Starkey Laboratories 24LIVIOB13 Livio User Manual

Starkey Laboratories Inc Livio

User Manual

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Document ID3963036
Application IDHlm/29kEqpy2p9d33fd9tw==
Document DescriptionUser Manual
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Document TypeUser Manual
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Date Submitted2018-08-14 00:00:00
Date Available2018-08-16 00:00:00
Creation Date2018-06-26 15:11:40
Producing SoftwareAdobe PDF Library 15.0
Document Lastmod2018-07-18 08:20:25
Document TitleBKLT2805-00-EE-XX SPI 15 Made for iPhone Operations Manual
Document CreatorAdobe InDesign CC 13.0 (Macintosh)

Smartphone Compatible
and Universal Connectivity
Standard
Products
O P E R AT I O N S M A N U A L
BTE (Behind-The-Ear)
Table of Contents
Hearing Aid
Overview
BTE 13 �������������������������������������������������������������������������������� 4
Preparation
Batteries/Battery Indicators ������������������������������������������������ 6
Insertion and Removal ������������������������������������������������������ 10
Size 13 Battery – Orange
Hearing Aid Controls
Rocker Switch Controls p. 14
Operation
Power On & Off ����������������������������������������������������������������
User Controls ��������������������������������������������������������������������
Volume Control ����������������������������������������������������������������
Volume Control Indicators ������������������������������������������������
Memory Change ��������������������������������������������������������������
Mute ��������������������������������������������������������������������������������
Multiflex Tinnitus Level Control ����������������������������������������
Activity Tracking ��������������������������������������������������������������
Directional Settings ����������������������������������������������������������
Telephone Use ������������������������������������������������������������������
Multiflex Tinnitus Technology ������������������������������������������������
Adjustment
Pairing with an iOS Device ����������������������������������������������
Mobile Phone Use ������������������������������������������������������������
Pairing with an Android Device ����������������������������������������
14
14
16
17
18
18
19
19
19
19
23
24
26
27
Accessories ������������������������������������������������������������������������������ 28
Hearing Aid Care
Hearing Aid Care ��������������������������������������������������������������
Standard Tubing/Thin Tubing ������������������������������������������
Service and Repair ������������������������������������������������������������
Troubleshooting Guide ����������������������������������������������������
29
30
32
33
Tips for Better Communication �������������������������������������������������� 34
Regulatory Information
Safety Information ������������������������������������������������������������ 36
FDA Information �������������������������������������������������������������� 37
FCC Information �������������������������������������������������������������� 43
4 | BTE 13 Overview
BTE 13 Overview | 5
Features, Controls and Identification
1.
Hearing Aid
2.
Earhook
3.
Microphone
4.
Rocker switch (user control)
5.
Battery compartment (on/off control)
6.
Location of left/right side hearing aid indicator
RED is for right ear, BLUE is for left ear
7.
Location of serial number
8.
Location of manufacturer’s name
and model name
9.
Custom earmold with tubing
10. Thin tube with comfort earbud
11. Thin tube with custom earmold
10
Serial Number
00-000000
11
6 | Preparation
Preparation | 7
Batteries
Your hearing aid uses a battery as its power source.
The battery size can be identified by the orange (13)
color code on the packaging.
To insert or replace the battery:
1.
Use the finger pick on the battery door.
2.
Open the battery door gently and remove the
old battery.
3.
Remove the colored tab from the new battery.
Wait 3-5 minutes after removing tab before
inserting battery.
4.
Line up the battery’s “+” sign (flat side of the
battery) with the “+” on the battery door.
5.
Close the battery door.
Battery Indicators
An indicator will sound when the battery voltage
is low. You then have approximately 30 minutes*
to replace the battery. An indicator may also sound
just before the battery stops working.
* Actual time between low battery indicator and shut down will vary depending on
environmental noise levels and brand of battery used.
8 | Preparation
Helpful Hints
• NEVER FORCE THE BATTERY DOOR SHUT; this
could result in serious damage. If the door will
not close securely, ensure the battery is inserted
correctly.
• Do not open the battery door too far or damage
is likely to occur.
• Dispose of used batteries immediately in the
proper waste or recycling container.
• Batteries vary in size and performance. Your
hearing professional is your best source for
lifespan estimates and verification that you
are using the proper size and type.
Preparation | 9
WARNINGS
	Batteries are dangerous if swallowed. To help
prevent the accidental ingestion of batteries:
Keep out of reach of children and pets.
Check your medications before taking them –
batteries have been mistaken for pills.
	Never put batteries in your mouth, as they can
easily be swallowed.
NATIONAL BUTTON BATTERY INGESTION
HOTLINE: 202-625-3333
10 | Preparation
Preparation | 11
Insertion and Removal
To insert the custom earmold and hearing aid:
1.
Hold the custom earmold with your thumb and
forefinger on the outer side near the tubing.
2.
Tilt your hand slightly forward and gently insert
the canal tip of the custom earmold into your
ear canal.
3.
	Rotate the custom earmold backward.
4.
Softly press the custom earmold into place with
your fingertip.
5.
Carefully place the BTE behind your ear wrapping
the earhook over the top of your ear.
To remove the hearing aid and custom earmold:
Take the hearing aid from behind your ear and
gently pull the custom earmold outward. Pulling lightly
down on the earlobe may help loosen the custom
earmold as it is removed.
12 | Preparation
Preparation | 13
To insert the comfort earbud:
Helpful Hints
1.
Insert the comfort earbud
into your ear canal.
2.
Gently wrap the BTE over
your ear until it rests securely
behind your ear.
• Minor irritation and inflammation may occur as your
ear becomes accustomed to having an object in it;
if so, please contact your hearing professional.
3.
Place the lock in the concha
bowl of your ear.
• Severe swelling, discharge from the ear,
excessive wax or other unusual conditions
warrant immediate consultation with a physician.
To remove the hearing aid and
comfort earbud:
• Remove the lock from the
concha bowl of your ear.
• Remove the hearing aid
from behind your ear.
• If an actual allergic reaction occurs, alternative
earmold materials are available; contact your
hearing professional.
• Gently grasp the tubing at the
opening of the ear canal and
pull outward.
14 | Operation
Power On & Off
To turn ON:
Insert a battery and completely close the battery
door. Your hearing aid has a power-on delay which
may require a few seconds. You may hear a tone
indicating that your hearing aid is powered on.
To turn OFF:
 pen the battery door until the battery is no longer
touching the battery contacts.
User Controls
Your hearing aid’s user control may have been
customized by your hearing professional. Ask your
hearing professional how the user control on your
hearing aid is set.
Available User Control Functionality
The user control on your hearing aid can
respond differently depending on how
long you activate (press) the button. Your
hearing aid is capable of having one
function assigned to a short press (press
and release) and one function assigned
to a long press (press and hold).
Operation | 15
The options selected below indicate how your user
controls are configured.
Tap Gesture
Your hearing aid may support
an additional user control. This
control can be configured by your
hearing professional to start/
stop streamed audio from a
Starkey Hearing Technologies
accessory by tapping your
ear twice.
Assigned User Control Settings
Volume
Control
Short Press
(Press & Release)
Long Press
(Press & Hold)
Tap Gesture*
*Hearing aid may support
Memory
Change
Mute
Multiflex
Tinnitus Level
Start/Stop
Accessory
Streaming
16 | Operation
Operation | 17
Volume Control
Volume Control Indicators
Power On Volume Level
Your hearing professional may enable audible
indicators, which highlight the current volume
position.
Your hearing aid has been set to a specific volume
level (Volume Home) determined by your hearing
professional. If sounds are generally too loud or too
soft, please contact your hearing professional for
advice and adjustment.
Rocker Switch Volume Control
If your rocker switch is configured to control volume,
pressing the top part of the switch increases the
volume while pressing the lower portion of the
switch decreases volume.

Tone
Volume Level
Volume Max
Volume Step(s)
Volume Home (Power-on volume level)
5 Beeps •••••
Short Tone –
3 Beeps •••
Volume Step(s)
Short Tone –
Volume Min
Single Beep •
 y hearing aid is configured with the following
control:
Press and Release Volume Control
Press and Hold Volume Control
18 | Operation
Operation | 19
Memory Change
Multiflex Tinnitus Level Control
Your hearing professional may create multiple
memories within your hearing aid. These additional
memories can be accessed by activating the user
control on your hearing aid.
Your user control can also adjust the level of your
Multiflex Tinnitus stimulus. Please refer to the section
labeled Multiflex Tinnitus Technology (on page 23)
for further information.
If your user control is configured for memory changes,
each time you activate the user control, the memory
of your hearing aid will increment through the
available memories.
Memory Indicators
Your hearing professional may enable an audible
indicator, which is presented while making a memory
change. The indicator defaults to a voice identifying
which memory your hearing aid is in.
Mute
If your hearing aid is configured with mute
functionality, a long press and hold of the user control
will mute your hearing aid. If enabled by your hearing
professional, you may hear an indicator prior to the
hearing aid muting. To unmute your hearing aid, press
the button again and audio will be restored.
Activity Tracking
Your hearing aid may support a sensor that is capable
of tracking daily physical activity and reporting it to
the Thrive Hearing Control app. This feature can be
used to view daily step count, minutes of activity and
to obtain reminders to get up and move throughout
the day. Physical activity is a component of your
Thrive score.
Directional Settings
Your hearing aid has directional microphones to help
improve speech understanding in noisy situations.
Ask your hearing professional about your particular
directional settings.
Telephone Use
Your hearing aids can be customized with features to
help you effectively communicate on the telephone.
Ask your hearing professional about your telephone
solution.
20 | Operation
My hearing aids have the following telephone
setting(s):
	Automatic Telephone Memory and Automatic
Telecoil. See below.
	Manual Telephone Memory and
Manual Telecoil. See next page.
(Memory # ________________ )
None
Operation | 21
NOTE: Consult with your hearing professional if your
hearing aid does not switch to the telephone memory
automatically, if it is enabled.
Manual Telephone Memory and Manual Telecoil
Manual access allows you to switch the hearing aids
into a telephone or telecoil memory, as needed.
Ask your hearing professional which memory you
should access for manual telephone use.
General Telephone Use
Automatic Telephone Memory
and Automatic Telecoil
These options activate the telephone memory
automatically when used with a hearing aid
compatible telephone. To use, place the telephone
receiver on your ear as you normally would and
the hearing aid will automatically select the
telephone memory. It might be necessary to move
the telephone receiver slightly to find the best
reception. Once the telephone is removed from
the ear, the hearing aid will switch back to the last
used memory.
Some hearing aids work best
by holding the phone close
to, but not fully covering your
ear. In some instances, if you
encounter whistling (feedback),
tilt the receiver at an angle
until the whistling stops.
Additionally, the hearing aid
in the non-phone ear (ear
opposite the phone) may
switch to a telephone setting
to reduce background sounds.
Your hearing professional
can provide instructions
and techniques for your
specific needs.
22 | Operation
Multiflex Tinnitus Technology | 23
Ear-to-Ear Phone Streaming
Introduction
The telephone memory in your hearing aid may be
equipped with an ear-to-ear phone streaming option.
When you enter your telephone memory, the audio
from your telephone will be streamed from the phone
ear’s hearing aid to the opposite ear’s hearing aid.
This allows you to hear the telephone conversation
in both ears. Ask your hearing professional about
your particular telephone settings.
Multiflex Tinnitus Technology can be used as part
of a tinnitus treatment program. Multiflex Tinnitus
Technology plays a tinnitus stimulus through the
hearing aid. The tinnitus stimulus is programmed
according to your hearing loss, and your hearing
professional can adjust the settings of the tinnitus
stimulus to meet your needs.
Rocker Switch Tinnitus Stimulus Control
If your rocker switch is configured for Tinnitus
Stimulus Control, pressing the top part of the switch
increases the stimulus level while pressing the bottom
part of the switch decreases the stimulus level.
My hearing aid is configured with the
following control:
Press and Release Tinnitus Stimulus Control.
Press and Hold Tinnitus Stimulus Control
24 | Adjustment
Pairing Your Hearing Aid with an iOS Device
To adjust your hearing aid with your iOS device, you
must pair the two together so they can communicate.
Please follow the instructions to pair your iOS device
and your hearing aid.
1.
Ensure Bluetooth® is enabled on your iOS device.
Within the Settings menu go to Bluetooth and
toggle to On.
2.
Locate, then tap the Settings icon on your
iOS device.
3.
Within the Settings menu go to General >
Accessibility > MFi Hearing Devices.
4.
While the iOS device searches for the hearing
aids, open and close the battery door on your
hearing aids. This puts the hearing aids in
pairing mode.
Adjustment | 25
To access the native iOS hearing aid controls, tripleclick the Home button (On the iPhone 8 or earlier
versions. Please consult Apple support for iPhone X
options) on your iOS device. From this screen you can
adjust the volume, select memory or use your iOS
device as a remote microphone.
Select Start Live Listen to stream the iOS device
microphone input directly into your hearing aid. Point
the iOS device microphone toward the audio source.
Select Start Live Listen to stream the iOS device
microphone input directly into your hearing aid. Point
the iOS device microphone toward the audio source.
To minimize background noise and provide the best
signal, place the iOS device as close to the source
as possible.
Right Volume/Left Volume allows you to increase and
decrease volume for each hearing aid individually.
• You will see your hearing aid name (e.g. “Chris
Hearing Aids”) when the iOS device first
discovers your hearing aids.
Turn off Adjust Independently to make changes to
both hearing aids simultaneously.
• If your name does not appear in the “Devices”
list within 5-7 seconds, tap Accessibility in
the upper left corner, then tap MFi Hearing
Devices.
Normal indicates the name of a memory setting in
the hearing aid. You can select from any memories
shown in the list to change the hearing aid to that
memory setting.
You are now ready to use your iOS device to adjust
your hearing aid. You can adjust either with the native
iOS controls or with the Thrive Hearing Control app.
26 | Adjustment
Mobile Phone Use
Your hearing aid is designed to work with a smartphone.
When the hearing aid is paired and powered on,
incoming phone calls will route automatically to your
hearing aid. When your hearing aid is not powered on,
incoming calls route only to your smartphone.
iOS allows you to select a preference for how audio
(call audio and media audio) is routed from your
smartphone to your hearing aids.
Adjustment | 27
Pairing Your Hearing Aid with an
Android Device
To adjust your hearing aid with your Android
device, you must pair the two together so they can
communicate. Please follow the instructions to pair
your device and your hearing aid.
1.
Locate, then tap the Settings icon on your
device.
2.
Select Bluetooth.
3.
In this screen, if Bluetooth appears Off, change
the settings to On. Then, open and close the
battery door on your hearing aids (this puts your
hearing aids into pairing mode).
4.
Under Paired devices you will see your first name
followed by hearing aid (e.g. Michelle H/As) when
the device first discovers the hearing aids. If your
name does not appear in the “Devices” list within
5-7 seconds, tap Accessibility in the upper left
corner, then tap Hearing Devices.
5.
Tap the hearing aid name to connect each
hearing aid to the device.
6.
Pairing is complete.
28 | Accessories
Hearing Aid Care | 29
Accessories
Hearing Aid Care
There are several accessories that allow you to control
and maximize the full potential of your hearing aids.
Available functionality includes:
Keep your hearing aids clean. Heat, moisture and
foreign substances can result in poor performance.
• Ability to adjust your hearing aids using a remote
control
• Ability to transmit television audio directly to your
hearing aids
• Ability to transmit remote microphone audio
directly to your hearing aids
Consult with your hearing professional to determine
which accessories may be best for you.
• Use a cleaning brush or soft cloth to clean debris
from around the user control, microphone and
battery compartment;
inspect the earbud regularly.
• Never use water, solvents, cleaning fluids or oil to
clean your hearing aids.
Your hearing professional can provide further
information on additional maintenance procedures for
your hearing aids, if needed.
30 | Hearing Aid Care
Hearing Aid Care | 31
Standard Tubing
Thin Tubing
1.
1.
Unscrew the tubing from
the tip of the hearing aid.
2.
Thread the cleaner
through the tubing,
starting at the end just
removed from the hearing
aid, until it extends from
the other end of the tubing.
3.
Brush the debris off prior to removing the cleaner.
4.
Clean the earbud with a dry cloth or brush.
5.
If necessary, the earbud may be washed in
warm, soapy water. Remove the earbud
from the tubing prior to washing. Allow to
dry overnight.
Separate the custom
earmold from the BTE
by gently pulling the
tubing away from the
earhook.
• Use a soft, damp
cloth or a cleaning
brush to clean debris
from the custom
earmold
• Wash the custom
earmold with warm
soapy water
• Never use solvents
2.
Slide the custom earmold tubing onto the BTE
earhook when completely dry.
Your hearing professional can provide further
information on additional maintenance procedures
for your hearing aid, if needed.
32 | Hearing Aid Care
Helpful Hints
• Make sure the custom earmold or earbud and
tubing are completely dry before reconnecting
to your hearing aid earhook.
Hearing Aid Care | 33
Troubleshooting Guide
SYMPTOM
• When not wearing your hearing aids, open the
battery door to allow any moisture to evaporate.
• Do not take apart your hearing aids or insert the
cleaning tools inside them.
• When not in use, remove the batteries
completely; place your hearing aids in the storage
container and store:
Not Loud
Enough
−− In a dry, safe place
−− Away from direct sunlight or heat to avoid
extreme temperatures
Inconsistent
Performance
−− Where you can easily find them
−− Safely out of reach of children and pets
Service and Repair
If, for any reason, your hearing aid does not operate
properly, do NOT attempt to fix it yourself. Not only
are you likely to violate any applicable warranties or
insurance, you could easily cause further damage.
Should your hearing aid fail or perform poorly, check
the guide on the next page for possible solutions. If
problems continue, contact your hearing professional
for advice and assistance. Many common problems
may be solved right in your hearing professional’s
office or clinic.
Unclear,
Distorted
Performance
Dead
POSSIBLE
CAUSES
SOLUTIONS
Low battery
Replace battery
Blocked earmold/
tubing/earbud
Clean earmold and
tubing
Hearing change
Contact your hearing
professional
Debris buildup
Clean microphone
and earmold with
brush
Low battery
Replace battery
Blocked earmold/
tubing/earbud
Clean earmold and
tubing
Low battery
Replace battery
Blocked earmold/
tubing/earbud
Clean earmold and
tubing
Hearing aid needs
repair/maintenance
Contact your hearing
professional
Low battery
Replace battery
Blocked earmold/
tubing
Clean earmold and
tubing
Crimped tubing
Contact your hearing
professional
34 | Tips for Better Communication
Your hearing professional will recommend an
appropriate schedule to help you adapt to your new
hearing aid. It will take practice, time and patience
for your brain to adapt to the new sounds that your
hearing aid provides. Hearing is only part of how
we share thoughts, ideas and feelings. Reading lips,
facial expressions and gestures can help the learning
process and add to what amplification alone
may miss.
Please review the following simple communication tips:
Tips for Better Communication | 35
For Your Family and Friends
Your family and friends are also affected by your
hearing loss. Request that they:
• Get your full attention before beginning to speak
• Look at you or sit face-to-face in a quiet room
• Speak clearly and at a normal rate and level;
shouting can actually make understanding
more difficult
For You
• Rephrase rather than repeat the same words;
different words may be easier to understand
• Move closer to and look at the speaker
• Minimize distractions while speaking
• Sit face-to-face in a quiet room
• Try different locations to find the best place
to listen
• Minimize distractions
• Background noises may be frustrating at first;
remember, you have not heard them for a while
• Let others know what you need; keep in mind that
people cannot “see” your hearing loss
• Develop realistic expectations of what your hearing
aids can and cannot do
• Better hearing with hearing aids is a learned skill
combining desire, practice and patience
36 | Regulatory Information
Safety Information
INTENDED USE: An air conduction hearing aid is a wearable sound-
Regulatory Information | 37
WARNING: Use of accessories, components or replacement parts other than
those provided by the manufacturer of your hearing aids could result in increased
electromagnetic emissions and decreased electromagnetic immunity and could
result in degradation of performance.
amplifying device intended to compensate for impaired hearing. Hearing aids are
available in multiple gain/output levels appropriate to treat hearing losses ranging
from mild to profound.
WARNING: If Portable Radio Frequency communications equipment is
Your hearing aids are designed to comply with the most stringent Standards of
International Electromagnetic Compatibility. However, it is still possible that you
may experience interference caused by power line disturbances, airport metal
detectors, electromagnetic fields from other medical devices, radio signals and
electrostatic discharges.
Required Information
If you use other medical devices or wear implantable medical devices such as
defibrillators or pacemakers and are concerned that your hearing aids might
cause interference with your medical device, please contact your physician or the
manufacturer of your medical device for information about the risk of disturbance.
Your hearing aids should not be worn during an MRI procedure or in a hyperbaric
chamber. Your hearing aids are not formally certified to operate in explosive
atmospheres such as coal mines or certain chemical factories. Your hearing aids
are classified as a Type B applied part under the IEC 60601-1 medical device
standard.
Your hearing aids should be stored within the temperature and humidity ranges
of -40 C (-40 F) to +60 C (140 F) and 10 to 95 percent relative humidity.
Your hearing aids are designed to operate beyond the range of temperatures
comfortable to you, from very cold up to 50 C (122 F).
Use on Aircrafts
The optional wireless capabilities that may be featured in your hearing aids can
be used on an aircraft as hearing aids are exempt from the rules applied to other
personal electronic instruments on an aircraft.
International Use
Your hearing aids are approved to operate at a radio frequency that is specific
to your country or region and might not be approved for use outside your
country or region. Be aware that operation during international travel may
cause interference to other electronic hearing instruments, or other electronic
instruments may cause interference
to your hearing aids.
We are required by regulations to provide the following warnings:
WARNING: Use of wireless hearing aids directly next to other electronic
equipment should be avoided because it could result in improper performance.
If such use is necessary, note as to whether your hearing aids and the other
equipment are operating normally.
used closer than 30 cm (12 inches) from your hearing aid, degradation of the
performance of your hearing aid could result. If this occurs, move away from the
communications equipment.
The following additional information is provided in compliance with U.S. Food
and Drug Administration (FDA) regulations:
WARNING TO HEARING AID DISPENSERS
A hearing aid dispenser should advise a prospective hearing aid user to
consult promptly with a licensed physician (preferably an ear specialist) before
dispensing a hearing aid if the hearing aid dispenser determines through inquiry,
actual observation, or review of any other available information concerning the
prospective user, that the prospective user has any of the following conditions:
i.
Visible congenital or traumatic deformity of the ear.
ii.
History of active drainage from the ear within the previous 90 days.
iii.
History of sudden or rapidly progressive hearing loss within the previous
90 days.
iv.
Acute or chronic dizziness.
v.
Unilateral hearing loss of sudden or recent onset within the
previous 90 days.
vi.
Audiometric air-bone gap equal to or greater than 15 decibels at 500
Hertz (Hz), 1,000 Hz and 2,000 Hz.
vii.
Visible evidence of significant cerumen accumulation or a foreign body
in the ear canal.
viii. Pain or discomfort in the ear.
IMPORTANT NOTICE FOR PROSPECTIVE
HEARING AID USERS
Good health practice requires that a person with a hearing loss have a medical
evaluation by a licensed physician (preferably a physician who specializes in
diseases of the ear) before purchasing a hearing aid. Licensed physicians who
specialize in diseases of the ear are often referred to as otolaryngologists,
otologists, or otorhynolaringologists. The purpose of the medical evaluation
is to assure that all medically treatable conditions that may affect hearing are
identified and treated before the hearing aid is purchased.
38 | Regulatory Information
Regulatory Information | 39
Following the medical evaluation, the physician will give you a written statement
that states that your hearing loss has been medically evaluated and that you may
be considered a candidate for a hearing aid. The physician will refer you to an
audiologist or hearing aid dispenser, as appropriate, for a hearing aid evaluation.
For Hearing Professionals
The audiologist or hearing aid dispenser will conduct a hearing aid evaluation
to assess your ability to hear with and without a hearing aid. The hearing aid
evaluation will enable the audiologist or dispenser to select and fit a hearing
aid to your individual needs.
The Multiflex Tinnitus Technology is a tool to generate sounds to be used in a
Tinnitus Management Program to relieve patients suffering from tinnitus. The
target population is primarily the adult population over 18 years of age.
If you have reservations about your ability to adapt to amplification, you should
inquire about the availability of a trial-rental or purchase-option program. Many
hearing aid dispensers now offer programs that permit you to wear a hearing aid
for a period of time for a nominal fee after which you may decide if you want to
purchase the hearing aid.
Federal law restricts the sale of hearing aids to those individuals who have
obtained a medical evaluation from a licensed physician. Federal law permits a
fully informed adult to sign a waiver statement declining the medical evaluation
for religious or personal beliefs that preclude consultation with a physician.
The exercise of such a waiver is not in your best health interest and its use is
strongly discouraged.
A hearing aid will not restore normal hearing and will not prevent or improve a
hearing impairment resulting from organic conditions. Use of a hearing aid is
only part of hearing habilitation and may need to be supplemented by auditory
training and instruction in lip reading. In most cases infrequent use of a hearing
aid does not permit a user to attain full benefit from it. Special care should be
exercised in selecting and fitting a hearing aid whose maximum sound pressure
level exceeds 132 decibels because there may be risk in impairing the remaining
hearing of the hearing aid user.
Some hearing aid users have reported a buzzing sound in their hearing aid when
they are using mobile phones, indicating that the mobile phone and hearing aid
may not be compatible. According to the ANSI C63.19 standard (ANSI C63.192007 American National Standard Methods of Measurement of Compatibility
Between Wireless Communications Devices and Hearing Aids), the compatibility
of a particular hearing aid and mobile phone can be predicted by adding the
rating for the hearing aid immunity to the rating for the mobile phone emissions.
For example, the sum of a hearing aid rating of 2 (M2/T2) and a telephone rating
of 3 (M3/T3) would result in a combined rating that equals at least 5 would
provide “normal use”; a combined rating of 6 or greater would indicate “excellent
performance”. See the Quick Start Guide included with your hearing aid for the
exact M/T rating of your hearing aid.
CHILDREN WITH HEARING LOSS
In addition to seeing a physician for a medical evaluation, a child with a hearing
loss should be directed to an audiologist for evaluation and rehabilitation since
hearing loss may cause problems in language development and the educational
and social growth of a child. An audiologist is qualified by training and experience
to assist in the evaluation and rehabilitation of a child with a hearing loss.
INDICATIONS FOR USE
The Multiflex Tinnitus Technology is targeted for healthcare professionals, which
are treating patients suffering from tinnitus, as well as conventional hearing
disorders. The fitting of the Multiflex Tinnitus Technology must be done by a
hearing professional participating in a Tinnitus Management Program.
INSTRUMENT DESCRIPTION
Multiflex Tinnitus Technology is a software function that generates sound which
is programmed into a hearing aid. The hearing aid may be used in one of three
modes of operation: as a hearing aid, as a tinnitus treatment instrument or as a
hearing aid and tinnitus treatment instrument.
When enabled, the Multiflex Tinnitus Technology generates the sound and allows
a patient’s hearing professional to design and program appropriate settings for
an individually prescribed sound treatment plan. The treatment plan should be
used in a tinnitus management program for relief of tinnitus.
Multiflex Tinnitus Technology generates a broadband white noise signal that
varies in frequency and amplitude. These characteristics are adjustable by the
hearing professional and are specific to the prescribed therapy designed by
the professional for the patient’s needs and comfort.
The patient may have some control of the level or volume of the signal and
the patient should discuss this adjustment as well as his or her comfort level
and sound of the signal with their hearing professional.
WARNING TO HEARING CARE PRACTITIONER
A hearing care practitioner should advise a prospective sound generator user to
consult promptly with a licensed physician (preferably an ear specialist) before
using a sound generator if the hearing care practitioner determines through
inquiry, actual observation or review or any other available information concerning
the prospective user that the prospective user has any of the following conditions:
i. Visible congenital or traumatic deformity of the ear.
ii. History of active drainage from the ear within the previous 90 days.
iii. History of sudden or rapidly progressive hearing loss within the previous
90 days.
iv. Acute or chronic dizziness.
v. Unilateral hearing loss of sudden or recent onset within the previous 90 days.
40 | Regulatory Information
Regulatory Information | 41
CAUTION: If set to the maximum output level and worn for periods of
time exceeding the recommendations below, the patient’s exposure to sound
energy has the potential to exceed noise exposure limits. This instrument is
intended for use for a maximum of sixteen (16) hours a day when set at the
maximum output level.
Multiflex Tinnitus Technology has been designed to minimize these concerns.
However, should you experience or notice any of the above conditions or any
dizziness, nausea, headaches or heart palpitations, you should immediately
discontinue use of the instrument and seek a consultation with a medical,
audiology or other hearing professional.
For the Patient
As with any instrument, misuse of the tinnitus therapy instrument could present
some potentially harmful effects. Care should be taken to prevent the unauthorized
use and to keep the instrument out of the reach of children and pets.
A tinnitus therapy instrument is an electronic instrument intended to generate
noise of sufficient intensity and bandwidth to treat ringing in the ears. It can also
be used as an aid in hearing external sounds and speech.
Multiflex Tinnitus Technology is a tool to generate sounds. It is recommended that
this tool be used with appropriate counseling and/or in a tinnitus management
program to relieve patients suffering from tinnitus.
TINNITUS THERAPY CONCEPTS AND BENEFITS
Multiflex Tinnitus Technology can be used as a part of a tinnitus treatment program.
Multiflex Tinnitus Technology plays a white noise through the hearing aid.
Multiflex Tinnitus Technology is programmed according to your hearing loss and
preference, and your hearing professional can adjust the settings of Multiflex
Tinnitus Technology to meet your needs.
Multiflex Tinnitus Technology may provide temporary relief of your tinnitus.
PRESCRIPTION USE ONLY
CAUTION: Federal law restricts this instrument to sale by or on the order
of a doctor, audiologist or other hearing care practitioner licensed to dispense
hearing aids in your state.
The use of any sound generating tinnitus therapy instrument should be only on
the advice and in consultation with your audiologist or hearing care practitioner.
Your hearing professional will properly diagnose and fit the instrument to your
personal needs and requirements. This should include its use in a prescribed
tinnitus treatment program.
Your hearing professional will also be able to offer the appropriate follow-up care.
It is important that you follow your hearing professional’s advice and direction
regarding such care.
WARNING: There are some potential concerns associated with the use of
any sound generating tinnitus therapy instrument. Among them are the potential
for worsening of tinnitus, a possible change in hearing thresholds, and possible
skin irritation at the point of contact with the hearing aid.
CAUTION: If set to the maximum output level and worn for periods of time
exceeding the recommendations below, your exposure to sound energy has the
potential to exceed noise exposure limits. You should not use your hearing aid
for more than sixteen (16) hours a day if your hearing aid is set at the maximum
output level, nor should you use your hearing aid if your hearing professional
has set the instrument at levels that exceed your comfort level.
42 | Regulatory Information
Important Notice for Prospective
Sound Generator Users
Good health practice requires that a person with tinnitus have a medical
evaluation by a licensed physician (preferably a physician who specializes in
diseases of the ear) before using a sound generator. Licensed physicians who
specialize in diseases of the ear are often referred to as otolaryngologists,
otologists or otorhinolaryngologists.
The purpose of a medical evaluation is to assure that all medically treatable
conditions that may affect tinnitus are identified and treated before the sound
generator instrument is used.
TECHNICAL DATA
Multiflex Tinnitus Technology Maximum Output = 87 dB SPL (typical) when
measured in a 2cc coupler per ANSI S3.22 or IEC 60118-7.
WIRELESS TECHNICAL DESCRIPTION
Your hearing aids contain a radio transceiver utilizing Bluetooth® Low Energy
wireless technology operating in the 2.4-2.4835 GHz frequency band with a
maximum effective radiated power of 5 dBm using GFSK transmission
modulation. The receiver section of the radio has a bandwidth of 1.5 MHz. They
also contain a radio transceiver utilizing Near Field Magnetic Induction operating
on 10.281 MHz with maximum induced magnetic field strength of -5 dBuA/m at
a measurement distance of 10 meters with 8-DPSK transmission modulation. The
receiver section of the NFMI radio has a bandwidth of 400 kHz.
This hearing aid model has been tested to, and has passed, the
following emissions and immunity tests:
• IEC 60601-1-2 radiated emissions requirements for a Group 1 Class B device
as stated in CISPR 11.
• RF radiated immunity at a field level of 10 V/m between 80 MHz and 2.7
GHz as well as higher field levels from communication devices as stated in
Table 9 of IEC 60601-1-2.
• Immunity to power frequency magnetic fields at a field level of 30 A/m.
• Immunity to ESD levels of +/- 8 kV conducted discharge and +/- 15 kV
air discharge.
Hereby, Starkey Hearing Technologies declares that the products listed above are
in compliance with the essential requirements and other relevant provisions of
Directive 2014/53/EU. A copy of the Declaration of Conformity can be obtained
from the addresses on the following page or
docs.starkeyhearingtechnologies.com
WIRELESS NOT ICES
FCC ID: EOA-24LIVIOB13
IC: 6903A-24LIVIOB13 (Livio BTE 13, Via BTE 13, AGXsliv BTE 13, Esentia BTE
13, Livio AI BTE 13, Via AI BTE 13, AGXsliv AI BTE 13, Esentia AI BTE 13)
Regulatory Information
| 43
REGULATORY NOTICES
FCC NOTICE
This device complies with part 15 of the FCC rules and with ISED Canada’s
license-exempt RSS standard(s). Operation is subject to the following two
conditions: (1) This device may not cause harmful interference, and (2) this device
must accept any interference received, including interference that may cause
undesired operation of the device.
Note: The manufacturer is not responsible for any radio or TV interference caused
by unauthorized modifications to this equipment. Such modifications could void
the user’s authority to operate the equipment.
Note FCC/IC
Cet appareil est conforme à la partie 15 des règles de la FCC et avec les normes RSS de
licence d’Industrie Canada. Le fonctionnement est soumis à deux conditions: (1) Cet
appareil ne doit pas causer d’interférences nuisibles et (2) cet appareil doit accepter
toute interference reçue, y compris les interférences qui peuvent causer des
fonctionnements du dispositif.
NOTE: Le manufacturier n’est pas responsable de l’interférence créée par la
modification de cet équipement lors de l’écoute du téléviseur ou de la radio.
De telles modifications pourraient entrainer la révocation de l’autorité de
l’utilisateur à opérer cet
équipement.
Starkey Hearing Technologies
6700 Washington Ave. South
Eden Prairie, MN 55344 USA
Wm. F. Austin House, Bramhall Technology Park
Pepper Road, Hazel Grove, Stockport SK7 5BX
United Kingdom
Waste from electronic equipment
must be handled according to local
regulations.
Consult Operations Manual
Use of the Made for Apple badge means that an accessory has been designed to connect
specifically to the Apple product(s) identified in the badge, and has been certified by the
developer to meet Apple performance standards. Apple is not responsible for the operation
of this device or its compliance with safety and regulatory standards.
Apple, the Apple logo, iPhone, iPad and iPod touch are trademarks of Apple Inc., registered
in the U.S. and other countries. App Store is a registered service mark of Apple Inc.
© 2018 Starkey Hearing Technologies. All Rights Reserved.
86157-007 6/18 BKLT3004-00-EE-XX

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FCC ID Filing: EOA-24LIVIOB13

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