PROGRAMMING GUIDE - Med-El

V IBR A N T S O U N DBRIDGE ®
The Implantable Hearing System
Amadé
PROGRAMMING GUIDE

VIBRANT

SOUNDBRIDGE
Content
How does the VIBRANT SOUNDBRIDGE work? 4
When should fitting take place? 4
Why is programming the VIBRANT SOUNDBRIDGE different from a hearing aid? 4
Preparation before programming 5
Start fitting the VIBRANT SOUNDBRIDGE – First Fit procedure 6
Programming the VIBRANT SOUNDBRIDGE 9
Different programs for different listening situations 9
Fine Tuning 12
Frequency Shaping 13
Compression 13
Speech / Sound 16
Microphone 17
Instrument settings 18
Frequently asked questions 19
Documentation and Printing of Fitting Parameters 24
Troubleshooting 25
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How does the VIBRANT SOUNDBRIDGE work?
TheVibrant Soundbridge ® (VSB) is an implantable middle ear hearing system. It opens
up new ways to make sound audible. It is a direct drive hearing system which provides
mechanical energy directly to a suitable vibratory structure of the ear, bypassing the ear
canal and the tympanic membrane.The amplified vibrations can be adjusted to optimally
compensate different kind of hearing losses.
The Amadé TM audio processor, which is externally worn, picks up sound via its two
microphones using digital signal processing and transmits the signal across the skin to
the implant.The implant sends the signal to the Floating MassTransducer (FMT), which
vibrates in response.The vibration is directly transferred to the inner ear via the FMT,
which is attached to a suitable vibratory structure of the middle ear. For patients with
sensorineural hearing loss, the direct-drive principle action of the FMT enables it to
replicate and amplify the natural movement of the ossicular chain, such that high frequency
gain is improved and distortion is virtually eliminated. In the case of conductive
or mixed hearing losses, the defective part of the external auditory canal or the
middle ear is bypassed, and the FMT directly transfers the vibration to the inner ear.
The Amadé audio processor has to be selected according to the implanted side.Therefore a right and a left version of
the Amadé is offered (markings are shown on the underside of the Amadé audio processor with ”R” for the right side
and “L” for the left side).The Amadé audio processor user manual explains how to wear the device to ensure the best directional
functionality.
When should fitting take place?
The first fitting of the Amadé should take place eight weeks after surgery.The post-surgery healing process may not always
be complete at the time of first fitting so that the initial results observed may not prove to be optimal. For this reason,
additional adjustments are usually necessary after the first fitting to accommodate further healing and experience
with the new sound delivered by the VSB.
Why is programming the VIBRANT SOUNDBRIDGE
different from a hearing aid?
The frequency response of theVibrant Soundbridge differs from that of a hearing aid. It
provides more high frequency gain, because it is not restricted by a loudspeaker with limited
bandwidth as in the case of hearing aids. As the signal delivered is relatively distortionfree,
high frequency gain is tolerated well by the user. Conversely, low frequency gain is
reduced relative to that provided by a hearing aid due to the resonance characteristics
of the FMT.The provision of less low frequency gain can be advantageous when background
noise occurs. However, in some cases the sound may be perceived to be quieter
than that provided by a hearing aid.
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VIBRANT

SOUNDBRIDGE
Preparation before programming
The Vibrant Soundbridge is programmed with the CONNEXX software and the HI-PRO interface with or without
NOAH. Please make sure that you have installed the VIBRANT MED-EL Symfit 5.0 Database before you start.
First you will need to select the correct magnet strength to secure the Amadé audio processor to the user’s head. Due
to variations in skin flap thickness, different magnet strengths are available.The Amadé should hold firmly onto the head
without creating a pressure point.The standard magnet strength delivered in the Amadé is magnet number 3. If the audio
processor sits too loosely choose magnet number 4, if it is held too firmly select number 2 or 1.
The Amadé audio processor has a door which covers the programming port and the battery to protect the connector
pins against dust and damage. Rotate the battery door anticlockwise until the position PROGRAMMING is reached.The
programming interface must be fully accessible. Carefully connect the programming cable 404 to the Amadé.The red mark
on the programming cable must be aligned with the notch on the audio processor‘s housing. Make sure that the battery
has sufficient power to last throughout the entire programming procedure.
To replace the magnet, first rotate the battery door anticlockwise until the position REMOVE DOOR is reached. Remove
the battery door by carefully lifting it from the housing.The magnet assembly can now be removed and the new one
can be placed in the Amadé. Make sure that the magnet is on the bottom and the plastic foam is facing towards the battery
door. If the battery door can not be placed in the housing, check if the alignment is correct. Finally close the battery
door completely. If necessary, push the battery down in the battery compartment, so that the battery door can move
over the battery.
Position PROGRAMMING Position REMOVE DOOR
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If you enter data for a respective patient for the first time, insert the patient’s audiogram for the ear that has been implanted
(either in CONNEXX or NOAH):
• In the case of a sensorineural hearing loss, use the patient’s air conduction threshold in dB HL.
• If pure tone UCL (uncomfortable level) values are present, enter the respective values using the UCL input button.
• In the case of conductive or mixed hearing losses use the patient’s bone conduction threshold in dB HL, but use the air conduction
input button to enter the data.
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VIBRANT
Start fitting theVIBRANT SOUNDBRIDGE
– First Fit procedure
Highlight the patient in the client list if data already exists or create
a new client (either in CONNEXX or NOAH). Press the Load
Client button or double-click on the client in the list after the patient
data is saved with the Save button.
Be sure that you are in “CONNEXX StandardFit” mode, which can
be seen in the upper right-hand corner of the CONNEXX window.
You can set the mode by selecting StandardFit in the View menu.

SOUNDBRIDGE
Press detect connected instruments in the toolbar or select Detect…
from the Fitting menu.
After CONNEXX has detected your connected audio processor, start
the First Fit Configurator by selecting Ok.
Select the appropriate Acclimatization level - the levels available are 1, 2,
3, and 4. Levels 1 to 3 have been modified to yield gain targets that are appropriate
for theVibrant Soundbridge, a direct drive device. Level 4 yields
prescription targets according to DSL I/O.The prescription target gain of
level 4 is formulated for an acoustic hearing instrument and should not be
used for the fitting of the Vibrant Soundbridge. Please note that although
levels 1 to 3 will yield targets that are more appropriate for a direct drive
device, individual user preferences may result in final gain and output
curves which differ from the first fit prescription.
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VIBRANT
• Level 1 should be chosen for an inexperienced hearing aid user.This
level will typically have the highest compression ratios.
• Level 2 should be chosen for a more experienced hearing aid user.
• Level 3 should be chosen for a very experienced hearing aid user, and
for someone used to linear amplification. This level will typically have
the lowest compression ratios.
• Level 4 should not be used as it is not optimized for theVibrant Soundbridge.
Note that even though the First Fit gain targets may not appear to be
significantly different between levels 1 to 3, the compression ratios and
knee points in each compression region will be significantly different.
Select DSL I/O* as Fitting Formula - NAL/NL1 is also available but has not
been modified to yield gain targets appropriate for a direct drive device.
Therefore, DSL I/O* should be selected.
Select the Number of active Programs – 1, 2, or 3 programs can be stored
within the Amadé’s memory to be used in different listening situations. First
Fit will be applied on the selected number of programs only.
The algorithm of the First Fit procedure differs from a hearing aid in that
theVibrant Soundbridge offers much more high frequency gain.Therefore,
we recommend selecting the First Fit settings and adjusting the response
so that it is comfortable for the user. Keep in mind that it may be too early
to obtain objective measurements as the healing may not be complete.
Note:To initialize the procedure and start the
fitting from the beginning, press the First Fit
button in the Basic Tuning task card or select
First Fit… from the Fitting menu once more.

SOUNDBRIDGE
Programming the VIBRANT SOUNDBRIDGE
The Basic Tuning is recommended:
• You can adjust the average loudness with the Master gain buttons.
• You can adjust the loudness for loud sounds, speech, soft sounds and the own voice of the Amadé wearer.
• You can change the Sound quality if the patient reports that it is too sharp or too muffled.
Different programs for different listening situations
For different listening situations, up to three programs can be activated. All Amadé parameters
can be modified and individually adjusted in every listening program, by switching to the
“Fine Tuning” control tab for the user’s convenience.
The following presets are available: Universal, Noisy Environment, TV / Music, Telephone
acoustically, Outdoor / Sports, and Privacy.
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Universal
The “Universal” program which is stored under slot 1 is automatically active after switching on the Amadé.The Microphone System
is set to omnidirectional. Speech and Noise Management as well as Sound Smoothing are set to medium, and the Wind-Noise
Reduction is set to maximum.
In slot 1 the program “Universal” is always active. Nevertheless you can change any setting within the program.
Noisy Environment
The program “Noisy Environment” is predefined in slot 2 and designed for noisy situations such as traffic, conversation in a large
group, restaurants, or similar noisy situations.
To provide speech intelligibility and comfort within these situations the Amadé parameters are modified as follows: the Microphone
System is set to directional.Additionally Speech and Noise Management are set to maximum attenuation, Sound Smoothing
is set to medium, and the Wind-Noise Reduction is set to maximum. Furthermore the channel gains are reduced in the lower
frequency range as well as the gain for loud sounds for the whole frequency range.
TV / Music
The program “TV / Music” which is the predefined program for slot 3 is primarily intended for listening to music but also for
TV applications. It is aimed to provide a natural, wide band sound for the Amadé wearer.
To achieve this goal Wind-Noise Reduction is turned off. In addition the Sound Smoothing system is turned off for this particular
acoustical environment.The overall gain is also increased, especially in the low and high frequency range, to provide more
bandwidth and sound quality.The time constants of the compression are set to high values (dual) and the Microphone System
is set to omnidirectional. Speech and Noise Management are set to a medium attenuation.
Telephone acoustically
The program “Telephone acoustically” is intended for telephone applications. It is aimed to provide speech intelligibility for the
narrow band telephone signal.
Hence the amplification in the middle frequency range is increased and decreased in the very low and very high frequencies.
The Microphone System is set to omnidirectional,Wind-Noise Reduction is turned off and “medium” is set for Speech and Noise
Management as well as for Sound Smoothing.
Outdoor / Sports
The program “Outdoor / Sports” is predominately intended for outdoor activities, such as cycling, and eliminates disturbing wind
noise.
To achieve this goal a maximum Wind-Noise Reduction is used and the Microphone System is set to omnidirectional characteristics.
Additionally the amplification in the lower frequency range is reduced, with the Speech and Noise Management and
Sound Smoothing being deactivated.
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VIBRANT

SOUNDBRIDGE
Privacy
The program “Privacy” is intended for all applications where the Amadé user does not wish to be disturbed by environmental
sounds. Hence the amplification is decreased by 9 dB for the whole frequency range.The Microphone System is set to omnidirectional
and the Speech and Noise Management and Wind-Noise Reduction are deactivated.The Sound Smoothing algorithm
is set to its maximum impact in this program.
If more specialized optimization is required, use Fine Tuning.
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Click the individual program on the left and/or right margins of the programming screen to
change its predefined settings.The activated program will appear enlarged compared to the
other programs, indicating that it is the currently selected program when modifying parameters
within CONNEXX.
A modified program will appear with the extension “(modified)” within the program selection
tab. Predefined programs are not changed.
The patient can switch between the individual programs by pushing the Change Program Button.
Approximately two to four weeks after the first fitting, it may be necessary to optimize the response
of the Amadé, as the user may be slowly adapting to the new high frequency transmission.
The first objective measurements should also be obtained at this time.
Fine Tuning
Changing the view with the eyeglass control
VIBRANT
With the eyeglass control the view options can be adjusted. By default, a single handle (combining
all 16 channels) fitting is selected, and the gain of all 16 channels will change simultaneously.This
single handle can be split into 2, 4, or 8 channels for a more precise tuning of the individual
channels. Just click on the eyeglass symbol to modify the view options.

SOUNDBRIDGE
Frequency Shaping
16 channels with high selectivity and high resolution of the frequency response allows
for a precise tuning (in steps of 1 dB) of the curved response to the client’s
hearing loss.
The Maximum Power Output (MPO) level is adjustable using a cursor which has
8 positions ranging from 0 to -21 dB, in 3 dB steps.The number displayed next to
the control indicates the reduction regarding the maximum output. Signals which
would exceed the selected values are attenuated by a fast AGC-O. An additional
slider position is PC (Peak Clipping). Here, only the wide band PC limits the output
level.The global dynamic range is maximal but there is distortion at high levels.
This fitting is only recommended for users who suffer from a severe hearing
loss or have previously been fitted with a linear hearing aid.
The adjustment of the MPO takes into account the uncomfortable level (UCL)
threshold of the hearing impaired. If the UCL is not measured, tabulated values are
used.
Please note:
Depending on the Amadé variant used, the VSB has a maximum output of 110
dB. If the user does not suffer from hyper recruitment, they should tolerate the
setting of 0 dB. Every reduction of the output will dramatically reduce the dynamics
of speech.Therefore, 0 dB should always be the initial setting, even when
it is not selected by the preset algorithm.
Compression
After the microphones, the AGC-I (High Level Compressor) will avoid all distortion for high input levels.The amount of compression
required varies at different frequencies depending on the patient’s dynamic range. Eight independent compression channels
allow us to have more flexible fine tuning adjustments.The compression areas are defined as follows:
compression area 1 2 3 4 5 6 7 8
frequency range [Hz]
100 -
350
350 -
550
550 -
900
900 -
1400
1400 -
2250
2250 -
3500
3500 -
5600
5600 -
8000
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The view options can be adjusted using the eyeglass control.
Note that controls within this category are interdependent, i.e. changing
the gain for soft sounds will also result in updated values of compression
knee point and compression ratio as well as the gain in the respective
equalizer bands and vice versa.
You have two possibilities to set the compression for the individual
channels. Both methods are equivalent:
Method 1:
Level-dependent gains:You can adjust the gain for soft sounds (equals
an input level of 40 dB SPL).
To adjust the amplification for input signals of 90 dB SPL, the gain for
loud sounds (equals an input level of 90 dB SPL) can be changed.
In case that the limit of a control is reached, the control will be displayed
in grey.
Method 2:
If you prefer to change the compression settings directly, you can adjust
each channel independently following three different axes: Static,
dynamic, and temporal. A double-click on the values opens a pop up
list where you can select the desired settings.

SOUNDBRIDGE
Static: To select the Compression Kneepoint (CK)
By double-clicking the value of the Compression Kneepoint, a
dropdown menu opens. A lower CK setting enhances the audibility
for soft sounds and can be used for users with good speech
intelligibility. You will need to increase the CK for downward sloping
losses; the CK for the low frequency compression bands is set
slightly higher than that for the high frequency band.
Dynamic: To select the Compression Ratio (CR)
This allows us to compensate for users who have a reduced dynamic
range in the different frequency bands.A good compression
system is very important to ensure that loud sounds are not uncomfortable.
By double-clicking on the value a dropdown menu
opens with possible settings. The compression for an individual
channel can be deactivated by selecting a Compression Ratio of
“1.00” or setting the Compression Kneepoint to “Off”.
Temporal: To select the type of the compression
You can choose between dual compression and syllabic compression
which is selected by double-clicking for each compression
channel independently.
Dual (double temporal component compression)
Dual compression operates with both a fast and a slow level
meter. The fast level meter provides an immediate reduction in
gain for higher-level impact sounds.The fast attack time is 5 ms.
The second level meter with 900 ms attack and 1400 ms release
time provides gain adjustments based upon the average level of
the incoming signal. In this way the Amadé operates with a quasi
automatic gain control, while at the same time preserving speech
dynamics essential to understanding, without allowing uncomfortably
loud peak levels.
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Dual compression follows the overall speech level, and limits distortion. For users who suffer from mild recruitment (mild to
moderate hearing loss), dual compression protects the temporal contrast of their own voice.
Syllabic (or fast compression)
Syllabic compression adjusts the gain for instantaneous fluctuations that occur within speech. It operates with a fast level meter
using an attack time of 10 ms and a release time of 100 ms. It should be used in frequency bands where a patient is present
with a strongly reduced dynamic range (moderate to severe hearing loss) which is more common in the high frequencies. In
this case it is preferable to select syllabic compression for the compression areas five to eight.
The attack and release time of syllabic compression are fixed.
Speech / Sound
These tools allow setting the Speech and Noise Management, Sound
Smoothing,Wind-Noise Reduction, and Feedback Cancellation which
both help the impaired cochlea to deal with frequency and temporal
distortion, and in addition are supportive in different environmental situations.
Speech and Noise Management is an adaptive algorithm following the
currently detected noise that maximizes both the hearing comfort
and the speech intelligibility for each acoustical situation.This means
that speech signals are emphasized while interfering noises such as
traffic noise or air conditioning are suppressed. If the checkbox is enabled
you can select between med (noise attenuation of 8 – 15 dB)
and max (noise attenuation of 12 – 24 dB) noise attenuation.
Sound Smoothing guarantees high listening comfort. The algorithm
detects loud sounds with a sudden onset (like clattering dishes, rustling
paper, or slamming doors) which are annoying for hearing impaired
people. Sound Smoothing eliminates only these sounds without affecting
speech or soft impulsive sounds to maintain the naturalness of
sound.You can select between med (medium Sound Smoothing) and
max (maximum Sound Smoothing). The two settings differ with respect
to the amount of attenuation of impulsive sounds.

SOUNDBRIDGE
Wind-Noise Reduction is useful in special listening situations where wind generates unwanted noises in the Amadé.The reason
for this fact is that the openings for the microphone ports can generate turbulences.
The Wind-Noise Reduction algorithm evaluates the amount of wind noise at the housing openings of the microphones. In case
of present strong and therefore annoying wind noise the gain in the low frequencies is reduced proportional to the wind speed
and the microphone system is switched to omnidirectional.You can select between med (medium Wind-Noise Reduction) and
max (maximum Wind-Noise Reduction).
Feedback Cancellation enables a feedback reduction system which continuously analyzes the feedback path of the Amadé and
subtracts the unwanted feedback, if feedback is present. If enabled, the selection can be made between slow and fast base setting:
Slow base setting is optimized for maximum sound quality, fast base setting is optimized for maximum effective gain.
Please note: For a VSB user it is very unlikely that feedback occurs.Therefore, Feedback Cancellation is deactivated for all
predefined listening situations.
Microphone
The Amadé audio processor has a dual microphone system which
can be set to Omnidirectional or Directional. In omnidirectional
mode, sounds from all directions are processed equally.
In directional mode, sounds coming from the front of the Amadé user
are amplified over sounds coming from the back.
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Instrument settings
The loudness of both alert tones can be set in 5 dB steps from 30 dB to 100 dB.
Alert tones (all programs)
In order to inform the audio processor wearer about an adjustment
of the user control, two alert tone types can be enabled.The beeps
can be activated to indicate the following situations:
• Information about Program change:The number of beeps depends
on the selected program, e.g. one beep indicates program 1.
The frequency of the alert tones can be adjusted for optimal audibility
and set to 250, 500, 750, 1000, 1500, 2000, 3000, 4000, or
6000 Hz.
• Low Battery beep: Indicates that the battery has to be replaced.
The low battery beeps are longer than the program change beeps
and their frequency is 250 Hz below the program change beeps.
The beep occurs 20 seconds after the battery supply voltage falls
below a defined threshold, subsequently every five minutes.
To demonstrate the Program change beeps in Fine Tuning, select Instrument Settings and press the Play alert tone button.
Please note: Enabling the checkbox of an alert tone in one program affects all activated listening programs.The beep frequency
and loudness of the alert tones can be changed independently for each program.
Power Management
In case that the battery supply voltage falls below a defined threshold, the Amadé goes into a power management state with
18 dB reduced output.The Amadé can still be detected via HIPRO in this case, but CONNEXX will ask you to replace the battery
before you can continue with the fitting.

SOUNDBRIDGE
Frequently asked questions
Critical Gain Measurement
Since one of the benefits of the Vibrant Soundbridge is reduced feedback, it is unlikely that the user will experience feedback.
Nevertheless, if feedback occurs after activation the Feedback Cancellation system can be activated within the Speech / Sound
settings. Furthermore programming adjustments can be made to eliminate it.
A suggested adjustment strategy is to start by increasing the knee point a few steps in compression band 8. If the feedback level
stays the same, bring it back to the initial position and try the same strategy with the next compression band 7. Continue until
you have identified which band creates the feedback.
Note that this is the recommended manual procedure. Additionally, an automated Anti-Feedback analyzer is available by
selecting Critical Gain Measurement … in the Fitting menu.
Start Measurement generates an
impulse sound across the whole
frequency range for the programs
that have been selected. This impulse
sound is deciphered and analyzed
by the microphones.
Select Optimise to apply the
recommended settings.
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Store and recall hearing instrument settings
When you want to store Amadé settings for quick access for later use,
select Store Settings... in the Edit menu, or press the highlighted button
in the toolbar.
The following dialog box appears:
1. The hearing instrument type and date/time are automatically entered
and cannot be altered.
2. Activate the checkboxes for the program settings that you want to
store for the displayed Amadé.
3. You can also add a Comment relating to this setting in the text
field at the top of the menu of Amadé settings.
4. Press the Store button to acknowledge storage of the hearing instrument
setting. The hearing instrument setting shown on the
screen is stored permanently in the client’s data form.
5. Or press the Cancel button to return to the main CONNEXX
window.The setting is not stored.
For evaluation purposes, it may sometimes be useful to compare the
currently used Amadé settings with a previously made fitting. When
you want to recall Amadé settings that you have previously stored, select
Recall Settings... in the Edit menu or press the highlighted button
in the toolbar.
The following dialog box appears:
1. To select a hearing instrument setting from the menu, click on the
desired setting.
2. Each time you select an Amadé setting, the gain curve for that instrument
is displayed as a preview.
3. Click the Delete button to delete the hearing instrument setting
selected (only programs with marked checkbox will be deleted) in
the dialog box.The setting cannot be recovered later.
4. With the Program selected settings button, you immediately program
the hearing instrument settings (only programs with marked
checkbox will be programmed) into the connected Amadé without
leaving the dialog box.
5. Press the Ok button to update the selected Amadé setting onto
the screen.
6. Pressing the Cancel button closes the dialog box, and the working
area remains unchanged.

SOUNDBRIDGE
Save a session
To save a completed hearing instrument fitting and all associated data,
select Save Session... in the File menu, or click the highlighted button
in the toolbar.
The dialog box for storing the fitting will appear:
1. Session Comment: Enter a comment for this fitting.This comment
will appear later in the session list. Completion of this field is optional.
2 Measurements / Fitting: Select the data you wish to store for this
fitting by checking Audiogram, Right Hearing Instrument and/or
Left Hearing Instrument. New data since the last saved session
will be automatically selected. If no data is available, certain selections
may not be active. If data for a particular section has not been
modified, the box will not be checked, but can be selected if you
wish.The input fields Manufacturer and Hearing Instrument are
automatically filled in and cannot be changed. Enter the serial
numbers of the hearing instruments in the input field Serial Number,
if desired.
3. Ok: The selected fitting data are stored and are available for later
use. The Ok button cannot be selected if no data has been
selected.
4. Cancel: The dialog box is closed and data is not saved.
Mute button
Click on the loudspeaker symbol in the lower toolbar to mute the
Amadé. Press the button a second time to unmute the Amadé.
Program link
To apply a change in one program to all active programs click on the
marked button.
Binaural link
For bilateral Amadé users with symmetric hearing loss you may want
to change a setting for both audio processors simultaneously. Click on
the marked button to be able to apply a change in one program to
the respective program on the contralateral ear at the same time.
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Import and Export of client data
With the help of this tool you can import and export client data. Start
the tool by selecting Client DB Import/Export … from the File menu.
Export client data:
Based on the saved client data you can export them by choosing between
one, several or all entries.With the Show all button you can display
the whole list of clients saved on the current workstation to select
entries.
Typing in one or more letters in the field Lastname, you can search for
a specific client’s last name.Alternatively or additionally you can use the
field Firstname to search for a specific client by first name or a combination
of first and last name. Use the Search now button to search
for the specific client.
The Select all clients checkbox provides the possibility of selecting all
displayed clients by clicking once to export their data. Press Shift and
select the first and last entry within the list to select adjacent entries
(or a continuous block).Alternatively, use the Control key to select individual,
non adjacent items in the list.
The Client database location displays the path of the used database.
To define the location to save the exported data, insert the corresponding
file path and file name in the field Export client data to file.
After you have selected at least one entry you are able to start the export
process by pressing the Export button.
In a subsequent step, the type of export has to be defined:
• Export data for standalone use: SHS compatible data will be exported.
NOAH import is not possible with this format.
• Export data for use in NOAH: NOAH compatible data will be exported.
You have to type in your NOAH user ID.

SOUNDBRIDGE
Import client data:
Client data can be added to the database via the import function by
clicking on Import client data from file, navigating to the file’s location,
and selecting the appropriate file. The Client database location displays
the database to which the new data will be added.
If an NHA file is selected, then the whole list of clients, which will be
added by the import process, is shown in the list field. Click the Import
button to start the import process.
What to do in case an Amadé audio processor is not correctly detected
Hearing instrument is not recognized
You have read out the connected Amadé audio processor via HIPRO.
The error message Hearing instrument not supported by CON-
NEXX appears.This means first of all that communication with HIPRO
and the Amadé is OK. However, CONNEXX was unable to find the
hearing instrument in the hearing instrument database.
Check if the correct audio processor database is installed. Call up the
item Info about Database... in the CONNEXX Help menu.The installed
hearing instrument databases and their version numbers are
displayed.The opened pop-up window should contain the following line:
- VIBRANT MED-EL: SYMFIT 5.0
If you have a Symfit database with a lower revision number installed,
the connected audio processor cannot be detected correctly. In this
case close the CONNEXX application and install the Symfit database
version 5.0.
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VIBRANT
Documentation and Printing of Fitting Parameters
You can select Documentation in the View menu, or select the task card Documentation at the bottom.The following screen
appears:

SOUNDBRIDGE
The following functions are available in Documentation mode:
Print Report:
You can enter the Serial Numbers for the Amadé audio processors, select Tone Audiogram, Hearing Instrument Parameter,
and Target Gain to be printed out or not.
Choose Fitting Date, Print Date, Program(s) per page and enter Comment and the name of the Clinician, if desired.
Click the desired Print Report button: selected items will be printed out.
To view the print options and Amadé settings of the client before printing, select the item Print Preview in the File menu while
you are in the Documentation task card.
The dialog box for selecting print options opens.This dialog box displays the desired print selections page by page.You can view
other pages by clicking the buttons Previous Page and Next Page.
These buttons only appear, however, if the document comprises of more than one page.
Close the dialog box with the Print buttons or End preview.
Print sends the document to the printer.
End preview closes the window without printing.
Troubleshooting
In addition to the information found in this Programming Guide,
the Fitting Assistant, available in the Symfit software, provides fitting
and troubleshooting suggestions. Start the assistant by selecting Fitting
Assistant… from the Fitting menu.
The Audio Processor Adapter is available from VIBRANT MED-EL.
It can be used to conduct a listening check and subjectively assess
the functionality and sound quality of the Amadé audio processor.
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28079
MED-EL GmbH Niederlassung Wien
office@at.medel.com
MED-EL Deutschland GmbH
office@medel.de
MED-EL Deutschland GmbH Büro Berlin
office-berlin@medel.de
MED-EL Unità Locale Italiana
ufficio.italia@medel.com
VIBRANT MED-EL France
office@fr.medel.com
MED-EL GmbH Sucursal España
office@es.medel.com
MED-EL GmbH Sucursal em Portugal
office@pt.medel.com
MED-EL UK Ltd
office@medel.co.uk
MED-EL Deutschland GmbH Office Helsinki
office@fi.medel.com
MED-EL Corporation (North America)
implants@medelus.com
MED-EL Latino America S.R.L.
medel@ar.medel.com
MED-EL Middle East FZE
medeluae@emirates.net.ae
A R E A A D D R E S S E S �
MED-EL India Private Ltd
implants@medel.in
MED-EL Hong Kong
office@hk.medel.com
MED-EL Philippines HQ
office@ph.medel.com
MED-EL China Office
office@medel.net.cn
MED-EL Thailand
office@th.medel.com
MED-EL Malaysia
office@my.medel.com
MED-EL Singapore
office@sg.medel.com
MED-EL Indonesia
office@id.medel.com
MED-EL Korea
office@kr.medel.com
MED-EL Vietnam
office@vn.medel.com
MED-EL Japan Co., Ltd
info@medel.co.jp
MED-EL Liaison Office Australasia
office@au.medel.com
V I B R A N T M E D - E L
Hearing Technology GmbH �Worldwide Headquarters �Fürstenweg 77 �A-6020 Innsbruck (Austria)
Tel: +43-(0)512-28 88 89 �Fax: +43-(0)-512-28 88 89-299
www.medel.com �www.vibrant-medel.com �vibrant@medel.com