Real Ear Measurement An Initial Fitting ProtocolProduct Availability: Propel, Propel Tinnitus.

Required Inspire 1. Connect hearing aids to the fitting computer via the

appropriate programming accessories2. Auto Path launches automatically when hearing

aids that have not been previously read are detected by Inspire

3. Ensure all icons are checked and highlighted in orange

4. Click Next to start the routine5. Follow all onscreen prompts6. Make sure Receiver Matrix and Acoustic Options

selection in Inspire match the device configuration to accurately reflect the frequency response, (if applicable).

7. Choose the Voice Language for Indicators8. Click Next9. Select Experience Level 310. C

lick Close to exit Auto Path and open Quick Fit

Fitting Target11. I

nspire software defaults to a Starkey proprietary fitting formula called E-Stat, which is based on NAL – NL1.

12. To change the default fitting formula choose Preferences and Target from the top menu bar.

13. A full list of available fitting formulas will be displayed – all those that are ticked are available in the Quick Fit screen.

QuickFit

Programming cables and connectors spreadsheet is available via Inspire Online

Auto Path protocol varies based on product family and technology level

Select Experience Level 3 for patients experienced with amplification

Select Experience Level 1 for patients new to amplification

Inspire Auto Path

14. To change the Default formula select the preferred formula under Select Default Formula

Recommended settings for REM15. S

et FrequencyTrax to OFF16. S

et microphones to OMNI DIRECTIONAL17. I

n Unity use ISTS stimulus18. I

n Aurical use unmodulated speech noise or ISTS on FreeFit

19. Ensure the device type is selected on your REM equipment. N.B. if RIC is not an option choose ITC to best mimic receiver placement.

To turn off FrequencyTrax20. C

lick on FrequencyTrax on the left navigation bar21. C

lick on the Memory Tabs in the lower corner of the frequency response graphs to enable or disable FrequencyTrax per memory

To change to omni-directional microphones22. C

lick on Noise Control on the left navigation bar23. C

lick on the Memory Tabs on the top right of the screen to alter the microphone per memory

24. Select Omni from the drop down box under microphones

Adjusting to target gains25. C

lick on Fine Tuning on the left navigation bar26. S

elect Table View on left Navigation bar27. E

xpand the table to a full channel view if required by clicking on the plus sign in each of the Low, Mid and High boxes.

28. Click on parameters you wish to adjust, selected parameters are highlighted in green.

29. Use the up and down icons to make adjustments to the selected parameters. The middle will adjust binaurally the red will adjust just the right and the blue just the left.

30. To view the compression ratios select CR at the bottom left of the screen.

User Settings after REM31. A

fter REM remember to return to Noise Control and FrequencyTrax screens using the left navigation bar to enable the directional microphones and frequency lowering technology as required.

32. QuickFit on the left navigation bar will allow you to set Experience Level as required after REM.

33. On QuickFit screen Click on the User Control Configuration icon to enable the user control as memory, volume control, or both. (Propel Tinnitus also offers an adjustment for the tinnitus level)

34. Enable Memory 4 as the preferred automatic telephone response via the memory tabs in lower corner of the frequency response screen

Fitting Summary35. S

elect Fitting Summary from the left navigation bar36. H

over over any screen label to highlight the hyperlink37. C

lick on the hyperlink to navigate to the adjustment screen if needed

38. Enter detailed Fitting comments and save or print to the patient’s file if required.