Interacoustics Titan Operating Manual

Interacoustics Titan Operating Manual

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Titan – DPOAE
Operating Manual
80655281 ver. 06/2011

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Summary of Contents for Interacoustics Titan

  • Page 1 Titan – DPOAE Operating Manual 80655281 ver. 06/2011...
  • Page 3: Table Of Contents

    Main Tab Menu Structure ..................... 10 Uploading Client Information to the Hardware (OtoAccess™ & Noah3) ...... 11 2.5.2 Downloading data from the Titan to OtoAccess™ & Noah3 ........12 2.5.3 Distortion Product OAE PC Controlled ................. 15 General Operation in DPOAE ..................15 General Operation in between and during DPOAE Testing ..........
  • Page 4 Exporting a Protocol ......................53 Importing a Protocol ......................54 Transferring Protocols to Titan ..................55 Show/hide Protocols in Titan Suite ................... 57 Changing and using password protection ................ 58 Printing and making reports ....................59 Using the Thermal Printer ....................59 The Print Wizard .......................
  • Page 5: Introduction

    Distortion Product Otoacoustic Emissions. The target population for Titan with DPOAE440 includes all ages. The Titan with DPOAE440 is designed to be used only by skilled personnel such as audiologists, ENT surgeons, doctors, hearing healthcare professionals or personnel with a similar level of education.
  • Page 6 Titan DPOAE Operating Manual Page 6...
  • Page 7: Getting Started

    Now the Titan Suite will open and automatically search for the hardware. If it does not detect the hardware a dialog box pops up and asks if you want to run the Titan Suite in Simulation mode. To continue with the use of hardware,...
  • Page 8: Starting From Noah3

    Now the Titan Suite will open and automatically search for the hardware. If it does not detect the hardware a dialog box pops up and asks if you want to run the Titan Suite in Simulation mode. To continue with the use of the hardware: 5.
  • Page 9: Pc Controlled Operation Via Bluetooth

    Bluetooth and that it is switched on. Secondly, check that your Titan is setup to use its Bluetooth for connecting to a PC (and not to a printer). This is done by switching on the hand held unit and pressing Protocol | My Titan | Titan…...
  • Page 10: Main Tab Menu Structure

    Operations from the Main Tab When the Titan Suite is started it opens in the Main tab. From here you have the option to access Client Upload or Session Download screens. On startup, the Main tab always opens with the Start screen.
  • Page 11: Uploading Client Information To The Hardware (Otoaccess™ & Noah3)

    Uploading Client Information to the Hardware (OtoAccess™ & Noah3) 2.5.2 Before using the Titan in hand held mode, you can store names and other details of patients who are expected for an assessment on the hardware. Patient data can be uploaded from either the OtoAccess™...
  • Page 12: Downloading Data From The Titan To Otoaccess™ & Noah3

    3. Open the Module Selection dialog box, go to the Measurement tab and double click on the Titan Suite icon. 4. After the Titan Suite has opened in the Main tab, click on the icon for Client upload. 5. The single selected patient details from Noah3 will appear in the Client search list.
  • Page 13 Client not known in database window as described below. For each Unknown client the generic name (A) and the sessions (B) stored for that patient are listed on the screen. Titan DPOAE Operating Manual Page 13...
  • Page 14 In the Copy to PC column, the checkboxes for the downloaded sessions will now be grayed out to avoid downloading them twice to the database. When the Titan is disconnected from your PC the download screen will be reset.
  • Page 15: Distortion Product Oae Pc Controlled

    3 Distortion Product OAE PC Controlled General Operation in DPOAE The following operations are available on the DPOAE tab of the Titan Suite: 1. Menu to go to Setup, Print, Edit or Help. The menu has the following structure: ...
  • Page 16 By pressing the License button you are able to change the license keys of the Titan Suite. The license keys for the Titan are specific for each serial number and define which modules, tests, protocol settings and other functionalities are available.
  • Page 17: General Operation In Between And During Dpoae Testing

    DPOAE measurement is fully automated. In other words with the Titan, it is not necessary to monitor probe check information yourself, but you are of course welcome to do so. The following paragraphs give a few ideas about the information that can be gained from the probe check graph.
  • Page 18 Below an example is shown for the adult ear where the probe has almost fallen out. Looking at the low frequency area of the graph will also give you information about whether or not the probe is in the ear. Titan DPOAE Operating Manual Page 18...
  • Page 19: Dp-Gram Bar View

    The DP-Gram can be shown in bar view or graph view. Your preference for these views is defined in the protocol setup and can also temporarily be changed in the temporary settings. The following information can be found in the DP-Gram bar view: Titan DPOAE Operating Manual Page 19...
  • Page 20: Dp-Gram Graph View

    DP freq. refers to the frequency (in Hz) where the main DPOAE can be expected. That is the 2f DP S/N ratio indicates the difference between the absolute value of the DPOAE and the noise floor around the DP freq. This difference is the signal to noise ratio. Titan DPOAE Operating Manual Page 20...
  • Page 21 Within the general setup you can set whether or not the norm data area is to be displayed. Using the right mouse click on the DP-Gram gives the following additional functions: Titan DPOAE Operating Manual Page 21...
  • Page 22: Dp-I/O (Dp-Input/Output)

    Continue will measure all inserted frequencies without a time limit. Press Stop when the additional points are sufficiently tested. 11. Next measurement point interrupts the automatic test procedure and forces the Titan to start testing the next frequency immediately. This function is available when max test point has been selected in the protocol.
  • Page 23: Response & Zoom Graph

    Press Stop when the additional points are sufficiently tested. 9. Next measurement point interrupts the automatic test procedure and forces the Titan to start testing at the next intensity immediately. This function is available when max test point has been selected in the protocol.
  • Page 24: Probe Status & Stimuli Tolerance

    If the stimuli tolerance cannot be reached after replacing the probe in the patient‟s ear, the user can press Continue. This will restart the testing overruling the stimuli tolerance level settings for the current frequency. To stop testing, press Stop. Titan DPOAE Operating Manual Page 24...
  • Page 25: User Guide

    The User Guide setup is accessed by going to Menu | Setup | User guide setup The default setup for the User Guide has preselected guidance pictures and text. All four guide pictures and test instructions are selected and Show user guide when module starts is checked. Titan DPOAE Operating Manual Page 25...
  • Page 26: Temporary Setup

    If data is measured before you enter temporary setup you are prompted to save or discard the data. In temporary setup the same options are available as in the normal protocol settings. Titan DPOAE Operating Manual Page 26...
  • Page 27: Norm Data Setup

    10. OK saves any changes to the data sheet and returns you to the test screen. 11. Cancel closes the Norm data setup window and returns you to the test screen without saving and changes. Titan DPOAE Operating Manual Page 27...
  • Page 28 Titan DPOAE Operating Manual Page 28...
  • Page 29: Handheld Use Of The Titan

    Getting Started Press either the L or R button to switch on the Titan. To switch the Titan off, hold down the L and R buttons together for one second. (Refer to the Operation Panel Dictionary for more information).
  • Page 30: Probe Status Indication

    Operating Titan You will find that the use of the Titan as a hand held device is very intuitive. When switching on the Titan in handheld mode, it will usually start in the Test screen of the protocol that was previously used for testing.
  • Page 31: Test

    4.4.1 Test Usually, the Titan starts in the Test screen. When 2 3 4 deleting or saving data after a measurement, you will also return to this screen. The following information can be viewed on the screen: 1. Next to the word Test, the header shows the status of the probe: ready, in ear, out of ear, leaking or blocked.
  • Page 32: Done

    4.4.2 Done The Titan will automatically go to the Done! screen when it has finished testing a protocol. From here, measurements from both ears can be reviewed, printed and/or saved. Operating from this screen: Top left button will result in printing the test results of the left and right ears.
  • Page 33: Select Client & Save

    Select Client & Save From this screen you can either save data to an existing client that has been uploaded to the Titan from your database or save data to a new client name. New clients will always get the name “No Name #”, where # stands for the next available number.
  • Page 34: View Clients

    Titan hand held unit. When one or more sessions are stored on the Titan, the box in front of the client‟s name is filled. If there is no session stored yet, the box is empty.
  • Page 35: View Sessions

    Top middle button will print all Note that this will only occur if a printer is connected to the Titan via Bluetooth or wired to the Titan cradle with the hand held unit is sitting in the cradle Top right button has no function.
  • Page 36: Select Protocol

    Shoulder box button has no function. 4.4.11 Setup From this screen, the settings concerning the Titan hand held unit can be changed. Operating from this screen: Top left button brings you back to the Select Protocol screen.
  • Page 37: Titan

    Up and Down buttons to select the printer of your choice. Press the Top right button to select the printer. See the Titan Setup & Installation Manual for details about which printers can be used via Bluetooth. Clinic Info…...
  • Page 38: About

    About… 4.4.11.7 Here you will find information about the Titan‟s firmware version and calibration dates. Pressing the up and down buttons simultaneously will give you the MCU and DSP compile dates. Titan DPOAE Operating Manual Page 38...
  • Page 39 Titan on by selecting ear Titan Flowchart … Titan DPOAE Operating Manual Page 39 Titan off by...
  • Page 40 Titan DPOAE Operating Manual Page 40...
  • Page 41: Protocol Setup

    5 Protocol Setup DPOAE Protocol Setup To create or adapt your own personalized protocol you need to enter the Titan Protocol Setup menu. 1. From the DPOAE tab, Select Menu | Setup | Protocol Setup… 2. Click on the New button and name your protocol.
  • Page 42: Dp-Gram Test Settings

    If unchecked a linear scale distribution will be used. e. Press Create to add the series to the frequency listing. Press Cancel to cancel out of the Add series window. 5. Press Remove to delete a selected frequency from the list. Titan DPOAE Operating Manual Page 42...
  • Page 43 9. Activating Run descending makes the testing run from the highest down to lowest frequency. By default this option is disabled and the testing starts from the lowest to highest frequency. Titan DPOAE Operating Manual Page 43...
  • Page 44: Common Test Settings For A Dp-Gram Test

    DPOAE would have been detected, if it were present. Measurements that reach the noise floor will stop testing and the result will indicate that the DP criteria was not met for the individual point. Titan DPOAE Operating Manual Page 44...
  • Page 45 Therefore, test time can be saved by enabling this feature. 12. Required for pass is where you define which measurement points are mandatory to reach a pass when Enable Pass/refer is checked for an overall result. Titan DPOAE Operating Manual Page 45...
  • Page 46 Monaural/Binaural view button. 16. Under Details, you can select whether the results are shown in Bar view or Graph view. By default, Graph view is selected. Titan DPOAE Operating Manual Page 46...
  • Page 47: Dp-I/O Settings

    2. The Auto run checkbox defines which tests will run automatically, one after the other, when START is pressed. Note that when a protocol is used on the hand held unit, all tests will always be executed in the order they are in the protocol setup. Titan DPOAE Operating Manual Page 47...
  • Page 48: Common Test Settings For A Dp-I/O Test

    DPOAE would have been detected, if it were present. Measurements that reach the noise floor will stop testing and the result will indicate that the DP criteria was not met for the individual point. Titan DPOAE Operating Manual Page 48...
  • Page 49 OAE is indeed not part of the noise. For this comparison, it is assumed that the noise is normally distributed. Titan DPOAE Operating Manual Page 49...
  • Page 50 Monaural/Binaural view button. 4. Under Details, bar view has been disabled as a DP-I/O test cannot be displayed as bars. You can only view the results in graph view. Titan DPOAE Operating Manual Page 50...
  • Page 51: Renaming A Protocol

    5. Press Yes in the dialog box to confirm you want to rename the protocol. If you chose a new name that already existed in the protocol list you will be asked to go through step 2 to 5 again in order to rename your protocol. Titan DPOAE Operating Manual Page 51...
  • Page 52: Deleting A Protocol

    Deleting a Protocol To delete a protocol you need to enter the Titan Protocol setup menu. 1. From the DPOAE tab, Select Menu | Setup | Protocol setup… 2. Select the protocol to delete from the Selected protocol drop down menu.
  • Page 53: Exporting A Protocol

    Exporting a Protocol To export a protocol you need to enter the Titan Protocol Setup menu. 1. From the DPOAE tab, Select Menu | Setup | Protocol setup… 2. Select the protocol to export from Selected protocol drop down menu.
  • Page 54: Importing A Protocol

    Importing a Protocol To import a protocol you need to enter the Titan Protocol Setup menu. 1. From the ABRIS tab, Select Menu | Setup | Protocol setup… 2. Press Import. 3. Browse to the location where you stored your protocol files. Select the protocol you want to import.
  • Page 55: Transferring Protocols To Titan

    Protocols that have been created in the Titan Suite can be transferred to the hand held unit for use. In order to perform a transfer, connect the Titan to the PC via the cradle or USB cable, switch it on and open the Titan Suite. You cannot transfer protocols if the Suite is running in simulation mode.
  • Page 56 The newly transferred protocols to the hardware will now appear in bold in the Protocols on Hardware column. To change the order of the protocols on the Titan, select a protocol and move it up or down by pressing the arrow buttons.
  • Page 57: Show/Hide Protocols In Titan Suite

    Show/hide Protocols in Titan Suite When using Titan in PC-controlled mode you may not want every existing protocol listed in the protocol selection drop down menu on the test screen. Go to the Show/hide protocols window to select the protocols to be available for use during test.
  • Page 58: Changing And Using Password Protection

    Changing and using password protection Activating the password restricts users from entering the protocol setup and user guide setup throughout the entire Titan Suite. To activate password protection for the first time: 1. Go to and select Menu | Setup | Password protection.
  • Page 59: Printing And Making Reports

    If you give the print command from the hand held unit it will automatically send the print job to the thermal printer when it is connected. Setup and use of the Thermal Printer is described in the Titan Setup &...
  • Page 60 13. To leave the Print wizard without selecting or changing a template press Cancel. Right clicking on a specific template provides a drop down menu offering an alternative method for performing the options as described above: Titan DPOAE Operating Manual Page 60...
  • Page 61: Designing A Customized Print Template

    You can also type in the page number that you would like to view and/or edit. 7. The Zoom drop down menu allows you to change the viewing size of the template on screen. Titan DPOAE Operating Manual...
  • Page 62: Design Elements

    Format… opens the Format Client window. Here you can change the the font, font size and formatting, and the appearance (borders) of the Client information area. c. Selecting Rotate makes the element rotate 90 Titan DPOAE Operating Manual Page 62...
  • Page 63 Select image opens a window from where you can browse to find the image stored on your PC that you want to include in the template. b. Selecting Rotate makes the element rotate 90 degrees clockwise. Titan DPOAE Operating Manual Page 63...
  • Page 64 Enter setup…opens the Date Time setup window. Here you choose the format in which the date and/or time appears in the template.You can also choose the font type, size and formatting. b. Selecting Rotate makes the element rotate 90 degrees clockwise. 5a, 6a Titan DPOAE Operating Manual Page 64...
  • Page 65 Selecting Modules gives the opportunity to define which modules‟ session dates will be shown. On the print out you can combine measurements from both the Affinity Suite and Titan Suite. c. Toggle borders allows you to disable or enable the border around the Session date element.
  • Page 66 DP-gram test, the first one contains dataset 1, the second dataset 2, etc. c. Toggle borders allows you to disable or enable the border around the DP-Gram element. d. Selecting Rotate makes the element rotate 90 degrees clockwise. Titan DPOAE Operating Manual Page 66...
  • Page 67 3. Align left. If you select two or more elements (by holding down the shift button on the keyboard) this button will align the selected elements on their left borders. Titan DPOAE Operating Manual Page 67...
  • Page 68 When one of the other taskbar functions is used on a locked element it will automatically unlock. 15. Display margins toggles between showing/hiding the print margins as a broken line. Titan DPOAE Operating Manual Page 68...
  • Page 69: Creating Reports

    Creating Reports The Titan Suite allows electronically generated reporting through the Report editor. This allows reports to be saved in the specific module for each test session and they can be retrieved at any time. The contents of the report can also be added to the print template, which gives you the opportunity to have all the relevant test information in one customized printout.
  • Page 70 File | Export allows you to browse to a location on your PC and save the current report or template separately from the Titan Suite or database. Use the Export and Import options in order to transfer a created template on one PC to another. .
  • Page 71 17. Change the alignment of the selection to Center. 18. Change the alignment of the selection to Align right. 19. Change the alignment of the selection to Justify. 20. Insert Numbering 21. Insert Bullets. 22. Decrease indent 23. Increase indent. Titan DPOAE Operating Manual Page 71...
  • Page 72 Titan DPOAE Operating Manual Page 72...
  • Page 73: Faq/Troubleshooting

    - If the probe light still does not change to the Titan. color of the probe status, switch Titan off and back on. - If the problem remains, request help from an authorized technician or call Interacoustics Hotline support for help.
  • Page 74 Although Titan is - After a firmware error code it is advised to code on screen. thoroughly tested, you switch off Titan and switch on Titan again. could have encountered an - If your problem occurs more often unknown firmware problem.
  • Page 75: Part List

    8 Part List Item Order Photo Item number number Titan 905501 Battery 74101501 Extension cord with shoulder box 37311602 Short extension cord 37313701 Clothing clip small 36103901 Rubber ring for clip 35903401 Titan DPOAE Operating Manual Page 75...
  • Page 76 Probe 56014301 Probe tip 055 33514202 Probe cap 34629801 Cradle – fittings and retaining plate 80421201 included Cradle foot 33316801 Retaining plate 34638001 Titan DPOAE Operating Manual Page 76...
  • Page 77 Fittings 1055 Wall mounting 81415201 Cable holder 36003501 Power Supply 30 W 50002101 USB cable 80492102 UCO25 optical USB isolation (USB-GT MED-D) 80420501 DC USB adapter 80401001 Titan DPOAE Operating Manual Page 77...
  • Page 78 Paper roll 81415301 Cable extension RJ12 3m (printer) 80492201 Ear tip box (inclusive ear tips and cleaning tool) 81415402 Cleaning tool 80429101 Ear tip 3-5 mm, flanged 341357xx Ear tip 4-7 mm, flanged 341358xx Titan DPOAE Operating Manual Page 78...
  • Page 79 Ear tip 11 mm, mushroom 341351xx Ear tip 12 mm, mushroom 341352xx Ear tip 13 mm, mushroom 341353xx Ear tip 14 mm, mushroom 341354xx Ear tip 15 mm, mushroom 341355xx Ear tip 19 mm, mushroom 341356xx Titan DPOAE Operating Manual Page 79...
  • Page 80 Carrying case (inclusive foam) 38503502 Foam 34812202 Cavities 2 & 5 cc 80430003 Cavities 0.2 & 0.5 cc 80430103 Titan suite version 2.0 installation CD 81216905 Titan DPOAE Operating Manual Page 80...

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