Advanced Bionics Sky CI M90 User manual

Sky CI™M90 Sound Processor
User Guide
English, Français, Español, Deutsch, Nederlands, Italiano

1
Symbols Table
Labeling symbols and their meanings:
European Community Mark of Conformity. Authorized to
ax the CE Mark in 2021
X
XXX-XX-XX
Date of Manufacture
Manufacturer
Model number
Serial number
LOT number
European authorized representative
Unique Device Identifier
Medical Device
Type of Protection: BF
Suitable temperature range for transport and storage
See Instructions for Use
Fragile
Suitable relative humidity range for transport and storage
Caution (refer to “Cautions & Warnings” section for fur-
ther information)
Dispose of in accordance with applicable national and
local regulations
MR Unsafe
IPXX Ingress Protection Rating
0123
MD

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Table of Contents
Precautions, Cautions, and Warnings ��������������������������������������� 3
Introduction���������������������������������������������������������������������������������� 8
The Sky CI M90 Sound Processor ��������������������������������������������� 8
Compatibility Information ����������������������������������������������������������������������� 10
How to Use your Sky CI M90 Sound Processor ������������������������������������� 11
Information about Sky CI M90 Accessories���������������������������� 26
M Batteries and M Battery Charger�������������������������������������������������������� 26
Slim HP, Slim HP Mic, and Slim HP AquaMic����������������������������������������� 28
M Zn Air Battery Pak ������������������������������������������������������������������������������ 32
M Waterproof Battery ����������������������������������������������������������������������������� 38
M Wearing Clip, M Snuggie, and M Retention Cu�������������������������������� 45
M Listening Check���������������������������������������������������������������������������������� 50
AB Remote Mobile Application �������������������������������������������������������������� 55
Caring for Sky CI M90 and Accessories���������������������������������� 56
Disposing of Sky CI M90 and Accessories ����������������������������� 57

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Precautions, Cautions, and Warnings
• This device should be used only by the individual for whom it is
prescribed.
• CHOKING HAZARD: Contains small parts that pose a hazard of
inhalation, choking, or ingestion. Using your sound processor and
accessories contradictory to their intended use (e.g. mouthing,
chewing) may cause bodily harm. If any parts are swallowed or
inhaled, consult a physician or hospital immediately.
• Ensure appropriate supervision when child is wearing the Sky CI™
M90 sound processor and accessories. Do not allow children to play
with or leave them unattended with the sound processor or any of its
accessories.
• Power supplies and battery chargers should be operated in an
open area to ensure adequate airflow. While no injury cases have
resulted, components may become hot during normal use or a fault
condition. If the device’s temperature results in discomfort or pain
when touched, disconnect the power source and contact your local
Advanced Bionics representative.
• Do not use any other charger or power supply with the sound
processor or accessories unless it is supplied by Advanced Bionics.
If needed, please call Advanced Bionics for a power supply
replacement.
• Do not use accessories when they are plugged into power sources
such as wall outlets, or other power sources that are USB compatible
(e.g. laptops).
• Do not allow leaking battery fluid to come into contact with skin,
mouth, or eyes.
• Do not expose batteries to heat (e.g., do not store in direct sunlight or
in a hot car).
• Remove batteries from your sound processor when they are drained
to prevent damage from possible leaking. If a battery shows visible
signs of leakage, dispose of it in accordance with local regulations.
• Do not dispose of batteries in fire.
• Do not immerse M Batteries or the M Battery Charger directly in
water.
• Carry M Batteries in the carrying case provided or in a sealed plastic
bag. M Batteries can short circuit if they come into contact with
metallic objects such as coins or keys.
• High levels of static electricity may damage electronic components

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of your sound processor or implant. Care should be taken to avoid
exposure of the system to static electricity.
• Do not attempt to pair your sound processor to any accessories while
driving or operating heavy machinery.
• Pair the sound processor to Bluetooth devices only in a secure
environment, such as at home or in the hearing care professional’s
oce.
• Unwanted paired Bluetooth devices can be overwritten by pairing
with authorized devices or can be deleted during fitting by your
cochlear implant professional.
• Do not stream audio to your sound processor while driving or
operating heavy machinery.
• Attenuating ambient sounds or adjusting environmental balance
while streaming audio (either with the multifunction button or with the
mobile application) may compromise situational awareness.
• Use your sound processor for hands-free phone use only where
permitted by law and only when you will not be distracted from the
safe operation of your vehicle.
• Do not use your Advanced Bionics wireless accessories when
instructed not to use wireless electronic devices, such as on
airplanes.
• Remove your sound processor and headpiece before entering
a room where an MRI scanner is located and prior to having any
surgeries that involve electrocautery and diathermy.
• Remove your sound processor and consult your cochlear implant
professional if uncomfortable sounds are heard or in case of
discomfort, pain or skin irritation.
• If the sound processor or accessories become unusually hot or
warm, discontinue use immediately and contact Advanced Bionics or
your cochlear implant professional.
• Do not use a headpiece, magnet, or any associated part, that is
broken, damaged, or cracked.
• The color cap must be attached when the headpiece is in use.
• Due to increased risk of strangulation, do not use cables longer than
81cm (32”) with young children.
• The large Slim HP Color Cap is for use by recipients older than 3
years of age, as this color cap and the Slim HP magnet may become
displaced upon dropping.
• Do not remove or replace the Slim HP cable from the sound

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processor or waterproof wearing solution while underwater. If the
cable becomes accidently detached during water use, remove the
headpiece and sound processor from the water and dry both devices
prior to re-connecting the cable to the sound processor.
• It is important to have the correct magnet strength, so you do not
experience discomfort or retention issues. If magnet strength is
insucient, the headpiece may fall o more than is acceptable.
If magnet strength is excessive, you may experience irritation or
discomfort. Consult your cochlear implant professional if there are
any concerns regarding magnet strength. If deemed appropriate, an
audiologist may change the strength of the magnet in the headpiece.
Do not change magnet strength unless under the direction of a
cochlear implant professional. If you experience any redness,
irritation, or discomfort, discontinue use of the headpiece immediately
and contact a cochlear implant professional. See the headpiece
instructions for use for additional information regarding adjustment of
headpiece magnet strength.
• Store additional headpieces away from items with magnetic strips
(e.g., credit cards, hotel room keys, etc.) as they may de-magnetize
cards.
• The magnetic field created by the headpiece magnet may alter the
programming of magnetic shunts. Users of magnetic shunts should
consider o-the-shelf retention methods.
• The digitally-coded, inductive transmission technology used in this
device is extremely reliable and experiences virtually no interference
from other devices. It should be noted, however, that when operating
the device near a computer terminal or other strong electromagnetic
field (e.g. RFID system, metal detectors, electromagnetic anti-theft
systems), it may be necessary to be at least 24” (60 cm) away to
ensure proper operation. If the Sky CI M90 sound processor does
not respond to the implant device because of an unusual field
disturbance, move away from the disturbing field.
• The Sky CI M90 sound processors and accessories should be used
in accordance with the electromagnetic compatibility information
provided in the Guidance and Manufacturer’s Declaration section of
your instructions for use document.
• Although electromagnetic emissions of your Sky CI M90 sound
processor and accessories have been confirmed within safe limits,
some other devices could be sensitive to such emissions. If you
notice other devices do not behave as expected when your sound
processor is nearby, separate the devices.
• Portable and mobile radio frequency (RF) communications

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equipment, including radios and cellular phones, may aect sound
quality of the Sky CI M90 sound processor and accessories; however,
there is no safety hazard associated with such equipment.
• Do not expose any part of the Sky CI M90 sound processors or
accessories to extreme heat, such as an oven, microwave, or hair
dryer.
• AutoSense Sky™ OS, Speech in Loud Noise, Fixed Directional mode,
UltraZoom, UltraZoom + SNR Boost, and Speech in 360 programs
may dampen sounds that are not in front of the recipient.
• Use of WindBlock, EchoBlock, SoundRelax, NoiseBlock, and/or
WhistleBlock may aect the quality of sound.
• Do not use any programs other than an o-ear program when utilizing
any o-ear wearing configuration (e.g., in a clip, in the M Waterproof
Battery).
• NOTE: In the United States, Fixed Directional mode, StereoZoom,
UltraZoom, SoundRelax, NoiseBlock, WindBlock, and EchoBlock are
approved for use in pediatric recipients 6 years and above who are
1) able to complete objective speech perception testing in order to
determine speech performance and 2) able to report a preference for
dierent coding strategies or features.
• In the event that you experience any issues with your product, please
contact your cochlear implant professional or the manufacturer.
Do not attempt to service or modify the Sky CI or its accessories.
Doing so may compromise system performance and will void
the manufacturer’s warranty. Products should be serviced only at
Advanced Bionics and damaged products should be returned to
Advanced Bionics.
Electrostatic Discharge (ESD)
High levels of static electricity may damage electronic components
of your sound processor or implant. Care should be taken to avoid
exposure of the system to static electricity. ESD is present when you feel
a spark jump from your body or your hair stands on-end.
The following are examples of situations where high levels of
electrostatic charge may be created:
• Walking, crawling, or sliding on carpets.
• Sliding on plastic slides.
• Exiting an automobile.
• Pulling sweaters on and o.

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• Touching TV or computer screens.
• Removing bedding materials.
To reduce the likelihood of electrostatic discharge damage:
• Touch a person or object with your fingers prior to touching your or
your child’s headpiece, cable, or sound processor.
• Touch metal surfaces with your hand prior to allowing equipment to
contact the metal surface.
• This is particularly important on the playground where high levels of
static electricity can be generated. It is important to discharge any
static electricity by touching a metal surface with your hand prior
to allowing the sound processor, cable, or headpiece to come into
contact with the metal surface.
• Take care to avoid contact between your cochlear implant equipment
and metal surfaces when exiting a vehicle.
• Remove cochlear implant equipment prior to removing clothing that
may contain electric charge (e.g. sweaters).
• Do not touch TV or computer screens. If screens are touched, be
sure to touch an object other than your implant system to discharge
any charge build-up prior to touching any part of your implant
system.
• Use fabric softener on clothing and bedding.
Airport Security Metal Detectors
Metal detectors and security scanners, including full body scanners,
will not damage your implant system; however, metal detectors may be
activated as you pass through. To avoid hearing any unwanted sound
when walking through metal detectors or security scanners, you should
reduce the volume on the sound processor or remove your headpiece.
Ultrasonic Sensors
Ultrasonic sensors, sometimes used in lighting sensors and security
systems, will not damage your implant system; however, they may be
picked up by the headpiece microphone and lead to distorted sound
quality when you operate your sound processor in the immediate vicinity
of such a sensor. Additionally, if the ultrasonic sound is of a very high
intensity, the processor system microphone may become damaged. To
avoid hearing any unwanted sound, you should reduce the volume on
your sound processor or remove your headpiece when passing near an
ultrasonic sensor (e.g. in entrances to libraries).

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X-Ray Machines
X-ray machines will not damage your sound processor or implant but
may damage your Sky CI M90 and headpiece microphones. Avoid
placing any system microphones in any checked or carry-on baggage
that is screened with X-ray. During airport security screenings, the
sound processor and microphone should be worn through the metal
detector or examined by hand.
Introduction
This user guide is designed to help recipients and caregivers
understand the use and care of the Sky CI M90 sound processor.
TheSky CI M90 sound processor, built on the Phonak Marvel platform,
features technologies exclusively available from Advanced Bionics
andPhonak designed for your best possible hearing experience.
The Sky CI M90 provides access to the latest sound processing and
connectivity innovations by Advanced Bionics. This guide will provide
all of the information needed to use and care for the Sky CI M90 and
its accessories. In addition, this guide will provide important safety
information. Please read the entire guide prior to using the Sky CI M90.
The Sky CI M90 Sound Processor
The Sky CI M90 sound processor is one part of a complete cochlear
implant system that enables hearing. The other necessary parts of
thesystem are the cochlear implant and headpiece (with cable).
The Sky CI M90 oers AutoSense Sky OS technology, which
dynamically adapts to every listening environment, automatically
adjusting the sound processor to optimize hearing in any listening
environment. The Sky CI M90 oers connectivity options that include
integrated Bluetooth®, RogerDirect, and compatibility with Phonak
wireless accessories.
This section with familiarize you with the Sky CI M90 Sound Processor
and Accessories.

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LED
M-TMic
Multifunction Button
M Battery
Sky CI M90 Sound Processor
Front and Back Microphones
Slim HP
Slim HP Cable
The M T-Mic is a microphone positioned at the opening of the ear canal,
for the most natural listening experience.
The sound processor microphones capture sound from all directions
and features settings to focus on sounds of interest in noisy listening
environments.
The multifunction button has several functions which can be
programmed by the hearing care professional. The button can function
as a volume control and/or a program change depending on the
programming.
The multi-color LED provides visual information about the Sky CI M
sound processor status, battery life, program position, and sound
processor error conditions.
The battery attaches to the sound processor to provide power to the
system. There are 4 battery options for on-ear wearing, including three
sizes of lithium ion rechargeable M Batteries and the M Zn-Air Battery
Pak. The recipient also has the option of wearing the power source
completely o the ear by using the M Waterproof Battery. Please refer
to the M Battery and M Battery Charger Instructions For Use and the
M Waterproof Battery Instructions for Use for more details on these
products.
The Slim HP transmits sound to the cochlear implant. The Slim HP
contains a Slim HP Magnet that ensures retention between the cochlear
implant and the headpiece. Please refer to the Slim HP Instructions for
Use for more details about the Slim HP products.

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Compatibility Information
The Sky CI M90 is compatible with the following implant types from
Advanced Bionics:
• CII
• HiRes™ 90K
• HiRes™ 90K Advantage
• HiRes™ Ultra
• HiRes™ Ultra 3D
The Sky CI M90 is compatible with the following Advanced Bionics
products:
• M Batteries, M Zn-Air Battery Pak, M Waterproof Battery
• M T-Mic™ microphone, M Earhook, M Acoustic Earhook
• Slim HP, Slim HP Mic, Slim HP AquaMic™ headpiece
• M Wearing Clip, M Snuggie™ accessory, M Retention Cuff
• M Listening Check™ accessory
The Sky CI M90 is compatible with the following accessory products:
• AB Remote mobile application
• Phonak Roger transmitters
• Phonak RemoteControl
• Phonak TV Connector
• Phonak PartnerMic™ microphone
• Phonak Sky™ Link M hearing instrument
The Sky CI M90 sound processor is Bluetooth 4.2 certified. Any mobile
device that supports Bluetooth, Hands Free Profile (HFP) and/or
Advanced Audio Distribution Profile (A2DP) should work with your Sky
CI M90 sound processor. Bluetooth compatibility information should
be used as a reference guide only, because hardware and software
levels and releases may vary, and numerous hardware and software
combinations are possible. Advanced Bionics assumes no responsibility
for the compatibility; thus, it is the user’s responsibility to do product
compatibility testing by himself before making purchasing decisions on
smartphones and other Bluetooth-enabled devices.

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How to Use your Sky CI M90 Sound Processor
Powering Sky CI M90
The sound processor is turned on when a charged battery is attached to
the sound processor. When the battery is first attached, the orange LED
located in the middle of the multifunction button will indicate battery charge.
The startup program is selected by the cochlear implant professional
during programming.
To power down the Sky CI M90 sound processor, simply remove the
battery.
Attaching the Battery
Hold the Sky CI M90 in one hand. Rotate the headpiece cable upward in
order to avoid bumping it upon battery placement.
Align the battery connector with the sound processor housing side of
the connector.

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Slide the battery onto the sound processor until it clicks into place.
Do not force the battery onto the sound processor. The batteries are
designed to be inserted in only one direction; applying force may
damage the equipment.
Removing the Battery
Hold the Sky CI M90 in one hand. In the other hand, hold the battery.
Rotate the headpiece cable upward in order to avoid bumping it upon
battery removal.
Firmly slide the battery away from the M T-Mic, M Earhook, or M
Acoustic Earhook.

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Continue sliding the battery until it separates from the sound processor.
Connecting the earhook to the sound processor
There are three earhook options for the Sky CI M90 sound processor:
the M T-Mic, the M Earhook, and the M Acoustic Earhook.
Beginning with the earhook disconnected and the earhook pin
uninstalled, align the earhook flush with the sound processor. Hold the
earhook firmly at the top and push towards the sound processor until it
meets flush with the sound processor.

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Using the provided pin removal tool, place one of the pins in the small
hole on the side of the tool. This will help to steady the pin as you line it
up with the pin hole on the earhook.
Line up the pin with the hole in the earhook and gently push it through
the hole. The pin will move from one side of the sound processor,
through the earhook to the other side of the sound processor, holding
the earhook in place. The pin should not come out the other side.

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If a small portion of the pin extends beyond the sound processor, use
the side of the tool to push the pin inwards so it lies flush with the sound
processor.
Pull the tool away from the sound processor, leaving the pin inside the
sound processor.

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Removing the earhook
Align the pointed end of the tool with the hole on the sound processor
that contains the pin holding the earhook on the sound processor.
Gently press the tool in the hole, pushing the pin out the other side.

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The pin does not need to be removed from the sound processor. As
long as the tool is pushed in flush on one side of the sound processor,
the pin should be displaced enough to adequately remove the earhook.
Remove the tool from the sound processor. Gently grasp the earhook
at the top near where it connects with the sound processor and pull
forward until it is separated from the sound processor.
Attaching the T-Mic cover
Hold the T-Mic cover. In the other hand, hold the M T-Mic at the end that
houses the microphone. Align the bottom of the T-Mic with the T-Mic
cover. Gently turn the M T-Mic into the T-Mic cover. Screw until they are
flush with one another.

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Removing the M T-Mic cover
Grasp the end of the M T-Mic where the T-Mic cover is located, in one
hand. Firmly hold the M T-Mic microphone portion in the other hand.
Turn the hand holding the T-Mic cover to slowly unscrew the T-Mic cover
from the M T-Mic. Continue turning until the T-Mic cover separates from
the M T-Mic.