Cochlear CP1000 Sound Processor in a Cochlear Implant System User Manual Users guide

Cochlear Limited Sound Processor in a Cochlear Implant System Users guide

Users guide

Nucleus®7 SoundProcessorUser GuideCP1000DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 1 14/06/2016 1:22:53 PM
II NUCLEUS 7 SOUND PROCESSOR USER GUIDESymbols used in this guideNOTE Important information or advice.TIP Time saving hint.CAUTION (no harm) Special care to be taken to ensure safety and effectiveness. Could cause damage to equipment.WARNING (harmful) Potential safety hazards and serious adverse reactions. Could cause harm to person.This guide is intended for Cochlear implant recipients and their carers using the Cochlear™ Nucleus® 7 Sound Processor (model number: CP1000). The processor works with your implant to transfer sound to your ear, and is made up of a processing unit, earhook, coil and cable, and a battery module. You can power your processor with disposable or rechargeable batteries. You can control your processor by pressing its button, or by using your Cochlear Nucleus 7 Remote Control or the Nucleus Smart app. People with certain types of hearing loss can wear the processor in Hybrid™ mode by adding an acoustic component which sends amplified acoustic sound into the ear canal. A number of tools and accessories are supplied with your processor.NOTES • Refer to the relevant sections for cautions and warnings relating to the use of the Nucleus 7 Sound Processor, batteries and components.• Please also refer to your Important Information document for essential advice that applies to Cochlear implant systems.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 2 14/06/2016 1:22:53 PM
1NUCLEUS 7 SOUND PROCESSOR USER GUIDENucleus 7 Sound ProcessorABOUTMicrophones and microphone protectors Coil magnetIndicator light Coil cableControl buttonNucleus 7 processing unitSerial numberEarhookBattery moduleCoilMade for iPhone (MFi)Your sound processor is a Made for iPhone (MFi) hearing device. This allows you to control your sound processor with some iPhone® and iPod touch® devices using the Cochlear Nucleus Smart app. Please see the app’s user guide for details.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 1 14/06/2016 1:22:53 PM
2NUCLEUS 7 SOUND PROCESSOR USER GUIDEContentsPowerBatteries . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Battery life . . . . . . . . . . . . . . . . . . . . . . . . . . 5Lock the battery module to the processor . . . . . . . . 6Lock the disposable battery module cover . . . . . . . . 7Replace the battery module . . . . . . . . . . . . . . . . 8Change disposable batteries . . . . . . . . . . . . . . . 10 Charge rechargeable batteries . . . . . . . . . . . . . . 12UseTurn on and off . . . . . . . . . . . . . . . . . . . . . . 18Pair with remote or app. . . . . . . . . . . . . . . . . . 19Lock the control button. . . . . . . . . . . . . . . . . . 19Change program . . . . . . . . . . . . . . . . . . . . . 20Change volume and sensitivity. . . . . . . . . . . . . . 20Telecoil . . . . . . . . . . . . . . . . . . . . . . . . . . 21Wireless accessories. . . . . . . . . . . . . . . . . . . . 22Use monitor earphones . . . . . . . . . . . . . . . . . 24WearWear your processor . . . . . . . . . . . . . . . . . . . 26For users with two implants . . . . . . . . . . . . . . . 27Change earhooks . . . . . . . . . . . . . . . . . . . . . 28Retention accessories . . . . . . . . . . . . . . . . . . . 29Wear the Headband. . . . . . . . . . . . . . . . . . . . 32Sport and exercise . . . . . . . . . . . . . . . . . . . . 35Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Flight mode . . . . . . . . . . . . . . . . . . . . . . . . 37DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 2 14/06/2016 1:22:53 PM
3NUCLEUS 7 SOUND PROCESSOR USER GUIDECareRegular care . . . . . . . . . . . . . . . . . . . . . . . . 38 Battery charger care . . . . . . . . . . . . . . . . . . . 40Storage . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Water, sand and dirt . . . . . . . . . . . . . . . . . . . 42Change microphone cover . . . . . . . . . . . . . . . . 44Change the coil and cable . . . . . . . . . . . . . . . . 46Change the coil magnet . . . . . . . . . . . . . . . . . 47Lights and Beeps . . . . . . . . . . . . . 48Troubleshoot . . . . . . . . . . . . . . . . 54Cautions . . . . . . . . . . . . . . . . . . . . .61WarningsFor parents and carers. . . . . . . . . . . . . . . . . . . 62Processors and parts . . . . . . . . . . . . . . . . . . . 64 Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . 67Medical treatments . . . . . . . . . . . . . . . . . . . . 69Other information . . . . . . . . . . . .72DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 3 14/06/2016 1:22:53 PM
4NUCLEUS 7 SOUND PROCESSOR USER GUIDEBatteriesYou have a choice of three battery types for the Nucleus 7 Sound Processor:The disposable battery module consists of:• Cochlear Nucleus 7 Battery Cover• Cochlear Nucleus 7 Battery HolderIt uses two disposable batteries and has a tamper-resistant lock.The Cochlear Nucleus 7 Standard Rechargeable Battery ModuleThe Cochlear Nucleus 7 Compact Rechargeable Battery ModuleDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 4 14/06/2016 1:22:54 PM
5NUCLEUS 7 SOUND PROCESSOR USER GUIDEBattery lifeBatteries should be replaced as needed just as you would with any other electronic device. Battery life varies according to the programs used each day, your implant type, the thickness of skin covering your implant, and the size and type of battery. The rechargeable battery’s lifespan is at least 400 charge cycles. A completely empty rechargeable battery will take approximately four hours to recharge.Rechargeable batteries may take longer to fully recharge with age. To get the longest life from the rechargeable batteries, always recharge before use.To help you get the longest life from the batteries, your sound processor will turn off two minutes after you take it off your implant, if enabled by your clinician.POWERDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 5 14/06/2016 1:22:54 PM
6NUCLEUS 7 SOUND PROCESSOR USER GUIDELock the battery module to the processorTo increase tamper resistance, the battery module can be locked to the sound processor. 1. Use your battery cover locking tool to push the lock to the far left to lock the battery module. 2. Push the lock to the far right to unlock the battery module.CAUTION Always check this lock is unlocked before attaching or removing the battery module.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 6 14/06/2016 1:22:56 PM
7NUCLEUS 7 SOUND PROCESSOR USER GUIDELock the disposable battery module coverThe disposable battery module has a tamper-resistant lock to help prevent children opening the battery cover. LOCK Turn the locking screw clockwise with the battery cover locking tool until it is in a horizontal position.UNLOCK Turn the locking screw anticlockwise until it is in a vertical position.CAUTION Always check the locking screw is unlocked before attaching or removing the battery cover.POWERDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 7 14/06/2016 1:22:56 PM
8NUCLEUS 7 SOUND PROCESSOR USER GUIDEReplace the battery moduleRemove the battery module1. Twist the battery module as shown to release it from the processing unit. 2. Pull the battery module from the processing unit. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 8 14/06/2016 1:22:56 PM
9NUCLEUS 7 SOUND PROCESSOR USER GUIDEAttach the battery module1. Align the battery module to the processor socket to fit the parts together. Rechargeable battery modules—align raised marker on battery module with back of processing unitDisposable battery module—align indents and lock on battery module with back of processing unit2. Twist the battery module as shown to attach the parts. Your processor will turn on automatically.NOTE If you do not put your processor on your implant, it will turn off automatically after two minutes, if enabled by your clinician.POWERDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 9 14/06/2016 1:22:57 PM
10 NUCLEUS 7 SOUND PROCESSOR USER GUIDEChange disposable batteriesThe disposable battery module uses two high power zinc air batteries. Cochlear recommends 675 (PR44) zinc air batteries designed for cochlear implant use. Do not use silver oxide or alkaline batteries.1. Press and hold the button for 5 seconds, then release to turn off your processor.2. Pull the unlocked battery cover away from the battery holder. 3. Remove the batteries from the battery holder.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 10 14/06/2016 1:22:57 PM
11NUCLEUS 7 SOUND PROCESSOR USER GUIDEPOWER4. Remove the new batteries from the packet, and let them stand for a few seconds.5. Insert the batteries into the battery holder with the flat side (positive terminal) facing up. 6. Replace the battery cover by sliding it up towards the processing unit. Lock the cover if required Your processor will automatically turn on.NOTE If you do not put your processor on your implant, it will turn off automatically after two minutes, if enabled by your clinician.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 11 14/06/2016 1:22:58 PM
12 NUCLEUS 7 SOUND PROCESSOR USER GUIDECharge rechargeable batteriesThere are two chargers that can be used with the rechargeable battery modules:• Cochlear Nucleus 7 Y Battery Charger (see page 14)• Cochlear Nucleus 7 USB Battery Charger (see page 16).Before you startYour Nucleus 7 rechargeable battery module has built-in safety and monitoring features. Read this section before using your battery charger.SLEEP MODEAfter manufacture, new rechargeable battery modules are put into “sleep mode” which lasts for up to 2 years. This keeps some power in the battery, as a completely flat battery won’t charge.WHAT DO I DO? Before using a new battery module, you need to “wake it up” by connecting it to a charger until it is fully charged.STORING BATTERIESYour rechargeable battery module will lose some power if you do not use it for a period of time.WHAT DO I DO? Charge your battery module before storing it.CHARGING TEMPERATURERechargeable battery modules have a built-in temperature sensor. New batteries must be charged at 0 – 45° C (32 – 113° F). If battery module temperature is outside this range, the LED will flash orange (error).WHAT DO I DO? Charge new rechargeable battery modules at a room temperature of 0 – 45° C (32 – 113° F).DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 12 14/06/2016 1:22:58 PM
13NUCLEUS 7 SOUND PROCESSOR USER GUIDEPOWERFLAT BATTERIESEven if your rechargeable battery module goes flat while being used with your Nucleus 7, it should hold some battery life.This means you can recharge a flat battery module up to 1 year after running it flat.WHAT DO I DO? Charge your flat battery module after use.NOTE If a rechargeable battery module is too flat to charge, the LED will flash orange (error).BATTERY HEALTH CHECKRechargeable battery modules have a built-in “health check”. If it detects a problem, it will turn the battery off. If the problem is fixed, the battery will turn back on again.WHAT DO I DO? If a battery turns off, disconnect and reconnect it to your processor. If this does not restore power, contact your clinician.CONNECTING TO ACCESSORIESSome accessories (e.g. monitor earphone adaptor, FM adaptor) are “sandwiched” between the rechargeable battery module and your processing unit.If you leave them attached after use, this will drain the battery.WHAT DO I DO? Don’t leave your battery module attached to an accessory after use.Don’t attach an accessory with a rechargeable battery module attached to the battery charger. This will cause an error.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 13 14/06/2016 1:22:58 PM
14 NUCLEUS 7 SOUND PROCESSOR USER GUIDEUse the Y Battery ChargerThe Y Battery Charger can charge two rechargeable battery modules at once.It uses the supplied USB cable to plug into:• a wall power outlet using the supplied power adaptor plug, or• a USB port (e.g. computer).133221 Power cable2 Rechargeable battery module connector3 LED indicatorDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 14 14/06/2016 1:22:58 PM
15NUCLEUS 7 SOUND PROCESSOR USER GUIDEPOWER1. Connect the rechargeable battery module to the charger.2. Twist to lock.3. Plug the charger into a power outlet or USB port. The LED flashes green while charging.USB4. The LED changes to steady green when the module is fully charged.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 15 14/06/2016 1:22:59 PM
16 NUCLEUS 7 SOUND PROCESSOR USER GUIDEUse the USB Battery ChargerThe USB Battery Charger can charge one rechargeable battery module at a time. It uses a USB connector to plug into:• a wall power outlet using the supplied cable and power adaptor plug, or• a USB port (e.g. computer).1321 USB connector2 Rechargeable battery module connector3 LED indicatorDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 16 14/06/2016 1:23:01 PM
17NUCLEUS 7 SOUND PROCESSOR USER GUIDEPOWER1. Remove the covers from the charger.2. Connect the rechargeable battery module to the charger.3. Plug the charger into a power outlet or USB port. The LED flashes green while charging.USB4. The LED changes to steady green when the module is fully charged.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 17 14/06/2016 1:23:05 PM
18 NUCLEUS 7 SOUND PROCESSOR USER GUIDETurn on and off1. To turn on either:• Connect the battery (see page 9), or• If the battery is already connected, short press the button.2. To turn off, either:• Disconnect the battery (see page 8), or• Press and hold the button for 5 seconds, then release. The light will change to steady orange as the processor turns off.NOTE Your processor will also turn off automatically after being off your implant for two minutes, if enabled by your clinician.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 18 14/06/2016 1:23:06 PM
19NUCLEUS 7 SOUND PROCESSOR USER GUIDEINDICATOR LIGHTS WHAT IT MEANS Green flashesTurning on processor. The number of flashes indicates the number of the current program. … Quick green flashesProcessor flashes while receiving sound from microphones (Child mode only). ... Orange flashesProcessor is off the implant. Long flash of orangeProcessor is turning off.Pair with remote or appYou need to pair your sound processor to your Nucleus 7 Remote Control or the Nucleus Smart app to use their control and monitoring functions. Please see their user guides for details.Lock the control buttonYou can lock the sound processor’s control button using the Nucleus Smart app. Please see its user guide for details.USEDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 19 14/06/2016 1:23:06 PM
20 NUCLEUS 7 SOUND PROCESSOR USER GUIDEChange programYou can choose between programs to change the way your sound processor deals with sound (e.g. in noisy or quiet places). Usually two programs are all you need, but your clinician can give you up to four programs.1. Short press the button to switch between programs.NOTE If your clinician has enabled SCAN, your sound processor can automatically select the best program for you.INDICATOR LIGHT WHAT IT MEANS Green flashesChanging the program (Child mode only).The number of flashes indicates the number of the current program Change volume and sensitivityIf set up by your clinician, you can control the levels of volume or sensitivity (if available) using your Nucleus 7 Remote Control or the Nucleus Smart app. Please see their user guides for details.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 20 14/06/2016 1:23:07 PM
21NUCLEUS 7 SOUND PROCESSOR USER GUIDETelecoilYour clinician can enable telecoil if you want to listen to room hearing loops.NOTE Telecoil is not recommended for phone use with the Nucleus 7 Sound Processor. We recommend you use the Cochlear Wireless Phone Clip. See Wireless accessories on page 22.TIP You can also use your remote or the Nucleus Smart app to control telecoil. See their user guides for details. 1. Press and hold the button for 2 seconds then release to turn on telecoil.Blue: telecoil is on.2. Short press the button to turn off telecoil.USEDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 21 14/06/2016 1:23:09 PM
22 NUCLEUS 7 SOUND PROCESSOR USER GUIDEWireless accessoriesCochlear True Wireless™ Accessories can wirelessly stream sound to your processor:• The Mini Microphone or TV Streamer are controlled from your processor.• You use the Phone Clip controls for phone calls.NOTE You first need to pair your wireless accessories with your sound processor. See their user guide for details.TIP You can also use your remote or the Nucleus Smart app to control wireless accessories. See their user guides for details.Each button press cycles you through telecoil (if enabled), and then your wireless accessories (in the order in which they were paired to your processor).Scenario 1: Telecoil is enabledPRESS STREAMED AUDIO1Telecoil2Wireless accessory 1 (e.g. Mini Microphone)3Wireless accessory 2 (e.g. TV Streamer)4... Telecoil...Scenario 2: No telecoilPRESS STREAMED AUDIO1Wireless accessory 1 (e.g. Mini Microphone)2Wireless accessory 2 (e.g. TV Streamer)3Wireless accessory 3 (e.g. extra Mini Microphone)4... Wireless accessory 1...DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 22 14/06/2016 1:23:09 PM
23NUCLEUS 7 SOUND PROCESSOR USER GUIDEUSE1. Press and hold the button for 2 seconds then release to stream audio. Press and release again if you need to cycle to the next audio source.Blue: streaming audio.2. Short press the button to stop streaming.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 23 14/06/2016 1:23:10 PM
24 NUCLEUS 7 SOUND PROCESSOR USER GUIDEUse monitor earphonesCarers can use monitor earphones to check that a Cochlear implant recipient is receiving sound, and that functions like telecoil or wireless accessories are working. NOTES• Only use approved earphones/headphones with the monitor earphone adaptor (ones with a 3- or 4-pin audio jack that fits the adaptor). You CAN use earbuds. You CANNOT use noise-cancelling headphones.• Don’t connect multiple monitor earphone adaptors in series.• Don’t connect the monitor earphone adaptor to other audio outputs, e.g. computer.1. Twist to disconnect, then remove the battery module.2. Insert the Cochlear Nucleus 7 Monitor Earphone Adaptor, then twist to connect.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 24 14/06/2016 1:23:12 PM
25NUCLEUS 7 SOUND PROCESSOR USER GUIDEUSE3. Insert the battery module, then twist to connect.4. Plug the monitor earphones into the adaptor.NOTE Use only Cochlear-approved earphones. Ask your clinician for guidance5. Use the earphones to check that the recipient is hearing sound.NOTE Do not put the sound processor on the recipient’s implant.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 25 14/06/2016 1:23:13 PM
26 NUCLEUS 7 SOUND PROCESSOR USER GUIDEWear your processor1. Place the processor on your ear, letting the coil dangle.2. Move the coil sideways and onto your implant.INDICATOR LIGHTS WHAT IT MEANS Flash of orange every secondProcessor flashes while coil is off (or connected to the wrong implant).DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 26 14/06/2016 1:23:14 PM
27NUCLEUS 7 SOUND PROCESSOR USER GUIDEWEARFor users with two implantsAsk your clinician to give you coloured stickers (red for right, blue for left) to make identifying left and right processors easier.CAUTION If you have two implants, you must use the correct sound processor for each implant.NOTE Your sound processor will recognise the implant’s ID, so it will not work on the wrong implant.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 27 14/06/2016 1:23:14 PM
28 NUCLEUS 7 SOUND PROCESSOR USER GUIDEChange earhooksThe Cochlear Nucleus 7 Earhook comes in small, medium and large sizes. For extra help wearing your processor securely and safely, see Retention accessories on page 29.NOTE Remove your earhook only when necessary–it may become loose if it is removed too often.1. Pull up on the earhook to remove it.2. Click the new earhook into place.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 28 14/06/2016 1:23:16 PM
29NUCLEUS 7 SOUND PROCESSOR USER GUIDERetention accessoriesA range of optional Cochlear Nucleus 7 accessories are available to help you wear your sound processor securely and safely.NOTE Hybrid mode cannot be used with retention accessories. They either position the sound processor off the ear, or use a custom earhook which means the acoustic component cannot be fitted.Nucleus 7 Tamper Resistant Earhook A small earhook for young children. An extra hook holds it in place to reduce the risk of it becoming a choking hazard. Nucleus 7 Snugfit Holds your sound processor more securely in place than an earhook alone. Available in small, medium and large.Nucleus 7 Hugfit™ Holds a child’s sound processor in place more securely than an earhook alone. Carers can access controls and accessories. In three sizes to suit small ears.WEARDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 29 14/06/2016 1:23:17 PM
30 NUCLEUS 7 SOUND PROCESSOR USER GUIDENucleus 7 Earmould Adaptor Allows you to attach a custom earmould to hold your sound processor in place more securely than an earhook alone. NOTE The custom earmould is not supplied by Cochlear.Nucleus 7 Koala Clip Holds your sound processor so you can clip it onto your clothing. Great for chidren.NOTE You will need to use a coil with a longer cable.Nucleus 7 Headworn Adaptor Holds your sound processor and coil, so you can wear them on your head.NOTES • Headworn comes in right or left side models — your processor needs to face the same way as when you wear it on your ear.• Headworn works best with a 6, 8 or 11 cm coil cable, a compact rechargeable battery module and a stronger magnet.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 30 14/06/2016 1:23:23 PM
31NUCLEUS 7 SOUND PROCESSOR USER GUIDEWEARCochlear™ Safety Cord Clips to clothing so active people are less likely to lose their sound processor. Available in single or double (for users with two processors).Nucleus 7 Headband Holds your sound processor and coil in place. Great for active adults and children. Has pockets for left and right side sound processors.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 31 14/06/2016 1:23:27 PM
32 NUCLEUS 7 SOUND PROCESSOR USER GUIDEWear the HeadbandThe Cochlear Headband is an optional accessory that holds the processor in place on your implant. This is useful for children or for physical activities.Headband sizingTo choose a headband, measure your head circumference:SIZE CIRCUMFERENCE SIZE CIRCUMFERENCEXXS 41-47 cm M 52-58 cmXS 47-53 cm L 54-62 cmS 49-55 cmNOTE The headband may affect your sound processor’s performance. If you notice any change, contact your clinician. Fitting the Headband1. Open the headband and lay it flat, with the processor pockets facing up.VelcroAnti-slip strip (for forehead) Right processor pocketLeft processor pocketVelcro DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 32 14/06/2016 1:23:27 PM
33NUCLEUS 7 SOUND PROCESSOR USER GUIDEWEAR2. Insert your processor(s) in the correct pocket(s):• the left processor in the left-side pocket, the right processor in the right-side pocket• the side of the coil that fits onto your implant is facing up towards you.3. Push the coil through the slit in the headband.4. Pick up the ends of the headband, and place the anti-slip section against your forehead.5. Join the ends behind your head. Adjust the velcro so the headband fits firmly, with your processor(s) over your implant(s).6. Press firmly on the ends to make sure they join together.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 33 14/06/2016 1:23:33 PM
34 NUCLEUS 7 SOUND PROCESSOR USER GUIDESport and exerciseTIP Always ensure the battery cover and battery modules are locked when you exercise or play sport.NOTE If you want to use your processor around water, ask your clinician about the Cochlear Nucleus 7 Aqua+.1. Use retention accessories such as the Snugfit, Safety Cord or Headband to help hold your processor in place when you play sport or exercise. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 34 14/06/2016 1:23:39 PM
35NUCLEUS 7 SOUND PROCESSOR USER GUIDEWEAR2. After exercise, wipe your processor with a soft cloth to remove sweat or grime. 3. Then check your microphone protectors for dirt. See Change microphone cover on page 44.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 35 14/06/2016 1:23:42 PM
36 NUCLEUS 7 SOUND PROCESSOR USER GUIDETravelNOTE Visit www.cochlear.com/clinic-finder to find the nearest clinic in places you are travelling.• Take a printout from your clinician of your most recent program in case you need help with your processor. • If you have a backup sound processor, check that it is programmed correctly and take it with you.• It’s okay to move through metal detectors and full body scanners with your sound processor on. To avoid any possible buzzing sounds in your ear, turn off the telecoil. • Ask your clinician for a Patient Identification Card. In the unlikely event that your implant sets off a metal detector the ID card will help explain that you have an implanted medical device. • If you need to remove your sound processor as you move through airport security, place it in a case in your hand luggage. • Your sound processor transmits high frequency radio waves when switched on, and may need to be placed in a flight-safe mode during takeoff and landing. Check with airline staff before flying if you are unsure.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 36 14/06/2016 1:23:42 PM
37NUCLEUS 7 SOUND PROCESSOR USER GUIDEWEARFlight modeNOTE In flight mode, you can change programs as normal using the processor button. You can only use telecoil to stream audio, as True Wireless Accessories will not be available.To enter flight mode:1. Disconnect the battery.2. Press and hold the button (1) while reconnecting the battery (2). Release the button when the green light comes on.To exit flight mode:1. Disconnect and reconnect the battery.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 37 14/06/2016 1:23:50 PM
38 NUCLEUS 7 SOUND PROCESSOR USER GUIDERegular careCAUTIONS • Do not use cleaning agents or alcohol to clean your processor. • Turn your processor off before cleaning or performing maintenance.Every day• Check all parts and any accessories you use (e.g. Snugfit) for dirt or moisture. Wipe the processor, coil, cable, earhook and accessories with a soft dry cloth. (You can leave accessories on the processor while cleaning.)• Keep your processor free from moisture by drying it every night in your dry aid kit. • Remove the battery module and make sure all the contacts are clean. Carefully tap or blow on them to remove any dirt. Wipe the contacts with a soft dry cloth.• Keep accessories clean. Blow on connectors to remove any dust and clean accessories with a soft dry cloth. • Check the microphone protectors for signs of dirt or grime and replace if needed. See Change microphone cover on page 44.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 38 14/06/2016 1:23:50 PM
39NUCLEUS 7 SOUND PROCESSOR USER GUIDECAREEvery monthCheck if earhooks or retention accessories are becoming loose or showing signs of wear. Replace as needed. See Change earhooks on page 28, or your retention accessory’s instructions. Every two months• Replace the dry brick in your dry aid kit.Every three months• Replace the microphone cover–this is very important for the quality of sound. See Change microphone cover on page 44.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 39 14/06/2016 1:23:50 PM
40 NUCLEUS 7 SOUND PROCESSOR USER GUIDEBattery charger careEvery day• Check your battery charger is clean. If you notice any dust or dirt:1. Disconnect the battery charger from the power source and remove any battery modules.2. Hold the battery charger upside down and tap it gently to remove any dirt from the battery charger sockets. Carefully blowing on the sockets may also help remove dirt.3. Wipe the battery charger sockets with a soft dry cloth.• (Y Battery Charger) Use a different charger socket each time you charge to wear the sockets evenly.If it gets wet• If the battery charger ever gets splashed with liquid, carefully shake out the liquid and dry the battery charger for 24 hours. Do not use the battery charger until it is dry.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 40 14/06/2016 1:23:50 PM
41NUCLEUS 7 SOUND PROCESSOR USER GUIDEStorageDry aid kitStore your processor at night in the dry aid kit provided by Cochlear. Store the processor fully assembled for 8 hours for optimal drying effect.Storage caseFor long term storage:• remove disposable batteries and store so they do not touch each other• remove rechargeable battery modules and store fully charged. Storage cases are available from Cochlear.CAREDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 41 14/06/2016 1:23:51 PM
42 NUCLEUS 7 SOUND PROCESSOR USER GUIDEWater, sand and dirtYour processor is resistant to water, sand and dust. However, it is still a precision electronic device so you should take the following precautions.If your processor ever gets wet, dry it with a soft cloth. Then remove the battery module (and disposable batteries if used), dry them and the contacts with a soft cloth, and replace them. Replace the microphone protectors and place your processor in the dry aid kit provided by Cochlear for 8 hours.See Batteries on page 4. See Change microphone cover on page 44.If sand or dirt ever enter the processor, shake the components carefully to remove it.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 42 14/06/2016 1:23:53 PM
43NUCLEUS 7 SOUND PROCESSOR USER GUIDECAREYour processor is protected against failure from dust and temporary immersion in water (IP57 rated) when you wear it with:• a rechargeable battery module• a coil and coil cable• no acoustic component.Your processor is protected against failure from splashing water or access of foreign objects 1.0 mm in diameter or larger (IP44 rated) when you wear it with:• a disposable battery module• a coil and coil cable • an acoustic component worn in the ear.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 43 14/06/2016 1:23:54 PM
44 NUCLEUS 7 SOUND PROCESSOR USER GUIDEChange microphone coverReplace your microphone protectors every three months, or if they look dirty or you notice any loss in sound quality. They are built into the Cochlear Nucleus 7 Microphone Cover, which is completely replaced.Microphone protectorsMicrophone coverStep 1: Remove old microphone cover1. Hold the coil cable grip and firmly pull it straight out of the processor. Do not tug on the flexible part of the coil cable. CAUTION Do not twist the coil cable when you pull it out of the processor.2. Lift the microphone cover from the bottom edge, then lift it up to remove.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 44 14/06/2016 1:23:55 PM
45NUCLEUS 7 SOUND PROCESSOR USER GUIDEStep 2: Insert new microphone cover1. Fit the replacement microphone cover onto the processor.2. Press down firmly with a finger on each end of the microphone cover until you hear a click.3. Push your coil cable into the processor until it clicks. Do not twist.CAREDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 45 14/06/2016 1:23:55 PM
46 NUCLEUS 7 SOUND PROCESSOR USER GUIDEChange the coil and cableThe Cochlear Nucleus 7 Slimline™ Coil comes in four cable lengths (6, 8, 11 and 25 cm) so you can choose the most comfortable fit. You might also need to change to a different length cable to use some retention accessories (e.g. Headworn).NOTE Only remove the coil from your sound processor when necessary.1. Hold the coil cable grip and firmly pull it straight out of the processor. Do not pull on the flexible part of the coil cable. CAUTION Do not twist the coil cable when you pull it out of the processor.2. Push the new coil cable into the processor until it clicks into place. Do not twist.See Processors and parts on page 64.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 46 14/06/2016 1:23:56 PM
47NUCLEUS 7 SOUND PROCESSOR USER GUIDECAREChange the coil magnetYou need to choose a Cochlear Nucleus 7 Magnet that is the correct strength–if it is too weak the coil may fall off, and if it is too strong it may cause discomfort. Magnet strength ranges from ½ (weakest) to 6 (strongest). You might also need to change to a stronger magnet to use some retention accessories (e.g. Headworn).NOTE If your clinician has provided you with a Nucleus 7 Magnet Reverse Polarity, use it as described here for a normal magnet.1. With finger grips facing up, unscrew the magnet anticlockwise.2. Remove the magnet.3. Insert the new magnet and turn clockwise until it stops.4. To use the tamper-proof lock, turn the magnet a little more until you feel a click.TIP The tamper-proof lock marker aligns with the coil cable when locked.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 47 14/06/2016 1:23:58 PM
48 NUCLEUS 7 SOUND PROCESSOR USER GUIDELightsYour clinician can set up your processor to show some or all of the following light indications.Turning on and offLIGHT WHAT IT MEANS …Quick green flashesProcessor flashes while receiving sound from microphones (Child mode only). Quick green flashesTurning on and changing programs. Number of flashes indicates the number of the current program.Long flash of orangeTurning off processor. Locking buttonLIGHT WHAT IT MEANS Green flash followed by orangeLocking processor button. Orange flash followed by greenUnlocking processor button.Orange flash when pressing buttonProcessor button is locked.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 48 14/06/2016 1:23:58 PM
49NUCLEUS 7 SOUND PROCESSOR USER GUIDEStreaming audioLIGHT WHAT IT MEANS Quick blue flashProcessor flashes when pairing to wireless accessory is successful. …Quick blue flashesProcessor flashes while receiving audio from an audio source (Child mode only).AlertsLIGHT WHAT IT MEANS …Flash of orange every secondProcessor flashes while it is off your head (or connected to the wrong implant). Orange flashesProcessor batteries are low. Change batteries.Steady orangeFault. Contact your clinician. Stays on until the issue is resolved.LIGHTS AND BEEPSDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 49 14/06/2016 1:23:58 PM
50 NUCLEUS 7 SOUND PROCESSOR USER GUIDEBattery chargingLIGHT WHAT IT MEANS…Battery module is charging.Battery module is fully charged.…Error. Try a different rechargeable battery module. If you are using the Y Battery Charger, try the rechargeable battery module on the other connector on the charger. Does not light up Battery module is not properly connected, is over-discharged, or there is no power. Check the battery charger is properly connected to a power source. Try a different rechargeable battery moduleDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 50 14/06/2016 1:23:58 PM
51NUCLEUS 7 SOUND PROCESSOR USER GUIDEBeepsYour clinician can set up your processor so you can hear the following beeps (they are only audible to you).Turning on and offBEEP WHAT IT MEANS Short high beepsChanging the program. The number of beeps indicates the number of the selected program.Short high beepChanging volume or sensitivity level (if available). Short high then short low beepWhen changing volume or sensitivity, indicates upper or lower limit of volume/sensitivity reached.Locking buttonBEEP WHAT IT MEANSShort low beep when you press buttonProcessor button is locked. Short high then short low beepLocking processor button. Short low then short high beepUnlocking processor button.LIGHTS AND BEEPSDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 51 14/06/2016 1:23:58 PM
52 NUCLEUS 7 SOUND PROCESSOR USER GUIDETelecoilBEEP WHAT IT MEANSLong high beepSwitching between using the microphones and the telecoil.Wireless accessoriesBEEP WHAT IT MEANS 3-tone chimeConnecting with wireless accessory to begin streaming audio.Short beepWhen stopping streaming.AlertsBEEP WHAT IT MEANS 2 Short low beepsProcessor batteries are low. Change batteries. Short low beeps for 4 secondsBatteries are empty and processor is turning off. Change batteries. 4 long low beeps over 4 secondsGeneral fault. Consult your clinician. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 52 14/06/2016 1:23:58 PM
53NUCLEUS 7 SOUND PROCESSOR USER GUIDEAdjusting master volume, bass and treble *BEEP WHAT IT MEANSLoud medium beepAdjusting master volume level.Loud long high beepAdjusting treble level. Loud long low beepAdjusting bass level.* If available, Nucleus Smart app onlyLIGHTS AND BEEPSDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 53 14/06/2016 1:23:58 PM
54 NUCLEUS 7 SOUND PROCESSOR USER GUIDETroubleshootContact your clinician if you have any concerns regarding the operation or safety of your sound processor.PROBLEM RESOLUTIONProcessor will not turn on/button will not respond1. Try turning the processor on again. See Turn on and off on page 18. 2. Try unlocking the button. See Lock the control button on page 19.3. Change the batteries. See Replace the battery module on page 8 or Change disposable batteries on page 10.4. If you have two implants, check that you are wearing the correct sound processor on each implant.5. Check the battery contacts are free of dirt and dust. See Water, sand and dirt on page 42.6. If the problem continues, contact your clinician.The processor switches off1. Ask your clinician if “Auto power off” is enabled. If it is, then the processor will switch off after two minutes when not connected to the implant.2. Change the batteries. See Replace the battery module on page 8 or Change disposable batteries on page 10.The processor will not turn off1. Check the processor is not locked. See Lock the control button on page 19.2. Remove the battery module from the processing unit. See Remove the battery module on page 8.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 54 14/06/2016 1:23:58 PM
55NUCLEUS 7 SOUND PROCESSOR USER GUIDETROUBLESHOOTPROBLEM RESOLUTIONYou are not sure what processor beeps or light flashes meanSee Lights on page 48 and Beeps on page 51.You do not hear sound or sound is intermittent1. If you use the Nucleus 7 Remote Control, turn up the volume. 2. If you use the Nucleus Smart app, turn up the volume or sensitivity. 3. Try a different program. See Change program on page 20.4. Change the batteries. See Replace the battery module on page 8 or Change disposable batteries on page 10.5. Make sure the coil cable is fully inserted into the socket on the processor 6. If the problem continues, contact your clinician.You hear intermittent sound, a buzzing sound or distorted speech1. Check for sources of interference such as radio and TV transmission towers (within approximately 1.6 km or 1 mile), shopping centres, airport security systems and mobile phones.2. Try moving away from any source of magnetic or electronic interference.3. If the problem continues, contact your clinician.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 55 14/06/2016 1:23:58 PM
56 NUCLEUS 7 SOUND PROCESSOR USER GUIDEPROBLEM RESOLUTIONSound is too loud or uncomfortable1. If you use a Nucleus 7 Remote Control, turn down the volume. 2. If you use the Nucleus Smart app, turn down the volume or sensitivity.3. Try a different program. See Change program on page 20.4. If you have two sound processors (one for each side), ensure you have them on the correct side.5. If the problem continues, remove the processor and coil from your head immediately and contact your clinician.Sound is too quiet or muffled1. If you use a Nucleus 7 Remote Control, turn up the volume. 2. If you use the Nucleus Smart app, turn up the volume or sensitivity. 3. Try a different program. See Change program on page 20.4. Try changing the microphone protectors. See Change microphone cover on page 44.5. If the problem continues, contact your clinician.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 56 14/06/2016 1:23:58 PM
57NUCLEUS 7 SOUND PROCESSOR USER GUIDETROUBLESHOOTPROBLEM RESOLUTIONYou want to confirm your processor is receiving sound1. Check the light on the top of the processor (if enabled). See Lights on page 48.2. If you have monitor earphones, a hearing person can listen to the sound received by the processor. See Use monitor earphones on page 24.3. If you use the Nucleus Smart app, use the sound meter to check the processor is receiving sound ????.4. If the problem continues, contact your clinician.The processor or coil become hot1. Remove the processor and coil from your head immediately and contact your clinician.You experience tightness, discomfort or develop a skin irritation at your implant site1. Your coil magnet may be too strong or in contact with your skin. Change to a weaker magnet. See Change the coil magnet on page 47.2. If you are using a retention aid, such as a headband, this may be placing pressure on your processor. Adjust your retention aid, or try a different aid.3. If the problem continues, contact your clinician.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 57 14/06/2016 1:23:58 PM
58 NUCLEUS 7 SOUND PROCESSOR USER GUIDEPROBLEM RESOLUTIONYou do not hear sound from a wireless accessory1. Check that the wireless accessory is charged and turned on.2. Check that the wireless accessory is paired with your processor.3. Check the volume of the wireless accessory.4. If you use the Nucleus Smart app, use the sound meter to check the processor is receiving sound from the accessory.5. If you use the Nucleus Smart app, check and adjust the accessory/microphone mixing ratio.6. If available, try a different processor.7. For more troubleshooting, see the True Wireless Accessory User Guide.You do not hear sound from a monitor earphone1. Check that the monitor earphone cable is fully inserted into the socket on the processing unit.2. Check that the monitor earphone adaptor is properly connected to the processor and battery module.3. If you use the Nucleus Smart app, use the sound meter to check the processor volume level.4. If available, try a different processor.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 58 14/06/2016 1:23:58 PM
59NUCLEUS 7 SOUND PROCESSOR USER GUIDEPROBLEM RESOLUTIONYou hear loud or distorted sound from a monitor earphone1. Remove the monitor earphone and consult your clinician.The processor gets wet1. Dry the processor with a soft cloth, change the microphone protectors and place the processor in the dry aid kit provided by Cochlear for 8 hours. See Water, sand and dirt on page 42.You want to perform a regular check on your processorSee Regular care on page 38.TROUBLESHOOTDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 59 14/06/2016 1:23:58 PM
60 NUCLEUS 7 SOUND PROCESSOR USER GUIDEPROBLEM RESOLUTIONBatteries are not lasting as long as usual1. Clean all connections and parts of the battery module.2. Clean all connections on the processing unit.3. Try replacing the coil with a new coil.4. If you are using disposable batteries, check that you are using the recommended batteries. See Change disposable batteries on page 10.5. Don’t forget to let new disposable batteries stand for a few seconds before you put them in the sound processor.6. If the problem continues, contact your clinician.The indicator light on the battery charger shows a fully charged battery is still chargingThis won’t cause any damage to the battery as the charge cycle on a fully charged battery is very short.The indicator light on the battery charger is flashing orange1. Check that only rechargeable battery modules are connected to the battery charger.2. Replace the rechargeable battery module.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 60 14/06/2016 1:23:58 PM
61NUCLEUS 7 SOUND PROCESSOR USER GUIDECautions• Young children who are developing motor skills are at greater risk of an impact to the head from a hard object (e.g. table or chair). Impact to the sound processor may cause damage to the processor or its parts. Impact to the head in the area of the Cochlear implant could damage it and result in its failure.• Most patients can benefit from electrical stimulation levels that are considered safe, based on animal experimental data. The long-term effects of such stimulation in humans are unknown.CAUTIONSDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 61 14/06/2016 1:23:59 PM
62 NUCLEUS 7 SOUND PROCESSOR USER GUIDEWarningsFor parents and carers• Removable parts of the system (e.g. microphone cover, magnets, batteries, battery cover, retention aids) can be lost or may be a choking or strangulation hazard. Keep out of reach of children or lock the tamper-resistant screw on the battery module and/or cover. • Parents and carers are advised that unsupervised use of long cables (e.g. coil or accessory cables) may present a risk of strangulation.• Sound processor covers may not be suitable for children. Removable parts can be lost or may be a choking hazard. • Carers must routinely check the device for signs of overheating and for signs of discomfort or skin irritation at the implant site. Remove the processor and coil immediately if there is any discomfort or pain (e.g. if device becomes hot, or sound is uncomfortably loud) and contact your clinician. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 62 14/06/2016 1:23:59 PM
63NUCLEUS 7 SOUND PROCESSOR USER GUIDEWARNINGS• Carers must monitor for signs of discomfort or skin irritation if a retention aid (e.g. headband) is used that applies pressure to the sound processor or coil. Remove the aid immediately if there is any discomfort or pain, and contact your clinician. • Keep the dry brick from the dry aid kit away from small children. Swallowing this material can cause serious internal injuries. • Do not allow children to replace batteries without adult supervision. • Do not allow children to use a battery charger without adult supervision.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 63 14/06/2016 1:23:59 PM
64 NUCLEUS 7 SOUND PROCESSOR USER GUIDEProcessors and parts• Each processor is programmed specifically for each implant. Never wear another person’s processor or lend yours to another person.• Use your Cochlear implant system only with approved devices and accessories.• If you experience a significant change in performance, remove your processor and contact your clinician.• Your processor and other parts of the system contain complex electronic parts. These parts are durable but must be treated with care.• No modification of this equipment is allowed. Warranty will be void if modified.• Remove the monitor earphones immediately if the sound level is uncomfortably loud and inform your clinician. • If the coil magnet is too strong or is in contact with the skin, pressure sores may develop at the implant site. If this happens, or if you experience tightness or pain in this area, stop using your sound processor and contact your clinician. • Do not apply continued pressure to the coil when in contact with the skin (e.g. sleeping while lying on coil, or using tight fitting headwear). • Do not push the volume too high for comfort in case a loud noise occurs nearby. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 64 14/06/2016 1:23:59 PM
65NUCLEUS 7 SOUND PROCESSOR USER GUIDEWARNINGS• If you need to adjust the volume often, or if adjusting volume ever causes discomfort, contact your clinician. • Do not let your processor or parts entangle with any jewellery (e.g. earhook and earrings) or machinery. • Do not place the processor or parts in any household devices (e.g. microwave oven, dryer). • Do not expose the processor or parts to heat (e.g. never leave them in sunlight, behind a window or in a car). • Do not use a dry aid kit that has an Ultra Violet C (UVC) lamp (e.g. do not use the Freedom™ Dry and Store). • The magnetic attachment of your sound processor to your implant may be affected by other magnetic sources.• Store spare coil magnets safely and away from cards that may have a magnetic strip (e.g. credit cards, bus tickets). • Your device contains magnets that should be kept away from life supporting devices (e.g. cardiac pacemakers and ICDs (implantable cardioverter defibrillators) and magnetic ventricular shunts), as the magnets may affect the function of these devices. Keep your processor at least 15 cm (6 in) from such devices. Contact the manufacturer of the specific device to find out more.• Your sound processor and remote control radiate electromagnetic energy that may interfere with life supporting devices, (e.g. cardiac pacemakers and ICDs). Keep your processor and remote control at least 15 cm (6 in) from such devices. Contact the manufacturer of the specific device to find out more.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 65 14/06/2016 1:23:59 PM
66 NUCLEUS 7 SOUND PROCESSOR USER GUIDE• Do not place the device or accessories inside any part of your body (e.g. nose, mouth). • Seek medical advice before entering any environment that may adversely affect the operation of your Cochlear implant, including areas protected by a warning notice preventing entry by patients fitted with a pacemaker.• Some types of digital mobile telephones (e.g. Global System for Mobile communications (GSM) as used in some countries) may interfere with the operation of your external equipment. You may hear distorted sound when close, 1-4 m (~3-12 ft), to a digital mobile telephone in use.• For Cochlear Nucleus cochlear implant recipients only, the maximum diving depth is 40 m (~131 ft). Seek medical advice before diving to ensure you do not have any conditions that might make diving contraindicated (e.g. middle ear infection). When wearing a mask, avoid pressure over the implant site.• Before activities that create electrostatic discharge (e.g. playing on plastic slides), remove your processor. In rare cases, discharge of static electricity can damage your Cochlear implant’s electrical components or corrupt the processor’s program. If static electricity is present (e.g. when putting on clothes over your head, or getting out of a car), before the Cochlear implant system touches any object or person, you should touch something conductive such as a metal door handle.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 66 14/06/2016 1:23:59 PM
67NUCLEUS 7 SOUND PROCESSOR USER GUIDEWARNINGSBatteries• Use only Cochlear supplied or recommended 675 (PR44) zinc air batteries designed for cochlear implant use. We do not recommend using silver oxide or alkaline batteries.• Insert disposable batteries in the correct orientation. • If disposable batteries are short-circuited the processor will not work and its temperature can reach 42° C (107° F). Remove the processor and coil immediately and contact your clinician.• Do not mix disposable batteries that differ by manufacturer, brand, type, age or previous usage.• Replace both disposable batteries at the same time.• Dispose of used batteries promptly and carefully, in accordance with local regulations. Keep away from children. • Do not short-circuit batteries (e.g. do not let terminals of batteries contact each other, do not place batteries loose in pockets, etc.). • Do not disassemble, deform, immerse in water or dispose of batteries in fire.• When processor is not in use, remove the batteries and store separately in a clean and dry place. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 67 14/06/2016 1:23:59 PM
68 NUCLEUS 7 SOUND PROCESSOR USER GUIDE• Wipe batteries with a clean dry cloth if they become dirty. • Store unused batteries in original packaging, in a clean and dry place. • Do not use damaged or deformed batteries. If skin or eyes come into contact with battery fluid or liquid, wash out with water and seek medical attention immediately.• Do not expose batteries to heat (e.g. never leave batteries in sunlight, behind a window or in a car). • Never put batteries in your mouth. If swallowed, contact your physician or local poison information service.• Do not recharge disposable batteries.• Only use rechargeable batteries and battery chargers supplied or recommended by Cochlear. Use of other batteries or battery chargers may result in harm or injury.• Charge rechargeable batteries before use.• Do not touch the battery charger contacts.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 68 14/06/2016 1:23:59 PM
69NUCLEUS 7 SOUND PROCESSOR USER GUIDEWARNINGSMedical treatmentsMagnetic resonance imaging (MRI)MRI is contraindicated except under special circumstances. Do not allow a patient with an implant to be in a room where an MRI scanner is located except under special circumstances.Full MRI safety information is available at www.cochlear.com/warnings or by calling your regional Cochlear office (contact numbers available at the end of this document).If the patient is implanted with other implants, consult the manufacturer’s instructions before performing MRI.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 69 14/06/2016 1:23:59 PM
70 NUCLEUS 7 SOUND PROCESSOR USER GUIDEMedical treatments generating induced currents, heat and vibrationHaving a cochlear implant means extra care must be taken when receiving some medical treatments. Before starting medical treatment, the information in this section should be discussed with the recipient’s physician.The sound processor must be removed before starting any of the medical treatments listed in this section.Some medical treatments generate induced currents that may cause tissue damage or permanent damage to the implant. Before initiating any of the following treatments deactivate the device.Warnings for specific treatments are provided below.CONDITION WARNINGDiathermy Do not use therapeutic or medical diathermy (thermopenetration) using electromagnetic radiation (magnetic induction coils or microwave). High currents induced into the electrode lead can cause tissue damage to the cochlea/brainstem or permanent damage to the implant. Medical diathermy using ultrasound may be used below the head and neck.Electroconvulsive therapyDo not use electroconvulsive therapy on an implant patient under any circumstances. Electroconvulsive therapy can cause tissue damage or damage to the implant.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 70 14/06/2016 1:23:59 PM
71NUCLEUS 7 SOUND PROCESSOR USER GUIDEWARNINGSCONDITION WARNINGElectrosurgery Electrosurgical instruments can induce radio frequency currents that could flow through the electrode.Monopolar electrosurgical instruments must not be used on the head or neck of an implant patient as induced currents could cause damage to cochlear/neural tissues or permanent damage to the implant.When using bipolar electrosurgical instruments on the head and neck of a patient, the cautery electrodes must not contact the implant and should be kept more than 1 cm (½ in.) from the electrodes.Ionising radiation therapyDo not use ionising radiation therapy directly over the implant. It may cause damage to the implant.Neurostimulation Do not use neurostimulation directly over the implant. High currents induced into the electrode lead can cause tissue damage to the cochlea/brainstem or permanent damage to the implantTherapeutic ultrasoundDo not use therapeutic levels of ultrasound energy directly over the implant. It may inadvertently concentrate the ultrasound field and cause tissue damage or damage to the implant.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 71 14/06/2016 1:23:59 PM
72 NUCLEUS 7 SOUND PROCESSOR USER GUIDEOther informationPhysical configurationThe processing unit comprises:• Two omni-directional microphones for receiving sound.• An internal telecoil for receiving magnetic fields radiated by phones, neckloops and roomloops.• Custom analogue and digital integrated circuits with digital signal processing (DSP) and bidirectional wireless communication capabilities.• A tri-colour visual indication of processor function or problem.• Control button allowing user control of key features.• Custom 4-pin connector for coil cable. • A range of earhooks and specialised retention options.The batteries provide power to the processor. The coil acts as a transformer coupling that transfers energy and data to the implant.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 72 14/06/2016 1:23:59 PM
73NUCLEUS 7 SOUND PROCESSOR USER GUIDEMaterials• Processing unit: copolyester.• Battery modules (all types) are made of copolyester.• Coil is made of polypropylene (PP), thermoplastic elastomer (TPE).• Coil magnet casing is made of acrylonitrile butadiene styrene (ABS).• Coil cable sheath is made of polyvinyl chloride (PVC).• Coil cable plugs are made of PP and TPE.• Retention parts are made from polyamide (PA) and liquid silicone rubber (LSR).Battery life, charge cycles and lifespan• Battery life means the time a device will run before the disposable batteries must be replaced, or the rechargeable batteries recharged.• Battery charge cycle is a full charge and discharge of the rechargeable battery.• Battery lifespan means the total number of charge cycles a rechargeable battery will last before the battery life degrades to 80% of its original fully-charged capacity.OTHER INFORMATIONDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 73 14/06/2016 1:23:59 PM
74 NUCLEUS 7 SOUND PROCESSOR USER GUIDEOperating characteristicsProcessing unitCHARACTERISTIC VALUE/RANGESound input frequency range 100 Hz to 8 kHzWireless technology Proprietary low power bidirectional wireless linkRF frequency 2.4 GHzOperating voltage 2.00 V to 4.25 VPower consumption 20 mW to 100 mWCharge cycles ≥ 80% capacity after 400 charge/discharge cycles at room temperatureButton functions Turn processor on and off, turn audio streaming on and off, change programRemote communication range Up to 2 mBattery moduleTYPE CAPACITY/VOLTAGE RANGEDisposable battery moduleTwo PR44 (zinc air) button cell batteries. 1.45 V (nominal) each. Cochlear recommends 675 zinc air batteries designed for cochlear implant use.Compact rechargeable battery module 91 mAh / 3.7 VStandard rechargeable battery module 183 mAh / 3.7 VCoilCHARACTERISTIC VALUE/RANGEOperating voltage 2.0 V to 2.6 VOperating frequency 5 MHzDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 74 14/06/2016 1:23:59 PM
75NUCLEUS 7 SOUND PROCESSOR USER GUIDEOTHER INFORMATIONProduct component dimensions (Typical values)ITEM LENGTH WIDTH DEPTH DIAMETERNucleus 7 processing unit with medium earhook and standard rechargeable battery module36.5 mm 9.0 mm 45.0 mm N/ADisposable battery module29.4 mm 9.0 mm 17.3 mm N/ACompact rechargeable battery module18.0 mm 9.0 mm 17.8 mm N/AStandard rechargeable battery module24.8 mm 9.0 mm 17.8 mm N/ACoil N/A N/A 5.8 mm 30.3 mmProduct weight (Typical values. All weights are measured with a medium earhook.)COMPONENT WEIGHTNucleus 7 processing unit (no battery module) 3.9gNucleus 7 processing unit with compact rechargeable battery module7.8gNucleus 7 processing unit with standard rechargeable battery module9.8gNucleus 7 processing unit with disposable battery module (including two 675 zinc air batteries)10.1gCoil and cable (without coil magnet) 3.9gDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 75 14/06/2016 1:23:59 PM
76 NUCLEUS 7 SOUND PROCESSOR USER GUIDEEnvironmental conditionsCONDITION MINIMUM MAXIMUMStorage & transport temperature -10° C (14° F) +55° C (131° F)Storage & transport humidity 0% RH 90% RHOperating temperature (sound processor)+5° C (41° F) +40° C (104° F)Operating temperature (battery charger) +0° C (32° F) +40° C (104° F)Operating relative humidity 0% RH 90% RHOperating pressure 700 hPa 1060 hPaEnvironmental protectionYour sound processor contains electronic components subject to the Directive 2002/96/EC on waste electrical and electronic equipment. Help protect the environment by not disposing of your sound processor or batteries with your unsorted household waste. Please recycle your sound processor according to your local regulations.Equipment classificationYour sound processor is internally powered equipment Type B applied part as described in the international standard IEC 60601-1:2012, Medical Electrical Equipment–Part 1: General Requirements for Basic Safety and Essential Performance. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 76 14/06/2016 1:23:59 PM
77NUCLEUS 7 SOUND PROCESSOR USER GUIDEOTHER INFORMATIONDisposable batteriesCheck the battery manufacturer’s recommended operating conditions for disposable batteries used in your processor.Wireless communication linkThe wireless communication link operates in the 2.4 GHz ISM band using GFSK (Gaussian frequency-shift keying), and a proprietary bidirectional communication protocol. It continuously switches between channels to avoid interference on any specific channel. • The remote control operates over 4 channels, over a distance of up to 2 metres from the processor. It indicates via its display when the processor is out of operating distance (or switched off) or when the link is interrupted due to broad spectrum interference (see remote’s user guide for more information). • The True Wireless accessories operate over 16 channels, over a distance of up to 3 metres for the Phone Clip, and 7 metres for the Mini Microphone and TV Streamer.Bluetooth Smart also operates in the 2.4 GHz ISM band, using Frequency Hopping Spread Spectrum (FHSS) to combat interference. Operating range is up to 7 metres, and the app indicates when the processor is out of operating distance (or switched off) or when the link is interrupted due to broad spectrum interference.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 77 14/06/2016 1:23:59 PM
78 NUCLEUS 7 SOUND PROCESSOR USER GUIDEElectromagnetic compatiblity (EMC)WARNING Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 in.) to any part of your Nuclues 7 Sound Processor, including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result.Interference may occur in the vicinity of equipment marked with the following symbol:FCC (Federal Communications Commission) and Canadian IC compliance This device complies with part 15 of the FCC Rules and with RSS-210 of Industry Canada. Operation is subject to the following two conditions:• This device may not cause harmful interference.• This device must accept any interference received,including interference that may cause undesired operation.Changes or modifications made to this equipment not expressly approved by Cochlear Limited may void the FCC authorisation to operate this equipment.DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 78 14/06/2016 1:23:59 PM
79NUCLEUS 7 SOUND PROCESSOR USER GUIDEOTHER INFORMATIONThis equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: •Reorient or relocate the receiving antenna.• Increase the separation between the equipment and receiver.• Connect the equipment into an outlet or a circuit different from that to which the receiver is connected. • Consult the dealer or an experienced radio/TV technician for help.FCCID:WTOCP1000 IC ID: 8039A-CP1000 CAN ICES-3 (B)/NMB-3(B)DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 79 14/06/2016 1:23:59 PM
80 NUCLEUS 7 SOUND PROCESSOR USER GUIDERadio compliance for JapanThis device is granted pursuant to the Japanese Radio Law () and its relevant law. This device should not be modified (otherwise the granted designation number will become invalid). Radio compliance for Korea1. Equipment name/model name:2. Registration number: MSIP-CRM-COH-CP10003. Company name: Cochlear Limited4. Manufactured date: 20165. Manufacturer/Country of Origin: Cochlear Limited/AustraliaWARNING This radio equipment has the possibility of radio interference during operation.This equipment is suitable for electromagnetic equipment for home (Class B) and it can be used in all areas.R202-L S D 0 8 8DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 80 14/06/2016 1:24:00 PM
81NUCLEUS 7 SOUND PROCESSOR USER GUIDEOTHER INFORMATIONCertification and applied standardsThe Nucleus 7 Sound Processor fulfils the essential requirements listed in Annex 1 of the EC directive 90/385/EEC on Active Implantable Medical Devices as per the conformity assessment procedure in Annex 2.The year in which authorisation to affix the CE mark was granted was 2016.The Nucleus 7 Sound Processor also fulfils the essential requirements listed in the EC directive 1999/5/EC on Radio and Terminal Telecommunication Equipment as per the conformity assessment procedure in Annex IV. DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 81 14/06/2016 1:24:00 PM
82 NUCLEUS 7 SOUND PROCESSOR USER GUIDELabelling symbolsThe following symbols may appear on your processor or remote components and/or packaging:Refer to instruction manualSpecific warnings or precautions associated with the device, which are not otherwise found on the labelManufacturerM/N Model numberAuthorised representative in the European CommunityCatalogue numberSerial numberBatch codeDate of manufactureTemperature limitsCE registration mark with notified body numberRadio compliance certification for Australia and New ZealandDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 82 14/06/2016 1:24:01 PM
83NUCLEUS 7 SOUND PROCESSOR USER GUIDER202-L S D 0 8 8Radio compliance certification for JapanRadio compliance certification for KoreaBy prescriptionRecyclable materialDispose of electrical components in accordance with your local regulationsType B applied partIngress Protection Rating• Protected against access of solid foreign objects greater than or equal to 1.0mm diameter.• Protected against failure from splashing water.Ingress Protection Rating• Protected against access of solid foreign objects greater than or equal to 1.0mm diameter.• Protected against failure from dust penetration.• Protected against failure from temporary immersion in water.OTHER INFORMATIONDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 83 14/06/2016 1:24:02 PM
84 NUCLEUS 7 SOUND PROCESSOR USER GUIDEPrivacy and the collection of personal informationDuring the process of receiving a Cochlear device, personal information about the user/recipient or their parent, guardian, carer and hearing health professional will be collected for use by Cochlear and others involved in care with regard to the device.For more information please read Cochlear’s Privacy Policy on www.cochlear.com or request a copy from Cochlear at the address nearest you. Legal statementThe statements made in this guide are believed to be true and correct as of the date of publication. However, specifications are subject to change without notice. © Cochlear Limited 2016DRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 84 14/06/2016 1:24:02 PM
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592753 ISS1 MAY16 ACE, Advance Off-Stylet, AOS, AutoNRT, Autosensitivity, Beam, Button, Carina, Cochlear, コクレア, Codacs, Contour, Contour Advance, Custom Sound, ESPrit, Freedom, Hear now. And always, Hugfit, Hybrid, inHear, Invisible Hearing, Kanso, MET, MP3000, myCochlear, NRT, Nucleus, 科利耳, Off-Stylet, Slimline, SmartSound, Softip, SoftWear, SPrint, True Wireless, the elliptical logo and Whisper are either trademarks or registered trademarks of Cochlear Limited. Ardium, Baha, Baha SoftWear, BCDrive, DermaLock, EveryWear, Vistafix and WindShield are either trademarks or registered trademarks of Cochlear Bone Anchored Solutions AB. Bluetooth is a registered trademark of Bluetooth SIG. iPhone and iPod touch are tradmarks of Apple Inc, registered in the U.S. and other countries.© Cochlear Limited 2016 Cochlear Ltd (ABN 96 002 618 073) 1 University Avenue, Macquarie University, NSW 2109, Australia Tel: +61 2 9428 6555 Fax: +61 2 9428 6352Cochlear Ltd (ABN 96 002 618 073) 14 Mars Road, Lane Cove, NSW 2066, Australia Tel: +61 2 9428 6555 Fax: +61 2 9428 6352Cochlear Americas 13059 E Peakview Avenue, Centennial, CO 80111, USA Tel: +1 303 790 9010 Fax: +1 303 792 9025Cochlear Canada Inc 2500-120 Adelaide Street West, Toronto, ON M5H 1T1, Canada Tel: +1 416 972 5082 Fax: +1 416 972 5083Cochlear AG EMEA Headquarters, Peter Merian-Weg 4, 4052 Basel, SwitzerlandTel: +41 61 205 8204 Fax: +41 61 205 8205 Cochlear Deutschland GmbH & Co. KG Karl-Wiechert-Allee 76A, 30625 Hannover, Germany Tel: +49 511 542 770 Fax: +49 511 542 7770Cochlear Europe Ltd 6 Dashwood Lang Road, Bourne Business Park, Addlestone, Surrey KT15 2HJ, United KingdomTel: +44 1932 26 3400 Fax: +44 1932 26 3426Cochlear Benelux NV Schaliënhoevedreef 20 i, B-2800 Mechelen, Belgium Tel: +32 15 79 55 11 Fax: +32 15 79 55 70Cochlear France S.A.S. 135 Route de Saint-Simon, 31035 Toulouse, France Tel: +33 5 34 63 85 85 (International) or 0805 200 016 (National) Fax: +33 5 34 63 85 80Cochlear Italia S.r.l. Via Larga 33, 40138 Bologna, Italy Tel: +39 051 601 53 11 Fax: +39 051 39 20 62Cochlear Nordic AB Konstruktionsvägen 14, 435 33 Mölnlycke, Sweden Tel +46 31 335 14 61 Fax +46 31 335 14 60Cochlear Tıbbi Cihazlar ve Sağlık Hizmetleri Ltd. Şti. Çubuklu Mah. Boğaziçi Cad., Boğaziçi Plaza No: 6/1, Kavacık, TR-34805 Beykoz-Istanbul, Turkey Tel: +90 216 538 5900 Fax: +90 216 538 5919Cochlear (HK) Limited Room 1204, 12/F, CRE Building, No 303 Hennessy Road, Wanchai, Hong Kong SARTel: +852 2530 5773 Fax: +852 2530 5183Cochlear Korea Ltd 1st floor, Cheongwon Building 33, Teheran-ro 8 gil, Gangnam-gu, Seoul, KoreaTel: +82 2 533 4450 Fax: +82 2 533 8408Cochlear Medical Device (Beijing) Co., Ltd Unit 2208 Gemdale Tower B, 91 Jianguo Road, Chaoyang District, Beijing 100022, P.R. China Tel: +86 10 5909 7800 Fax: +86 10 5909 7900Cochlear Medical Device Company India Pvt. Ltd. Ground Floor, Platina Building, Plot No C-59, G-Block, Bandra Kurla Complex, Bandra (E), Mumbai – 400 051, India Tel: +91 22 6112 1111 Fax: +91 22 6112 1100株式会社日本コクレア（Nihon Cochlear Co Ltd）〒113-0033 東京都文京区本郷2-3-7 お茶の水元町ビルTel: +81 3 3817 0241 Fax: +81 3 3817 0245Cochlear Middle East FZ-LLC Dubai Healthcare City, Al Razi Building 64, Block A, Ground Floor, Offices IR1 and IR2, Dubai, United Arab Emirates Tel: +971 4 818 4400 Fax: +971 4 361 8925Cochlear Latinoamérica S.A. International Business Park, Building 3835, Office 403, Panama Pacifico, Panama Tel: +507 830 6220 Fax: +507 830 6218Cochlear NZ Limited Level 4, Takapuna Towers, 19-21 Como St, Takapuna, Auckland 0622, New ZealandTel: + 64 9 914 1983 Fax: 0800 886 036www.cochlear.comDRAFT ONLY FOR CLINICAL TESTING592753_1-06_EN_CP1000_UG_EMEA.indd 86 14/06/2016 1:24:03 PM

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