Instruction Manual for Neuro Platform models including: Processor Technology, Processor, Technology

Pro Fit Troubleshooting Guide QuickTIP

Software: Pro Fit | StarkeyPro


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Neuro Technology Troubleshooting Guide QuickTIP
QUICKTIP
Troubleshooting Guide
Neuro Processor Technology

Patient's Own Voice

Voice Sounds · In a barrel/tunnel · Echoes · Hollow · Like they have a cold/ears plugged

Pro Fit Adjustments · Decrease gain using the Occlusion Control · Decrease Low Frequency Gain · Decrease Moderate Gain at 1000 Hz and/or 1500 Hz

Voice Sounds · Muffled

Pro Fit Adjustments · Increase Moderate Gain at 1000 Hz and/or 1500 Hz · Increase Loud Gain · Increase Maximum Output · Increase High Frequency Gain · Decrease Low Frequency Gain

Voice Sounds · Distorted · Crackles · Unnatural/like a megaphone

Pro Fit Adjustments · Decrease Moderate Gain at 1000 Hz and/or 1500 Hz · Decrease Loud Gain · Decrease Overall Output

Neuro Platform
Other Considerations · Occlusion may be due to the physical presence of the hearing aid
and not because of amplification; to test, turn off the hearing aid and have the patient speak 1. Report persists--issue is occlusion; address with acoustic modifications
· Enlarge vent diameter · Shorten and/or taper canal · Remake hearing aid or earmold with different canal length 2. Report resolved--issue is amplification; address with response adjustments
Other Considerations · Occlusion may be due to the physical presence of the hearing aid
and not because of amplification; to test, turn off the hearing aid and have the patient speak 1. Report persists--issue is occlusion; address with acoustic modifications
· Enlarge vent diameter · Shorten and/or taper canal · Remake hearing aid or eamold with different canal length 2. Report resolved -- issue is amplification; address with response adjustments
Other Considerations · If decreasing Overall Output worsens sound quality, consider increasing
Overall Output

Hearing in Noise
Patient has Difficulty · Understanding speech
in background noise
Patient Hears · Voices at a distance
better than nearby
Patient Reports · Low tolerance for noise · Background noise too loud
Intelligibility
Reports · I hear better without
my hearing aids · Speech is unclear/unnatural · Speech in quiet is not clear · TV/Radio is not clear
Speech Sounds · Muffled even when in quiet

Pro Fit Adjustments · Verify Adaptive Directionality is enabled via Sound Manager screen · Consider enabling a Fixed Directional microphone response · Increase Speech in Noise Control via Sound Manager screen · Increase Overall Gain at 1000 Hz and/or 1500 Hz, then higher frequency gain · Decrease Soft Low Frequency Gain

Other Considerations · If device does not have directional microphones, consider recommending
a directional device · Consider enabling Edge Mode+ via the User Control screen · Consider 2.4 GHz Remote or their hearing aid mobile app to make
the Speech in Noise control more aggressive · Consider 2.4 GHz remote microphone options to improve signal-to-noise ratio · Consider turning Speech in Noise off for severe-to-profound hearing loss

Pro Fit Adjustments · Increase Overall Gain at 1000 Hz and/or 1500 Hz · Increase Overall Soft Gain · Decrease Speech in Noise setting via the Sound Manager screen

Other Considerations · If device does not have directional microphones, consider recommending
a directional device · Consider enabling Edge Mode+ via the User Control screen · Consider 2.4 GHz Remote or their hearing aid mobile app to make
the Speech in Noise control more aggressive · Consider 2.4 GHz remote microphone options to improve signal-to-noise ratio

Pro Fit Adjustments · Decrease Overall Output · Verify Adaptive Directionality is enabled via Sound Manager screen · Increase Speech in Noise setting via the Sound Manager screen · Increase Transients setting via Sound Manager screen

Other Considerations · If device does not have directional microphones, consider recommending
a directional device · Consider enabling Edge Mode+ via the User Control screen · Consider 2.4 GHz Remote or their hearing aid mobile app to make
the Speech in Noise control more aggressive · Consider 2.4 GHz remote microphone options to improve signal-to-noise ratio

Pro Fit Adjustments · Increase Overall Gain at 1000 Hz and/or 1500 Hz · Decrease Speech in Noise setting via the Sound Manager screen · Set Speech and Noise for Less Activity via Sound Manager screen · Increase Low Frequency Gain for Streamed program
Pro Fit Adjustments · Decrease Quiet setting via the Sound Manager screen · Increase Soft and Moderate Gain

Other Considerations · Consider a customized program via their hearing aid mobile app · Consider adding a 2.4 GHz TV Streamer · Consider enabling Edge Mode+ via the User Control screen · Consider 2.4 GHz Remote Microphone options to improve signal-to-noise ratio · May need to counsel on fact that poor speech clarity may be due to
poor speech discrimination
Other Considerations · Quiet adjusts expansion and low-level noise reduction to
ensure the hearing aids are quiet in quiet environments · Consider enabling Edge Mode+ via the User Control screen
*Available on select 2.4 GHz hearing aids. Contact your rep for specific information.

Streamed Input
Reports · Streamed input doesn't
have enough bass
Reports · External environment is louder
than the streamed signal
Loudness
Overall Too Loud · Voices too loud · All sounds too loud · Harsh/too loud

Pro Fit Adjustments · Enable Bass Boost via the Accessories screen · Increase Gain for Low Frequencies · Increase Output for Low Frequencies
Pro Fit Adjustments · Mute the hearing aid microphones
Pro Fit Adjustments · Change Experience Level to provide less gain (3 to 2 or 2 to 1) · Decrease Overall Gain above 1000 Hz · Decrease Gain using Occlusion Control · Decrease High Frequency Loud Gain

Loudness Comfort · Sounds are painful · Clattering dishes too loud · Running water · Other environmental
sounds too loud
Overall Too Soft · Voices too soft · All sounds too soft · Hearing aids too soft

Pro Fit Adjustments · Increase Transients setting via the Sound Manager screen · Decrease High Frequency Loud Gain · Decrease Overall Output · Decrease Overall Loud Gain · Increase Machine Noise setting via the Sound Manager screen
Pro Fit Adjustments · Increase Overall Gain · Increase Overall Output · Increase Overall Soft Gain · Increase Overall Moderate Gain · Increase Low Frequency Overall Gain · Decrease Quiet setting via the Sound Manager screen

Other Considerations · Consider a customized program via the hearing aid mobile app · Consider adding a 2.4 GHz TV Streamer · Consider enabling Edge Mode+ via the User Control screen
Other Considerations · Consider adjusting the streamed vs microphone input
ratio via the hearing aid mobile app · Consider enabling Edge Mode+ via the User Control screen
Other Considerations · May need to start with lower gain settings than the prescriptive
target recommends · Patient may be unaccustomed to amplification or may be
accustomed to lower gain devices · May need to consider a different fitting formula · Compression ratios are increased as the curves move closer
together; decreased as the curves move farther apart. · Consider enabling Edge Mode+ via the user control screen.
Other Considerations · Ensure Best Fit is using e-STAT 2.0 fitting formula · Enter pure tone UCLs for at least 500 Hz and 3000 Hz to personalize
and help optimize the output settings · Utilize Speech Mapping to identify frequencies causing discomfort · Compression Ratios are increased as the curves move closer
together; decreased as the curves move farther apart
Other Considerations · Utilize Speech Mapping to verify audibility · Patient may not perceive the aid as being loud enough
depending on previous hearing aid experience · Compression Ratios are increased as the curves move closer
together; decreased as the curves move farther apart · Quiet adjusts expansion and low-level noise reduction to
ensure the hearing aids are quiet in quiet environments

Sound Quality
Noisy · Hearing aids are noisy · Refrigerator hum too loud · Hearing aids are noisy in
quiet environments
Pumping · Hearing aids cut in and out · Hearing aids cut in and out
when patient speaks · Loud sounds fade in and out
Shutting Down · Hearing aids shut down
with loud sounds · Hearing aids cut out
when patient speaks · Loud sounds fade in and out
Transient Sounds are · Bothersome
Transient Sounds are · Too Soft/Unnatural
Sounds are · Hollow · Muffled

Pro Fit Adjustments · Increase Quiet setting via Sound Manager screen · Decrease Soft Gain at 750 Hz and below · Decrease Overall Soft Gain
Pro Fit Adjustments · Increase Overall Loud Gain · Decrease Compression Ratios · Decrease Machine Noise setting via Sound Manager screen · Decrease Consonant Enhancement
Pro Fit Adjustments · Decrease Transients setting via the Sound Manager screen · Decrease Compression Ratios · Increase Overall Output/MPO · Increase Overall Gain · Increase Overall Soft Gain · Increase Overall Loud Gain
Pro Fit Adjustments · Increase Transients setting via Sound Manager screen
Pro Fit Adjustments · Decrease Transients setting via Sound Manager screen
Pro Fit Adjustments · Decrease Loud Gain at 500 Hz and 750 Hz · Increase Moderate Gain at 1000 Hz and/or 1500 Hz · Increase Moderate High Frequency Gain

Other Considerations · Quiet adjusts expansion and low-level noise reduction to
ensure the hearing aids are quiet in quiet environments
Other Considerations · Compression Ratios are increased as the curves move closer
together; decreased as the curves move farther apart
Other Considerations · Compression Ratios are increased as the curves move closer
together; decreased as the curves move farther apart
Other Considerations · Consider turning off for severe-to-profound hearing loss
Other Considerations · Consider turning off for severe-to-profound hearing loss
Other Considerations · Increase Vent Size and update Acoustic Options to match hearing aid

Sound Quality (Continued)

Sounds are · Sharp · Tinny
Music

Pro Fit Adjustments · Increase gain between 2000 Hz-4000 Hz, then increase gain at 750 Hz · Increase Low Frequency Gain · Decrease Overall Output above 1000 Hz · Increase Speech in Noise · Increase Compression · Change Experience Level to provide less gain (3 to 2 or 2 to 1) · Consider enabling the Automatic feature within Experience Manager

Other Considerations · Utilize Speech Mapping or Verify Comfort to identify areas of sharpness · Compression Ratios are increased as the curves move closer together;
decreased as the curves move farther apart · Consider Best Fit using a different fitting formula · Patient's auditory perception may be distorted due to long-standing
high-frequency hearing loss; counseling is key

Music Sounds · Too tinny in the Music Program
Music Sounds · Too much bass in
the Music Program
Feedback

Pro Fit Adjustments · Decrease treble via QuickFit screen · Increase bass via QuickFit screen
Pro Fit Adjustments · Decrease bass via QuickFit screen · Increase treble via QuickFit screen

Other Considerations · Consider the Fine-Tuning screen for patients who require
very discrete frequency-specific adjustments · Consider use of 2.4 GHz streaming accessory · Consider enabling Edge Mode+ via the User Control screen
Other Considerations · Consider the Fine-Tuning screen for patients who require very discrete
frequency specific adjustments · Consider use of a 2.4 GHz streaming accessory · Consider enabling Edge Mode+ via the User Control screen

Hearing Aids · Whistle · Chirp
Hearing Aids · Sound warbly with own
voice or other inputs

Pro Fit Adjustments · Initialize feedback cancellation with hearing aid in the ear · Reduce Adaptive Feedback Cancellation Sensitivity (Strong to Subtle,
Subtle to Off) via the Feedback Canceller screen · Reduce Overall Gain
Pro Fit Adjustments · Initialize feedback cancellation with hearing aid in the ear · Reduce Adaptive Feedback Cancellation Sensitivity (Strong to Subtle,
Subtle to Off) via the Feedback Canceller screen · Decrease Consonant Enhancement

Other Considerations · Manage acoustic options for better fit and positioning of the
hearing aid in the ear · Utilize Speech Mapping to identify feedback peak and decrease gain at peak · Feedback cancellation needs to be re-initialized any time the acoustic
characteristics of the hearing aid are changed (e.g. shell modification, new earmold)
Other Considerations · Manage acoustic options for better fit and positioning of the
hearing aid in the ear · Utilize Speech Mapping to identify feedback peak and decrease gain at peak · Feedback cancellation needs to be re-initialized any time the acoustic
characteristics of the hearing aid are changed (e.g. shell modification, new earmold)

The Starkey logo, Pro Fit, Neuro Processor, e-STAT and Edge Mode are trademarks of Starkey Laboratories, Inc. ©2023 Starkey Laboratories Inc. All Rights Reserved. 2/23 FLYR4093-00-EN-SC


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