PC root  
directory (e.g. c:\MyData) and ensure that Change permissions are enabled.  
1) Press <Setup>, then highlight and <PICK> [Printing].  
2) Highlight and <PICK> [Print to file].  
3) Highlight and <PICK> the file type [Bitmap (bmp)] or [Internet GIF (gif)].  
4) Highlight and <PICK> [Full screen], [Main window] (full screen without the  
message line or [Active window] (foreground image only).  
5) Connect a computer keyboard to the USB port and fill in [Computer], [Share  
name], [Username] and [Password] (not needed for Windows 95/98). Highlight  
and <PICK> each box to open it for data entry and again to close it (or use the  
Enter key on the keyboard’s numeric keypad).  
6) Highlight and <PICK> [Test connection] and wait for a successful report.  
7) To input a file name each time you <Print>, highlight and <PICK> [Page setup],  
then highlight & <PICK> [Ask]. Do not use space $ \ / or tab in the file name.  
FastFacts 6.7: Printing to a network file  
6.8 Data storage to a network file  
All measurement data (curves) displayed at the end of the test are stored until  
overwritten by repetition of the same test, invalidated by a related test. (In such  
cases, the message bar will inform you of impending data loss.), erased by  
selecting <Session> and one of the [Erase data] choices or the power is turned  
off. (Setup data will be retained even after the power is turned off.)  
The RM500SL database may be saved as a delimited text file on a networked PC  
if network file printing has been set up. See 6.7: Printing to a network file.  
1) Press the <Session> key.  
2) Highlight and <PICK> [Erase all data] to generate a list box.  
3) Highlight and <PICK> [Export data to file].  
4) Press <Continue>.  
Data from this file may be copied to the clipboard and pasted to most spreadsheet  
programs. After pasting to Excel, select Text to Columns in the Data menu and  
indicate that the data are space-delimited (need not repeat if file remains open).  
FastFacts 6.8: Data storage to a network file  
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7
Hearing Instrument Tests Setup  
7.1 Section overview  
For most tests, two completely separate sets of test results, labelled A and B, may  
be retained and displayed. The appearance of Hearing Instrument Test (HIT)  
screens may be changed in several ways. Most screens may be formatted to  
show results in graphical or tabular format. The Multicurve screen may be scaled  
in dB SPL or dB Gain. Individual curves may be hidden (but not erased).  
This section covers the following topics:  
7.2: HIT A or B display  
7.8: HIT calibration facts  
7.3: Graph or table format  
7.4: Output or gain scale  
7.5: Hide or Show HIT curves  
7.9: Calibration of HIT reference microphone  
7.10: Calibration check for coupler microphone  
7.11: Coupling the hearing instrument  
7.6: 1996 or 2003 ANSI standard 7.12: Positioning the hearing instrument  
7.7: ANSI test frequencies  
FastFacts 7.1: Hearing instrument tests setup  
7.2 HIT A or B display  
For most tests, two completely separate sets of test results, labelled A and B, may  
be retained and displayed. To switch between A and B test results, press the  
<Left/Right> key.  
FastFacts 7.2: HIT A or B display  
7.3 Graph or table format  
Except for Distortion, Input/Output, Battery drain and Manual control screens, you  
have the option of selecting either a graphic or tabular format.  
To change the data format, highlight, then <PICK> [Graph] or [Table].  
FastFacts 7.3: Graph or table format  
7.4 Output or gain scale  
On the Multicurve test screen, you have the option of displaying test results in SPL  
(dB) or gain (dB).  
To change the scale, highlight, then <PICK> [dB SPL] or [dB Gain]  
FastFacts 7.4: Output or gain scale  
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7.5 Hide or Show HIT curves  
On screens capable of showing more than one curve, you may show or hide test  
curves. Hiding a curve does not erase it.  
To hide or show test curve(s):  
1) Highlight, then <PICK> Curve [Hide/Show].  
2) Highlight, then <PICK> the desired test  
curve to toggle between Hide or Show. The  
curve will toggle on or off when selected.  
3) Press <Continue> to return to the test  
screen.  
FastFacts 7.5: Hide or Show HIT curves  
7.6 1996 or 2003 ANSI standard  
Automated tests of linear and AGC hearing aids may be conducted according to  
either the ANSI S-3.22-1996 or ANSI S3.22-2003 test standards. For differences,  
see 8.2: ANSI S3.22-1996 facts and 8.3: ANSI S3.22-2003 facts.  
To select the standard to be used:  
1) Press <Setup>, then highlight and <PICK> [ANSI]  
2) Highlight and <PICK> the version of the ANSI standard you wish to use.  
3) Press <Continue> to exit  
FastFacts 7.6: 1996 or 2003 ANSI standard  
7.7 ANSI test frequencies  
The Frequencies feature allows hearing instruments to be evaluated at the Special  
Purpose Average (SPA) frequencies defined by ANSI S3.22, rather than the  
default High Frequency Average (HFA) frequencies. The choice of SPA (or HFA)  
frequencies influences the average OSPL90, average full-on gain, reference test  
gain, bandwidth and equivalent input noise. The frequencies at which distortion is  
measured are one-half the selected SPA frequencies. You can also select the  
frequencies at which attack and release times are measured.  
To change the averaging frequencies:  
1) Press <Setup>, then highlight and <PICK> [Frequencies].  
2) Highlight and <PICK> the HFA/SPA frequencies box, to generate a drop-down  
list box of alternate test frequencies.  
3) Highlight the desired HFA/SPA test frequencies and press <PICK> to select.  
To change the frequencies for attack and release time measurements:  
In the list of available frequencies, highlight and <PICK> the frequencies to be  
used to measure attack and release time.  
Press <Continue> to exit.  
FastFacts 7.7: ANSI test frequencies  
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7.8 HIT calibration facts  
HIT microphone calibration establishes a correction curve for the uncalibrated HIT  
reference microphone by comparison with the factory calibrated coupler  
microphone. It may be performed as often as desired but will be invalidated at 1  
am the following day or at 1 am the following Monday, depending on the choice of  
Daily or Weekly calibration interval. After the calibration has expired, you will be  
prompted to calibrate whenever you attempt a test that uses the HIT microphones.  
Note that there are two styles of HIT reference microphones. The newer style is  
larger but responds beyond 16 kHz and has a lower noise floor. The two have  
different correction curves, as shown below, but will produce the same test results,  
once calibrated. Your calibration curve should be similar to one of these and  
should remain stable over time. Irregularities in the calibration curve may be the  
result of positioning errors. See 7.9: Calibration of HIT reference microphone.  
FastFacts 7.8: HIT calibration facts  
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7.9 Calibration of HIT reference microphone  
Remove any coupler from the coupler microphone before calibration.  
1) Position the HIT reference microphone opening concentric with the coupler  
microphone opening and about 1 – 2 mm from as shown below.  
2) Close and seal the test chamber by tightening the latch at the front of the lid.  
3) Press <Tests>, then highlight and <PICK> [Calibrate] from the Hearing  
Instruments Test column.  
4) Highlight, then <PICK> [Daily] or [Weekly] to select the calibration interval.  
5) Highlight and <PICK> [Calibrate]. See 7.8: HIT calibration facts  
It is recommended that you print a copy of the initial calibration curve and compare  
it with your daily or weekly curve. Any change in this curve indicates a drift in  
either the coupler or the reference microphone which needs further investigation.  
See 7.10: Calibration check for coupler microphone for an additional check.  
FastFacts 7.9: Calibration of HIT reference microphone  
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7.10 Calibration check for coupler microphone  
Accuracy of HIT measurements depends on the calibration of the coupler  
microphone. This should be checked regularly using a microphone calibrator with  
an adapter ring. The RE780 (1 1/8”) and RE781 (1”) rings are designed for Quest  
CA22 and QC-10/20 respectively. To verify the coupler microphone calibration:  
1) Calibrate the HIT reference microphone. See 7.9: Calibration of HIT reference  
microphone  
2) Screw the appropriate calibrator ring onto the coupler microphone.  
3) Insert the coupler microphone with the attached calibrator ring into the  
calibrator opening.  
4) Turn the calibrator on and adjust it to present one of the available frequencies  
and levels (e.g., 94 dB SPL at 1000 Hz).  
5) Press <Tests>, then highlight and <PICK> HIT [Manual control].  
6) Highlight and <PICK> the [Level] window, then highlight and <PICK> 0 from  
the drop-down list.  
7) Highlight, then <PICK> the [Frequency] window, then highlight and <PICK> the  
frequency of the calibrator (e.g. 1000 Hz) from the drop-down list.  
8) Highlight, then <PICK> the [Filter] window, then highlight and <PICK> 1/12th  
octave from the drop-down list.  
9) Highlight, then <PICK> [Start test] (which changes to [Stop test]).  
10) Check that the Coupler microphone level is within 1 dB of the calibrator level  
setting, +/- the calibrator accuracy. For a 94 dB calibrator with +/- 0.3 dB  
accuracy, the indicated coupler microphone level should be 94 +/- 1.3 dB.  
11) To stop the measurement, highlight and <PICK> [Stop test].  
FastFacts 7.10: Calibration check for coupler microphone  
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7.11 Coupling the hearing instrument  
The RM500SL is supplied with 2 metal couplers, a type HA-1 (ITE) and a type HA-  
2 (BTE). Note that an ANSI standard coupler for CICs does not exist. These  
must be tested in the HA-1 coupler.  
When threading the couplers onto the coupler microphone, it is very important  
that they be firmly tightened to ensure a good acoustic seal. Avoid twisting the  
coupler microphone cable – turn the coupler not the microphone or unplug the  
microphone while tightening the coupler.  
BTE instruments are coupled to the HA-2 coupler by means of a 3/8th “ (10 mm)  
length of heavy wall #13 (2mm) earmold tubing. The only purpose of this tubing is  
to seal the tip of the earhook to the coupler inlet. All of the tubing required by ANSI  
S3.22 is machined into the metal stem of the HA-2 coupler. The #13 tubing should  
be inspected regularly for cracks which will cause feedback.  
Custom instruments are sealed to the HA-1 coupler with putty so that the end of  
the eartip is flush with the inside of the coupler opening. Putty should not extend  
into the coupler cavity or block the sound outlet of the instrument. Vents should  
be sealed at the faceplate end. It is very important that the instrument be well-  
sealed to the coupler. Excess low frequency output is usually due to open  
vents or a poor seal to the coupler.  
Open fit instruments must use the coupler and coupling system specified by the  
manufacturer. This may involve a hook that replaces the open fit tubing or an  
adapter tube that may be sealed to the opening of the HA-1 coupler with putty.  
Receiver-in-canal instruments are coupled to the HA-1 coupler using putty to seal  
the receiver module or soft tip to the coupler opening.  
Excess low frequency output is usually due to open vents or a poor seal to  
the coupler.  
For health reasons, hearing instruments should be clean before putty is  
applied and putty should be replaced frequently.  
FastFacts 7.11: Coupling the hearing instrument  
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7.12 Positioning the hearing instrument  
1) The hearing instrument should be coupled to the appropriate coupler and a  
battery or battery pill installed. See 7.11: Coupling the hearing instrument and  
2.5: Battery pill use and care.  
2) Place the instrument and coupler in the test chamber so that the  
microphone opening(s) of the instrument are on the crossbar  
within the test zone.  
>>  
3) Position the HIT reference microphone as close as possible to the (front-  
facing) microphone opening of the hearing instrument without touching it.  
4) Close and seal the test chamber.  
FastFacts 7.12: Positioning the hearing instrument  
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8
ANSI S3.22 Hearing Aid Tests  
8.1 Section overview  
These Hearing Instrument Tests follow the procedures of ANSI S3.22-1996 or  
ANSI S3.22-2003 as selected in Setup. See 7.6: 1996 or 2003 ANSI standard :  
Linear: An automated test sequence for linear hearing aids per ANSI S3.22.  
AGC: An automated test sequence for AGC hearing aids per ANSI S3.22.  
Input/Output: 1 - 4 curves of coupler SPL vs input SPL at .25, .5, 1, 2 and 4 kHz.  
Telecoil: STS (1996 - simulated telephone sensitivity) or RSETS (2003 - relative  
simulated equivalent telephone sensitivity) using a coil in the test chamber floor.  
This section covers the following topics:  
8.2: ANSI S3.22-1996 facts  
8.3: ANSI S3.22-2003 facts  
8.7: ANSI input-output curves  
8.8: ANSI telecoil terminology  
8.4: ANSI 1996 Linear and AGC tests 8.9: ANSI telephone simulator (TMFS) test  
8.5: ANSI 2003 Linear and AGC tests 8.10: Telecoil test results  
8.6: ANSI test results  
FastFacts 8.1: ANSI S3.22 hearing aid tests  
8.2 ANSI S3.22-1996 facts  
The RM500SL performs selected hearing instrument tests in accordance with  
ANSI S3.22-1996. This standard expresses some outputs and gains as High  
Frequency Average (HFA) values. The HFA is the average of values at 1000,  
1600 and 2500 Hz. If a hearing aid meets certain conditions, the manufacturer  
may choose other averaging frequencies called Special Purpose Average (SPA)  
frequencies. The current averaging frequencies are indicated explicitly on test  
results where space permits and also appear as tick marks on the frequency axis  
of graphs. To change the averaging frequencies, see 7.7: ANSI test frequencies.  
This standard also requires some tests with the gain control full on and some with  
the gain control in the Reference Test Position (RTP). This requirement applies to  
both Linear and AGC aids that have a HFA (or SPA) full-on gain greater than the  
HFA (or SPA) OSPL90 minus 77 dB. Otherwise the RTP is full on. If required, the  
RM500SL will pause in its testing and guide you in setting the gain control to the  
RTP.  
All other controls on the hearing instrument should be set to provide the widest  
frequency response, the greatest gain and the highest maximum output. AGC  
controls or programmable settings should be as designated by the manufacturer.  
At full-on gain the [Linear] and [AGC] test sequences provide a curve of OSPL90  
(Output Sound Pressure Level for a 90 dB input SPL), the HFA (or SPA) and peak  
value of this curve, the frequency of the peak and the HFA (or SPA) gain for a 50  
dB input SPL.  
With the gain control at RTP, these sequences also provide a frequency response  
curve with an input SPL of 60 dB (Linear) or 50 dB (AGC), the HFA (or SPA) gain  
for a 60 dB input SPL, the frequency range, battery drain, equivalent input noise,  
harmonic distortion, attack and release time (AGC only).  
FastFacts 8.2: ANSI S3.22-1996 facts  
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8.3 ANSI S3.22-2003 facts  
ANSI S3.22-2003 has been designated a recognized standard by the FDA but is  
not yet mandatory. Manufacturers may use either version for reporting test data.  
The most significant change from the 1996 version is the requirement for the  
hearing aid to be set in its most linear mode for the setting of the gain control to  
Reference Test Setting (changed from Reference Test Position) and for all tests  
except attack and release and input-output (I/O) curves. These two tests are to be  
conducted with the AGC function set for maximum effect. The AGC test sequence  
will pause to allow AGC to be set prior to measuring attack and release time.  
Full-on gain is determined with 50 dB input SPL (60 dB was formerly an option)  
and frequency response curves are run at 60 dB SPL for Linear and AGC aids.  
The OSPL90 curve, the HFA (or SPA) and peak value of this curve, the frequency  
of the peak, the HFA (or SPA) full-on gain are determined at full-on gain setting.  
The response curve, frequency range, Reference Test Gain, battery drain,  
equivalent input noise, distortion, attack and release times are determined at RTS.  
These changes result in more consistent values for reference test gain, equivalent  
input noise and attack and release time. See 7.6: 1996 or 2003 ANSI standard,  
8.2: ANSI S3.22-1996 facts and 8.5: ANSI 2003 Linear and AGC tests.  
FastFacts 8.3: ANSI S3.22-2003 facts  
8.4 ANSI 1996 Linear and AGC tests  
1) Press <Tests>, then highlight and <PICK> [Linear] or [AGC].  
2) Highlight and <PICK> [Start test]; test setup instructions will be displayed.  
3) Refer to 7.11: Coupling the hearing instrument, 7.12: Positioning the hearing  
instrument and 2.5: Battery pill use and care to prepare the instrument for  
testing.  
4) Turn the instrument ON.  
5) Set the gain control (manual or programmable) to maximum with all other  
controls set to provide the widest frequency response, greatest gain and  
highest maximum output. AGC controls and/or programmable parameters  
should be set as designated by the manufacturer.  
6) Press <Continue> to run the test or press <Cancel> to abort the test. Note  
that, if required, the RM500SL will pause during the test to request that the  
volume control be adjusted to the Reference Test Position (RTP). Open the  
HIT chamber if necessary and, without moving the hearing instrument, adjust  
the user gain control until the large vertical arrow on the screen prompt  
disappears. Press <Continue> to resume the test.  
If you are unsure which test sequence to run, try [AGC] first. If attack and release  
times are all near zero, the instrument is probably linear.  
FastFacts 8.4: ANSI 1996 Linear and AGC tests  
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8.5 ANSI 2003 Linear and AGC tests  
1) Press <Tests>, then highlight and <PICK> [Linear] or [AGC].  
2) Highlight and <PICK> [Start test]; test setup instructions will be displayed.  
3) Refer to 7.11: Coupling the hearing instrument, 7.12: Positioning the hearing  
instrument and 2.5: Battery pill use and care to prepare the instrument for  
testing.  
4) Turn the instrument ON.  
5) Set the gain control (manual or programmable) to maximum with all other  
controls set to provide the widest frequency response, greatest gain and  
highest maximum output. AGC controls and/or programmable parameters  
should be set to minimize AGC action (AGC off or threshold high, compression  
ratio close to 1).  
6) Press <Continue> to run the test or press <Cancel> to abort the test. Note that,  
if required, the RM500SL will pause during the test to request that the gain  
control be adjusted to the Reference Test Setting (RTS). If necessary, open the  
HIT chamber and, without moving the hearing instrument, adjust the gain  
control until the large vertical arrow on the screen prompt disappears. Press  
<Continue> to resume the test.  
During the AGC test, the RM500SL will pause to request that AGC controls or  
programmable parameters be set for maximum AGC effect. If the manufacturer  
does not provide settings to produce maximum AGC effect, use settings that result  
in the highest gain for soft sounds and the lowest gain for loud sounds. This will  
typically result in the lowest compression threshold, a flat I/O curve and the  
longest attack/release times. These are not “typical” characteristics but indicate  
the adjustment range possible for these parameters.  
If you are unsure which test sequence to run, try [AGC] first. If attack and release  
times are all near zero, the instrument is probably linear.  
FastFacts 8.5: ANSI 2003 Linear and AGC tests  
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8.6 ANSI test results  
In 1996 tests: Full-on average gain 1 is measured at 50 dB SPL, average gain at  
RTP 2 is usually (but not always) measured at 60 dB SPL and the frequency  
response 3 is run at 60 dB SPL for linear aids or at 50 dB SPL for AGC aids.  
In 2003 tests: Full-on average gain is measured with a 50 dB input SPL, average  
gain at RTS is always measured at 60 dB input SPL and the frequency response  
curve is always run at 60 dB input SPL.  
FastFacts 8.6: ANSI test results  
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8.7 ANSI input-output curves  
An input/output curve shows the output level of a hearing instrument as a function  
of input level and frequency. It is a steady-state pure-tone curve and does not  
reflect performance with complex signals such as speech.  
You may run the tests at any setting of the instrument controls but ANSI S3.22  
requires that certain settings be used. See 8.2: ANSI S3.22-1996 facts and 8.3:  
ANSI S3.22-2003 facts. The [Input/Output] test allows you to generate up to 4  
separate input/output curves at each of 5 individual frequencies (250, 500, 1000,  
2000, 4000 Hz) as provided in ANSI S3.22.  
1) Press <Tests>, then highlight and <PICK> [Input/Output].  
2) Refer to 7.11: Coupling the hearing instrument, 7.12: Positioning the hearing  
instrument and 2.5: Battery pill use and care to prepare the instrument for  
testing.  
3) Turn the instrument ON; set AGC controls or programming parameters as in  
8.4: ANSI 1996 Linear and AGC tests or 8.5: ANSI 2003 Linear and AGC tests  
4) Highlight and <PICK> [Curve 1]. Test setup instructions will be displayed.  
5) Press <Continue> to generate a set of 5 input/output curves.  
6) To measure another set of 5 input/output curves, highlight and <PICK> another  
[Curve #].  
7) To summon a cursor to determine curve values, position the mouse pointer on  
a graph area and click the left mouse button. Click again to turn it off.  
NOTE: Noise in the test area may cause erroneous results at low input levels  
(particularly at 250 and 500 Hz). Ensure that the test chamber is well sealed and  
ambient noise is low.  
FastFacts 8.7: ANSI input-output curves  
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8.8 ANSI telecoil terminology  
The RM500SL test chamber contains an integrated telephone magnetic field  
simulator (TMFS) meeting the requirements of ANSI S3.22, that enable the  
measurement of coupler SPL produced by a hearing instrument with a telephone  
pickup coil. ANSI uses the following terms in telecoil testing:  
RTG (reference test gain) is the average gain measured with the gain control in  
the reference test position (1996) or reference test setting (2003). See 8.2: ANSI  
S3.22-1996 facts and 8.3: ANSI S3.22-2003 facts.  
TMFS (Telephone magnetic field simulator). A 38.4-mm diameter coil spaced 16.5  
mm below a test surfaced driven by a specified test signal. Intended to simulate a  
telephone handset receiver.  
SPLITS (Coupler SPL for an inductive telephone simulator). SPL developed in a  
2cc coupler by a hearing instrument with the gain control in the RTP (1996) or  
RTS (2003) when the input is the magnetic field generated by a TMFS.  
HFA (or SPA) –SPLITS. Average of the SPLITS at HFA or SPA frequencies.  
STS (1996 - simulated telephone sensitivity) or RSETS (2003 - relative simulated  
equivalent telephone sensitivity) is calculated as HFA (or SPA) SPLITS minus  
(RTG + 60). A positive STS or RSETS indicates greater output when using the  
telephone than when using the microphone.  
FastFacts 8.8: ANSI telecoil terminology  
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8.9 ANSI telephone simulator (TMFS) test  
ANSI S3.22 requires that the gain control be set to RTP (1996) or RTS (2003)  
before running this test. The reference test gain (RTG) is required in order to  
calculate the STS (1996) or RSETS (2003). The easiest way to meet both  
requirements is to run a [Linear] or [AGC] test before running this test. See 8.4:  
ANSI 1996 Linear and AGC tests; 8.5: ANSI 2003 Linear and AGC tests  
1) First, complete a [Linear] or [AGC] test, then press <Tests>.  
2) Highlight & <PICK> [Telecoil].  
3) Set the aid to ‘T’ (telecoil input).  
4) Highlight and <PICK> [Start TMFS test]. Test  
setup instructions are displayed.  
5) Position the aid on the ‘T’ inscribed on the test  
chamber floor. BTE aids should lie as flat as  
possible on the test chamber surface, while  
custom aids should be oriented with their  
faceplate parallel to the top surface (if possible)  
and touching it as shown.  
6) Press <Continue> to start the test.  
7) While maintaining the orientation of step 5,  
move the hearing instrument around on the test  
chamber surface to maximize the number  
shown in the ‘Maximize Average-SPLITS Value’  
box.  
8) Without moving the hearing instrument, press <Continue> to store the Average  
(HFA-or SPA) SPLITS value and run the SPLITS curve.  
9) If an RTG has been previously obtained, the STS or RSETS will be shown.  
FastFacts 8.9: ANSI telephone simulator (TMFS) test  
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8.10 Telecoil test results  
See 8.8: ANSI telecoil terminology for explanation of abbreviations.  
Note that the 2003 standard requires that the telecoil test be performed with the  
AGC set for minimum effect. See 8.3: ANSI S3.22-2003 facts.  
The 1996 standard requires the manufacturer to specify the AGC settings used for  
the telecoil test.  
FastFacts 8.10: Telecoil test results  
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9
Other Hearing Instrument Tests  
9.1 Section overview  
In addition to the tests of ANSI S3.22, the RM500SL provides the following:  
Distortion: Harmonic distortion at 2nd or 3rd harmonics and 2nd plus 3rd with input  
levels varying from 60 – 90 dB SPL.  
Multicurve: 1 – 4 curves of coupler SPL or coupler gain for swept tones or pink  
noise in 1/12th octaves at selected input SPL of 0 or 40 to 90 dB in 5 dB steps.  
Can be used as a 1/12th octave spectrum analyzer by setting stimulus to 0 dB.  
Battery drain: A 10 second test of battery current drain with no acoustic input, a 1  
kHz 65 dB input SPL, and an average for 90 dB input SPL at the HFA or SPA  
frequencies selected in Setup. Optional battery pills are required.  
Manual control: Coupler and HIT reference mic. SPL at selected 1/12th octave  
frequencies and stimulus SPL of 0 and 40 – 90 dB in 5 dB steps. Can be used as  
a dual channel sound level meter with 1/12th octave, A and C filters.  
This section covers the following topics:  
9.2: Harmonic distortion  
9.6: Battery drain  
9.3: Multicurve procedure  
9.4: Multicurve results  
9.7: Manual control procedure  
9.8: Sound level meter using manual control  
9.5: Spectral analysis in Multicurve  
FastFacts 9.1: Other hearing instrument tests  
9.2 Harmonic distortion  
This test measures harmonic distortion at 2nd or 3rd harmonics with input levels  
varying from 60 – 90 dB SPL. It also presents the sum of 2nd and 3rd harmonics as  
total harmonic distortion (THD). For hearing aids, this differs little from true THD.  
1) Press <Tests>, then highlight and <PICK> [Distortion].  
2) Refer to 7.11: Coupling the hearing instrument, 7.12: Positioning the hearing  
instrument and 2.5: Battery pill use and care to prepare the instrument for  
testing.  
3) Turn the hearing instrument ON.  
4) Highlight and <Pick> [Start test].  
5) Highlight and <PICK> [Harmonics], then highlight and <PICK> THD, 2nd or 3rd  
from the drop-down list.  
6) Highlight and <PICK> [Input], then highlight and <PICK> the desired input level  
(60 – 90 dB SPL) from the drop-down list.  
7) Press <Continue> to run the test. Distortion will be displayed at 1/3 octaves in  
graphic and in tabular form.  
FastFacts 9.2: Harmonic distortion  
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9.3 Multicurve procedure  
Multicurve generates 1 to 4 output or gain response curves using either pink noise  
or swept pure tones at input levels ranging from 40 – 90 dB SPL and 0 dB (off).  
1) Press <Tests>, then highlight and <PICK> [Multicurve].  
2) Refer to 7.11: Coupling the hearing instrument, 7.12: Positioning the hearing  
instrument and 2.5: Battery pill use and care to prepare the instrument for  
testing. Turn the instrument ON.  
3) Highlight and <PICK> button 1, 2, 3 or 4 in the Test column.  
4) Highlight and <PICK> the Stimulus window, then highlight and <PICK> either  
[Pink noise] or [Swept] from the drop-down list.  
5) Highlight and <PICK> the Level window for the selected Test, then highlight  
and <PICK> a stimulus level from the drop-down list.  
6) Press <Continue> to run a sweep or to capture a pink noise curve; press  
<Cancel> to abort the test.  
7) To measure another response curve, highlight and <PICK> another test button;  
to overwrite a curve, highlight and <PICK> its test button.  
To change scale from dB SPL to dB Gain, highlight & <PICK> the Scale window.  
FastFacts 9.3: Multicurve procedure  
9.4 Multicurve results  
1) Output curves for the noise signal are in 1/12th octave bands. They will be  
approximately 18 dB lower than pure tone curves for a linear instrument.  
2) Gain curves for a linear instrument will be the same for both swept and pink  
noise test signals.  
3) For compression instruments, both gain and output curves may be expected to  
differ for the two test signals.  
4) See 7: Hearing Instrument Tests Setup to change screen appearance.  
FastFacts 9.4: Multicurve results  
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9.5 Spectral analysis in Multicurve  
Selecting a stimulus level of 0 dB (off) in [Multicurve] presents a spectral analysis  
of the coupler microphone signal (Scale = dB SPL) or the difference between the  
coupler and reference microphone spectra (Scale = dB Gain).  
If the stimulus type is [Pink noise], the analysis is performed in 1/12th octave bands  
and displayed in real time. Pressing <Continue> captures the displayed spectrum.  
If the stimulus type is [Swept], a swept filter analysis is performed in 1/12th octave  
bands and displayed at 1/3rd octave frequencies. Pressing <Continue> causes the  
swept filter analysis to be performed in 1/12th octave bands and displayed at 1/12th  
octave frequencies.  
FastFacts 9.5: Spectral analysis in Multicurve  
9.6 Battery drain test  
The battery drain test automatically measures the battery current when there is no  
input signal (quiescent), when the input signal is a 1 kHz tone at 65 dB SPL and  
the average of the currents when the input signal is 90 dB SPL at the HFA or SPA  
frequencies (Avg @ 90 dB). Battery life is estimated assuming 80% quiescent and  
20% Avg @ 90 dB use. Optional battery pills are required.  
With the hearing instrument set as normally used:  
1) Install and connect the proper battery pill. See 2.5: Battery pill use and care  
2) Highlight and <PICK> Battery drain from Hearing Instrument Tests list.  
3) Highlight and <PICK> [Battery type] and select from drop-down list.  
4) Highlight and  
<PICK> [Hours  
per day] and  
select from drop-  
down list.  
5) Highlight and  
<PICK> [Start  
test]  
FastFacts 9.6: Battery drain test  
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9.7 Manual control procedure  
Manual control displays the reference microphone SPL, the coupler microphone  
SPL, their difference in dB (gain) and coupler microphone signal distortion at any  
selected 1/12th octave frequency and at a selected input level from 40 to 90 dB (in  
5 dB steps) and at 0 dB (off).  
1) Press <Tests>, then highlight and  
<PICK> [Manual control].  
2) Highlight and <PICK> the Level  
window, then highlight and <PICK> the  
desired stimulus level from the drop-  
down list.  
3) Highlight and <PICK> the Frequency  
window, then highlight and <PICK> the  
desired frequency from the drop-down  
list. (Distortion measurement data is  
available only from 200-4000 Hz.)  
4) Highlight and <PICK> [Start test] to  
start the test. [Start test] changes to  
[Stop Test]. To stop the measurement,  
highlight and <PICK> [Stop test]. You  
may change Level and Frequency  
without stopping the test.  
FastFacts 9.7: Manual control procedure  
9.8 Sound level meter using manual control  
When set for a stimulus level of 0 dB (off), the Manual control mode allows the  
RM500SL to be used as a sound level meter. Sound at the HIT reference  
microphone and the coupler microphone may be analyzed by 1/12th octave, A-  
weighted or C-weighted filters. A and C-weighted measurements are limited to  
frequencies above 100 Hz and the averaging time and update rate are 384 ms.  
1) Press <Tests>, then highlight and <PICK> [Manual control].  
2) Highlight and <PICK> the Level window, then highlight and <PICK> 0 dB  
stimulus level from the drop-down list.  
3) Highlight and <PICK> the Filter window, then highlight and <PICK> 1/12th  
octave, A-weighted, or C-weighted from the drop-down list.  
4) For 1/12th octave filter, highlight and <PICK> the Frequency window, then  
highlight and <PICK> the desired frequency from the drop-down list.  
5) Highlight and <PICK> [Start test] to start the test. [Start test] changes to [Stop  
Test]. To stop the measurement, highlight and <PICK> [Stop test]. You may  
change Level and Frequency without stopping the test.  
NOTE: A microphone extension cable (VA-130) is available from Audioscan.  
Standard audio extension cables should not be used. They will substantially  
increase noise levels.  
FastFacts 9.8: Sound level meter using manual control  
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10 Real-Ear Measurement Setup  
10.1 Section overview  
For safe and effective operation, the Real-Ear Measurement (REM) system must  
be properly set up and calibrated, the client must be properly positioned and the  
probe tube must be properly positioned in the ear canal. Note that the REM  
speaker is in the lid of the test chamber which must be open to a near-vertical  
position for all real-ear measurements.  
Real-Ear Unaided Response (REUR): SPL, or band SPL, in the open (unaided)  
ear canal for a given stimulus.  
Real-Ear Unaided Gain (REUG): Difference, in dB, between the REUR and the  
stimulus SPL, or stimulus band SPL.  
Real-Ear Aided Response (REAR): SPL, or band SPL, in the ear canal for a given  
stimulus, with a working hearing aid in place.  
Real-Ear Aided Gain (REAG): Difference, in dB, between the REAR and the  
stimulus SPL, or stimulus band SPL.  
Real-Ear Saturation Response (RESR): The REAR obtained using a narrow-band  
signal at a level high enough to saturate the hearing aid (usually 85 - 90 dB SPL).  
Real-Ear-to-Coupler Difference (RECD): Difference, in dB, between the real-ear  
SPL and the 2cc coupler SPL produced by the same transducer driven by the  
same signal.  
This section covers the following topics:  
10.2: REM calibration facts  
10.6: ABR nHL to eHL setup  
10.3: Calibration of REM probe microphone 10.7: Positioning the client  
10.4: Calibration check for probe module  
10.5: Max TM SPL setup  
10.8: Positioning the probe tube  
FastFacts 10.1: Real-ear measurement setup  
10.2 REM calibration facts  
The probe microphone and its associated tubing does not have a flat frequency  
response. The REM calibration process compares this response with the flat,  
factory-calibrated response of the REM reference microphone and compensates  
all subsequent probe-tube measurements for this difference. It may be performed  
as often as desired but will be invalidated at 1 am the following day or at 1 am the  
following Monday, depending on the choice of Daily or Weekly calibration interval.  
After the calibration has expired, you will be prompted to calibrate whenever you  
attempt a test that uses the REM microphones.  
It is suggested that a copy of the calibration curves for the probe modules when  
new be posted near the RM500SL for comparison with daily or weekly curves. If  
there is a drift in calibration with time, the module may need replacement. See  
10.4: Calibration check for probe module.  
Calibration should be repeated if probe modules are switched or if a probe-tube  
with different dimensions is installed.  
FastFacts 10.2: REM calibration facts  
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10.3 Calibration of REM probe microphone  
Ensure the probe microphone assembly to be calibrated is plugged into the  
appropriate jack. See 2.3: Microphone connection and 10.2: REM calibration facts  
1) Open the test chamber and elevate the  
speaker to its vertical position.  
2) Press <Tests>, then highlight & <PICK>  
[Calibration] from the REM column.  
3) Press the enlarged end of a probe tube as  
far as it will go, into the recessed opening  
at the top of the probe module.  
4) Position the open end of the probe tube in  
front of the reference microphone inlet  
and press it between the posts as shown.  
5) Hold the probe module 5 – 6 inches (12.5 - 15 cm) away from and directly in  
front of the loudspeaker. Orientation of the probe module is not critical.  
6) Press <PICK> to calibrate. The resulting curve should be similar in shape to  
that shown but may be shifted ± 5 dB.  
7) To change the calibration interval, highlight & <PICK> [Daily] or [Weekly].  
FastFacts 10.3: Calibration of REM probe microphone  
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10.4 Calibration check for probe module  
The calibration curve for the probe module is a comparison of the response of the  
probe microphone (with tube) to the response of the REM reference microphone.  
Any change in the curve indicates a change in one of these microphones (or the  
probe tube). See 10.3: Calibration of REM probe microphone. As part of a regular  
calibration schedule, or to investigate changing calibration curves, the REM  
reference microphone may be checked against a high quality sound level meter.  
1) Press <Tests>, then highlight and <PICK> REM [Manual control].  
2) Highlight & <PICK> [Level], then highlight & <PICK> 70 from the drop-down list.  
3) Highlight and <PICK> [Frequency], then highlight and <PICK> 2000 Hz from the  
drop-down list.  
4) Highlight, then <PICK> [Start test] (which  
changes to [Stop test]).  
5) Hold the probe module about 18” (0.5 m) in  
front of the REM speakers.  
6) Hold the microphone of a calibrated sound  
level meter next to the REM reference  
microphone as shown. Set the sound level  
meter to C weighting and slow.  
7) The sound level meter should read 70 ±2 dB.  
8) Repeat with the frequency at 250 Hz.  
9) To stop the measurement, highlight and  
<PICK> [Stop test].  
The probe module should be replaced if it  
fails this test.  
FastFacts 10.4: Calibration check for probe module  
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10.5 Max TM SPL setup  
The Max TM SPL safety feature allows you to set a limit on the SPL, measured by  
the probe microphone, above which a test terminates. The MAX TM SPL limit is  
shown on all REM screens. The default limit is 120 dB.  
To choose a different Max TM SPL setting:  
1) Press <Setup>, then highlight and <PICK> [Max TM SPL].  
2) Highlight and <PICK> the current Max TM SPL setting.  
3) Highlight and <PICK> the desired Max TM SPL setting from the drop-down list.  
4) Press <Continue> to exit Setup.  
This Max TM SPL setting will be in effect until you change it.  
If the limit is exceeded during a real-ear test, the RM500SL will terminate the test  
and display the message “MAX TM SPL EXCEEDED”. You must then decide to  
either adjust the maximum output limiting of the hearing instrument or increase the  
Max TM SPL setting following the steps above.  
If the MAX TM SPL limit has been disabled, a notice will appear on each real-ear  
screen. Also, a message reminding you that the MAX TM SPL limit has been  
disabled will appear when you select a real-ear test.  
FastFacts 10.5: Max TM SPL setup  
10.6 ABR nHL to eHL setup  
Estimated Hearing Level (eHL): An estimate of the behavioral pure tone  
threshold that accounts for a measured ABR threshold.  
Normalized Hearing Level (nHL): (a) Stimulus peak-to-peak equivalent SPL (pe  
SPL) at ABR threshold relative to the average stimulus pe SPL at ABR threshold  
of a normal-hearing jury OR (b) stimulus SPL at ABR threshold relative to the  
average stimulus SPL at behavioral threshold of a normal-hearing jury for the  
same stimulus. (Note that in this latter case, nHL is equivalent to eHL).  
In Speechmap/DSL you have the option of entering ABR thresholds in either eHL  
or nHL. If eHL is selected, the threshold is treated as if it were a behavioral pure-  
tone threshold. If nHL is selected, the entered data will first be converted to eHL  
before SPL threshold and fitting targets are calculated. To do this, appropriate eHL  
to nHL conversion factors must be applied. You can choose to apply default  
conversion factors or enter new ones for each client.  
This setup allows you to select the default conversion factors that are applied in  
Speechmap/DSL to convert ABR nHL threshold to eHL threshold.  
1) Press <Setup>, then highlight and <PICK> [ABR eHL to nHL].  
2) Highlight and <PICK> [DSL defined] or [User defined]  
3) For [User defined], enter conversion factors using a mouse, the keypad or a  
keyboard. See 18.2:Assessment data entry.  
When using the barcode option, both entered nHL data and the nHL to eHL  
conversion factors are printed as a single barcode. See 3.3: Barcode data input.  
FastFacts 10.6: ABR nHL to eHL setup  
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10.7 Positioning the client  
Sound reflections from nearby surfaces (including the operator) can cause large  
measurement errors. Room noise can increase test time, cause errors and alter  
the operation of the hearing instrument being evaluated.  
1) Choose a quiet location and position the client and the real-ear speaker at least  
1.5 m (5 feet) away from any hard surfaces.  
2) The speaker mounted in the lid of the test chamber is used for real-ear  
measurements. It is normally used with the lid in a near-vertical position but the  
elevation may be changed by opening the lid past vertical.  
3) Position the client directly in front of, and facing, the front REM speaker at a  
distance of 18” to 36” (45 to 90 cm) from the center of the head. The speaker  
and the head should be at approximately the same level.  
FastFacts 10.7: Positioning the client  
10.8 Positioning the probe tube  
1) Use an otoscope to ensure there is no ear canal obstruction (e.g. cerumen) and  
to get a sense of ear canal length.  
2) Install a new probe tube on the probe module. Set the black marker ring  
approximately 28 mm from end of probe tube for adult females, approximately  
30 mm from end of probe tube for adult males and approximately 20-25 mm  
from end of probe tube for children. These positions may be modified based on  
the otoscopic examination. (Tip - the probe module body is 28 mm long.)  
3) Hang the probe module on the ear, as  
shown. The reference microphone  
should face outwards.  
4) Adjust the blue cord until the probe module  
is snug against the head, directly below the  
earlobe (cheek level). To facilitate this, clip  
the probe module cable to clothing on the  
side opposite the test ear and draw the  
cable snug.  
5) Hold the front blue cord so that it passes  
behind the ear canal entrance and pass  
the end of the probe tube in front of the  
blue cord and into the ear canal.  
6) Carefully slide the probe tube into the ear  
canal until the marker ring approaches the  
intertragal notch. Then let the front blue  
cord move forward to hold the probe tube  
in place. Use an otoscope to verify that  
the tube is 2 to 5 mm from the eardrum.  
FastFacts 10.8: Positioning the probe tube  
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11 REM Screen Setup  
11.1 Section overview  
To accommodate your working preferences, the appearance of REM screens may  
be changed in several ways.  
This section covers the following topics:  
11.2: REM right or left ear display  
11.4: SPL or HL scale  
11.3: Graph, table or 2cc target format  
11.5: Hide or show REM curves  
FastFacts 11.1: REM screen setup  
11.2 REM right or left ear display  
The RM500SL can retain and display REM test results for two ears. To switch  
between left and right test results, press the <Left/Right> key.  
FastFacts 11.2: REM right or left ear display  
11.3 Graph, table or 2cc target format  
Most REM test screens may be viewed in graphic or tabular format.  
v In RECD, highlight and <PICK> [Format] to toggle between [Graph] and  
[Table] views.  
v In Speechmap and Insertion gain, highlight and <PICK> [Format], then  
highlight and <PICK> [Graph], [Table] or [2cc targets] from the drop-down list.  
v In [2cc targets] format, reserve gain and fitting formula may be changed.  
Highlight & <PICK> the appropriate window, then highlight & <PICK> the  
reserve gain or fitting formula from the drop-down list.  
In Speechmap, if DSL or NAL-NL1 has been selected as a target method, then  
2cc coupler targets for user gain, full-on gain and OSPL90 are provided. The full-  
on gain is just the user gain plus the reserve gain. If no target method has been  
selected, only 2cc OSPL90 values are indicated. Target gains are for speech-  
like signals at a 70 dB input SPL; OSPL90 targets are for 90 dB pure tones.  
Real-ear targets are converted to 2cc coupler values by using age-appropriate  
average or measured (if available) RECD values and the appropriate microphone  
location effects for the desired style of hearing instrument.  
The gain values given assume the hearing instrument is linear for a 70 dB speech  
input. This assumption is necessary to allow the microphone location effects to be  
incorporated.  
For BTE and body aids, the 2cc coupler values provided assume a fully-occluding  
earmold with #13 tubing extending to the medial tip of the earmold. If a different  
type of mold is used, alterations to these values should be made to account for the  
different acoustic characteristics. For CIC instruments, the 2cc values take into  
account that the instrument, when deeply inserted into the ear canal, will produce  
a greater SPL in the ear than that measured in the ITE coupler.  
FastFacts 11.3: Graph, table or 2cc target format  
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11.4 SPL or HL scale  
In Speechmap and Insertion gain tests you may view results in either dB HL or dB  
SPL.  
Insertion gain tests view the hearing aid as improving the sound-field threshold.  
In Insertion gain, the HL scale presents aided results as improved sound-field  
thresholds while the speech region remains fixed.  
Speechmap tests view the hearing aid as increasing the ear canal SPL. Speech  
gets louder but the threshold remains fixed. On the HL scale in Speechmap,  
normal ear canal threshold becomes the 0 dB HL line and all data is replotted  
using this reference. A physical interpretation of the data is difficult and the use of  
HL in Speechmap is not recommended. All instructions given in this guide  
assume the SPL Speechmap scale.  
To change the scale:  
Highlight and <PICK> [Scale] to toggle between a dB SPL and dB HL scale.  
FastFacts 11.4: SPL or HL scale  
11.5 Hide or show REM curves  
On screens capable of showing more than one curve, you may show or hide test  
curves. Hiding a curve does not erase it. To erase curves use the <Session> key.  
To hide or show test curve(s):  
1) Highlight, then <PICK> Curve [Hide/Show].  
2) Highlight, then <PICK> the desired test curve to toggle between Hide or Show.  
The curve will toggle on or off when selected.  
3) Press <Continue> to return to the test screen.  
FastFacts 11.5: Hide or show REM curves  
12 REM Manual Control  
12.1 Section overview  
Manual control displays the reference microphone SPL, the probe microphone  
SPL, their difference in dB (gain) and probe microphone signal distortion at any  
selected 1/12th octave frequency and at a selected input level from 40 to 90 dB (in  
5 dB steps) and at 0 dB (off). With the stimulus turned off, the probe module  
becomes a dual channel sound level meter with a choice of 1/12th, A and C filters  
in both channels.  
This section covers the following topics:  
12.2: Manual control measurements  
12.3: Sound level meter using REM probe  
FastFacts 12.1: REM Manual Control  
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12.2 Manual control measurements  
1) Refer to 10: Real-Ear Measurement Setup to prepare the system for use and  
for proper positioning of the client and the probe tube.  
2) Press <Tests>, then highlight and  
<PICK> [Manual control].  
3) Highlight and <PICK> the Level  
window, then highlight and <PICK> the  
desired stimulus level from the drop-  
down list.  
4) Highlight and <PICK> the Frequency  
window, then highlight and <PICK> the  
desired frequency from the drop-down  
list. (Distortion measurement data is  
available only from 200-2500 Hz.)  
5) Highlight and <PICK> [Start test] to  
start the test. [Start test] changes to  
[Stop Test]. To stop the measurement,  
highlight and <PICK> [Stop test]. You  
may change Level and Frequency  
without stopping the test.  
FastFacts 12.2: Manual control measurements  
12.3 Sound level meter using REM probe  
The manual control feature enables the RM500SL to be used as a sound level  
meter to perform C-weighted, A-weighted or 1/12th octave analysis of sound as  
measured by the probe and reference microphones. A and C-weighted  
measurements are limited to frequencies above 100 Hz and the averaging time  
and update rate are 384 ms.  
1) Refer to 10: Real-Ear Measurement Setup to prepare the system for use and  
for proper positioning of the client and the probe tube.  
2) Press <Tests>, then highlight & <PICK> [Manual control] in the REM column.  
3) Highlight and <PICK> the Level window, then highlight and <PICK> 0 dB  
stimulus level from the drop-down list.  
4) Highlight and <PICK> the Filter window, then highlight and <PICK> 1/12th  
octave, A-weighted, or C-weighted from the drop-down list.  
5) For 1/12th octave filter, highlight and <PICK> the Frequency window, then  
highlight and <PICK> the desired frequency from the drop-down list.  
6) Highlight and <PICK> [Start test] to start the test. [Start test] changes to [Stop  
Test]. To stop the measurement, highlight and <PICK> [Stop test]. You may  
change Level and Frequency without stopping the test.  
FastFacts 12.3: Sound level meter using REM probe  
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13 Sensory Loss Simulator  
13.1 Sensory loss simulator description  
A pure conductive loss attenuates loud and soft sounds equally, and is easily  
simulated by just turning down the volume or inserting an earplug. Losses of a  
sensory nature are more complex and more difficult to simulate.  
The most common sensory loss is caused by outer hair cell damage and results in  
loss of audibility for soft sounds but near-normal loudness for loud sounds. Inner  
hair cell damage elevates threshold and reduces loudness for both soft and loud  
sounds, possibly somewhat more for soft sounds.  
This sensory loss simulator (SLS) is intended to allow normal-hearing listeners to  
hear sounds as if they had the elevated threshold and altered loudness perception  
caused by outer and inner hair cell damage. It is based on the cochlear hearing  
loss model described in Moore & Glasberg (2004).  
In this simulation, losses less than 58 dB SPL are considered to be due entirely to  
outer hair cell damage. Any loss greater than this is considered inner hair cell loss.  
This SLS does not simulate broadening of the auditory filters or other distortions  
that may accompany cochlear hearing loss.  
For comparison purposes, a simulation of a purely conductive loss is also provided.  
To properly experience the simulation, listeners should be within 1m of the REM  
speaker and in a quiet room.  
FastFacts 13.1: Sensory loss simulator description  
13.2 Sensory loss simulator operation  
Listeners should be within 1m of the REM speaker and in a quiet room.  
1) Press <Tests>, then highlight and <PICK> [Sensory loss simulator].  
2) If an audiogram has previously been entered in Speechmap or Insertion gain,  
go to step 4. Otherwise, highlight and <PICK> [Audiometry].  
3) Enter HL threshold values using a mouse or the keypad. Left click the mouse  
on the audiogram form to enter a point. Click again to delete the point. On the  
keypad use the arrow keys to change frequency and level and press <PICK> to  
enter or delete a threshold point.  
4) Press <Continue> when all points have been entered. See 16.4: Audiometric  
data entry or 18.2: Assessment data entry for more details.  
5) Highlight and <PICK> [Start test]. Sound, processed to simulate the entered  
hearing loss, will be presented via the REM speaker.  
6) Highlight and <PICK> [Stimulus], then highlight and <PICK> a sound to play.  
7) Highlight and <PICK> [Hearing], then highlight and <PICK> from [Normal, ½  
Entered loss, Entered loss].  
8) Highlight and <PICK> [Type of loss] to toggle between [Sensorineural] and  
[Conductive] hearing loss simulations.  
9) Highlight and <PICK> [Cancel] to stop the simulation.  
FastFacts 13.2: Sensory loss simulator operation  
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14 Occlusion Effect Test  
14.1 Occlussion effect measurement  
1) Refer to 10: Real-Ear Measurement Setup to prepare the system for use and  
for proper positioning of the client and the probe tube.  
2) Insert the earmold or custom hearing instrument into the ear, being careful not  
to advance the probe tube further into the ear canal. A lubricant applied to the  
earmold or custom instrument shell in the vicinity of the probe tube will make  
insertion easier and prevent slit leaks around the tube.  
3) Turn the hearing aid OFF.  
4) Press <Tests>, then highlight and <PICK> [Occlusion].  
5) Highlight and <PICK> [Start test] to start the test. [Start test] changes to [Stop  
Test].  
6) While the client vocalizes “ee” in a normal voice, highlight and <PICK> [Stop  
test] to stop the test and freeze the screen. A red occlusion bar indicates an  
occlusion problem, a yellow bar indicates a possible problem and a green bar  
indicates no problem.  
7) Increase venting and repeat the test until a green bar is obtained.  
FastFacts 14.1: Occlusion effect measurement  
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15 RECD (real-ear to coupler difference)  
15.1 Section overview  
The RECD measurement procedure may be accessed by selecting RECD from the  
REM tests list or from the Audiometry poster within Speechmap. An optional  
RECD transducer is required for RECD measurements.  
This section covers the following  
topics:  
15.2: RECD facts  
15.3: RECD coupler response  
15.4: RECD real-ear response  
15.5: RECD results  
FastFacts 15.1: RECD (real-ear to coupler difference)  
15.2 RECD facts  
Individual RECD values are derived by comparing the real-ear SPL for a given test  
signal to the 2cc coupler SPL for the same test signal. These RECD values are  
used to: (1) convert HL threshold and UCL obtained using insert phones to SPL  
values, (2) simulate real-ear measurements from 2cc coupler measures (S-REM);  
and (3) derive 2cc coupler targets from real-ear aided targets.  
If you use insert ear phones for audiometry OR if you verify using S-REM, you  
should measure RECD (preferred) or use age-related average RECD.  
If you use headphones or sound field for audiometry AND you use REM for  
verification, RECD is not applied in any way and need not be measured.  
If you use 2cc coupler targets, you should use measured or age-related RECD.  
Insert phone audiometry with measured RECD and REM verification provides the  
best fitting accuracy, with S-REM verification being slightly less accurate. Insert  
phone HL data with age-related average RECD is next best.  
This software provides average RECDs for 1 - 60 months, 6 - 10 years of age and  
Adult. A sampling of age-related foam-tip HA-2 RECD values is shown below.  
Age/Freq 250  
500  
8
750 1000 1500 2000 3000 4000 6000  
1 month  
12 months  
24 months  
36 months  
60 months  
8 yrs - Adult  
3
3
3
3
3
3
9
8
7
7
7
6
12  
10  
9
15  
10  
9
15  
11  
10  
9
16  
11  
10  
9
20  
15  
14  
13  
13  
13  
23  
17  
15  
14  
13  
13  
6
5
5
9
8
5
9
7
8
8
4
8
7
7
8
Values are from DSL 5.0 but differ from DSL in that values for 119 months have  
been used for ages >119 months. DSL 5.0 RECDs differ from DSL 4.1 RECDs.  
FastFacts 15.2: RECD facts  
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15.3 RECD coupler response  
Prepare the system for HIT tests. See 2.3: Microphone connection, 7.9:  
Calibration of HIT reference microphone. Connect the optional RECD transducer  
to the RECD jack to the left of the test chamber.  
1) Press <Tests> then highlight and  
<PICK> [RECD] from the REM  
tests list.  
2) If a valid coupler response exists,  
go to 15.4:RECD real-ear  
response.  
3) If no coupler response exists or the  
measurement interval has been  
exceeded, connect the RECD  
transducer to the BTE coupler.  
4) Highlight and <PICK> [Measure coupler] and follow the setup instructions.  
5) Press <Continue> to generate the coupler response curve (green). When this  
curve is stable, press <Continue> to save it.  
6) Highlight and <PICK> [Daily] or [Weekly] to toggle the measurement interval for  
the coupler response.  
For comparison purposes, an age-related average RECD is shown as a dotted  
curve on the screen. If you have accessed RECD from the REM tests list, you may  
highlight and <PICK> the Age box to change the age for this reference curve.  
FastFacts 15.3: RECD coupler response  
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15.4 RECD real-ear response  
Connect the RECD transducer to the RECD jack to the left of the test chamber.  
Prepare the system for REM tests. See 10.3: Calibration of REM probe  
microphone.  
2) Press <Tests> then highlight and <PICK>  
[RECD] from the REM tests list.  
3) If no coupler response exists or the  
measurement interval has been exceeded, go to  
15.3:RECD coupler response.  
4) If a valid coupler response exists, highlight and  
<PICK> [Measure real ear].  
5) Refer to 10.8: Positioning the probe tube and  
insert the probe tube into the ear canal to within  
2 - 5 mm of the eardrum.  
6) Insert the foam tip into the ear, being careful not to advance the probe tube  
further into the ear canal. Insertion depth should be as used with insert phones.  
Allow the foam tip to fully expand in the ear.  
7) Press <Continue> to generate the real-ear response curve (pink) and the  
RECD curve (cyan). If the RECD curve is negative and unstable in the low  
frequencies, check the seal of the foam tip. Increase the tip size and/or apply a  
lubricant to the foam tip to improve the seal. If the RECD curve deviates more  
than 10 dB from the average in the 4 - 6 kHz region, check for proper probe  
placement and possible blockage of the tube by the foam tip or cerumen.  
8) When these curves are stable, press <Continue> to save them.  
For comparison purposes, an age-related average RECD is shown as a dotted  
curve on the screen. If you have accessed RECD from the REM tests list, you may  
highlight and <PICK> the Age box to change the age for this reference curve.  
FastFacts 15.4: RECD real-ear response  
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15.5 RECD results  
The RECD measurement screen shows the response of the RECD transducer in  
the real ear (pink) and in the 2cc coupler (green). The difference between these  
curves is the RECD (cyan). An age-appropriate average RECD is shown for  
reference (dotted). A negative RECD below about 1 kHz may indicate a poor seal  
between the foam tip and the ear canal. A negative RECD above about 3 kHz may  
indicate the foam tip is blocking the probe tube. See 15.2: RECD facts, 15.3:  
RECD coupler response, 15.4: RECD real-ear response.  
FastFacts 15.5: RECD results  
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16 Insertion Gain  
16.1 Section overview  
Insertion gain is the difference between aided and unaided ear canal SPL (REIG =  
REAG - REUG). It inherently assumes a sound-field audiogram. For non-linear  
hearing aids, REIG is stimulus-dependent and the dependency is specific to each  
hearing aid. Insertion gain fitting methods ignore these facts. Speechmap is  
recommended for fitting all non-linear hearing instruments.  
Refer to 10: Real-Ear Measurement Setup and 11: REM Screen Setup for  
terminology and information on preparing the system for use and for proper  
positioning of the client and the probe tube.  
This section covers the following topics:  
16.2: Insertion gain in SPL  
16.6: REAR measurement procedure  
16.7:SII calculation in Insertion gain  
16.3: Insertion gain in HL  
16.4: Audiometric data entry  
16.5: REUR measurement procedure  
FastFacts 16.1: Insertion gain  
16.2 Insertion gain in SPL  
See 10: Real-Ear Measurement Setup and 11: REM Screen Setup  
1) Press <Tests>, then highlight & <PICK> [Insertion gain] from the REM tests list.  
2) Highlight and <PICK> [Instrument] to chose from BTE, ITE, ITC, CIC, Body.  
This changes the CORFIG used for 2cc targets.  
3) Highlight and <PICK> fitting method to chose from FIG6, NAL-NL1, NAL-R,  
POGO II, Berger, Libby, User, None  
FastFacts 16.2: Insertion gain in SPL  
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16.3 Insertion gain in HL  
See 10: Real-Ear Measurement Setup and 11: REM Screen Setup  
1) Press <Tests>, then highlight & <PICK> [Insertion gain] from the REM tests list.  
2) Highlight and <PICK> [Instrument] to chose from BTE, ITE, ITC, CIC, Body.  
This changes the CORFIG used for 2cc targets.  
3) Highlight and <PICK> fitting method to chose from FIG6, NAL-NL1, NAL-R,  
POGO II, BERGER, LIBBY, USER, NONE.  
An estimated aided threshold curve is calculated by shifting the unaided threshold  
curve upward by the REIG. This estimate assumes a) the unaided threshold is a  
sound-field threshold and b) a linear aid (i.e. REIG doesn’t depend on level).  
The REUR curve uses the right-hand SPL scale and is shown for reference only.  
FastFacts 16.3: Insertion gain in HL  
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16.4 Audiometric data entry  
Threshold data and parameters may be entered by scanning a barcode on a  
previous RM500SL or Verifit printout or manually using a mouse, the keypad or  
the numeric keypad on an external keyboard. See 2.6: Mouse, keyboard, barcode  
scanner, and 3.2: Input device operation.  
To enter data from a barcode see 3.3: Barcode data input and:  
1) Press the barcode trigger and center the red line on the barcode from a  
distance of 6 - 8”. The scanner will beep and the Barcode Entry poster opens.  
2) Highlight and <PICK> [Done] to accept the data indicated on the poster.  
To enter assessment data and parameters manually:  
1) Highlight and <PICK> [Audiometry].  
2) Highlight and <PICK> [Transducer], then highlight  
and <PICK> from the list.  
3) Highlight and <PICK> [REUR], then highlight and  
<PICK> to toggle selection.  
Measured REUR should be used with a soundfield threshold because  
individual REUR is part of the threshold. Average REUR should be used with  
headphone or insert phone thresholds because individual REUR isn’t part of  
these thresholds.  
4) When all selections have been completed, press <Continue>.  
5) Enter HL threshold values using a mouse or keypad. Left click the mouse on  
the audiogram form to enter a point. Click again to delete the point. On the  
keypad use the arrow keys to change frequency and level and press <PICK>  
to enter or delete a threshold point.  
6) Press <Continue> when all points have been entered.  
FastFacts 16.4: Audiometric data entry  
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16.5 REUR measurement procedure  
Performing a REUR test erases all existing REAR and REIG data for the current  
test ear. REUR should be measured only if Transducer = Soundfield.  
Otherwise it is more accurate to use average. See 16.4: Audiometric data entry.  
1) Press <Tests>, then highlight and <PICK> [Insertion gain] from the REM list.  
2) Referring to 10: Real-Ear Measurement Setup and 11: REM Screen Setup,  
prepare the system, position the patient and insert the probe tube.  
3) If REUR is set to Average, highlight and <PICK> [Audiometry] then highlight  
and <PICK> [REUR] to toggle to [Measure]. Press <Continue> to advance to  
the Threshold entry poster. You may enter threshold data at this time (see 16.4:  
Audiometric data entry) or press <Continue> to proceed with the measurement.  
4) Highlight and <PICK> REUR (below REAR/REIG test 3).  
5) Press <Continue> to accept the default 55 dB SPL Pink noise stimulus and  
capture the REUR curve OR highlight and <PICK> [Stimulus] and [Level] to  
select other values. These choices have no impact on the resulting REIG.  
6) If there is a notch in the 4000 to 8000 Hz region, try advancing the probe tube 2  
mm and repeating step 3. If the notch moves to a higher frequency, repeat this  
step until the notch moves beyond the highest frequency of interest.  
Because it is analyzed in 1/3 octave  
bands, the Noise stimulus produces a  
REUR 12 dB below that produced by the  
Swept stimulus at the same overall level.  
The Average REUR used is shown at  
right. Measured REUR will vary from this.  
For small children the peak may shift to the right and become sharper. Drainage  
tubes and perforated ear drums will cause large differences - usually around 1 kHz.  
FastFacts 16.5: REUR measurement procedure  
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16.6 REAR measurement procedure  
1) Press <Tests>, then highlight and <PICK> [Insertion gain] from the REM list  
2) Referring to 10: Real-Ear Measurement Setup and 11: REM Screen Setup,  
prepare the system, position the patient and insert the probe tube. (For tight-  
fitting hearing aids or earmolds, the probe tube may be inserted through a vent.)  
3) Without disturbing the probe tube, insert the hearing instrument or earmold.  
4) Referring to 16.4: Audiometric data entry, enter threshold data.  
5) Highlight and <PICK> button 1, 2, or 3 in the REAR/REIG column. This will  
present a signal from the REM speaker and display the REAR Setup box.  
6) Highlight and <PICK> [Stimulus], then highlight and <PICK> [Pink noise] or  
[Swept]. Use pink noise when using the NAL-NL1 fitting formula. Use Swept  
when testing maximum output capabilities.  
7) Highlight and <PICK> [Level], then highlight and <PICK> a stimulus level from  
the list box. Use the level shown on the target REIG curves. If no level is  
shown, use the lowest level required to overcome background noise.  
8) Adjust the hearing instrument so that the REIG curve (SPL scale) or Aided  
threshold curve (HL scale) approximates the dotted target curve. For multi-level  
targets, match each curve using the stimulus level indicated.  
9) Press <Continue> to complete the test and capture the data.  
See 16.2: Insertion gain in SPL and 16.3: Insertion gain in HL for an explanation of  
screen curves. See 16.7:SII calculation in Insertion gain  
NOTE: Because it is analyzed in 1/3 octave bands, the Noise stimulus produces a  
REAR up to 12 dB below that produced by the Swept stimulus at the same overall  
level. The REIGs will be similar except at levels which cause non-linear operation  
of the hearing instrument.  
FastFacts 16.6: REAR measurement procedure  
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16.7 SII calculation in Insertion gain  
The RM500SL calculates a Speech Intelligibility Index (SII) value (in %) for  
unaided speech at 70 dB SPL (REUR), the target REIG and for each aided test.  
The calculations use the 1/3 octave band method of ANSI S3.5 –1997 without the  
160 Hz band and without masking effects. Level distortion effects are included but  
no hearing loss desensitization is applied. An idealized speech region of LTASS  
+/- 15 dB is used.  
The speech recognition associated with a given SII is a function of the test  
material and the cognitive abilities of the listener. There is considerable individual  
variability in relating the SII to speech recognition, especially amongst impaired  
listeners. The following shows expected nominal recognition scores vs SII for  
normals on the Connected Speech Test (Sherbecoe and Studebaker 2003).  
SII (%) Score (%)  
10  
15  
20  
25  
30  
35  
40  
45  
50  
55  
60  
70  
80  
90  
1
8
20  
45  
60  
74  
84  
90  
94  
96  
98  
99  
100  
100  
FastFacts 16.7: SII calculation in Insertion gain  
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17 Speechmap ®  
17.1 Section overview  
Speechmap presents hearing threshold, UCL and amplified speech spectra as  
SPL in the ear canal. The fitting goal is to make amplified speech audible and  
comfortable while avoiding discomfort for loud sounds. Speechmap is normally  
used in SPL and this guide describes only this usage. See 11.4: SPL or HL scale.  
This section covers the following topics:  
17.2: Speechmap facts  
17.7: Screen tour – unaided screen  
17.8: Screen tour - aided screen  
17.9: REM or S-REM mode  
17.3: DSL 5.0 in Speechmap  
17.4:DSL 5.0 changes  
17.5: NAL-NL1 in Speechmap  
17.6: Using Speechmap  
17.10: SII calculation in Speechmap  
Related sections are 18: Speechmap Fitting Procedures and 19: Speechmap  
Technical Details  
FastFacts 17.1: Speechmap  
17.2 Speechmap facts  
Speechmap is a trademarked hearing instrument fitting environment introduced  
by Audioscan in 1992. It presents hearing threshold, UCL and amplified speech  
spectra as SPL in the ear canal. The fitting goal is to make amplified speech  
audible and comfortable while avoiding discomfort for loud sounds. Originally  
speech was simulated using amplitude-modulated tonal signals. The RM500SL  
replaces these simulated speech signals with real speech, both recorded and live.  
For details of the test signals and analysis methods, see 19: Speechmap  
Technical Details.  
Speechmap departs from insertion gain target methods in presenting amplification  
goals in the context of the residual auditory area, not as an isolated target line,  
and in the use of real speech, not tones or broad-band noise. This is extremely  
important for non-linear hearing aids, analog or digital, because their processing is  
signal-dependent. It also makes provision to correct audiometric data and 2cc  
coupler measurements for age-related or individually-measured acoustic  
differences between real ears and the couplers used for calibration and testing.  
The Speechmap environment provides two hearing instrument verification options:  
REM (real-ear measurement) and S-REM (simulated REM). See 17.9: REM or  
S-REM mode for details.  
FastFacts 17.2: Speechmap facts  
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17.3 DSL 5.0 in Speechmap  
The Desired Sensation Level (DSL) method is a systematic eardrum sound  
pressure level (SPLogram) approach to hearing instrument fitting that seeks to  
ensure amplified speech will be audible and comfortable while loud sounds will not  
be uncomfortable. It takes into account individual acoustic factors in audiometric  
and electroacoustic data. DSL was developed by the National Centre for  
Audiology (NCA), London, Ontario. Audioscan has implemented DSL within its  
Speechmap fitting system since 1994.  
In 2005, DSL underwent an extensive revision. This has resulted in changes to  
speech targets for children. These changes will be more significant when the  
individual RECD values have not been measured for the child being fitted. See  
17.4:DSL 5.0 changes and www.audioscan.com for details of the changes.  
The Audioscan version of DSL 5.0 may differ from others in the following ways:  
1) DSL 5.0 uses RECD values for ages > 119 months from a different source than  
for ages 119 months; Audioscan has used the RECD values for a 119 month  
old for ages > 119 months so all values come from the same study.  
2) Input-output curve targets and compression threshold targets are not provided.  
Such steady-state parameters are of little value in estimating amplified speech  
levels. Matching amplified speech to the LTASS targets at levels from 50 to 75  
dB SPL provides much better assurance that fitting goals are being met.  
3) There is no provision to input the number of compression channels. This may  
be useful when the signal used for verification is not the signal for which the  
targets were developed. It is irrelevant when using real-speech signals to match  
speech targets and when using narrow-band signals to match narrow-band  
maximum output targets.  
4) The term Uncomfortable Level (UCL) is used rather than Upper Limit of  
Comfort (ULC) in referring to the ear canal SPL that should never be exceeded.  
5) Broadband output limiting targets are not provided.  
FastFacts 17.3: DSL 5.0 in Speechmap  
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17.4 DSL 5.0 changes  
The Audioscan version of DSL 5.0 includes provision for bone conduction and  
ABR threshold, binaural targets, targets for speech levels from 50 to 75 dB SPL,  
new targets for children, targets for adults and new RECD default values for  
children (1 month to 10 years) and adults. The UWO child’s spectrum has been  
removed and an “own voice” spectrum has been added. As a result of a re-  
analysis of published data, the vocal effort effects for Soft and Average speech  
levels have been made the same. In addition, the target symbol has been  
elongated to indicate that the fit-to target is a range, not a point.  
The children’s LTASSa targets for 70 dB speech differ from those in previous  
versions of DSL. These differences are functions of the hearing loss and age  
(where average RECDs are used) and can be more than 10 dB at 250 Hz but are  
less at other frequencies. There are two main reasons for this.  
1) The introduction of the requirement that amplified speech peaks should not  
exceed UCL. This has the largest impact at 250 Hz and for losses exceeding  
50 dB SPL. Targets are generally reduced less than 5 dB for losses under 60  
dB HL if RECDs have been measured.  
2) The introduction of new default average RECDs. Where average RECDs are  
used, this generally results in a target decrease in addition to that caused by  
the change in 1) above.  
In evaluating the impact of these new targets, it must be remembered that, in most  
cases, the reduction in SII will be 5 -10 points. An SII change from 70 to 60  
predicts a reduction of only 1% on the connected speech test while a change from  
60 to 50 predicts a reduction of 4%. See 17.10: SII calculation in Speechmap for  
more information on the SII.  
For more information on the changes in DSL 5.0, visit www.audioscan.com.  
Audioscan assumes no responsibility for the validity of these changes; that  
responsibility rests with the National Centre for Audiology.  
FastFacts 17.4: DSL 5.0 changes  
17.5 NAL-NL1 in Speechmap  
The NAL-NL1 procedure seeks to amplify speech such that all bands of speech  
are perceived with equal loudness while maximizing speech intelligibility and  
ensuring that the wearer perceives speech to be no louder than that which a  
normal hearing person would perceive. Although NAL-NL1 states its goals for  
speech, it derives insertion gain targets assuming noise as a verification signal.  
Because it is more accurate to verify a non-linear fitting using the signal for which  
the procedure was developed, Audioscan converts the NAL-NL1 insertion gain  
targets to LTASS targets for amplified speech in the Speechmap environment,  
resulting in Speechmap/NAL-NL1. The conversions use the same adult average  
RECD and REUG as used in DSL. The RESR targets are from Hearing Aids  
(Dillon, Thieme Publishing, 2001, p274).  
An insertion gain version is available by selecting [Insertion gain] from the REM  
tests menu. The pink noise stimulus should be used.  
FastFacts 17.5: NAL-NL1 in Speechmap  
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17.6 Using Speechmap  
The Speechmap fitting environment provides a number of distinctly different  
stimuli. Speech and noise are analyzed in 1/3 octave bands and (except for pink  
noise) data are presented as 3 curves. The top curve is the level exceeded 1% of  
the time (speech peaks), the lower curve is the level exceeded 70% of the time  
(speech valleys) and the middle curve is the average. Starting a test causes the  
signal to be presented continuously - the speech signals run in a loop - and the  
curves are updated frequently to show any changes you make to the hearing  
instrument. Pressing <Continue> restarts the speech passage and the curves are  
then calculated for the entire passage, producing an accurate display of the  
speech region and LTASS, and an accurate SII calculation. When using live  
speech, a <Freeze curve> button captures short-term speech features. See 17.10:  
SII calculation in Speechmap and 19: Speechmap Technical Details.  
Before starting, please review 10: Real-Ear Measurement Setup, 17.2:Speechmap  
facts, 17.9: REM or S-REM mode.  
v To access Speechmap, press <Tests>, then highlight & <PICK>  
[Speechmap] from the REM tests list.  
v To change screen setup, see 11: REM Screen Setup, and 17.9: REM or S-  
REM mode.  
v To set up hearing instrument type, highlight & <PICK> [Instrument], then  
highlight & <PICK> BTE, ITE, ITC, CIC, Open, Body, CROS or FM. This  
changes microphone location effects and the RECD used in S-REM and 2cc  
targets, and the reference microphone used for FM and CROS.  
v To enter audiometric data, see 18.2: Assessment data entry.  
v To run a test, highlight and <PICK> one of the 4 REAR buttons. Then  
highlight and <PICK> [Stimulus] to select the stimulus type. Highlight and  
<PICK> [Level] to select stimulus level. Press <Continue> to run the test and  
display the data. See, 17.7: Screen tour & 18: Speechmap Fitting Procedures.  
FastFacts 17.6: Using Speechmap  
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17.7 Screen tour – unaided screen  
FastFacts 17.7: Screen tour – unaided screen  
17.8 Screen tour - aided screen  
FastFacts 17.8: Screen tour - aided screen  
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17.9 REM or S-REM mode  
The Speechmap environment provides two hearing instrument verification options:  
REM (real-ear measurement) and S-REM (simulated REM). In REM mode, the  
stimulus is controlled by the REM reference microphone below the ear and SPL in  
the ear canal is measured by the probe microphone. In S-REM mode, levels  
measured in the 2cc coupler are converted to estimated ear canal levels using the  
RECD values (age-appropriate average, entered, or measured). In addition, the  
stimulus delivered to the hearing instrument microphone is modified to include  
average microphone location effects for the hearing instrument type indicated. The  
screen display for both modes is the same, showing SPL, measured or simulated,  
in the ear canal.  
For REM mode, review 10: Real-Ear Measurement Setup,  
For S-REM mode review 7.9: Calibration of HIT reference microphone, 7.11:  
Coupling the hearing instrument, 7.12: Positioning the hearing instrument.  
It is suggested that hearing instruments be preset in S-REM mode with fine tuning  
done in REM mode.  
v Highlight and <PICK> [Mode] to toggle between REM and S-REM.  
Note that REM mode should be used for vented or open fittings. Vent effects  
depend on the vent, the ear and the hearing aid settings.  
FastFacts 17.9: REM or S-REM mode  
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17.10SII calculation in Speechmap  
The RM500SL calculates a Speech Intelligibility Index (SII) value (in %) for  
unaided speech at 70 dB SPL and for each aided test. The calculations use the  
1/3 octave band method of ANSI S3.5 –1997 without the 160 Hz band and without  
masking effects. Level distortion effects are included but no hearing loss  
desensitization is applied. An idealized speech region of LTASS +/- 15 dB is used.  
The speech recognition associated with a given SII is a function of the test  
material and the cognitive abilities of the listener. There is considerable individual  
variability in relating the SII to speech recognition, especially amongst impaired  
listeners. The following shows expected nominal recognition scores vs SII for  
normals on the Connected Speech Test (Sherbecoe and Studebaker 2003).  
SII (%) Score (%)  
10  
15  
20  
25  
30  
35  
40  
45  
50  
55  
60  
70  
80  
90  
1
8
20  
45  
60  
74  
84  
90  
94  
96  
98  
99  
100  
100  
FastFacts 17.10: SII calculation in Speechmap  
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18 Speechmap Fitting Procedures  
18.1 Section overview  
The procedures in this section assume a familiarity with 10: Real-Ear  
Measurement Setup, 11: REM Screen Setup and 17: Speechmap ®.  
This section covers the following topics:  
18.2: Assessment data entry  
18.7: Fitting to targets for mid-level speech  
18.3: Assessment data choices  
18.4:Assessment data choices - 2  
18.6:Fitting to targets for loud sounds  
18.8: Open fittings in Speechmap  
18.9: FM fitting and verification  
Related sections are 17: Speechmap ® and 19: Speechmap Technical Details  
FastFacts 18.1: Speechmap fitting procedures  
18.2 Assessment data entry  
Threshold data and parameters may be entered by scanning a barcode on a  
previous RM500SL or Verifit printout or manually using a mouse, the keypad or  
the numeric keypad on an external keyboard. See 2.6: Mouse, keyboard, barcode  
scanner, and 3.2: Input device operation.  
To enter data from a barcode see 3.3: Barcode data input and:  
1) Press the barcode trigger and center the red line on the barcode from a  
distance of 6 - 8”. The scanner will beep and the Barcode Entry poster opens.  
2) Highlight and <PICK> [Done] to accept  
the data indicated on the poster.  
To enter assessment data manually:  
1) Highlight and <PICK> [Audiometry].  
2) Highlight and <PICK> an item to toggle its  
setting or generate a list box. Age can be  
changed only if Targets = [DSL child]. See  
18.3: Assessment data choices - 1 and  
18.4: Assessment data choices - 2.  
3) Press <Continue> to proceed to data entry.  
4) Enter HL threshold using a mouse,keypad or keyboard. Left click the mouse on  
the audiogram to enter a point. Click again to delete the point. On the keypad  
the arrow keys change frequency and level and <PICK> enters or deletes a  
threshold point. On a keyboard enter HL values on the numeric keypad.  
5) Press <Continue> when all points have been entered.  
6) Repeat the process for Bone conduction, UCL and RECD if [Enter] has been  
selected for any. If RECD is set to [Measure], see 15: RECD (real-ear to  
coupler difference).  
FastFacts 18.2: Assessment data entry  
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18.3 Assessment data choices - 1  
The following audiometric assessment parameters can be specified in the  
Speechmap Audiometry setup box. Defaults are the last-used choices if test setup  
memory has been turned on. See 4.4: Saving test setup.  
1) Target: Select fitting targets from [DSL adult, DSL child, NAL-NL1, None]. DSL  
5 and NAL-NL1 differ in the derivation of amplified LTASS and RESR targets.  
Selecting [None] eliminates the LTASS targets; UCL estimates are from DSL.  
2) Age: This is permitted for [DSL child] target only. Select client’s age in months  
from [1 months to 60 months] or years from [6 years to 10 years]. For children  
older than 10 yrs, previously fit using DSL, choose Adult.  
3) Transducer: Type of audiogram. Select from [Headphone, Insert + Foam,  
Insert + Mold, Soundfield, ABR (eHL), ABR (nHL)]. If Insert + Foam or Mold  
is selected, the appropriate RECD will be used to convert entered HL values to  
SPL values. If Soundfield is selected appropriate real-ear unaided gain  
(REUG) values @ 45 degrees azimuth, will be used to convert HL values to  
SPL values. If ABR (eHL) is selected, entered thresholds will be treated as  
behavioral pure tone thresholds. If ABR (nHL) is selected, nHL to eHL  
conversion factors may be selected from [Default, Enter]. In either case, an  
insert earphone is assumed for sound delivery and the appropriate RECD will  
be applied. Note that, in some facilities, nHL is defined in such a way that it is  
effectively eHL; in these cases, ABR (eHL) should be selected. See 10.6: ABR  
nHL to eHL setup and 18.4: Assessment data choices - 2.  
4) Bone conduction: Select from [N/A, Enter]. If [Enter] is selected, an entry  
screen will be provided after the air conduction thresholds have been entered.  
Continued in: 18.4: Assessment data choices - 2  
FastFacts 18.3: Assessment data choices - 1  
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18.4 Assessment data choices - 2  
Continued from: 18.3: Assessment data choices - 1  
5) UCL: Uncomfortable Level. Select from [Enter, Average]. If measured UCL  
values are entered, these values will be converted to real-ear SPL and used as  
real-ear saturation response (RESR) targets. Note that DSL 5.0 has changed  
this term to Upper Limit of Comfort (ULC). Regardless of the acronym, it is a  
narrow-band SPL that should never be exceeded.  
6) RECD: Select from [Measure, Enter, Average]. If Average is selected, age-  
appropriate real-ear to coupler difference (RECD) values will be used. If  
Measure is selected, you will be required to measure the client’s RECD values  
or accept values from the RECD test. If Enter is selected, HA-2 RECD values  
may be entered and are required at all 9 audiometric frequencies.  
7) Binaural: Select from [Yes, No]. Determines if fitting targets will be adjusted  
for binaural summation effects.  
8) REDD: Real-ear-to-Dial Difference. [Average] (this cannot be changed). REDD  
values are similar for adults and children. If Headphone is selected as the  
transducer type, adult average values will be used to transform dB HL  
audiometry to dB SPL.  
ABR nHL to eHL: Normalized HL to estimated HL conversion factors. Permitted  
only if [Transducer] = ABR (nHL). Select from [Default, Enter]. If [Enter] is  
selected, an entry screen will be provided after threshold data have been entered.  
Otherwise default factors will be used. These may be set to DSL values or to  
values that you have entered in Setup. Note that, in some facilities, nHL is defined  
in such a way that it is effectively eHL; in these cases, ABR (eHL) should be  
selected and no conversion factors will be applied. See 10.6: ABR nHL to eHL  
setup and 18.3: Assessment data choices - 1.  
FastFacts 18.4: Assessment data choices - 2  
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18.5 Fitting to targets for soft speech  
See 17.9: REM or S-REM mode, 17.6: Using Speechmap and 18.2: Assessment  
data entry for setup and audiometric data entry.  
1) Select [Audiometry] to choose the target method and enter audiometric data.  
2) Select REAR 1 and set stimulus to [Speech-std(1)] or [Speech-std(2)] and level  
to 50. Elongated + symbols show the target range for 50 dB speech LTASS.  
3) Adjust frequency shaping and gain for soft sounds so that the middle curve (the  
LTASS) falls within the target range, especially between 500 - 4000 Hz. Press  
<Continue> to run the complete passage. Repeat as necessary.  
FastFacts 18.5: Fitting to targets for soft speech  
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18.6 Fitting to targets for loud sounds  
4) Select REAR 2 & set stimulus to [MPO]. In S-REM mode, a 90 dB tone sweeps  
continuously. In REM mode, the tone sweeps when you press <Continue>.  
5) In S-REM mode, adjust high-level gain and/or output limiting (e.g.,MPO, PC)  
so the curve matches the + REAR90 targets (DSL) or approaches but doesn’t  
exceed the * RESR targets (NAL-NL1) at all frequencies. Press <Continue> to  
record the MPO curve. In REM mode, advise the client to point to the screen if  
a sound becomes too loud during the test (see 10.5: Max TM SPL setup). Press  
<Continue> to run and record a single sweep. Adjust the gain and output for  
loud sounds as for S-REM, factoring in client response. Repeat as necessary.  
FastFacts 18.6: Fitting to targets for loud sounds  
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18.7 Fitting to targets for mid-level speech  
6) Select REAR 3 and set stimulus to [Speech-std(1)] or [Speech-std(2)] and level  
to 70. Elongated + symbols show the target range for 70 dB speech LTASS.  
7) Adjust gain for mid-level sounds so that the middle curve (the LTASS) falls  
within the target range. Press <Continue> to run the complete passage. Repeat  
as necessary. Achieving this goal may require adjusting gain for soft speech,  
which will reduce its audibility. This may be a necessary compromise with some  
hearing instruments and for clients with a very narrow dynamic range.  
FastFacts 18.7: Fitting to targets for mid-level speech  
18.8 Open fittings in Speechmap  
REM mode should be used for open and vented fittings. There are no special real-  
ear SPL targets for open fittings - it doesn’t matter how the sound reaches the TM,  
the perception is the same. However, the sound that escapes from a vent or open  
fitting may be detected by the REM reference microphone, interfering with the  
sound-field equalization. For this reason, the hearing instrument must be muted  
during sound-field equalization.  
1) Position the client and probe tube and enter audiometric data. See 10: Real-Ear  
Measurement Setup, 17: Speechmap ®, 18: Speechmap Fitting Procedures.  
2) Highlight and <PICK> Instrument and select Open from the list.  
3) Highlight and <PICK> a REAR test. If this is the first Open test in a session, you  
will be prompted to mute or turn off the hearing instrument and select the  
Equalize button on the setup poster. Otherwise, you are reminded to equalize  
whenever the client or nearby objects are moved. After equalization, unmute or  
turn the instrument on and follow the fitting procedures in 18.5: Fitting to targets  
for soft speech to 18.7: Fitting to targets for mid-level speech.  
FastFacts 18.8: Open fittings in Speechmap  
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18.9 FM fitting and verification  
FM fitting is complex and strategies are varied and fluid. These instructions are  
intended to provide the general principles involved, not a detailed and proven  
method. They assume familiarity with the use of Speechmap in fitting hearing aids.  
1) Set up the hearing aid or receiver/earpiece as if to fit a hearing aid in REM or S-  
REM mode. Set it for environmental microphone (EM) only operation. Set  
Instrument to [BTE] or [Body] to indicate the location of the EM.  
2) Follow 18: Speechmap Fitting Procedures but in 18.7: Fitting to targets for mid-  
level speech position LTASS 5 dB below the + targets (see note). Avoid  
controls that change FM gain.  
3) Switch to FM only operation. If you are in S-REM mode, move the coupler and  
hearing aid or earpiece outside the test chamber. In either REM or S-REM  
mode, place the transmitter mic. close to the HIT reference mic. in the test  
chamber. Turn the transmitter ON and close the test chamber.  
4) Change Instrument to [FM].  
5) Select an REAR test and, with [Stimulus] at  
[Speech-shaped] and [Level] at [FM Chest]  
or [FM Boom], adjust the receiver and/or  
hearing aid to set the LTASS 5 dB above +  
targets (see note). If possible, use controls  
that don’t change EM gain.  
If controls interact, you may need to repeat  
these steps or change the order to reach an  
optimum fitting.  
NOTES: If the FM system automatically reduces EM gain when FM is received  
(FM priority), set the LTASS at the + targets in both EM and FM operation.  
For procedures requiring a long coupler mic. cable see 2.3:Microphone connection.  
FastFacts 18.9: FM fitting and verification  
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19 Speechmap Technical Details  
19.1 Section overview  
Speechmap provides a variety of stimuli for the testing of non-linear hearing aids  
with a range of digital processing features.  
This section covers the following topics:  
19.2: Speechmap stimuli  
19.3: Stimulus levels  
19.4: Microphone location effects  
19.5: Speech signal analysis  
For additional information see 24: Appendix 1: AudioNote 2.1 VERIFIT and  
RM500SL Test Signals and Analysis  
FastFacts 19.1: Speechmap technical details  
19.2 Speechmap stimuli  
The Speechmap fitting environment provides a number of well-controlled, distinctly  
different stimuli. These include three varieties of speech - standard (previously  
“shaped”), female, child, ICRA noise (digitally distorted speech) and pink noise at  
levels of 50 to 75 dB SPL in 5 dB steps and a tone burst at 85 or 90 dB SPL.  
The two standard speech signals are by the same male talker. The spectrum has  
been filtered to closely match the Cox & Moore (1988) long-term average speech  
spectrum (LTASS). The ICRA noise, female and child speech signals are  
presented as recorded with no spectral shaping. Live speech may also be used.  
As a result of reanalysis of published data, the previous distinction between “soft”  
and “average” vocal effort has been eliminated. Consequently, the speech and  
ICRA signals are presented unfiltered for levels from 50 to 70 dB SPL. At 75 dB  
SPL, the spectrum is filtered to represent a “loud” vocal effort. An “own voice” filter  
is also available at the 75 dB SPL level. This is intended to produce a spectrum  
and level at a BTE microphone location similar to that produced by the voice of an  
average wearer.  
A tone burst (MPO) stimulus provides 128 (changed from 64) ms bursts at 1/3  
octaves with a level of 90 dB SPL in S-REM and 85 dB SPL in REM mode.  
In S-REM mode, all signals are filtered to include BTE, ITE, ITC, CIC, Body  
microphone location effects. The selected overall rms level is established prior to  
filtering.  
For fitting FM systems, the stimuli may be modified to represent the level (84 dB  
SPL) and spectrum at a chest microphone location and the level (93 dB SPL) and  
spectrum at a boom microphone location. These are presented in the test box in  
both REM and S-REM modes.  
The overall SPL, 1/3rd octave band SPL, vocal effort and microphone location  
effects are given in the following tables for the various broad-band signals  
available.  
FastFacts 19.2: Speechmap stimuli  
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19.3 Stimulus levels  
1/3 octave band SPL  
Add to band SPL for  
Own FM  
Voice Chest Boom  
Speech  
ICRA Pink  
Noise Noise  
FM  
Loud  
Hz  
200  
Standard Female Child  
56.8  
56.0  
53.0  
57.0  
58.0  
55.0  
52.5  
51.0  
50.5  
48.0  
45.0  
44.0  
42.5  
42.0  
40.0  
41.5  
41.5  
65.0  
54.9  
53.1  
48.4  
55.8  
57.3  
58.1  
54.6  
52.0  
51.0  
51.1  
51.2  
49.3  
46.0  
40.0  
36.1  
43.5  
39.9  
65.0  
32.3  
51.5  
57.3  
54.1  
53.2  
61.2  
56.5  
52.7  
45.4  
41.1  
39.7  
35.5  
28.8  
31.2  
30.6  
32.6  
35.2  
65.0  
52.9  
55.9  
56.9  
57.5  
57.8  
54.3  
52.8  
50.4  
51.3  
48.5  
47.0  
44.7  
43.3  
41.1  
39.6  
33.5  
28.2  
65.0  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
53  
65  
-2.2  
3.3  
.5  
9.0  
19.2  
22.2  
26.0  
22.8  
25.3  
29.1  
32.1  
32.7  
33.6  
33.9  
33.0  
31.9  
30.4  
29.0  
27.8  
26.2  
25.8  
93.0  
250  
10.7  
11.0  
10.0  
10.1  
10.5  
10.8  
10.5  
5.5  
12.0  
16.6  
13.3  
13.2  
21.0  
26.4  
26.4  
22.0  
22.1  
21.0  
18.2  
14.4  
11.8  
12.4  
11.4  
11.0  
84.0  
315  
9.6  
400  
6.1  
500  
7.7  
630  
12.4  
14.4  
15.0  
14.8  
15.5  
16.2  
14.8  
14.5  
13.2  
9.2  
800  
1000  
1250  
1600  
2000  
2500  
3150  
4000  
5000  
6300  
8000  
Overall  
4.0  
6.0  
6.0  
2.0  
-0.5  
-1.0  
0.0  
4.2  
2.7  
-4.0  
75.0  
75.0  
LTASS for standard speech is from Cox & Moore (1988). Loud spectrum is from  
ANSI S3.5-1997. Own voice spectrum is from Cornelisse et al (1991) adjusted to a  
1 m reference.  
FastFacts 19.3: Stimulus levels  
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19.4 Microphone location effects  
Microphone Location Effects  
Add to all stimuli in S-REM mode  
Hearing instrument type  
Frequency BTE  
ITE  
0.3  
0.5  
0.8  
1.0  
1.8  
2.0  
2.0  
1.5  
0.3  
-0.3  
3.8  
5.0  
3.3  
4.3  
4.3  
-0.4  
1.0  
ITC  
0.0  
0.3  
0.3  
0.7  
0.0  
0.1  
0.4  
1.2  
-1.6  
-1.9  
2.1  
4.8  
3.5  
6.4  
6.6  
-1.8  
-1.9  
CIC BODY  
200  
250  
0.5  
0.5  
0.8  
1.1  
1.2  
1.1  
0.9  
0.3  
0.6  
2.5  
4.1  
3.5  
2.8  
3.7  
-1.2  
1.6  
3.3  
0.9  
0.8  
0.7  
0.5  
0.4  
0.4  
0.4  
0.6  
1.1  
2.0  
3.3  
5.0  
6.9  
8.3  
7.6  
4.2  
-5.6  
3.0  
3.0  
3.0  
3.0  
4.0  
3.0  
2.0  
0.0  
0.0  
-4.0  
-4.0  
-3.0  
-2.0  
0.0  
0.0  
0.0  
0.0  
315  
400  
500  
630  
800  
1000  
1250  
1600  
2000  
2500  
3150  
4000  
5000  
6300  
8000  
Microphone location effects are added after the overall rms level has been set  
FastFacts 19.4: Microphone location effects  
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19.5 Speech signal analysis  
One of the most-used measures of a speech signal is the long-term average  
speech spectrum (LTASS). This is a 1/3 octave spectrum averaged over a  
sufficiently long portion of the speech material to provide a stable curve. In  
practice a 10 second average meets this requirement and, for this reason, all  
RM500SL passages are at least 10 seconds long.  
The dynamic nature of speech is often characterized by the distribution of short-  
term levels in each 1/3 octave band. These levels are determined by calculating a  
spectrum for each of a series of short time periods within the passage. Historically,  
time periods of 120, 125 or 128 ms have been used. The RM500SL uses a 128  
ms time period, resulting in 100 levels (or samples) in each 1/3 octave band for a  
12.8 second passage. The level in each band that is exceeded by 1% of the  
samples (called either the 1st or 99th percentile) has historically been referred to as  
the speech peak for that band. The curve for these 1% levels is approximately 12  
dB above the LTASS. The level in each band that is exceeded by 70% of the  
samples (called either the 70th or 30th percentile) has historically been called the  
valley of speech for that band. The curve for these 70% levels is approximately 18  
dB below the LTASS. The region between these two curves is often called the  
speech region, speech envelope or speech “banana”. The speech envelope, when  
derived in this way, has significance in terms of both speech detection and speech  
understanding. Generally, speech will be detectable if the 1 % level is at or near  
threshold. The Speech Intelligibility Index (SII) is maximized when the entire  
speech envelope (idealized as a 30 dB range) is above (masked) threshold. This  
will not be an SII of 100% (or 1) because of loudness distortion factors, but higher  
SII values will not produce significantly higher scores on most test material. The  
speech-reception threshold (SRT) is attained when the LTASS is at threshold  
(approximately - depending on test material and the individual)  
FastFacts 19.5: Speech signal analysis  
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20 Troubleshooting  
20.1 Section overview  
This section covers common problems encountered when using the RM500SL. If  
you require further assistance, note your model and serial number (located on the  
recessed panel) and contact your local distributor, or Audioscan at 519-268-3313  
800-265-2093 (USA only), 519-268-3256 (fax) or [email protected]  
PLEASE DO NOT SHIP YOUR UNIT BACK TO THE FACTORY. In most cases  
we can courier you a part that you can quickly and easily replace yourself.  
This section covers the following topics:  
20.2: Self test failures  
20.8: Invalid HIT calibration  
20.9: No REM ref. mic. detected  
20.10: Invalid REM calibration  
20.3: HIT high distortion or noise  
20.4: HIT curves inconsistent  
20.5: HIT curves differ from specifications 20.11: REM speaker overdriven  
20.6: HIT speaker overdriven  
20.12: Barcode scanner malfunction  
20.7: No HIT reference mic. detected  
FastFacts 20.1: Troubleshooting  
20.2 Self test failures  
Any failure during power-on self test (P.O.S.T.) is indicated on-screen and further  
use of the instrument is denied. Try the following steps to resolve the failure:  
1) To access Self test, press <Setup>, then highlight and <PICK> [Self test].  
2) If you received a Max out/in or a Routing failure, remove any hearing aids from  
the test chamber, and rerun self test.  
3) Unplug all microphones (REM & HIT). Rerun self test. If self test passes,  
reconnect the microphones, one by one, running self test each time until a  
failure occurs. If the failure returns, display and print the test results and  
contact Audioscan for help.  
FastFacts 20.2: Self test failures  
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20.3 HIT high distortion or noise  
High distortion and/or noise numbers in an ANSI test  
v There may be a leak between the hearing instrument under test and the  
coupler it is connected to. For BTE type instruments, check the integrity of the  
#13 tubing at the end of the coupler where it joins with the ear hook. Look for  
cracks. ITE type instruments need to have a good seal between the hearing  
instrument and the coupler. In addition, all vents need to be closed from the  
faceplate side of the hearing instrument.  
v Ambient room noise may be leaking into the test chamber. Air conditioners,  
computer fans and similar noisemakers can yield artificially high noise figures.  
Check the sealing of the test chamber. Try turning off suspected noise sources  
to identify the cause.  
v Vibration may be coupled into the test chamber from other equipment on the  
same table or wooden floor. Computers, fans and air conditioners may be the  
source of the vibration. Try turning off suspected sources to identify the cause.  
Relocate the source or the RM500SL or mount it on a foam pad.  
FastFacts 20.3: HIT high distortion or noise  
20.4 HIT curves inconsistent  
The HIT curves keep changing from test to test.  
v The battery may be close to end of life or starved for air (zinc-air cells)  
because of a tight seal on the battery compartment. Try a fresh battery or  
using the optional RM500SL battery pill.  
v The HIT reference microphone (the white one in the test chamber) is  
incorrectly positioned. In order to control sound pressure levels precisely at the  
microphone inlet of the hearing instrument, the HIT reference microphone  
must be positioned as close as possible to the hearing instrument’s  
microphone without actually touching it.  
v The noise or feedback reduction features are attempting to reject the test  
signal. These need to be disabled prior to tests with tones or noise.  
v The instrument is on the verge of feedback due to a poor seal to the coupler,  
unplugged vent or a crack in the tubing on the BTE coupler.  
FastFacts 20.4: HIT curves inconsistent  
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20.5 HIT curves differ from specifications  
The OSPL90 and response curves don’t look like the manufacturer’s.  
v Check that all controls or program settings are the same as those used by the  
manufacturer.  
v Check that vents on earmolds or ITE instruments are plugged at the faceplate.  
v Check that ITE instruments are well sealed to the coupler.  
v When puttying a hearing instrument into the ITE coupler, be sure to keep the  
canal portion of the instrument flush with the inside of the 2cc volume.  
v Ensure that the HIT chamber is sealed tightly.  
v Ensure that the HIT microphone calibration was performed correctly.  
v Check that the coupler is screwed tightly onto the coupler microphone.  
FastFacts 20.5: HIT curves differ from specifications  
20.6 HIT speaker overdriven  
HIT speaker overdriven!  
This message indicates that the test chamber speaker is unable to produce the  
SPL required for a test.  
v Check that the test chamber lid is closed and sealed.  
v Check that the HIT calibration looks normal.  
v Check that the hearing instrument under test is not feeding back.  
v Try running a REM test.  
FastFacts 20.6: HIT speaker overdriven  
20.7 No HIT reference mic. detected  
No HIT reference mic. detected!  
This message may be displayed when starting a hearing instrument test. It  
indicates that the RM500SL is not measuring any sound at the HIT reference  
microphone. The HIT reference microphone is the white microphone located in the  
test chamber.  
v Ensure that the white HIT reference microphone is secure. Unplug it and plug  
it in again, ensuring that it ‘clicks’ into place. Try the HIT calibration procedure  
again.  
v Unplug the HIT reference microphone and plug the REM probe microphone in  
its place. Try HIT calibration using the reference microphone of the REM probe  
microphone in place of the HIT reference microphone. If this is successful, the  
HIT reference microphone is defective and must be replaced.  
FastFacts 20.7: No HIT reference mic. detected  
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20.8 Invalid HIT calibration  
Invalid HIT Calibration!  
This message may be displayed during the HIT calibration procedure. It indicates  
that the calibration curve is significantly different from what is expected. It may be  
accompanied by a missing HIT reference microphone error.  
v Check that the there is no coupler on the coupler microphone and that the  
microphones are correctly positioned for HIT calibration.  
v Check that the coupler microphone is securely plugged into the correct socket.  
v Follow the suggestions in 20.7: No HIT reference mic. detected.  
FastFacts 20.8: Invalid HIT calibration  
20.9 No REM ref. mic. detected  
No REM reference mic. detected.  
Check connection on the REM probe microphone.  
v Check that a probe microphone assembly is securely plugged into the PROBE  
socket to the left of the test chamber.  
v Unplug the HIT reference microphone in the test chamber and plug the REM  
probe microphone in its place. Try HIT calibration using the reference  
microphone of the REM probe microphone in place of the HIT reference  
microphone. If this is fails, the REM probe microphone is defective and must  
be replaced.  
FastFacts 20.9: No REM ref. mic. detected  
20.10Invalid REM calibration  
Invalid REM Calibration!  
This message may be displayed during the REM calibration procedure. It indicates  
that the calibration curve is significantly different from what is expected. It may be  
accompanied by a REM reference microphone error.  
v Check that a probe microphone assembly is securely plugged into the PROBE  
socket to the left of the test chamber.  
v Try using a new probe tube. Ensure it is correctly attached and positioned.  
v Try the steps in 20.9: No REM ref. mic. detected.  
v Unplug the coupler microphone from the test chamber and plug the REM  
probe microphone in its place. Position the open end of the probe tube near  
the HIT reference microphone in the test chamber (use putty to hold it) and  
close the test chamber lid. Run a Multicurve test at a stimulus level of 70 dB  
SPL. The result should have the shape of a normal REM calibration curve. If it  
does not, the REM microphone is defective and must be replaced.  
FastFacts 20.10: Invalid REM calibration  
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20.11REM speaker overdriven  
REM speaker overdriven!  
This message indicates that the REM speaker is unable to produce the SPL  
required for a test. This is usually the result of a standing wave null at the REM  
reference microphone caused by reverberation in the environment. It warns of a  
situation that could cause significant measurement errors.  
v Move the RM500SL and client away from walls and hard objects. Avoid  
placing the RM500SL under an overhanging shelf or cabinet.  
v Move the RM500SL to the front edge of the table.  
v Move the client slightly closer to or further from the REM speaker.  
v Position the test ear more directly in front of the REM speaker.  
v Apply sound absorbers to nearby reflective surfaces.  
FastFacts 20.11: REM speaker overdriven  
20.12Barcode scanner malfunction  
If there is no red scanning beam when the trigger is pulled, tug on the cable where  
it enters the scanner. If it comes loose easily, push it back in until it clicks in place.  
If the scanning beam stays on when the trigger is released or if the barcode  
scanner fails to read known good barcodes, try the following:  
1) Unplug the scanner from the RM500SL, then reconnect it. If the problem  
persists…  
2) Print this page on an external printer (see 2.7: External printer, auxiliary audio  
outputs) or from the electronic user’s guide on the RM500SL software CD (see  
1.3: Electronic user’s guide).  
3) Scan these two barcodes, starting with the top one. This will reset the scanner  
to its default settings.  
FastFacts 20.12: Barcode scanner malfunction  
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21 Technical Specifications  
Storage & Transportation  
Temperature ....................................................- 20°C to +60°C  
Relative humidity (non-condensing)........................5% to 95%  
Atmospheric pressure...................................... 500 - 1060 hPa  
ANSI S3.22 - 1996 and 2003 tests available  
aOSPL90  
aFull-on Gain  
aReference Test Gain  
aFrequency Response  
aFrequency Range  
aMaximum OSPL90  
General  
Overall dimensions.....................................15.5”x12.75”x4.25”  
Weight.................................................................................15lb  
Display type ............................. fluorescent backlit active color  
Display size........................................................12.1” diagonal  
Resolution ......................................................800x600 (SVGA)  
Printer type..................................................thermal line printer  
Printer resolution........................................... 200 dots per inch  
Paper width...............................................................3” (80mm)  
Power amplifiers ......................................................................2  
Stimulus Channels...................................................................2  
Measurement channels...........................................................1  
Connectors...................1-USB  
aHarmonic Distortion  
aAttack & Release time  
aEquivalent Input Noise  
aInput/Output Curves  
aCoupler SPL - Telephone Simulator  
aSimulated Telecoil Sensitivity  
aBattery Drain  
Other tests Available  
acoupler SPL vs frequency  
acoupler gain vs frequency  
aspectral analysis  
adistortion vs frequency  
amanual measurement of output, gain and distortion  
1 - Ethernet (RJ45)  
.
1 - RS232 serial (9D)  
2 - auxiliary audio outputs (1/4”mono)  
1- RECD transducer(3.5mm st)  
1 - test chamber ref. mic.(3.5mm st)  
1 - coupler microphone(3.5mm st)  
1 - battery substitute(3.5mm st)  
1 - real-ear mic.(3.5mm st)  
Real Ear  
Speakers .....................................................................1 - 2”x 3”  
Probe microphone tube ................. 1.0 mm diameter x 75 mm  
Frequency Range ............................................ 200 to 8000 Hz  
Test Stimuli..................frequency-modulated tone, tone burst,  
....................................................pink noise, calibrated speech  
Freq. modulation ..................................triangular ±5%at 36 Hz  
Stimulus levels for tones............40 - 85 dB SPL in 5 dB steps  
Test stimulus accuracy at reference mic. for tones  
(200 - 2000 Hz) .....................................................±1.5 dB SPL  
(2000- 8000 Hz) ....................................................±2.5 dB SPL  
Equalization Method .......................modified pressure method  
Analysis frequencies per octave (tones).............................. 12  
Analysis bandwidth (speech, noise)........................ 1/3 octave  
Measurement accuracy at 1 kHz.....................................±1 dB  
Measurement accuracy re 1 kHz............±1 dB (200-5000 Hz)  
.............................................................±2.5 dB (5000-8000Hz)  
Measurement Range ...............20-135 dB SPL (200-2500 Hz)  
................................................ 30-140 dB SPL (2500-8000Hz)  
ANSI S3.46 - 1997 tests available  
HIT Chamber  
Working Space ...................................................8.8”x3.5”x1.5”  
Speaker........................................................................1 - 2”x3”  
Induction Coils. .........1 - Telephone Magnetic Field Simulator  
(TFMS ANSI S3.22 - 2003)  
Battery Simulator ....................................per ANSI S3.22 2003  
Frequency Range .............................................. 200 - 8000 Hz  
Test Stimuli ............tone, pink noise, calibrated or live speech  
Test stimulus levels ................. 40 to 90 dB SPL in 5 dB steps  
Test stimulus levels (inductive) ......................... 31.6mA/m per  
(ANSI S3.22 - 2003)  
Test stimulus distortion................................ <2% at 90dB SPL  
.................................................................. <0.5% at 70 dB SPL  
Test stimulus accuracy at reference mic. for tones (200-2000  
Hz).........................................................................±1.5 dB SPL  
Test stimulus accuracy at reference mic. for tones (2000-  
8000 Hz)................................................................±2.5 dB SPL  
Equalization method......................................pressure method  
Analysis frequencies per octave ...........................................12  
Analysis filter bandwidth.........................................1/12 octave  
Measurement accuracy at 1 kHz ..................................... ±1db  
Measurement accuracy re 1 kHz ........... ±1 dB (200-5000 Hz)  
............................................................ ±2.5 dB (5000-8000 Hz)  
Measurement range ...................................... 30 - 140 dB SPL  
Harmonic distortion measurement..............................2nd, 3rd  
.............................................................................or 2nd plus 3rd  
Harmonic distortion range ................................200 to 4000 Hz  
Harmonic distortion accuracy............................................ ±1%  
Battery drain range.....................................................0 - 20mA  
Battery drain accuracy....................................................... ±5%  
Battery drain resolution. ...............................................±01 mA  
aReal-Ear Unaided Response  
aReal-Ear Aided Response  
aReal-Ear Occluded Response  
aReal-Ear Insertion Gain  
Other tests available  
aReal-ear harmonic distortion  
aReal-ear spectral analysis  
aManual measurement of output, gain and distortion  
Fitting methods available  
aSpeechmap with DSL 5, NAL-NL1  
aInsertion gain with NAL-RP, NAL-NL1, Fig6, PogoII,  
Berger, Libby  
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22 Glossary  
AGC, Automatic Gain Control, the means by which gain is automatically controlled by the level of the  
signal being amplified. (ANSI S3.22)  
AGC-I, input-controlled AGC (see "input compression").  
AGC-O, output controlled AGC (see "output compression").  
AGRAM, Abbreviation for audiogram.  
ANSI, American National Standards Institute.  
Attack Time, the time required for HA output to reach +/- 3dB of its steady state level in response to an  
input step from 55 to 90dB SPL. (ANSI S3.22)  
ASP, Automatic Signal Processing, In hearing aids, level dependent frequency response shaping.  
AVC, Automatic Volume Control, slow-acting AGC that attempts to maintain a constant average signal  
level.  
BSPL, Band Sound Pressure Level, the SPL within a restricted frequency band.  
BTE, Behind-The-Ear (hearing aid).  
Compression, a type of AGC in which an incremental change in the input level produces a smaller  
incremental change in the output level.  
CR, Compression Ratio, the ratio of incremental change in input SPL to the resulting incremental  
change in output SPL. Used to characterize steady state AGC action; can be a function of input level,  
duration and frequency.  
CROS, Contralateral Routing Of Signals; a type of hearing aid in which the microphone is at the ear  
opposite to the one receiving the amplified sound.  
CORFIG, Coupler Response for Flat Insertion Gain; the transformation added to real-ear insertion gain  
to obtain 2-cc coupler gain. Assumes linear amplification.  
Coupler, a device used to acoustically couple an earphone or hearing aid to a measurement microphone  
and to provide an acoustic load.  
DSL, Desired Sensation Level Method, a systematic eardrum (SPLogram) approach to the hearing aid  
fitting process that seeks to ensure amplified speech will be audible and comfortable while loud sounds  
will not be uncomfortable.  
Directional hearing aid, a hearing aid for which the gain is dependent on the direction of sound  
incidence when measured under free-field conditions (ANSI S3.22).  
Equalization, process of controlling the SPL (or band SPL) of the stimulus, as a function of frequency, at  
the field reference point (ANSI S3.46).  
Expansion, a type of AGC in which an incremental change in the input level produces a larger  
incremental change in the output level.  
FM, frequency modulation, a method of transmitting information in which the frequency of a radio wave  
(carrier) is varied (modulated) by the information (signal). Also, a method of reducing standing waves in a  
sound field in which the frequency of a test tone (carrier) is varied by a low frequency triangle or sine  
wave.  
FM System, an assistive listening device consisting of a microphone, an fm radio transmitter and an fm  
receiver. The microphone and transmitter are worn by the speaker and the receiver is worn by the  
listener.  
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FOG, Full On Gain, gain for a 50 dB input SPL with the gain control set to maximum ANSI S3.22)  
Gain (in dB), output sound pressure relative to input sound pressure, expressed in decibels; gain =  
20log10 (output sound pressure / input sound pressure); also, gain = (output SPL) - (input SPL).  
Gain control, a manually or electronically operated control for the adjustment of overall gain (ANSI  
S3.22).  
HA-1 Coupler, a coupler having a volume of 2 cubic centimetres with direct access to the cavity. Used for  
testing in-the-ear and in-the-canal hearing aids; can also be used to test behind-the-ear hearing aids with  
a custom earmold attached. Aka the ITE coupler.  
HA-2 Coupler, a coupler having a volume of 2 cubic centimetres with access through a rigid tube. When  
used for testing BTE hearing aids, the rigid tube consists of 18 mm of 3 mm tubing plus 25 mm of 2 mm  
tubing (ANSI S3.22). When used for calibrating insert earphones, the 2 mm tubing is not used (ANSI  
S3.6). Aka the BTE coupler.  
Harmonic, a component of a tone complex that is an integer multiple of the lowest frequency component  
(fundamental).  
Harmonic Distortion, the addition of harmonic components to a signal. The rms value of a harmonic  
component of a signal as a percentage of the rms value of the fundamental. If less than 20%, the rms  
value of the total signal may be used instead of the fundamental.  
HFA, High Frequency Average, the average of values in dB at 1000, 1600, and 2500 Hz. (ANSI S3.22).  
HL, Hearing Level, the hearing threshold referenced to the threshold of normal hearing, expressed in dB.  
HI, Hearing instrument.  
HIT, Hearing instrument test.  
Input Compression, a form of AGC in which the signal level is regulated before the volume control.  
Input / Output function, steady state, single-frequency plot of the coupler SPL on the ordinate as a  
function of input SPL on the abscissa with equal decibel scale divisions on each axis (ANSI S3.22).  
ITE, In-The-Ear (hearing aid).  
Kneepoint (compression threshold), the point on an input/output curve at which the slope digresses from  
unity indicating the signal level at which a non-linear process begins to take effect.1  
LCD, liquid crystal display. A thin, planar information display.  
Linear Region, that portion of the input-output function which is a straight line at 45 degrees.  
Linear Amplification, amplification having the same gain for all input levels until the maximum output of  
the device is reached.  
LTASS, Long-term average speech spectrum, the rms level of a speech passage in 1/3rd octave  
bands, averaged over the entire passage.  
Loop System, an assistive listening device that uses magnetic induction to carry a signal from a  
microphone/amplifier to a wire loop. The signal is picked up from the loop by a hearing aid set to the  
telecoil position or by a receiver with built-in telecoil, volume control, and earpiece. Loops are either worn  
around an individual's neck or can encircle a room, such as a classroom, providing an excellent signal-to-  
noise ratio.1  
MAF, minimum audible field, SPL of a tone at the threshold of audibility measured in a free sound field  
for a subject listening with both ears and facing the sound source. The SPL is measured with the subject  
removed from the field at the midpoint of an imaginary line joining the centers of the ear canal openings.  
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MAP, minimal audible pressure, SPL of a tone, measured or inferred at the tympanic membrane, at the  
threshold of audibility.  
MPO, Maximum Power Output, the maximum SPL that a hearing aid can deliver in response to a steady  
narrow band input. The stimulus may be pulsed (a tone burst) to avoid discomfort and to obtain a worst-  
case maximum output.  
Modulation, the process of varying a characteristic of one signal with another.  
NAL, National Acoustic Laboratories (Australia)  
NCA, National Centre for Audiology (Canada)  
Nonlinear Region, that portion of the input-output function which is not a straight line at 45 degrees.  
OSPL90 (output SPL for 90-dB input SPL), The SPL developed in a 2cc coupler when the input SPL is  
90 dB, with the gain control of the hearing aid full-on (ANSI S3.22).  
Oscillation, in audiology, refers to the undesired tonal output of an amplifier behaving unstably as a  
result of feedback; whistling.1  
Output Compression, a form of AGC in which the signal level is regulated at the output.  
OLC, Output-limiting Compression (compression limiting), a form of AGC with a high kneepoint and  
high compression ratio.  
PC, Peak-clipping, a method of limiting MPO by truncating the electrical signal supplied to the output  
transducer. The resulting acoustic signal may not be truncated but will be distorted.  
Probe microphone, microphone (which may include an extension tube) having a sound inlet which is  
small enough to be acoustically unobtrusive when inserted into the ear canal (ANSI S3.46).  
Pure tone, a signal containing one, and only one, frequency; a sinusoidal acoustic signal.1  
REAG, Real-Ear Aided Gain, difference, in dB as a function of frequency, between the SPL (or BSPL) at  
a specified measurement point in the ear canal and the SPL (or BSPL) at the field reference point, for a  
specified sound field, with the hearing aid in place and turned on (ANSI S3.46).  
REAR, Real-Ear Aided Response, the SPL (or BSPL) as a function of frequency, at a specified  
measurement point in the ear canal for a specified sound field, with the hearing aid in place and turned on  
(ANSI S3.46).  
RECD, Real-Ear-to-Coupler Difference, difference, in dB as a function of frequency, between the SPL  
(or BSPL) produced by an insert transducer at the eardrum and in a 2cc coupler. HA-1 or HA-2 coupler  
should be specified.  
REDD, Real-Ear-to-Dial Difference, difference, in dB as a function of frequency, between the SPL (or  
BSPL) measured at the eardrum and the audiometer dial setting that produced it. It is specific to the  
client, headphone and audiometer used to generate it.  
REIG, Real-Ear Insertion Gain, difference, in dB as a function of frequency, between the REAG and the  
REUG taken with the same measurement point and the same sound field conditions. REIG = REAG –  
REUG. ANSI S3.46.  
REOG, Real-Ear Occluded Gain, difference, in dB as a function of frequency, between the SPL (or  
BSPL) at a specified measurement point in the ear canal and the SPL (or BSPL) at the field reference  
point, for a specified sound field, with the hearing aid in place and turned off (ANSI S3.46).  
REOR, Real-Ear Occluded Response, SPL (or BSPL), as a function of frequency, at a specified  
measurement point in the ear canal, for a specified sound field, with the hearing aid in place and turned  
off (ANSI S3.46). The REOR is used to evaluate the seal of an earmold. It is not related to the required  
gain of a hearing aid.  
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REUG, Real-Ear Unaided Gain , difference, in dB as a function of frequency, between the SPL (or  
BSPL) at a specified measurement point in the ear canal and the SPL (or BSPL) at a field reference point,  
for a specified sound field, with the ear unoccluded (ANSI S3.46).  
REUR, Real-Ear Unaided Response, SPL (or BSPL), as a function of frequency, at a specified  
measurement point in the ear canal, for a specified sound field, with the ear canal unoccluded (ANSI  
S3.46).  
Reference microphone, microphone used to measure the stimulus level in the measurement process or  
to control it in the equalization process.  
Release Time, the time required for HA output to fall to within +/-4dB of its steady-state level for an input  
step from 90 to 55dB SPL. (ANSI S3.22)  
REM, Real-Ear Measurement.  
RTG, Reference Test Gain, the HFA gain for a 60 dB input SPL with the gain control at RTS (ANSI  
S3.22).  
Reference, Sound-field, the calibration point of a sound-field measurement.  
RTS, Reference Test Setting of the gain control, for a 60 dB input SPL, the setting of the gain control  
required to produce an HFA gain within 1.5 dB of the HFA-OSPL90 minus 17 dB. If the full-on HFA gain is  
less than the HFA-OSPL90 minus 17 dB, the RTS is the full-on setting of the gain control (ANSI S3.22).  
RSETS, Relative Simulated Equivalent Telephone Sensitivity, difference in dB between the HFA-  
SPLITS (SPA-SPLITS) and the RTG plus 60 in the ‘M’ (microphone) mode. RSETS = HFA-SPLITS -  
(RTG+60)  
Saturation, in a hearing aid, the limiting of output caused by the output circuitry and transducer reaching  
their maximum capability.  
SPA, Special Purpose Average, the average of values in dB at three third octave frequencies separated  
by 2/3 of an octave (ANSI S3.22). See also HFA.  
Spectrum, the BSPL as a function of frequency for a broad-band signal.  
SII, Speech Intelligibility Index, a quantity calculated from measures of speech, noise and hearing  
threshold that is highly correlated with the intelligibility of speech (ANSI S3.5).  
Speech Region, a statistical range of short-term spectra present in a speech passage. The short-term  
spectra are typically 120 - 130 millisecond averages in 1/3 octaves. The statistical range is typically from  
the 70th to the 99th percentile.  
SPL, Sound Pressure Level, rms sound pressure relative to 20 uPa, expressed in decibels. SPL =  
20log10 (rms sound pressure / 20uPa).  
SPLITS, coupler SPL for an inductive telephone simulator, SPL developed in a 2cc coupler by a  
hearing aid with the gain control at the RTS when the input is the magnetic field generated by a TMFS  
(ANSI S3.22).  
TMFS, Telephone magnetic-field simulator, a device for producing a magnetic field of consistent level  
and geometric shape when driven by a specified current (ANSI S3.22).  
THD, Total Harmonic Distortion, the rms value of all harmonic components as a percentage of the rms  
value of the fundamental. If less than 20%, the rms value of the total signal may be used instead of the  
fundamental. For most hearing aids, the inclusion of harmonics above the third will not significantly alter  
the THD (ANSI S3.22).  
Transducer, a device which transforms energy from one form to another. For example, a microphone or  
earphone.  
UCL, Uncomfortable Listening Level, the level for a specified stimulus that is judged to be definitely  
uncomfortable.  
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VGA, video graphics adapter.  
VC, Volume Control, a user-operated gain control.  
Warble Tone, a frequency-modulated sine wave. The modulating signal is often a low frequency triangle  
wave.  
1. Valente, M: Strategies for Selecting and Verifying Hearing Aid Fittings. New York:Thieme Medical  
Publishers, Inc.,1994.  
ANSI S3.5, Methods for Calculation of the Speech Intelligibility Index, 1997  
ANSI S3.6, Specification for Audiometers, 1996  
ANSI S3.22, Specification of Hearing Aid Characteristics, revised 2003.  
ANSI S3.46, Methods of Measurement of Real-Ear Performance Characteristics of Hearing Aids, 1997.  
23 References  
American National Standards Institute. (1997). American National Standard Methods of Measurement of  
Real-Ear Performance Characteristics of Hearing Aids. ANSI S3.46-1997. New York: American  
National Standards Institute.  
American National Standards Institute. (1996). American National Standard Specification of Hearing Aid  
Characteristics. ANSI S3.22-1996. New York: American National Standards Institute.  
Bagatto, M., Moodie, S. T.,Scollie, S., Seewald, R., Moodie. K.S., Pumford, J. & Liu, R. (2005). Clinical  
protocols for hearing instrument fitting in the desired sensation level method. Trends in Amplification,  
9-4, 199-226.  
Bentler, R.A. & Pavlovic, C.V. (1989). Transfer functions and correction factors used in hearing aid  
evaluation and research. Ear and Hearing, 10(10),58-63.  
Byrne, D. (1977). The speech spectrum - Some aspects of its significance for hearing aid selection and  
evaluation. British Journal of Audiology, 11,40-46.  
Cole, W.A. & Sinclair, S.T. (1998). The Audioscan RM500 Speechmap/DSL fitting system. Trends in  
Amplification, 3(4):125-139.  
Corliss, E. L. R. (1990) The ear as a mechanism of communication. Journal of Audio Engineering Society,  
38(9):640-652.  
Cornelisse, L.E., Gagne, J-P & Seewald, R.C. (1991). Ear level recordings of the long-term average  
spectrum of speech. Ear and Hearing, 12(1),47-54.  
Cornelisse, L.E., Gagne, J-P & Seewald, R.C. (1991). Long-term average speech spectrum at chest-level  
microphone location. Journal of Speech, Language, Pathology and Audiology, 15(3):7-12.  
Cornelisse, L.E., Seewald, R.C., & Jamieson, D.G. (1994). Wide-dynamic-range compression hearing  
aids: The DSL[i/o] approach. The Hearing Journal, 47(10), 23-29.  
Cornelisse L.E., Seewald R.C., & Jamieson D.G. (1995). The input/output (I/O) formula: A theoretical  
approach to the fitting of personal amplification devices. Journal of the Acoustical Society of America,  
97(3), 1854-1684.  
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Cox, R.M. & Moore, J.N. (1988). Composite speech spectrum for hearing aid gain prescriptions. Journal  
of Speech and Hearing Research, 31:102-107.  
Dunn, H. K., & White, D. S. (1940). Statistical measurements on conversational speech. Journal of the  
Acoustical Society of America, 11:278-288.  
Feigin, J.A., Kopun, J.G., Stelmachowicz, P.G. & Gorga, M.P. (1989). Probe-tube microphone measures  
of ear-canal sound pressure levels in infants and children. Ear and Hearing, 10(4), 254-258.  
Fikret-Pasa, S. & Revit, L.J. (1992). Three experiments to validate new probe-measurement practices in  
prescribing customized hearing aids. Journal of Speech and Hearing Research, 35:384-400.  
Hawkins, D.B., Cooper, W.A., & Thompson, D.J. (1990). Comparisons among SPLs in Real Ears, 2cc  
and 6cc couplers. Journal of the American Academy of Audiology 1:154-161.  
Hawkins, D.B., Walden, B.E., Montgomery, A.A., & Prosek, R.A., (1987). Description and validation of an  
LDL procedure designed to select SSPL90. Ear and Hearing ,8:162-169.  
Killion, M. C., & Monser, E. L. (1980). "Corfig: Coupler response for flat insertion gain." In G. A.  
Studebaker and I. Hochberg (Eds.),. Acoustical Factors Affecting Hearing Aid Performance.  
Baltimore: University Park Press.  
Lewis, D.E., Feigin, J.A., Karasek, A.E., & Stelmachowicz, P.G. (1991). Evaluation and assessment of  
FM systems. Ear and Hearing, 12:268-280.  
Martin, H.C., Munro, K.J., & Langer, D.H. (1997). Real-ear to coupler differences in children with  
grommets. British Journal of Audiology 31:63-69.  
Moodie, K.S. (1996). A practical approach to hearing aid selection. BSA News 18:6-8.  
Moodie, K.S., Seewald, R.C. & Sinclair, S.T. (1994). Procedure for predicting real-ear hearing aid  
performance in young children. American Journal of Audiology, 3(1), 23-31.  
Moore, BrianC.J.& Glasberg, Brian R. (2004). A revised model of loudness perception applied to  
cochlear hearing loss. HearingResearch, 188 (2004), 70-88.  
Mueller, H.G. & Bright, K.E. (1994). Selection and verification of maximum output. In Valente M (ed.):  
Strategies for Selecting and Verifying Hearing Aid Fittings. New York: Thieme Medical Publishers,  
38-63.  
Pavlovic, C. V. (1991). Speech recognition and five articulation indexes Hearing Instruments 42(9):20-23.  
Pearsons, K.S., Bennett, R.L., & Fidell, S. (1977). Speech levels in various noise environments, Project  
Report On Contract 68 01-2466. Washington, DC: US Environmental Protection Agency.  
Scollie, S.D., Seewald, R.C., Cornelisse, L.E. & Jenstad, L.M. (1998). Validity and repeatability of level-  
independent HL to SPL transforms. Ear and Hearing 19(5):407-413.  
Scollie, S.D., Seewald, R.C., Moodie, K.S., Dekok, K. (2000). Preferred listening levels of children who  
use hearing aids: Comparison to prescriptive targets. JAAA 11:230-238.  
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Scollie, S., Seewald, R., Cornelisse. L., Moodie, S. T., Bagatto, M., Laurnagaray, D., Beaulac, S. &  
Pumford, J. (2005). The Desired Sensation Level Multistage Input/Output Algorithm. Trends in  
Amplification, 9-4, 159-197.  
Seewald, R.C. (1994a). Current issues in hearing aid fitting. In J-P Gagne and N. Tye-Murray (Eds.),  
Research in Audiological Rehabilitation: Current Trends and Future Directions. Journal of the  
Academy of Rehabilitative Audiology Monograph, XXVII.  
Seewald, R.C. (1994b). Fitting children with the DSL method. The Hearing Journal, 47(9), 10,48-51.  
Seewald, R.C., Moodie, K.S., Sinclair, S.T. & Cornelisse, L.E. (1996). Traditional and theoretical  
approaches to selecting amplification for infants and young children. In Bess, F.H., Gravel, J.S. &  
Tharpe, A.M. (eds.): Amplification for Children with Auditory Deficits, Nashville: Bill Wilkerson Center  
Press, 161-191.  
Seewald, R.C. & Ross, M. (1988). Amplification for young hearing-impaired children. In M.C. Pollack  
(Ed.), Amplification for the Hearing-Impaired, Third Edition (pp. 213-271). Orlando: Grune & Stratton.  
Seewald, R.C., Ross, M. & Spiro, M.K. (1985). Selecting amplification characteristics for young hearing-  
impaired children. Ear and Hearing, 6(1), 48-53.  
Seewald, R.C., Ross, M. & Stelmachowicz, P.G. (1987). Selecting and verifying hearing aid performance  
characteristics for young children. Journal of the Academy of Rehabilitative Audiology, 20, 25-38.  
Seewald, R., Moodie, S. T., Scollie, S. & Bagatto, M. (2005). The DSL method for pediatric hearing  
instrument fitting: Historical perspective and current issues. Trends in Amplification, 9-4, 145-157.  
Seewald, R.C. & Moodie, K.S. (1992). Electroacoustic considerations. In M. Ross (ed), FM Auditory  
Training Systems: Characteristics, Selection, & Use. Timonium, MD: York Press.  
Sherbecoe, R.L & Studebaker, G.A. (2003) Audibility-Index predictions of normal-hearing and hearing-  
impaired listeners’ performance on the Connected Speech Test. Ear and Hearing, 24-1, 71-88.  
Sinclair, S.T., Moodie, K.S. & Seewald, R.C. (1997). Pediatric Hearing Instrument Fitting: Phonak Video  
Focus #2 Booklet, Stofa, Switzerland: Phonak A/G.  
Sinclair, S.T. Seewald, R.C. & Cole, W.A. (1996). A new real-ear fitting system: Because no two ears are  
alike. Hearing Review 3(6):46-48.  
Skinner, M. W. (1988). Hearing Aid Evaluation. Englewood Cliffs: Prentice-Hall Inc.  
Smith, D. A. 1990. Technological report: Acoustometry. Hearing Instruments 41(11):40-44.  
Valente, M., Potts, L.G., Valente, M., Vass, W & Goebel, J. (1994). Intersubject Variability of real-ear  
sound pressure level: Conventional and insert earphones. Journal of the American Academy of  
Audiology, 5, 390-398.  
Valente, M: Strategies for Selecting and Verifying Hearing Aid Fittings. New York:Thieme Medical  
Publishers, Inc.,1994.  
Zelisko, D.L.C., Seewald, R.C. & Whiteside, S. (1992). Comparing three procedures for predicting the ear  
canal SPL at LDL. ASHA, 34(10).  
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24 Appendix 1: AudioNote 2.1 VERIFIT and RM500SL Test Signals and Analysis  
For additional details of the signals and their analysis, see the appended AudioNote.  
Within the European Community:  
EU Authorised representative:  
PC Werth Ltd. Audiology House  
45 Nightingale Lane, London SW12 8SP UK  
Council Directive 93/42/EEC for Medical Devices.  
0088  
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VERIFIT and RM500SL Test Signals and Analysis  
Bill Cole BASc, PEng  
Some useful facts about broad-band signals  
1
Introduction  
The Verifit and RM500SL are full-duplex  
dual-channel audio measurement systems  
designed for the testing and fitting of all  
types of hearing instruments and many  
assistive listening devices. They provide  
an acoustic test chamber for the testing of  
devices coupled to standard 2 cm3  
couplers as well as sound-field speaker(s)  
for real-ear measurement (REM) of hearing  
aid performance. The Verifit test chamber  
contains two loudspeakers for the  
functional testing of directional hearing  
instruments. Test signals are delivered to  
the device under test via the test chamber  
loudspeaker(s), the test chamber telephone  
magnetic-field simulator (TMFS), the test  
chamber magnetic field test loop (Verifit  
only) or the sound-field loudspeaker(s).  
Device output signals are measured in the  
Ø
Overall SPL is the SPL in a band containing all significant frequency  
components of the signal.  
Spectrum level is the SPL in a band 1 Hz wide.  
Ø
Ø
Band SPL is the SPL in a restricted frequency range. If the signal is  
uniform in the band, band SPL = Spectrum level + 10*log(bandwidth).  
A spectrum is the band SPL, or spectrum level, in a series of  
adjacent bands.  
For a broad-band signal, the overall SPL is greater than the band SPL  
and the band SPL is greater than the spectrum level. For a pure tone,  
the overall SPL, the band SPL and the spectrum level are the same.  
A white noise signal has a spectrum level that is independent of  
frequency (i.e. constant SPL per Hertz).  
A pink noise signal has a spectrum level that is inversely proportional  
to frequency (i.e. constant SPL per octave).  
A fractional octave band (e.g. 1/3 octave) has a bandwidth that is  
proportional to frequency.  
A pink noise signal has a flat spectrum when analyzed in fractional-  
octave bands.  
Ø
Ø
Ø
Ø
Ø
Ø
Ø
A critical band is a band within which the loudness of a continuously-  
distributed signal of constant SPL is independent of bandwidth.  
2 cm3 coupler via the coupler microphone or in a real ear via the probe microphone. Data from the 2 cm3 coupler  
may be viewed as coupler SPL, coupler gain or as estimated SPL in the ear canal (simulated real-ear  
measurements, S-REM). Data from the probe microphone may be viewed as ear canal SPL, as ear canal SPL re  
normal hearing threshold (i.e. dB HL), as insertion gain or as ear canal SPL in the context of an auditory area  
(Speechmap®).  
2
The test signals  
Four types of test signals are currently available. These are tonal signals, pseudo-random noise, digitized real  
speech signals and the ICRA distorted speech signal. Test signals are generated in real time by the digital signal  
processor (DSP) or played from 16 bit binary audio files stored in the on-board flash memory. In the Verifit, these  
audio files are up-loaded from the internal compact disc (CD) drive at power up. In order to provide a repeatable  
acoustic signal to the device under test, a reference microphone is used in conjunction with a digital control loop  
to maintain the desired band level at each frequency. Live audio (speech, music etc.) may also be used as a test  
signal but it is not controlled for spectrum or level.  
2.1 Narrow-band signals  
2.1.1 Pure tones  
Pure-tones are used in the ANSI hearing aid tests, in Multicurve 2 cm3 frequency response tests (gain or output),  
in 2 cm3 and real-ear single frequency (manual) tests, in real-ear insertion gain tests and in tone-burst maximum  
output (MPO) tests. Frequencies used are 1/12 octave except for the MPO test which uses 1/3 octave  
frequencies. Levels from 40 to 90 dB SPL are available at the reference microphone. Control of the level at each  
frequency is maintained by measuring the frequency response of the signal path to the reference microphone 256  
ms before each test using a 256 ms, 50 – 55 dB SPL, multi-tone complex or a 256 ms chirp, depending on the  
test to follow. Drive levels at each frequency are then set to achieve the desired band levels at the reference  
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microphone.  
2.2 Broad-band signals  
2.2.1 Pink Noise signal  
The pink noise signal is available for Multicurve 2 cm3 coupler gain and output frequency response measurements  
and for Insertion gain and Speechmap real-ear measurements. It is a pseudo-random signal composed of 1024  
simultaneous tones summed to provide a crest factor of 12 dB. The spectrum of the pink noise signal is  
controlled by the reference microphone in conjunction with a digital feedback loop with a frequency resolution of  
1/12 octave and a response time of about 1/3 of a second. Pink noise was selected as a test signal because it  
has equal energy per octave, producing a flat spectrum when analyzed in 1/12 or 1/3 octave bands. Figure 1  
shows the 1/3 octave spectrum of the pink noise signal and the noise signal specified in ANSI S3.42-1997. Note  
that the ANSI S3.42-1997 spectrum represents speech peaks not the long-term average.  
1/3 OCTAVE SPECTRA for the PINK NOISE SIGNAL  
and ANSI S3.42 NOISE re overall SPL  
-8.00  
Band Level re overal SPL - Pink Noise  
Band Level re overall SPL - ANSI S3.42  
-9.00  
-10.00  
-11.00  
-12.00  
-13.00  
-14.00  
-15.00  
-16.00  
-17.00  
-18.00  
200  
250  
315  
400  
500  
630  
800  
1000 1250 1600 2000 2500 3150 4000 5000 6300 8000  
BAND CENTER FREQUENCY (Hz)  
Figure 1: 1/3 octave spectra for the pink noise signal and the noise signal specified in ANSI S3.42-  
1997.  
2.2.2 Dual-direction pink noise signal (Verifit only)  
This unique test signal is available in the dual-source Verifit test chamber and for real-ear measurements by  
adding an additional sound-field speaker. It is similar to the pink noise signal described previously except that the  
component tones are presented simultaneously from two speakers, half from each. The level of each tone is  
independently controlled at the reference microphone. Two frequency response curves are generated  
simultaneously -one for each speaker. This provides a real-time measure of the functioning of the directional  
features of hearing aids that is independent of compression or noise reduction algorithms. Measurement  
methods which sequentially measure response from different directions work only with these features disabled.  
2.2.3 Real-speech signals  
Real-speech signals are provided in Speechmap for both REM and S-REM measurement modes. Four different  
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digitized speech passages and the single-talker ICRA distorted speech are provided. Each has a duration of 10 –  
15 seconds and may be presented as a single passage or in a continuous loop. In order to provide a repeatable  
speech signal to the device under test, the signal path must be equalized prior to the presentation of the speech  
signal. This is accomplished by presenting a 896 ms pink noise burst at the selected speech level, 256 ms prior  
to the start of each speech passage and adjusting a digital filter to provide a flat response at the reference  
microphone.  
The two “Speech-std” signals are by the same male talker, filtered to provide the long-term average speech  
spectrum (LTASS) recommended by Cox & Moore (1988) for average vocal effort. This is the LTASS assumed in  
the Desired Sensation Level (DSL) method of hearing aid fitting. The “female” and “child” signals have been  
chosen to provide a range of spectra and are presented “as recorded” without any processing. Overall SPLs of  
50, 55, 60, 65, 70 and 75 dB (at the reference microphone) are available. Soft and Average levels (50 - 70 dB  
SPL) have the same spectrum. A Loud vocal effort filter is applied to the 75 dB level signals. This is shown in  
Figure 2.  
The ICRA distorted speech signal is a recording of an English-speaking talker that has been digitally modified to  
make the speech largely unintelligible. The resultant signal has many of the properties of real speech but has a  
harsh sound and lacks harmonic structure. The latter may be significant for hearing aids which use this property  
of speech to control noise reduction schemes. The LTASS is similar to the “Speech-std” signals up to 5 kHz.  
The test systems provide a simulated real-ear mode (S-REM) in which measurements made in the 2 cc coupler in  
the test chamber are converted to estimated real ear SPL. In this mode, the effects of hearing aid microphone  
location need to be included in the test signals so spectra are further altered to include the microphone location  
effects shown in Figure 3.  
LOUD VOCAL EFFORT EFFECT re nominal band SPL  
20.00  
15.00  
10.00  
5.00  
0.00  
-5.00  
200  
250  
315  
400  
500  
630  
800  
1000 1250 1600 2000 2500 3150 4000 5000 6300 8000  
BAND CENTER FREQUENCY (Hz)  
Figure 2: Loud vocal effort effect in dB re nominal band levels. Nominal band levels are band levels  
for an overall SPL of 65 dB. This shaping is applied to the 75 dB SPL speech and ICRA signals.  
In addition to these well-controlled and repeatable signals, live speech may be used as a test signal. It will, of  
course, be unequalized and at an uncontrolled level.  
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Figure 3: Microphone location effects in dB re nominal band SPL. Nominal band levels are band  
levels for an overall rms level of 65 dB SPL and average vocal effort in a free sound field.  
3
Analysis of broad-band signals  
Broad-band signals contain energy at many frequencies simultaneously. Such signals are usually analyzed in a  
series of narrow frequency bands to produce a spectrum. The auditory system functions on a logarithmic  
frequency scale and analyzes broad-band signals in critical bands which approximate 1/3 octave bands (Figure  
4). Using 1/3 octave bands for analysis of broad-band signals allows measured levels to be compared more  
readily to narrow-band behavioral measures, such as threshold. For this reason, analysis of broad-band signals  
in all Real-Ear Measurements (including S-REM in Speechmap) is in 1/3 octave bands. Other analyzers use  
narrower analysis bands, sometimes having constant bandwidth. As shown in Figure 4, this can result in  
significantly underestimating the audibility (or comfort or discomfort) of a complex signal.  
It should be noted that, in all Real-Ear Measurements, 1/3 octave band SPL is displayed (and reported when  
saving data to a file) at 1/12 octave frequencies which provides curve smoothing. When calculating overall rms  
from these data, the SPL at 225 Hz and subsequent 1/3 octave increments should be used.  
Analysis of broad-band signals in all Hearing Instrument Tests is in 1/12 octave bands and the band SPL is  
displayed at 1/12 octave frequencies.  
3.1 Pink noise signal analysis  
All band levels are calculated with an averaging time of 128 ms.  
For a linear hearing aid, a pink noise stimulus will result in a response curve that has the same shape as one  
obtained using a swept pure tone. However, it must be remembered that, while a swept tone has the same band  
SPL as overall SPL, the band SPL for a noise signal is significantly lower than the overall SPL. Consequently, for  
a linear aid, output curves obtained using 1/12 octave analysis will be about 18 dB lower than the output curves  
obtained using a swept tone at the same overall SPL. As long as the hearing aid is linear, the gain obtained will  
be the same for both signals. Figure 5 shows output (A) and gain (B) for a linear hearing aid, obtained using a  
swept tone (1) and pink noise (2) with a 60 dB overall SPL.  
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Analysis Bandwidth Used by Various Analyzers  
To Analyze Complex Signals  
35  
30  
25  
20  
15  
10  
5
Verifit / RM500SL - Speechmap  
1/24th Octave Analyzers  
The Normal Ear - Critical Bands  
100 Hz band analyzers  
0
200  
250  
315  
400  
500  
630  
800  
1000  
1250  
1600  
2000  
2500  
3150  
4000  
5000  
6300  
Band Center Frequency (Hz)  
Figure 4: Analysis bandwidths of some real-ear analyzers and critical bands for a normal ear. If the  
analysis bandwidth is less than a critical band, aided response curves shown to be at threshold (or  
UCL) will actually be well above it.  
Figure 5: Output (left) and Gain (right) curves for a linear hearing aid, generated using a swept tone  
(1) and pink noise analyzed in 1/12 octave bands (2). (Dual view not available in RM500SL)  
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Figure 6: A real-ear directional test on an adaptive instrument with active compression and noise  
reduction. (Directional test not available in RM500SL)  
3.2 Real-speech signal analysis  
One of the most-used measures of a speech signal is the long-term average speech spectrum (LTASS). This is a  
1/3 octave spectrum averaged over a sufficiently long portion of the speech material to provide a stable curve. In  
practice a 10 second average meets this requirement and, for this reason, all Speechmap passages are at least  
10 seconds long.  
The dynamic nature of speech is often characterized by the distribution of short-term levels in each 1/3 octave  
band. These levels are determined by calculating a spectrum for each of a series of short time periods within the  
passage. Historically, time periods of 120, 125 or 128 ms have been used. The Verifit and RM500SL use a 128  
ms time period, resulting in 100 levels (or samples) in each 1/3 octave band for a 12.8 second passage. The  
level in each band that is exceeded by 1% of the samples (called L1, the 1st or 99th percentile) has historically  
been referred to as the speech peak for that band. The curve for these 1% levels is approximately 12 dB above  
the LTASS. The level in each band that is exceeded by 70% of the samples (called L70, the 70th or 30th  
percentile) has historically been called the valley of speech for that band. The curve for these 70% levels is  
approximately 18 dB below the LTASS. The region between these two curves is often called the speech region,  
speech envelope or speech “banana”. The speech envelope, when derived in this way, has significance in terms  
of both speech detection and speech understanding. Generally, speech will be detectable if the 1 % level is at or  
near threshold. The Speech Intelligibility Index (SII) is maximized when the entire speech envelope (idealized as  
a 30 dB range) is above (masked) threshold. This will not be an SII of 100% (or 1) because of loudness distortion  
factors, but higher SII values will not produce significantly higher scores on most test material. The speech-  
reception threshold (SRT) is attained when the LTASS is at threshold (approximately - depending on test material  
and the individual). These scenarios are shown in Figures 7 - 9 which follow.  
It should be noted that analysis methods which use shorter time periods produce higher peak levels and  
significantly different speech envelopes. In order to produce results that can be directly compared to measures of  
threshold (and UCL), the analysis time period needs to approximate the integration time of the ear. Although this  
varies with frequency and individuals, a value between 100 - 200 ms is likely. The Verifit and RM500SL use a  
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128 ms analysis time period as an approximation because it also has considerable historic support.  
Because the spectrum of a speech signal varies with time, it is necessary to average measurements over several  
seconds to obtain a stable, repeatable result. However, the effects of adjustments to hearing aid parameters  
need to be seen quickly in order to be useful for optimization. To resolve these conflicting needs, speech signals  
are first presented in a repeating loop with a sound-field equalization test prior to the start of each passage. A  
running calculation of the short-term speech envelope and average is performed on 2 - 3 seconds worth of data  
and is displayed in real time so that the effects of adjustments to hearing aid parameters are easily viewed.  
Pressing the Continue key causes the passage to restart and run in its entirety. The envelope and average are  
calculated over the full passage to provide stable and repeatable data.  
When using live speech as a test signal, a “Freeze curve” function is available to capture the short-term spectra  
for examination and counseling purposes.  
Figure 7: Example of speech envelope and LTASS  
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Figure 8: Speech is detectable but not understandable if the 1st percentile is at threshold  
Figure 9: When LTASS is at threshold, SII 33% which corresponds approximately to SRT  
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Figure 10: The highest SII is obtained when the entire speech envelope is above threshold  
Long-Term Average 1/3 Octave Spectra (LTASS) for Speech Signals @ Average Effort  
re overall SPL for entire passage; Hanning window; 128 ms average  
0.00  
-5.00  
-10.00  
-15.00  
-20.00  
-25.00  
-30.00  
LTASS re overall SPL - STANDARD  
-35.00  
LTASS re overall SPL - FEMALE  
LTASS re overall SPL - CHILD  
LTASS re overall SPL - ICRA  
-40.00  
200  
250  
315  
400  
500  
630  
800  
1000 1250 1600 2000 2500 3150 4000 5000 6300 8000  
BAND CENTER FREQUENCY (Hz)  
Figure 11: LTASS for Speechmap speech signals at average vocal effort  
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1st Percentile of 1/3 Octave Band SPLs for Speech Signals @ Average Effort]  
re LTASS for entire passage; Hanning window; 128 ms average  
14.00  
12.00  
10.00  
8.00  
6.00  
4.00  
1% LEVEL re LTASS - STANDARD  
1% LEVEL re LTASS - FEMALE  
1% LEVEL re LTASS - CHILD  
1% LEVEL re LTASS - ICRA  
2.00  
0.00  
200  
250  
315  
400  
500  
630  
800  
1000 1250 1600 2000 2500 3150 4000 5000 6300 8000  
BAND CENTER FREQUENCY (Hz)  
Figure 12: Level of first percentile for Speechmap speech signals at average vocal effort  
70th Percentile of 1/3 Octave Band SPLs for Speech Signals @ Average Effort]  
re LTASS for entire passage; Hanning window; 128 ms average  
0.00  
-5.00  
-10.00  
-15.00  
-20.00  
70% LEVEL re LTASS - STANDARD  
70% LEVEL re LTASS - FEMALE  
70% LEVEL re LTASS - CHILD  
70% LEVEL re LTASS - ICRA  
-25.00  
-30.00  
200  
250  
315  
400  
500  
630  
800  
1000 1250 1600 2000 2500 3150 4000 5000 6300 8000  
BAND CENTER FREQUENCY (Hz)  
Figure 13: Level of 70th percentile for Speechmap speech signals at average vocal effort  
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Dynamic Range for Speech Signals @ Average Effort]  
re LTASS for entire passage; Hanning window; 128 ms average  
40.00  
35.00  
30.00  
25.00  
20.00  
15.00  
10.00  
5.00  
DYNAMIC RANGE - STANDARD  
DYNAMIC RANGE - FEMALE  
DYNAMIC RANGE - CHILD  
DYNAMIC RANGE - ICRA  
0.00  
200  
250  
315  
400  
500  
630  
800  
1000 1250 1600 2000 2500 3150 4000 5000 6300 8000  
BAND CENTER FREQUENCY (Hz)  
Figure 14: Dynamic range of Verifit speech signals at average vocal effort  
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