ERO•SCAN™ Pro - Maico Diagnostics
ERO•SCAN™ Pro - Maico Diagnostics
ERO•SCAN™ Pro - Maico Diagnostics
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Diagnostic OAE-Tympanometry<br />
Combination System<br />
<strong>Pro</strong><br />
ERO•SCAN<br />
• 3 tests with one probe fit<br />
• Electronic medical records (EMR), ready<br />
• Link results to patient's electronic chart<br />
with EroScan <strong>Pro</strong> software<br />
EroScan <strong>Pro</strong> Pictured<br />
by <strong>Maico</strong> <strong>Diagnostics</strong><br />
www.maico-diagnostics.com
Otoacoustic Emissions (OAEs)<br />
Otoacoustic emissions are sounds that are produced by the<br />
cochlea (outer hair cells) and can be measured in the ear canal.<br />
When sound passing through the ear canal reaches the cochlea,<br />
the vibration stimulates thousands of tiny hair cells. This creates<br />
a byproduct that can be detected and measured: otoacoustic<br />
emissions. OAEs only occur in a normal cochlea with normal<br />
hearing sensitivity. If there is damage to the outer hair cells,<br />
which produces hearing loss, then OAEs will not be present. In<br />
general, OAEs will be present if hearing is at 30 dB or better.<br />
www.maico-diagnostics.com
<strong>Pro</strong><br />
ERO•SCAN<br />
Why are OAEs Clinically Valuable?<br />
OAEs are widely applied in pediatric and adult patient populations<br />
for a variety of reasons. OAEs are an index of outer hair cell activity.<br />
Because of their dependence on normal cell metabolism, almost all<br />
insults to the cochlea first affect the outer hair cells. For example,<br />
vascular, noise damage or hypoxic cochlear deficits will be invariably<br />
reflected by reduced OAE amplitude. Therefore, assuming normal<br />
middle ear function, OAE abnormalities provide early and compelling<br />
evidence of cochlear (outer hair cell) dysfunction. Additional clinical<br />
advantages of OAE are:<br />
• Brief test time: Usually less than a minute per ear<br />
• Relatively simple technique: Little training is required<br />
• Objective: Unaffected by attention, cognition, cooperation<br />
• Independent of age: OAEs can even be recorded from<br />
newborn infants<br />
• Ear specific: Test results for each ear<br />
• Frequency specific: Information for many individual frequencies<br />
• Test up to 10 frequency bands as close as 100 Hz apart<br />
Clinical Applications of OAEs<br />
Given their sensitivity to cochlear dysfunction, and the clinical<br />
advantages, it’s not surprising that OAEs are useful in auditory<br />
assessment of diverse patient populations. One of the most<br />
common applications of OAEs is screening persons at risk for<br />
hearing impairment. OAE screening outcome is generally<br />
described as either “Pass” or “Refer.” A pass outcome is<br />
reported when OAEs are present (≥ 6 dB above the noise floor)<br />
for the majority of test frequencies. Although the presence of<br />
OAEs does not always indicate normal hearing sensitivity, a<br />
pass outcome rules out serious degrees of hearing loss. A refer<br />
OAE screening outcome should be viewed as a clear risk factor<br />
for hearing loss that could affect communication. Patients who<br />
yield a refer outcome for OAE screening should be referred for<br />
diagnostic hearing assessment, and possible audiological or<br />
medical management.
OAE Say Hello to Tympanometry<br />
Ero•Scan <strong>Pro</strong><br />
As a non-invasive test, tympanometry can quickly and easily be performed on<br />
patients of any age, from infants to adults. The objectivity of tympanometry<br />
means the results are not dependant upon a response from the patient.<br />
Advantages of Tympanometry:<br />
• Middle Ear evaluations<br />
• Objective test method<br />
• Test patients of any age<br />
• Documented test results<br />
Features of Ero Scan <strong>Pro</strong>:<br />
• Print to thermal paper, PDF, or 8.5 x 11 PC printer<br />
• Customizable settings and protocols<br />
• Optional patient management database<br />
• Sequenced protocols permit a full test battery<br />
www.maico-diagnostics.com<br />
Choose test to run (ie, linked OAE & Tymp)<br />
OAE “PASS” Result<br />
Tymp “PASS” Result<br />
OAE “REFER” Result<br />
Review Result<br />
EroScan <strong>Pro</strong> Screen Shots
The EroScan <strong>Pro</strong> is the only system that has<br />
the capability of linking DP & TE protocols for<br />
diagnostic cochlear mapping.<br />
The only OAE system that has the option of<br />
adding tympanometry in both 226Hz and<br />
1000Hz, probe tones.<br />
DPOAE/ TEOAE/TYMP<br />
• OAE and Tympanometry are completed in as little<br />
as 20 seconds<br />
• Intuitive interface for fast, easy operation<br />
• Advanced diagnostic capabilities<br />
• One probe fit, three tests; (CPT codes) 92567, 92587 &<br />
92588. Run three tests without taking probe out of the<br />
patient’s ear<br />
Portability<br />
The EroScan <strong>Pro</strong> hand-held unit runs on batteries and allows<br />
you to move from room to room. The probe also makes it<br />
easy to maneuver around the head of your patient to attain<br />
a tight ear seal.<br />
<strong>Pro</strong>tocols<br />
• Normative data included<br />
• Approved, verified protocols can be customized<br />
• Open templates that can be customized<br />
• Multiple customizable test protocols<br />
<strong>Pro</strong>tocols Screen Pictured<br />
<strong>Pro</strong><br />
ERO•SCAN<br />
Managing Data and Print Results<br />
Managing patient reports and tracking data is easy<br />
with the optional database. Selectable print options,<br />
are easily commanded by the push of one button.<br />
• Compatible with EMR via PDF<br />
• 8.5 x 11 full color PDF<br />
• Full page to PC printer<br />
• Customize report with office header information<br />
• Thermal paper print
<strong>Pro</strong><br />
ERO•SCAN<br />
Reimbursement<br />
Otoacoustic emissions are reimbursable using the Current<br />
<strong>Pro</strong>cedural Terminology (CPT) codes. To date, health care<br />
reimbursement has varied in terms of cost per test but no<br />
problems have arisen if the appropriate codes are utilized.<br />
The most typical CPT code for OAE screening is:<br />
92587:<br />
Evoked otoacoustic emissions; limited (single stimulus<br />
level, either transient or distortion product). This is the most<br />
typical code and would be considered a screening code or<br />
sampling of the cochlea.<br />
92588:<br />
Comprehensive or diagnostic evaluation (comparison of<br />
transient and/or distortion product otoacoustic emissions<br />
at multiple levels and frequencies). This is for diagnostic<br />
OAE testing, or mapping of the cochlea.<br />
92567:<br />
Tympanometry<br />
Conforms to IEC 601-1.<br />
ERO•SCAN is a trademark of ETYMOTIC RESEARCH, INC. Printed in the USA<br />
U.S. Patent #5,954,669; 6,299,584; 6,702,758; 6,056,698; 6,331,164; 7,050,592; 7,269,262,164 Other Patents Pending<br />
www.maico-diagnostics.com
Printer Kit #589-10 Cradle #589-2<br />
USB #1025-2088<br />
OAE External <strong>Pro</strong>be<br />
#589-1<br />
<strong>Pro</strong>be Tips (internal)<br />
#589-4<br />
Eartip Kit<br />
#589-7<br />
Patient Management<br />
Software<br />
(Includes Patient Management Manual)<br />
#589PM<br />
Printer Paper #586-8<br />
(adhesive or non-adhesive)<br />
Tymp/OAE<br />
External <strong>Pro</strong>be<br />
#589-3<br />
<strong>Pro</strong>be Tips (external)<br />
#589-5<br />
Carrying Case<br />
(optional accessory)<br />
#589-11<br />
Ero Scan <strong>Pro</strong><br />
Operation DVD<br />
#5577<br />
Parts & Accessories<br />
The ERO•SCAN <strong>Pro</strong> OAE System is available in three<br />
configurations: Screener, Standard and Clinical System<br />
PRODUCT FEATURE SCREENER STANDARD CLINICAL<br />
Internal OAE <strong>Pro</strong>be Y Y Y<br />
External OAE <strong>Pro</strong>be Y Y Y<br />
External Tymp <strong>Pro</strong>be Option Optional Optional Optional<br />
DPOAE/TEOAE DP or TE DP or TE DP and TE<br />
SYSTEM FEATURES SCREENER STANDARD CLINICAL<br />
Sequenced <strong>Pro</strong>tocols Y Y Y<br />
Quick-print to PDF Y Y Y<br />
Quick-print to PC Printer (8.5x11) Y Y Y<br />
Completely Portable Y Y Y<br />
Memory (# tests) Maximum 350 350 350<br />
Save Tests by Patient # Y Y Y<br />
Print Graphics and Numeric Data Y Y Y<br />
Date and Time on Printout Y Y Y<br />
Tests All Ages Y Y Y<br />
Printer Optional Optional Optional<br />
Patient Management Database<br />
w/ support for uploadng patient<br />
names to instrument<br />
Optional Optional Optional<br />
OAE FEATURES SCREENER STANDARD CLINICAL<br />
OAE Frequency Range (Hz)<br />
Maximum number of Test<br />
Frequencies or Bands Reported<br />
2-5 DP<br />
1.5-4 TE<br />
4 DP<br />
6 TE<br />
1.5-12 DP<br />
0.7-4 TE<br />
10 DP<br />
10 TE<br />
1.5-12 DP<br />
0.7-4 TE<br />
10 DP<br />
10 TE<br />
Default Pass/Refer Y Y Y<br />
# of OAE Test <strong>Pro</strong>tocols 2 Included 5 Included 5 DP, 5 TE Included<br />
Customizable Pass Criteria N Y Y<br />
Customizable Test <strong>Pro</strong>tocols N Y Y<br />
Customizable by frequency/range:<br />
stimulus intensity, P1/P2 ratio,<br />
averaging time, SNR for pass,<br />
minimum OAE amplitude<br />
Not Customizable Y Y<br />
Selectable Averaging Time Y Y Y<br />
TYMPANOMETRY OPTION SCREENER STANDARD CLINICAL<br />
<strong>Pro</strong>be Tone 226 Hz Y Y Y<br />
<strong>Pro</strong>be Tone 1000 Hz Y Y Y<br />
Default PASS/REFER Indicator & Box Y (226 Hz) Y Y<br />
Hide/Show PASS/REFER<br />
Indicator & Box<br />
Y Y Y<br />
Customizable Pass Criteria N Y Y<br />
# of Tymp <strong>Pro</strong>tocols<br />
2 (226 Hz)<br />
1 (1000 Hz)<br />
2 (226 Hz)<br />
1 (1000 Hz)<br />
2 (226 Hz)<br />
1 (1000 Hz)
Innovation,<br />
REV 9/10<br />
Continuity,<br />
Reliability,<br />
MAICO <strong>Diagnostics</strong><br />
7625 Golden Triangle Drive<br />
Eden Prairie, MN 55344<br />
Tel: 888-941-4201<br />
Fax: 952-903-4100<br />
Web: www.maico-diagnostics.com<br />
MAICO <strong>Pro</strong>duct Line:<br />
• Screening Audiometers<br />
• Diagnostic Audiometers<br />
• Middle Ear Analyzers<br />
• OAE Test Systems<br />
• PC Compatible <strong>Pro</strong>ducts<br />
• Newborn Hearing Screening<br />
This brochure contains only a small segment of the comprehensive<br />
product portfolio of MAICO. To find out more about other solutions,<br />
please contact us at:<br />
Telephone: 888-941-4201