Tinnitus for Evolv AI, Livio AI, Livio, Picasso, Halo iQ, Muse iQ, SoundLens Synergy iQ, Halo 2, Muse, SoundLens Synergy, Z Series, and Xino Products

Tinnitus generates a white noise stimulus and allows you to make discrete, frequency-specific Band adjustments per memory. Band changes adjust the specific output settings. The level of the Tinnitus Stimulus can be controlled via User Controls. Adjustments can be made to each individual band, to groups of bands labeled low frequencies, mid frequencies or high frequencies, or to all bands simultaneously. The rate of modulation, which changes the frequency and amplitude (level) of the signal over time, can be selected. This feature allows you to select how quickly these changes take place.

The Tinnitus screen displays the current numerical output values per ear side for specific frequency ranges or individual bands depending on the state of each frequency range control (expanded or collapsed). Adjustments to the selected cells can be made via up and down arrows and the settings can be copied from one memory to another in select products.

Configuring tinnitus based on the patient's unique experiences can be achieved by understanding his/her difficulties with tinnitus. The Tinnitus Handicap Inventory assessment assists in identifying the patient's frustrations and severity of tinnitus.

Enabling/Disabling Automatically, Target Match Tinnitus, and User ControlsEnabling/Disabling Automatically, Target Match Tinnitus, and User Controls

1. Connect and select the desired hearing aid(s) to configure Tinnitus via Get Started.

2. Click on the Read Device Settings or Load a Previous Session radio button and then click Start.

3. Click Tinnitus.

    

   

   Note:  Only the average numerical output values per frequency range displays. The column headings indicate the frequency range for that group when collapsed. The frequency range of adjustment displays in a tool tip by pointing to the column heading.

   Tip:  If more space is needed to view the tables, click at the bottom of Left Navigation Menu to hide the menu. Click to redisplay the menu.

4. Click for the specific frequency range (Low, Mid, or High) or Expand All to display the numerical output values for all available bands within the frequency range or all bands respectively.

    

   

   Note:  The numerical table values always reference 2cc Coupler Output, which may differ from the graphical view currently selected. Only output graphs, including 2cc Coupler Output and Real Ear Response, can be selected to display. If 2cc Coupler Gain was selected prior to accessing Tinnitus, Inspire automatically changes the display to 2cc Coupler Output. If Predicted Insertion Gain was selected prior to accessing Tinnitus, Inspire automatically changes the display to Predicted Real Ear Response. Audiometric thresholds are never displayed even if Display Thresholds and UCLs is selected via General Preferences.

   Tip:  Click for the specific frequency range (Low, Mid, or High) or Collapse All to hide the numerical values.

5. Click on the specific memory to adjust if applicable or click to adjust all memories simultaneously.

   Note:  If one-way memory linking is enabled , only gain and output adjustments made to *Normal will be applied simultaneously to all one-way linked memories. Custom memories created in the Thrive Hearing Control app for Evolv AI, Livio Edge AI, Livio AI, and Livio products can be adjusted during a live fitting. See Adjusting Custom Programs During a Live Fitting for more information.

   Note:  If a memory is changed or Best Fit Current Memory is applied during any fitting, the state of Enable Tinnitus Stimulus is based on the new memory selected. If a memory is changed to Disabled or any Telephone memory, or Stream Boost is selected, Enable Tinnitus Stimulus is disabled because tinnitus is not supported in these memories. If a memory is changed to Relax during an adult fitting, Enable Tinnitus Stimulus is automatically checked. If a memory is changed to any environment except Relax, Enable Tinnitus Stimulus is automatically unchecked. If a memory is changed during a pediatric fitting, Enable Tinnitus Stimulus is automatically unchecked regardless of the memory selected.

6. Inspire automatically defaults to a binaural view if applicable. To adjust only the right or left hearing aid, click or .

   Note:  If fitting CROS/BiCROS devices, only the receiver aid can be adjusted, therefore, the side cannot be selected.

7. Check or uncheck Enable Tinnitus Stimulus to enable or disable tinnitus stimulus.

   Note:  If Enable Tinnitus Stimulus is unchecked, no tinnitus adjustments can be made. If tinnitus adjustments were made previously for a specific memory and Enable Tinnitus Stimulus is unchecked, all settings are retained if Enable Tinnitus Stimulus is rechecked.

8. Select the Rate of Modulation from the drop down list.

   Note:  The rates available are Off, Slow, Medium, and Fast. The initial default is Off; however, if a memory is changed, the default rate is based on the rate currently selected for Normal memory. For example, if Medium is currently selected for Normal memory and a memory is changed to a supported memory (e.g., Outdoors, Music, etc.), Medium automatically defaults for the new memory. In addition, all current output level settings for Normal memory are automatically copied to the new memory.

9. Click on the frequency or group of frequencies to adjust.

   Tip:  To select a sequential group of frequencies, click on the beginning column header or frequency cell, press and hold Shift and click on the ending column header or frequency cell and all columns or frequencies between the two clicks will be selected, or press and hold the left mouse button and drag to the left or right until the desired group of frequencies are selected and then release the left mouse button. To select a non-sequential group of frequencies within a row, press and hold Ctrl and click on the desired frequencies. To select all frequencies, click All. Selected frequencies are represented in dark purple on the fitting graph and blue on the table.

10. Click or within the table to increase or decrease the output binaurally or for the ear side selected.

    Note:  The adjustment arrow keys only display when the mouse hovers over the selected frequencies.

    Tip:  To reset the current memory's or all linked memories' output settings back to their original defaults, which are based on the patient's audiogram, click Target Match Tinnitus.

11. Check or uncheck Microphone On to enable or disable the hearing aid's microphone.

    Note:  This feature is only available for Evolv AI, Livio Edge AI, Livio AI, Livio, Picasso, Halo iQ, Muse iQ, SoundLens Synergy iQ, Halo 2, Muse, and SoundLens Synergy products. If the microphone is disabled, a "Tinnitus Only Microphone Off" watermark appears across the frequency response curve and all features (e.g., sound/environment manager, frequency lowering, etc.) are turned off and disabled.

12. To copy the settings to another memory, click Copy Tinnitus.

    Note:  This feature is only available for Evolv AI, Livio Edge AI, Livio AI, Livio, Picasso, Halo iQ, Muse iQ, SoundLens Synergy iQ, Halo 2, Muse, and SoundLens Synergy products.

13. Select the destination memory from the drop down list.
14. Click Copy.

    Note:  All settings in the origination memory were automatically copied to the destination memory.

15. To copy the settings to another memory, repeat steps 13-14.