The document provides instructions for performing various automatic pure tone threshold tests, including the Hughson Westlake test, Auto Threshold OSHA test, and Alternate Binaural Loudness Balancing (ABLB) test, on an AD229e audiometer. It explains how to select the test ear, familiarize the patient, start the test, and view thresholds. It also describes how to set levels for the ABLB test to detect loudness differences between ears.
The document provides instructions for performing various automatic pure tone threshold tests, including the Hughson Westlake test, Auto Threshold OSHA test, and Alternate Binaural Loudness Balancing (ABLB) test, on an AD229e audiometer. It explains how to select the test ear, familiarize the patient, start the test, and view thresholds. It also describes how to set levels for the ABLB test to detect loudness differences between ears.
The document provides instructions for performing various automatic pure tone threshold tests, including the Hughson Westlake test, Auto Threshold OSHA test, and Alternate Binaural Loudness Balancing (ABLB) test, on an AD229e audiometer. It explains how to select the test ear, familiarize the patient, start the test, and view thresholds. It also describes how to set levels for the ABLB test to detect loudness differences between ears.
The document provides instructions for performing various automatic pure tone threshold tests, including the Hughson Westlake test, Auto Threshold OSHA test, and Alternate Binaural Loudness Balancing (ABLB) test, on an AD229e audiometer. It explains how to select the test ear, familiarize the patient, start the test, and view thresholds. It also describes how to set levels for the ABLB test to detect loudness differences between ears.
Hughson Westlake is an automatic pure tone test procedure. The threshold is defined as 2 out of 3 (or 3 out of 5) correct responses at a certain level in a 5 dB increase and 10 dB decrease test procedure.
Instruct the patient that he will hear tones with different frequencies and that he is supposed to push the patient response button whenever a tone is audible to him.
A) Select desired test ear in (11) (12).
B) Select “fam” if you want to familiarise the patient with the
procedure. Hold down "shift" (10) while activating “AutoThreshold” (7) simultaneously. When the familiarisation is finished the test will automatically start.
AD229e Operation Manual Page 24
C) Select the "Auto Threshold” (7) to start the test.
When all frequencies have been tested the test automatically
continues on the other ear. However, if audiometric data are already present for this other ear the test will not be continued as this would delete the previously entered data without warning.
To view the thresholds stored, hold down "shift" (10) while activating “disp thr” (5). The thresholds for the various frequencies will now be displayed on the LCD. To get back to normal mode, hold down “shift” (10) and “disp thr” (5) again.
In the setup item no. 3 you can choose to have some of the frequencies deactivated in the Auto Threshold mode.
Please note: In setup item no. 7 the Hughson Westlake threshold test can be set up to run with 2 correct responses out of 3 or 3 correct responses out of 5.
In the setup item no. 6 the Auto Threshold test can be
changed from “HW” to “Békésy” (and “OSHA” in USA versions). This gives the operator the option to choose which threshold test that he wants to power up when Auto Threshold is activated.
AD229e Operation Manual Page 25
Auto Threshold OSHA This test is available in the USA version only. OSHA (Occupational Safety and Health Association) is an automatic pure tone test procedure. Threshold is defined as 2 out of 3 (or 3 out of 5) correct responses at a certain level in a 5 dB increase and 10 dB decrease test procedure. First the test procedure will automatically find the hearing threshold at 1000 Hz followed by 500 Hz. Hereafter the hearing threshold at 1000Hz is being re-tested in order to verify the stability of the response. If the stability of the response is accepted the test procedure will continue testing the remaining standard audiometric frequencies.
Instruct the patient that he will hear tones with different frequencies and that he is supposed to push the patient response button whenever a tone is audible to him.
Before the OSHA mode is entered the wanted stimuli must be
chosen.
AD229e Operation Manual Page 26
A) Select desired test ear in (11) (12).
B) Select “fam” if you want to familiarise the patient with the
procedure by holding down "shift" (10) while activating AutoThreshold (7). When the familiarisation has been succeeded, the test will automatically start.
or
C) Select the "Auto Threshold” button (7) to start the test.
When all frequencies have been tested the test automatically
continues on the other ear. However, if audiometric data are already present for this other ear the test will not be continued, as this would delete the previously entered data without warning.
To view the thresholds stored hold down “shift” (10) while activating “disp thr” (5). Then activate the “Auto Threshold” button (7). The thresholds for the various frequencies will now be displayed on the LCD.
To get back to normal mode, deactivate the “Auto Threshold” button
(7). Then hold down “shift” (10) while pressing “disp thr” (5) again.
In the setup item no. 4 you can choose to have some of the frequencies deactivated in the Auto Threshold mode.
Please Note: In the setup item no. 6 the OSHA test can be changed from “OSHA” to “Békésy” or “HW”. This gives the operator the option to choose which threshold test that he wants to power up when Auto Threshold is activated.
AD229e Operation Manual Page 27
ABLB Alternate Binaural Loudness Balancing is a test to detect perceived loudness differences between the ears. This is a possible test for recruitment when only one ear is expected to suffer from recruitment.
Instruct the patient:
- That he will hear tones alternating in his left and right ear. - That he is expected to press the response switch corresponding to the ear where the loudest tone is heard. - That only loudness and not character of the tone should be considered.
A) Select ABLB by activating “Stenger ABLB” (8 ) twice and set
the tone intensity to the poorer ear at a level 5 dB above threshold. Adjust the intensity of the tone for the other ear so the loudness levels match.
B) Increase the level to the poorer ear 20 dB and repeat test.
