Phonak Lyric2, Instruction Booklet

Page 1: ...Instruction Booklet for Hearing Care Professionals ...

Page 2: ... activities including sports showering and sleeping Hassle free hearing no cleaning or maintenance required 100 invisible This booklet provides you with instructions on all aspects of Lyric2 fittings from setting up your workspace to counseling your patients and troubleshooting fitting issues The booklet is also available as download at www lyricresourcecentre com ...

Page 3: ... Clearance for Extended Wear Hearing Aid s Otoscopy instruction Lyric2 insertion tool instruction Lyric2 sizing instruction Lyric2 lubrication instruction Lyric2 programming procedure SoundLync instruction Counseling instruction Equipment cleaning and maintenance instruction Troubleshooting flowcharts Converting a Lyric patient to Lyric2 Occlusion Pain assessment Feedback Migration Dead device Inf...

Page 4: ...c and the medical device The hearing aid is a potential choking or swallowing hazard so it should be kept out of reach of children mentally challenged people and pets If hearing aids are swallowed consult a medical practitioner immediately The hearing aids must not be used in explosive areas mines or industrial areas with danger of explosions If Lyric2 stops working for any reason it must be remov...

Page 5: ...ric insertion Counseling Otoscopy instruction p 14 Sizing instruction p 17 Insertion tool instruction p 15 Sizing instruction p 17 Lubrication instruction p 18 Turn patient around and repeat sizing process of the other ear Programming instruction p 19 SoundLync instruction p 20 Lubrication instruction p 18 Insertion tool instruction p 15 Counseling instruction p 21 Refer to user guide if necessary...

Page 6: ...tection This side up indication Lateral seal Medial seal Receiver Signal processor Battery Microphone Insertion Handle Avoid steeply sloping hearing losses with more than 30 dB octave 1 2 3 4 5 6 7 8 9 10 1 2 3 4 Keychain housing Magnet Removal tool Cap dB 0 10 20 30 40 50 60 70 80 90 100 110 HL 125 250 500 1000 2000 4000 8000 Hz ...

Page 7: ...r XS Lyric2 sizer S Lyric2 sizer M Lyric2 sizer L Lyric2 sizer XL Insertion tool Length sizer2 Ear speculum set Lubricant Glycerin SoundLync Lyric2 Fitting Kit 078 0025 078 0024 078 0023 078 0022 078 0026 054 0696 054 0697 054 0698 054 0699 054 0700 054 0703 054 0695 026 1270 054 0309 098 0369 054 0607 IC IC ...

Page 8: ...ous ear canal Posterior meatus Bony cartilaginous juncture Bony ear canal Eardrum Malleus Incus Stapes Eustachian tube Vestibular organ Helicotrema Cochlear organ Cochlear nerve 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Outer Ear Middle Ear Inner Ear 19 18 20 1 11 4 5 9 3 3 6 7 8 8 12 11 16 15 17 10 10 14 13 8 2 8 ...

Page 9: ...ther hearing aid other hearing aid Wax removal Further medical clarification required ENT Referral Short introduction to Lyric2 benefits fitting procedure high end device Audiometry Obtaining patient history Trial phase Anatomy check Health check Lifestyle check Lyric2 model subscription trial phase Lyric2 fitting ok Sign subscription ...

Page 10: ...difficulty The alignment of the microscope in this way ensures the best possible working position for both ears A right angle between the short and the long arm of the microscope improves the handling of the microscope Once the microscope is assembled it is crucial to apply the breaks and to adjust the resistance of the joints It is recommended to opt for a higher resistance for the rotation of th...

Page 11: ...formation please refer to the paragraph below Positioning of the microscope oculars Start with the microscope 20cm away from the patient s ear Slowly move the microscope forward towards the ear until the image is focused When examining the ear it is recommended to focus on the concha first Gradually move the microscope forward to see a focused image of the ear canal Work your way from the outside ...

Page 12: ...stoses etc Abnormalities of the tympanic membrane e g perforations ventilation tubes large atrophic scars subtotal defect etc 3 Medical history questions for client Yes No Do you suffer from diabetes Medical clearance recommended Do you bruise easily and or take a high dosage of anticoagulants blood thinners Medical clearance recommended Do you have any known allergies e g nickel chrome Medical cl...

Page 13: ...earing aids m Left ear only m Right ear only m Both ears o Patient can not wear Lyric hearing aids and should be assessed for an alternative type of hearing aids ________________________________________ _______________________ Request for Cerumen Removal Lyric fittings require that ALL cerumen is completely removed from the ear canal There can be no cerumen visible and the canal must be clean and ...

Page 14: ...us juncture the medial seal location 4 mm from TM and the TM itself To improve view change position of the patient s head e g if the ear canal has a rise tilt the head of the patient away from you if you want to see the posterior wall of the ear canal turn the patient s head towards you Check jaw movement during otoscopy looking for the anterior bulge of the jaw joint If the bulge enters the canal...

Page 15: ... tool use your thumb and place it in the thumb ring Place fingers in the moving tension ring and the fixed finger ring To load a sizer device you will use the loading notch the tip notch and the loading hook The loading hook is situated in the shaft of the insertion tool Squeezing the moving tension ring towards the thumb ring extends the loading hook forward towards the tip The depth collar and t...

Page 16: ...lace the sizer device on the tip of the tool Make sure that the handle is completely engaged in the tip notch Once the insertion tool is properly loaded use the depth collar to set the maximum depth of insertion on the insertion tool Turn the sliding depth ring to the left side for the right ear and to the right side for the left ear so that the ring faces the posterior meatus Sizer device inserti...

Page 17: ...py prior to sizer insertion Start sizing with the small sizer green core Load the sizer on the insertion tool and make sure that the black dot on the seal is in the superior position Prior to insertion gently apply lubricant see lubrication instruction on page 16 Use the depth collar to set the maximum depth of insertion on the insertion tool according to the previous measurement Insert sizer acco...

Page 18: ...sizers are replicas of the devices Therefore the lubrication is done the same way for sizers and devices The frequency of lubrication depends on the number of insertions When starting the sizing or device insertion process apply glycerin on the entrance of the ear canal and apply glycerin to the medial seal of the sizer using an unused cotton swab Re apply glycerin on both locations after every tw...

Page 19: ...p of the programming wand is close to the microphone protection as shown in the picture below Before insertion verify that the device was successfully programmed by covering the device and checking for feedback If feedback occurs the device was successfully activated Before inserting use the SoundLync to switch it to SLEEP mode and back ON while listening to it to make sure the device is working c...

Page 20: ...cycle through the volume steps soft to loud starting at level one until the MaxVol Level is reached Each level is indicated by a short beep that increases in intensity as the volume levels increase Lyric2 will continue to cycle through the volume levels until the magnet is removed at the desired level The MaxVol level is set in the fitting software Remember Volume cycle always starts at level 1 Ly...

Page 21: ... during the first two weeks after the fitting Lyric2 should not be removed Experience has shown that these sensations usually go away after the adaptation phase If the patient experiences pain at any point while wearing Lyric2 the device needs to be removed immediately If possible the removal should be done by the Lyric2 provider in his her office to perform otoscopy after the removal This helps t...

Page 22: ...ir and stool with hot water and microfiber cloth Please do not use solvents Cleaning the insertion tool 1 Clean insertion tool in ultrasonic bath then 2 Sterilize in autoclave or 3 Soak in cold sterilant solution to acheive sterilization or high level disinfection Cleaning the specula 1 Clean specula in ultrasonic bath then 2 Sterilize in autoclave or 3 Soak in cold sterilant solution to acheive s...

Page 23: ...d DONE DONE OK DONE OK DONE OK Lyric2 too soft Decrease LFC to 200Hz Increase volume 1 2 steps Increase SLG 1 2 steps still too soft still too soft Troubleshooting flowcharts The following flowcharts help to troubleshoot the most common issues that might come up during or after a Lyric2 fitting Lyric patient converting to Lyric2 Occlusion Pain assessment Converting a Lyric patient to Lyric2 Feedba...

Page 24: ...plugged or down in a barrel Already ON Still occluded Decrease VOL 1 or 2 steps 3 dB each Decrease LFC add low frequency gain to overcome insertion loss Decrease SLG 1 or 2 steps 4 dB each OR OR Better DONE DONE Better Still occluded Wait an adaption period of 1 week Consider contraindication DONE Better Still occluded DONE Better Reposition push in 0 5 to 1 mm most likely to help Still occluded T...

Page 25: ...rted Remove device and contraindicate Success Continue Lyric2 use If less than pain reported If discomfort goes away If NO Pain or discomfort If pain reported OR if discomfort continues beyond 7 days If Pain Once ear is healthy Still pain or discomfort Counsel Continue device use Remove device Remove device Verifiy size refit Implement rating scale 1 Awareness 2 Annoyance 3 Discomfort 4 Pain ...

Page 26: ...tly 0 5 to 1 mm or change angle of device in the canal Remove reinsert Remove reinsert VOL Decrease volume 1 2 steps 3 6 dB Instruct patient to turn VOL up after 3 4 days Contraindicate DONE DONE DONE DONE FB GONE FB GONE FB GONE FB GONE FB GONE Still FB Still FB Still FB Still FB Still FB HFB Turn HF boost OFF SLG Decrease soft level gain 1 step 4 dB VOL Decrease volume 1 2 steps 3 6 dB Remove re...

Page 27: ...uery Patient did he she manipulate Re counsel Re counsel Reinsert device if possible Remove to insert deeper May need to insert new device OR Reinsert eventually with different size or insertion depth Re evaluate insertion depth resize check insertion depth If still migrates Contraindicate Jaw movement moving device check under microscope inspection NO Yes Migration ...

Page 28: ...wledging beep Perform otoscopy check for cerumen or water exposure Remove device Perform listening check Already ON Still dead Verify device is ON Device was OFF DONE OK DONE Refit New device Turn on Dead device in ear cannot hear amplification or beeps Dead device ...

Page 29: ... important to read and take into account the relevant information in these instructions This symbol indicates that it is important to pay attention to the relevant warning notices in these instructions Important information for handling and product safety The product is designed such that it functions without problems or restrictions if used as intended unless otherwise noted in this instruction b...

Page 30: ...pro com Manufacturer Phonak AG Laubisrütistrasse 28 CH 8712 Stäfa Switzerland US Representative Phonak LLC 4520 Weaver Parkway US Warrenville IL 60555 3927 USA V1 00 2012 07 cu Phonak AG All rights reserved 0459 ...