Cochlear Nucleus Freedom Bodyworn User manual

for the Nucleus®Freedom™Speech Processor with BTE,
Mini BTE, Bodyworn and Babyworn™Wearing Options
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 1 10/07/2014 11:12:01 AM

Note
Important information or advice. Can
save inconvenience.
Tip
Time saving hint or saves inconvenience.
Caution (no harm)
Special care to be taken to ensure safety
and effectiveness.
Could cause damage to equipment.
Warning (harmful)
Potential safety hazards and serious
adverse reactions.
Could cause harm to person.
Symbols
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 2 10/07/2014 11:12:01 AM

Contents
Introduction .........................................................................5
Purpose of this manual...............................................................................................5
Overview............................................................................................................................5
Overview of your processor components ......................7
How your processor works ....................................................................................7
Processor with BTE or Mini BTE Controller.................................................8
Processor with Bodyworn Controller ..............................................................8
Processor with Babyworn™..................................................................................8
The Processing Unit ..................................................................................................10
The controller................................................................................................................10
Wearing your processor...................................................11
Positioning your processor and coil..................................................................11
Adjusting the earhook t........................................................................................12
Adjusting the coil and magnet..............................................................................13
Changing the coil..........................................................................................................14
A secure t using the Mic Lock™...................................................................15
A secure t using the Snugt™Retention Aid............................................16
Changing your wearing option ............................................................................18
Wearing the Babyworn wearing option....................................................... 20
Using your processor ....................................................... 25
Turning your processor on and off ..................................................................25
Understanding the display..................................................................................... 26
Processor programs.................................................................................................. 27
Changing your perception of loudness.......................................................... 29
Using SmartSound™in different listening environments .................... 32
Using the Telephone with your processor.................................................. 32
Using the telecoil......................................................................................................... 33
Locking the buttons .................................................................................................. 35
Resetting your processor....................................................................................... 36
Enabling the private and public tones ............................................................ 36
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 3 10/07/2014 11:12:01 AM

Changing the batteries.................................................... 39
Replacing BTE, Mini BTE and Babyworn Controller batteries........ 40
Replacing Bodyworn Controller batteries ...................................................43
General precautions for the use of batteries............................................44
Accessories ........................................................................ 47
Connecting accessories........................................................................................... 47
Using accessories ........................................................................................................ 49
Monitor earphones.................................................................................................... 50
Care and maintenance..................................................... 53
Cleaning the microphone protector................................................................53
Replacing the microphone protector..............................................................53
Care....................................................................................................................................54
Storage .............................................................................................................................54
General cleaning.......................................................................................................... 55
Disposal ............................................................................................................................ 56
Troubleshooting ...............................................................57
Help messages.............................................................................................................. 57
Private and public tones ......................................................................................... 58
Indicator light ...............................................................................................................60
Bodyworn Controller battery indicator .......................................................60
Troubleshooting specic problems...................................................................61
Other Information ........................................................... 63
Storing your personal details............................................................................... 63
Technical information............................................................................................... 63
Labelling symbols........................................................................................................68
Serial number................................................................................................................ 69
Warranty, registration and patient identication card......................... 69
Glossary...............................................................................71
Index ....................................................................................75
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 4 10/07/2014 11:12:01 AM

Introduction
Purpose of this manual
This User Manual provides detailed step-by-step instructions on how
to use, maintain and troubleshoot your Nucleus®Freedom™Speech
Processor.
If you are new to your processor it is recommended that you read
the Nucleus Freedom Quick Start Guide before reading this manual.
The Quick Start Guide will provide you with the essential information
you need to familiarize yourself with the basic operations of your
processor.
Once you understand the basic functions of your processor, this
manual provides more in-depth information that’s outside the scope
of the Quick Start Guide – particularly in the areas of advanced user
operations, maintenance and troubleshooting.
This manual provides the most comprehensive source of information
available for your processor.
Overview
Your processor is used together with a Nucleus Freedom Implant,
Nucleus 24 Implant (specically the CI24R and CI24M models) or a
Nucleus 22 Implant to transmit sound to the cochlea.
Your processor consists of a Processing Unit, coil and a choice of four
wearing options.
The BTE Controller allows your processor to be worn behind the ear
as a BTE Processor. It is powered by three 675 disposable batteries or
the BTE rechargeable battery.
The Mini BTE Controller also allows your processor to be worn
behind the ear as a BTE Processor. It is powered by two 675
disposable batteries.
The Bodyworn Controller is worn on the body. It uses either two
AAA nickel/metal-hydride (NiMH) batteries, or disposable alkaline
batteries.
© Cochlear Limited 2014 Nucleus Freedom User Manual - 5
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 5 10/07/2014 11:12:01 AM

The Nucleus Freedom Babyworn™wearing system option is for
young children, allowing the BTE Controller to be separated from the
processor and worn on the child’s clothing. The processor can t into
an adjustable earhook, which provides a better t on the ear.
The four wearing options can be used interchangeably with the same
Processing Unit.
The processor contains small parts that may be hazardous if
swallowed, or may cause choking if ingested or inhaled.
Infants and young children should wear the Bodyworn
Controller in a Cochlear™Bodyworn Controller Pouch (available
in several congurations).
For details on warnings and precautions, refer to the Warnings
and Precautions leaet included in the documentation you
received with your processor.
6 - Nucleus Freedom User Manual © Cochlear Limited 2014
Introduction
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 6 10/07/2014 11:12:01 AM

Overview of your processor
components
This section of the manual describes the component parts of your
processor.
How your processor works
Sound can be received in four ways by your processor from:
• The microphone
• The in-built telecoil
• An accessory
• A mix of microphone sound and sound from the in-built telecoil
or an accessory
Sound is then processed in the following way to produce hearing:
1. Your processor captures sound.
2. The sound is coded by the Processing Unit and transmitted
through the coil to the cochlear implant.
3. The implant’s electrodes stimulate the cochlea’s hearing nerve
bres, which relay the signals to the brain to produce hearing
sensations.
Your processor has been programmed for use with your implant
only. It is important to only use your own processor, to never swap
yours with another person, and if you have two implants, to correctly
match your processor to the correct implant.
© Cochlear Limited 2014 Nucleus Freedom User Manual - 7
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 7 10/07/2014 11:12:02 AM

BTE wearing option Mini BTE wearing option
Processor with BTE or Mini BTE
Controller
Both the BTE and Mini BTE Controllers are normally attached to
the Processing Unit and worn behind the ear. The Mini BTE offers a
smaller two Zinc Air battery option than the standard BTE, providing
a smaller and lighter wearing option.
Processor with Bodyworn Controller
The Bodyworn Controller is worn separately to the Processing Unit
and attached with the Bodyworn Cable. The large screen makes
it easy to view and change settings for adult users. The Bodyworn
Controller is easily interchangeable with the BTE and Mini BTE
Controllers.
Processor with Babyworn™
The BTE with the Babyworn Wearing System provides choice in the
way children of any age wear the BTE Controller. The reduced BTE
size and weight improve comfort on the ear and the BTE Controller
provides a smaller wearing option than the Bodyworn Controller.
4
5
9
10
11
3
7
15 17
12
8 - Nucleus Freedom User Manual © Cochlear Limited 2014
Overview
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 8 10/07/2014 11:12:02 AM

1
2
4
57
8
9
1 Coil
2 Magnet
3 Processing Unit
4 Indicator Light
5 Earhook
6 Bodyworn Shoe &
Cable
7 Accessories Connection
8 Bodyworn Controller
9 Display
10 Select Button
11 Decrease button
12 Increase button
13 Snugt™Retention Aid
14 Babyworn Shoe & Cable
15 BTE Controller
16 BTE Retention Case
17 Mini BTE Controller
Bodyworn wearing option
Babyworn wearing option with Snugt
15
1
2
4
13
3
3
14
6
7
12
11
10
16
© Cochlear Limited 2014 Nucleus Freedom User Manual - 9
Overview
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 9 10/07/2014 11:12:03 AM

The Processing Unit
The Processing Unit, incorporating Nucleus SmartSound™technology,
is the brain of your processor, where sound signals are encoded for
transmission to the implant.
The Processing Unit is worn on the ear, with either the BTE
Controller (or Mini BTE Controller) or the shoe that connects it to
the Bodyworn Controller or Babyworn wearing option.
Both the coil cable and Bodyworn Cable are available in a variety of
lengths and colours. The Babyworn Cable is available in one length
but comes in a variety of colours.
The controller
In addition to housing the batteries, controllers have:
• A display that indicates the operations occurring
• Buttons that operate your processor
The BTE Controller contains three 675 disposable batteries or the
BTE rechargeable battery, and is normally attached to the Processing
Unit when worn.
The Mini BTE Controller contains two 675 disposable batteries and is
always attached to the Processing Unit when worn.
The Bodyworn Controller can be worn in a pouch on a harness or
attached to a belt. It can also be held in a pocket or secured to your
clothing.
The Babyworn wearing option allows the BTE Controller to be
separated from the Processing Unit and worn on your child’s clothing.
Although very unlikely, the Bodyworn Controller may overheat
and malfunction. To prevent discomfort and/or irritation to
the skin, infants and young children should always wear the
Bodyworn Controller in a pouch provided by Cochlear Limited.
If an infant or young child cries without reason or exhibits other
behaviours consistent with discomfort, parents and caretakers
should check the Bodyworn Controller and verify that it has
not overheated.
10 - Nucleus Freedom User Manual © Cochlear Limited 2014
Overview
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 10 10/07/2014 11:12:04 AM

Wearing your processor
System diagrams of the different wearing options can be found in
Overview of your processor components. They provide a good
reference on how to assemble your processor
For information on wearing the Babyworn, see Wearing the Babyworn
at the end of this chapter.
Positioning your processor and coil
Your processor is contoured to t neatly and comfortably behind the
ear. A magnet holds the coil in place over the implant.
You may nd it easier to turn your processor on before placing it on
your ear. To turn on your processor push and hold the Select button
for a few seconds, until you either hear sounds (if your processor is in
place on your head), or the active program (P1, P2, P3 or P4) shows
on the display.
To place your processor on your ear:
1. Place the earhook over your ear while simultaneously holding
the coil in either of your hands. Do not let the coil hang freely as
the strain can damage the cable.
2. Place the coil on your head; the magnet should hold it in place
over your implant.
Correctly positioned processor
© Cochlear Limited 2014 Nucleus Freedom User Manual - 11
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 11 10/07/2014 11:12:04 AM

For a more secure or comfortable t you can:
• Adjust the earhook t.
• Adjust the coil and magnet.
• Change the coil.
• Use a Mic Lock™.
Read the following sections for more details.
Adjusting the earhook t
Two earhooks are available, a large and a small. The large one is
intended for use by children and the smaller one by adults.
In addition, the earhook can be shaped to t your ear better.
To shape the earhook:
1. Remove it from the Processing Unit.
2. Place it in hot water for a few minutes.
3. Bend it into the shape you want.
To change or remove the earhook, pull it away from the Processing
Unit. Replace the earhook by pushing it back into place.
Removing and attaching the earhook
Avoid twisting the earhook. It may become loose when twisted too
much.
The earhook needs to be removed when using the Nucleus Freedom
Snugt Retention Aid (see A secure t using the Snugt™Retention Aid).
12 - Nucleus Freedom User Manual © Cochlear Limited 2014
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 12 10/07/2014 11:12:04 AM

Adjusting the coil and magnet
Make sure the coil is positioned correctly against the implant by
placing it where the magnet “pull” feels the strongest.
You can change how close the magnet sits to your head by changing
its depth in the coil, effectively changing its “strength”. You can also
replace the magnet with a stronger or weaker one if changing the
depth of the magnet in the coil is not sufcient.
Changing magnet depth
To adjust how tight the coil sits against your skin, try adjusting how
closely positioned the magnet is to your head by changing its depth in
the coil before changing the magnet itself.
To adjust the magnet position (depth in the coil):
1. Insert a thin coin or screwdriver into the magnet slot on the
topside of the coil.
2. Twist in a clockwise direction from above to increase magnet
strength, or twist in an anticlockwise direction from above to
reduce magnet strength.
Adjusting the magnet
Do not force the magnet to turn if it becomes difcult to turn during
insertion or removal. The movement should be smooth and turning
should need only a small amount of force. If turning becomes difcult:
• The magnet may not be correctly aligned in the coil.
• You may be turning the magnet in the wrong direction.
© Cochlear Limited 2014 Nucleus Freedom User Manual - 13
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 13 10/07/2014 11:12:04 AM

Changing magnet strength
To change the magnet to a stronger or weaker one:
1. Insert a coin or screwdriver into the magnet slot on the topside
of the coil.
2. Twist in a clockwise direction from above to remove the
magnet.
3. Insert the new magnet into the underside of the coil.
4. Twist in a clockwise direction with your ngers from below to
further insert the magnet.
5. If necessary, use a coin or screwdriver from above to further
adjust.
If the magnet strength is too weak the coil may fall off. If it is too
strong, it may cause discomfort or skin irritation.
Consult your clinician if you wish to change the magnet strength.
Store spare magnets safely. Store them away from credit and other
cards that have a magnetic strip
Changing the coil
Coils are available in various colours and lengths. If you wish to
change coil colour or nd that the cable is too long or too short, you
can change the coil. The coil cannot be separated from the coil cable.
In order for the Freedom Processor to work with the N22
implant, the N22 Processor coil must be used. To differentiate
the N22 coil and cable from the standard Freedom one, “N22”
is printed on the underside of the coil. The N22 coil also has a
green plug.
To remove the coil from the Processing Unit, always hold the plug
securely with two ngers and pull it away from your processor. You
may damage the plug, cable or the Processing Unit if you pull the
cable or twist the plug. Make sure the coil is securely attached to the
Processing Unit by pushing the plug rmly into the socket.
Regularly check to see if there are any breaks in the coil cable. If there
are, you will need a new coil. If you do not see breaks it is still a good
idea to test the coil by using a new one.
14 - Nucleus Freedom User Manual © Cochlear Limited 2014
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 14 10/07/2014 11:12:05 AM

Attaching and removing the coil
If you plug the coil cable into the Processing Unit when your
processor is turned on, your processor may turn off. If this occurs,
hold down the Select button to turn your processor back on, that is,
until you either hear sound or the display shows.
A secure t using the Mic Lock™
A Mic Lock can be used to hold the Processing Unit in place behind
the ear.
The tube Mic Lock can be used on the BTE Controller, the Mini BTE
Controller and the Bodyworn Cable. The stirrup Mic Lock is for use
with the Bodyworn Cable.
To t the Mic Lock:
1. For the tube Mic Lock, thread the earhook and Processing Unit
through the Mic Lock tube and move it down the unit until it ts
rmly.
For the BTE or Mini BTE Controller, position the Mic Lock between
the buttons, so the transparent band covers the display. Alternatively,
clip the stirrup Mic Lock into the two holes towards the base of the
Bodyworn Controller shoe.
2. Put your processor on your ear.
3. Bring the tubing around to the front of your ear and up to the
earhook. Either sized earhook can be worn with the Mic Lock.
If the tube Mic Lock does not feel comfortable, for a better t, rotate
the band around the base of your processor.
4. Hold your processor rmly in place, and determine where the
tubing should be cut.
© Cochlear Limited 2014 Nucleus Freedom User Manual - 15
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 15 10/07/2014 11:12:05 AM

5. Mark the tubing, allowing for an additional few millimetres, so it
can attach to the earhook.
6. Cut the tubing only when you are certain the length will allow
a secure and comfortable t. It is important not to cut it too
short.
7. Feed it on to your earhook.
Fitting the Mic Lock
To wear the Processing Unit with the Mic Lock in place, fold your
ear down and gently pass your ear lobe through the loop made by
the Processing Unit and Mic Lock until it is in position on your ear.
Alternatively, bring the tubing to the front of your ear and feed it on
to your earhook.
Your processor should t securely with the Mic Lock in place.
To remove the Processing Unit with the Mic Lock attached, fold
down your ear lobe and reverse the process. Alternatively, ease the
tubing off the earhook.
A secure t using the Snugt™Retention
Aid
The Snugt Retention Aid can be used to hold the Processing Unit
in place more securely than the standard earhook and is easier
to congure than the Mic Lock. The Snugt is available in three
sizes for both adults and children: small, large and extra large. It is
easily adjustable, comfortable and robust enough to withstand the
elements of an active lifestyle. It can also be used with the Babyworn
wearing option to provide a secure t for children.
16 - Nucleus Freedom User Manual © Cochlear Limited 2014
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 16 10/07/2014 11:12:05 AM

Snugt: small, large and extra large
The earhook must be removed before inserting the Processing Unit
into the Snugt. To remove the earhook gently pull it away from the
Processing Unit.
The Snugt can be shaped to better t your ear. To change the upper
earhook shape, make sure you remove the Processing Unit and place
the upper earhook in hot water (60 oC/140 oF) for a few minutes.
Then bend it into the shape that you want.
The lower hook contains a mouldable wire on the inside. To change
the lower hook shape, simply bend it into the shape that you want.
When you are happy with the t, insert the Processing Unit (without
the earhook attached) into the Snugt as shown.
BTE with Snugt
© Cochlear Limited 2014 Nucleus Freedom User Manual - 17
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 17 10/07/2014 11:12:08 AM

Changing your wearing option
Removing the Processing Unit from the controller
To remove the Processing Unit from the BTE Controller, Mini BTE
Controller or Bodyworn Cable, gently twist the controller or cable
shoe to your left and the Processing Unit to your right, until the parts
separate.
Removing the Processing Unit from the BTE Controller
Removing the Processing Unit from the Bodyworn Controller
18 - Nucleus Freedom User Manual © Cochlear Limited 2014
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 18 10/07/2014 11:12:09 AM

Attaching the Processing Unit to the controller
To attach the Processing Unit to the BTE Controller, Mini BTE
Controller or Bodyworn Cable:
1. Hold the controller or cable shoe, and the Processing Unit so
they touch. The controller or shoe should face to the left and
the Processing Unit to the right of the nal position.
2. Twist the controller or shoe, and the Processing Unit until the
two parts t into place.
Attaching the Processing Unit to the BTE Controller
Attaching the Processing Unit to the Bodyworn Controller
© Cochlear Limited 2014 Nucleus Freedom User Manual - 19
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 19 10/07/2014 11:12:10 AM

Make sure the controller or shoe and Processing Unit are aligned
correctly, as even a slight misalignment can cause technical problems.
Check for broken or bent contacts between the controller or shoe
and the Processing Unit, which can cause misalignment. Return your
processor to your clinician if any contacts are bent or broken.
To attach the Bodyworn Cable to the controller:
1. Line up the dot mark on the plug with the dot mark at the top
of the controller.
2. Push the plug into the socket.
Dots lined up on connector and controller
To avoid damaging the cable, grip the connector as shown when
pushing the cable in, or pulling it out.
Wearing the Babyworn wearing option
The Babyworn wearing option consists of the Babyworn Retention
Case and Babyworn Cable. It provides comfort in the way children
wear the BTE Controller. The standard BTE Controller and
Processing Unit are connected with the Babyworn Cable. The
Babyworn Retention Case holds the BTE Controller.
20 - Nucleus Freedom User Manual © Cochlear Limited 2014
Wearing
N206305-206317_4.01_Freedom_User_Manual_ENG_CAP_SC.indd 20 10/07/2014 11:12:10 AM