Audina PARAGON 4 User manual

P.O. Box 877
Casselberry, FL 32718
www.audina.net
bte
BEHIND THE EAR
HEARING INSTRUMENTS
ver: 1.1 070109 INSTRUCTION MANUAL
HEARING HEALTHCARE PROVIDER
MADE IN THE U.S.A. Tailored to your
specific needs
Improved
understanding
of speech
Proven technology
BTE instruction manual 1.1 6/25/09 2:18 PM Page 1

Welcome to a world of better hearing! We
understand that hearing loss affects one's
quality of life. That is why we are dedicated
to building the highest quality hearing
instruments. Your new hearing instruments
will soon be indispensable to you and will
bring new pleasure and enjoyment to your life.
Our company was established in 1990 and is
well-known internationally for offering high
quality, reliable, state-of-the-art technology.
These hearing instruments have been
programmed or adjusted to your individual
hearing loss to precisely fit your hearing and
communication requirements. If necessary,
your hearing healthcare provider may make
further modifications to enhance your
listening experience.
A period of adjustment may be needed to
become accustomed to your new hearing
instruments and the renewed world of sounds
you will experience. The adjustment time
varies for each individual and may be as little
as a couple of weeks to as long as several
months. Allow yourself time to become
familiar with those sounds you have not heard
for a long time.
Before operating your hearing instruments,
please read this manual thoroughly.
WELCOME
i
bte
This manual contains user information for
the following behind-the-ear (BTE) hearing
instruments. Your hearing healthcare
provider will check “3” the appropriate
box for your hearing aid.
PARAGON 4
PARAGON 2
INTUITION®D
INTUITION®4
INTUITION®2
OPTI-TRIM®
SIMPLEX
SIMPLEX 2P
SIMPLEX P
BTE 478
BTE 478 P
BTE 675 D2
BTE 675 DP
BTE instruction manual 1.1 6/25/09 2:18 PM Page 3

On/Off Function ....................................1
Battery Information ................................2
Available Options …………………… ..5
Telephone Use ........................................6
Cell Phone Compatibility ......................7
Adjusting Volume ..................................8
Care and Storage ....................................9
Do's and Don'ts....................................11
Troubleshooting....................................13
Binaural Amplification..........................15
Serial Numbers ....................................16
Warranty Information ..........................17
Service and Repair Information ............19
Children with Hearing Loss..................20
Notice to Prospective Users ..................21
Notice to Healthcare Providers ............22
Owner Information ..............................24
TABLE OF CONTENTS
ii
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batteries
The life of your hearing instruments' batteries
will vary depending on length of daily use,
listening environments, and how your hearing
instruments are set by your hearing healthcare
provider. When the hearing instrument
battery goes dead, remove it immediately and
replace it with a new battery. Replacement
batteries may be purchased through your
hearing healthcare professional. When your
hearing instruments are not in use, open the
battery compartment to prevent excessive
battery drain and ventilate the instruments.
IMPORTANT: Always properly discard used
batteries. Small batteries can be harmful if
swallowed. Keep batteries out of the reach
of pets and small children. In case of
ingestion, contact your physician or call
the National Button Battery Hotline at
([phone].
2
turning the
hearing aid on & off
To turn your hearing instrument “on”, you
simply need to close the battery door after
inserting a battery. To turn your hearing
instrument “off”, open the battery door
completely this will disengage the battery and
turn off the hearing instrument. If your
hearing aid is a Paragon 4, Paragon 2, Simplex
or BTE 478 you may rotate the volume control
all the way down with your fingertip until you
feel a click to turn the aid “off” and rotate the
volume control upward to turn it “on”.
When the hearing aid is not in use, it is
recommended that you open the battery door
and remove the battery. This helps to prevent
excessive battery drain and allows for proper
ventilation of the hearing aid.
Hearing Instruments with OTM Control
The BTE 675-2T and BTE 675-2THP hearing
instruments come standard with an “OTM”
Control. This “on/off” switch is located on the
back of these hearing instruments. The
instrument is “off” only when the selector is at
the “O” position.
O = Off
T = Telecoil on, microphone off
M = Microphone on
1
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Step 3: Slide the battery door
into the closed position. The
compartment should close easily.
Do not force it closed. If
resistance is experienced,
make sure the battery is
being inserted properly
or call your hearing
healthcare provider.
The Correct Battery for Your Instrument
The chart below lists the correct battery size
for your specific hearing instrument. This is
the only battery that will fit in your behind-
the-ear (BTE) instrument.
Hearing Battery Tab
Instrument Style: Size: Color:
PARAGON 4 Zinc-Air 13 Orange
PARAGON 2 Zinc-Air 13 Orange
INTUITION D Zinc-Air 13 Orange
INTUITION 4 Zinc-Air 13 Orange
INTUITION 2 Zinc-Air 13 Orange
OPTI-TRIM Zinc-Air 13 Orange
SIMPLEX Zinc-Air 13 Orange
SIMPLEX 2P Zinc-Air 13 Orange
SIMPLEX P Zinc-Air 13 Orange
BTE 478 Zinc-Air 675 Blue
BTE 478P Zinc-Air 675 Blue
BTE 675 D2 Zinc-Air 675 Blue
BTE 675 DP Zinc-Air 675 Blue
4
batteries
How to Insert and Remove Batteries
All hearing aid batteries have a colored
adhesive tab that must be removed from the
battery before use to activate the battery.
Your hearing healthcare provider will instruct
you on how to insert and remove your
batteries and where they
can be purchased.
Step 1: Lift the notch at
the edge of the battery
compartment and swing
the battery door open.
Remove the battery.
Step 2: Remove
the colored tab on
the battery and
insert the battery
with the positive
“+” side facing up,
notice the “+” on
the side of the
battery door.
3
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available
options
5
Pushbutton Control
Your new hearing aid may be equipped with a
button to access two or more listening
situations. Your hearing healthcare provider
will discuss these options with you and set up
your listening memories accordingly.
Main Memory - Generally the first memory
will be utilized in most listening situations.
When using the pushbutton, simply push the
button with your fingertip to change the
settings. The hearing aid will reset to the
main memory when the hearing aid is turned
off and back on again.
Your behind-the-ear (BTE) hearing
instrument is equipped with a Telecoil which
eliminates the whistling, or feedback, that
may be encountered as a telephone is placed
next to a hearing aid. The Telecoil picks up
the signal from hearing aid compatible
telephones with a magnetic receiver. This
setting turns off the microphone and will only
pick up the sound from the telephone.
Use your control switch (either a push button
or a toggle switch) to move the control into
the “Telecoil” position. You must have a
hearing aid compatible telephone to work
with a Telecoil. Please note that all cell
phones are not hearing instrument friendly.
Your hearing healthcare provider can advise
you on how to find out whether your phone
is compatible.
6
telephone
use
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cell phone
compatibility
7
Some hearing aid users have reported a
buzzing sound in their hearing aids when
they are using cell phones, indicating that
the cell phone and hearing aid may not be
compatible. According to the ANSI C63.19
standard (ANSI C63.19-2006 American
National Standard Methods of Measurement
of Compatibility Between Wireless
Communications Devices and Hearing Aids),
the compatibility of a particular hearing aid
and cell phone can be predicted by adding
the rating for the hearing aid immunity to
the rating for the cell phone emissions. For
example, the sum of a hearing aid rating
of 2 (M2/T2) and a telephone rating of 3
(M3/T3) would result in a combined rating
of 5. Any combined rating that equals at least
5 would provide “normal use;” a combined
rating of 6 or greater would indicate
“excellent performance.”
The immunity of this hearing aid is at least
M2/T2. The equipment performance
measurements, categories and system
classifications are based upon the best
information available but cannot guarantee
that all users will be satisfied.
8
adjusting the
volume
NOTE: The performance of individual
hearing aids may vary with individual cell
phones. Therefore, please try this hearing aid
with your cell phone or, if you are purchasing
a new phone, be sure to try it with your
hearing aid prior to purchase. For additional
guidance, please ask your cell phone
provider for the booklet entitled “Hearing
Aid Compatibility with Digital Wireless Cell
Phones.”
In order to increase or decrease the volume of
your hearing aid, it is equipped with a volume
control. To change the volume level, use the
tip of your finger to rotate the volume wheel.
The volume control is numbered from 1-4,
with 1 being the lowest setting and 4 being
the highest setting. To increase the volume
level, rotate the volume wheel upward toward
the number 4, and to decrease the volume,
rotate the wheel downward.
As you adjust the volume control, you may
hear a whistling noise, which is called
feedback. This is caused by amplified sound
bouncing off your hand back into the
instrument. The whistle should end when
you take your hand away.
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and the likelihood of an allergic reaction is
slight. If a skin irritation occurs, including
redness, swelling or itching where the hearing
aid makes contact with your ear - contact your
physician and hearing healthcare provider.
Caring for Your Hearing Instruments
Hearing instruments are exposed to moisture
in the form of humidity and perspiration while
being worn. The daily use of a dehumidifying
system or drying kit approved by your hearing
healthcare provider is recommended. These
accessories may be purchased from your
hearing healthcare provider.
The most common causes of hearing aid repair
are wax and moisture. If you are encountering
recurrent repairs, please discuss the various
wax/moisture prevention systems and
accessories with your hearing healthcare
provider.
Extended Storage
If it is necessary to store your hearing
instruments for an extended amount of time,
follow the steps below for proper storage.
1. Remove the batteries.
2. Clean the instrument according to
instructions on previous pages.
3. Place the instruments in a cool, dry place.
Either their original container or a
hearing instrument dehumidifier is
recommended. 10
Cleaning Your Hearing Instrument
You should inspect your hearing instruments
daily and clean them periodically to control
wax buildup. To clean, very gently wipe the
surface with a soft, dry cloth or moist
cleaning wipes made especially for hearing
instruments.
Inspect the tip of the ear mold portion of
your hearing aids for any wax build up.
Using only the wax tool supplied, remove the
wax very carefully as directed by your hearing
healthcare provider. Be careful not to push
wax into the opening or to insert the tool
deeply into the opening. The wearing of a
hearing aid may accelerate the accumulation
of earwax. You should not use cotton swabs
to clean your ears, due to the risk of pushing
the wax deeper into the ear canal. Visit your
hearing healthcare provider if you have
questions regarding the cleaning of your
hearing aids or if you suspect wax build-up.
Do not allow water to enter any openings on
the instruments.
The materials used in your hearing
instruments are of the highest quality available,
9
care and
storage
BTE instruction manual 1.1 6/25/09 2:18 PM Page 15

do’s and don’ts DON’T leave your hearing instruments on the
radiator, near a stove, in a sunny window, in a
car or in any other hot place. Excessive heat
and cold can damage the instruments.
DON’T wear the hearing instruments when
using a hair dryer at home or when at the
beauty salon, spa or barber.
DON’T wear the hearing instruments when
having medical tests done such as MRI, X-
rays or CT scans; as different types of
radiation may damage the hearing
instrument.
DON’T apply hair spray when wearing your
hearing instruments. It may damage the
microphone and erode the faceplate.
DON’T wear the instruments while taking a
bath, shower, spa treatment or while
swimming.
DON’T store the instruments in the bathroom
during a shower or near a steam room as
moisture created by the steam may cause
damage.
1211
DO store the instruments overnight in a
hearing aid dehumidifier to absorb moisture
(Be sure and remove batteries first).
DO always carry spare batteries.
DO replace the battery when the low-battery
warning begins if your instrument has the low-
battery signal.
DO always care for your instrument as outlined
in this manual.
DO dry the battery contacts with a cotton swab
in cases of humid weather or heavy
perspiration.
DO safely store hearing instruments when not
in use. Keep them out of the reach of small
children and pets.
DO remove your hearing instruments if you are
going to have X-rays at your dentist or medical
facility. It is best to keep them outside the
room of the X-ray equipment.
BTE instruction manual 1.1 6/25/09 2:18 PM Page 17

Sound is Distorted or Unclear:
• Replace the battery.
• Hearing instruments may have a poor
battery contact or may not be programmed
properly. Return to your hearing
healthcare provider.
Intermittent Sound:
• Replace the battery.
• Ensure that there is no wax or debris in the
sound channel.
• Hearing instruments may have a poor
battery contact. Return to your hearing
healthcare provider.
Too Much Bass:
• Ensure vent is clear.
• Hearing instruments may need
reprogramming. Return to your hearing
healthcare provider.
Static Noise:
• Replace the battery.
• If you are near an electromagnetic field (i.e.
near a computer screen or fluorescent
lights), step away to see if the static clears.
• Hearing instruments may have a poor
battery contact. Return to your hearing
healthcare provider.
14
troubleshooting
guidelines
No Sound:
• Ensure that hearing instruments are
turned on.
• Replace the battery.
• Ensure that there is no wax or debris in
the sound channel or ear mold.
Not Loud Enough:
• Replace the battery.
• Ensure that there is no wax or debris in
the sound channel.
• Ensure that ear mold is completely seated
in the ear canal.
• Excessive earwax can prevent sound from
entering the ear. Contact your physician
or hearing healthcare provider.
• Changes in your hearing loss can affect
how you hear with a hearing aid. Contact
your hearing healthcare provider if you
suspect any change in your hearing status.
Whistling / Feedback:
• Ensure that the ear mold is completely
seated in the ear canal.
• Excessive earwax, improperly sized ear
mold, and large vents can cause whistling.
Contact your hearing healthcare provider.
13
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16
binaural
amplification
serial
number
Hearing loss may be improved, in most cases,
through medicine, surgery, or with hearing
instruments. Hearing aids are the most
commonly chosen option.
Today's hearing instruments are quite small in
size and feature sophisticated electronics that
accommodate a wide variety of hearing losses.
Nature gave us two ears for a reason and since
the majority of people who have a hearing loss
are affected in both ears, two (binaural) hearing
instruments are typically recommended. Two
hearing instruments should provide these
benefits:
• Better overall sound quality when compared
to one hearing instrument (“stereo sound”).
• The ability to locate a sound source in noisy
and quiet listening conditions.
• Increased ability to understand speech in
noisy and quiet listening conditions.
• A sensation of balanced hearing.
Talk with your hearing healthcare provider
about what is best for you. Even the best
technology can't do the work of two ears!
15
Each Audina hearing aid has a serial number
located on the battery door or shell casing.
Please write this serial number on the owner
information page located at the back of this
instruction manual. The first two digits of
the serial number represent the year in which
the instrument was manufactured.
BTE instruction manual 1.1 6/25/09 2:18 PM Page 21

warranty
information
Please see your hearing healthcare provider
regarding your specific warranty information.
Our guarantee covers any defect in material
or faulty production, except cords and
batteries. We will, at our option, repair or
replace the instruments or any defective part,
at our expense, within the limits of the
warranty.
This warranty will become invalid if your
hearing instruments have been tampered with
or altered in any way, or if the serial number
has been altered, effaced, or removed, or if
any repairs have been made without
authorization.
This warranty does not include a promise of
specific hearing improvement because that
depends upon your audiologic needs, proper
fitting and adjustments by your hearing
healthcare provider and proper use by the
owner.
Any implied warranty shall be limited to one
year from date of purchase. The only entity
or individual who is authorized to perform
the warranty obligations is the manufacturer.
All in-house warranty work performed by the
manufacturer will be done within a reasonable
period of time. If warranty work is
performed and there appears to be a defect,
malfunction, or failure to conform to the
warranty, the obligations will be met if
brought to our attention within one month
from the date of the original warranty work.
This warranty is specifically limited to the
scope set forth herein, and may not in any
way be expanded by the other oral or written
representations.
17 18
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service and repair
information
children with
hearing loss
You should visit your hearing healthcare
provider if your hearing instruments are in need
of service. If you no longer have a hearing
healthcare provider and are in need of one, you
may contact Audina and we will assist you in
finding one in your area. If you are unable to
visit a hearing healthcare provider, you may
send your hearing aids directly to the
manufacturer.
Before planning to return your instruments for
repair, please refer to the troubleshooting chart
on the preceding page. Many times these
solutions can prevent the time and cost
associated with a repair.
If you need to send your instruments directly to
the manufacturer, carefully pack your
instruments in a sturdy box and send it to:
Audina® Hearing Instruments, Inc.
P. O. Box 877
Casselberry, FL 32718-0877
You must include your current phone number
and home address. There is a $25 charge to
cover shipping and handling. Please include a
check, payable to Audina Hearing Instruments,
Inc. for said amount when sending your
instruments for service. It is recommended to
purchase shipping insurance when sending
your hearing aids to the manufacturer.
If your hearing instruments are out of
warranty, we will assist you in finding a
hearing healthcare provider in your local area.
In addition to seeing a physician for a medical
evaluation, a child with a hearing loss should
be directed to an audiologist for evaluation
and rehabilitation since hearing loss may
hinder language development and the
educational and social growth of a child. An
audiologist is qualified by training and
experience to assist in the evaluation and
rehabilitation of a child with hearing loss.
19 20
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notice to
prospective users
Good health practice requires that a person with
a hearing loss have a medical exam by a licensed
physician, who specializes in diseases of the ear,
before purchasing a hearing instrument.
Licensed physicians who specialize in the
diseases of the ear are often referred to as
Otologists, Otolaryngologists (ear, nose and
throat - ENT) or Otorhinolaryngologists.
The purpose of a medical evaluation is to assure
that all medically treatable conditions that may
affect hearing are identified and treated before
the hearing instrument is purchased. Following
the medical evaluation, the physician will give
you a written statement that your hearing loss
has been medically evaluated and that you may
be considered a candidate for a hearing
instrument.
A hearing specialist will conduct an evaluation
to assess your ability to hear. The hearing
instrument evaluation will enable the hearing
specialist to select and fit a hearing instrument
to your individual needs. Federal law restricts
the sale of hearing instruments to those
individuals who have obtained a medical
evaluation from a licensed physician.
21 22
notice for hearing
healthcare providers
Federal law allows a fully informed adult to
sign a waiver statement declining the medical
evaluation for religious or personal beliefs that
preclude consultation with a physician. The
exercise of such a waiver is not in your best
interest, and its use is strongly discouraged.
Hearing healthcare providers should advise a
prospective hearing instrument user to
consult promptly with a licensed physician
(preferably an ear specialist) before dispensing
a hearing instrument if the hearing healthcare
provider determines through inquiry, actual
observation, or review of any other available
information, that the prospective user has any
of the following conditions:
• Visible congenital or traumatic deformity
of the ear.
• History of active drainage from the ear
within the previous 90 days.
• History of sudden or rapidly progressive
hearing loss within the previous 90 days.
• Acute or chronic dizziness.
• Unilateral hearing loss of sudden or recent
onset within the previous 90 days.
BTE instruction manual 1.1 6/25/09 2:18 PM Page 27

notice for hearing
healthcare providers
continued
Model:
Serial Numbers:
Left:
Right:
Purchase Date:
Battery Size:
(High Power High Performance batteries
recommended)
Memory Set-Up:
Memory A:
Memory B:
Memory C:
Memory D:
Original Warranty Expires:
Hearing Healthcare Provider:
OWNER INFORMATION
24
• Audiometric air-bone gap greater than or
equal to 15 decibels at 500 Hertz (Hz),
1000 Hz, and 2000 Hz.
• Visible evidence of significant ceruman (wax)
accumulation or a foreign body in the ear
canal.
• Pain or discomfort in the ear.
Special care should be exercised in selecting and
fitting a hearing instrument which has a
maximum sound pressure level in excess of 132
dB (decibels) because there may be a risk of
damaging the remaining hearing of the hearing
instrument user.
23
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