Madsen zodiac User manual

MADSEN Zodiac
Reference Manual
Doc. No.7-50-1610-EN/02
Part No.7-50-16100-EN

Copyright notice
© 2016,2016GNOtometricsA/S. All rights reserved. ® Otometrics, the OtometricsIcon, AURICAL, MADSEN, ICS and HORTMANN
are registered trademarks of GNOtometricsA/S in the U.S.A. and/or other countries.
Version release date
2016-10-06 (143849)
Technical support
Please contact your supplier.
Otometrics - MADSEN Zodiac
2

Table of Contents
1 Introduction to MADSEN Zodiac 9
1.1 The OTOsuite Immittance module 10
1.2 Intended use 11
1.3 About this manual 12
1.4 Typographical conventions 13
1.5 Navigating this manual 13
2 Unpacking and installation 14
2.1 Unpacking 14
2.2 Storing 14
2.3 Installing Zodiac 14
2.3.1 Powering the device 15
2.3.2 Switching the device on and off 15
2.3.3 Connecting to the PC 16
2.3.4 Configuring the device 16
2.4 Communication between OTOsuite and Zodiac 17
2.4.1 Configuring the Immittance module 17
2.4.2 Test device information 17
3 The built-in printer 18
4 Views of Zodiac 20
4.1 Front view 20
4.2 Bottom view 21
5 The Zodiac probes 22
5.1 The Quick Check probe 22
5.2 The diagnostic probes 24
5.2.1 The diagnostic probe and shoulder strap 24
5.2.2 Using two probes with the device 26
5.2.3 The contralateral phone 26
6 MADSEN Zodiac test controls 28
6.1 The Quick Check front panel 28
6.2 The Diagnostic and Clinical front panel 30
6.3 The Zodiac menu 33
6.4 Special tests 34
7 Preparing for testing 36
7.1 Preparing the test environment 36
7.2 Hygienic precautions 36
7.3 Probe check 36
7.4 Creating a new session 37
7.5 Using a test setup 38
7.6 Inspecting the patient’s ear 38
7.7 Fitting the eartip on the probe 38
7.8 Fitting the probe in the patient’s ear 39
Otometrics - MADSEN Zodiac 3

8 Testing with ZodiacQuick Check - Stand-Alone 43
8.1 Starting a measurement 43
8.2 The Quick Check measurement screen 45
9 Testing with ZodiacDiagnosticorClinical - Stand-Alone 48
9.1 Quick Check testing 48
9.1.1 Starting a measurement 48
9.1.2 The Quick Check measurement screen 51
9.2 Sequence testing 52
9.2.1 Selecting a test sequence 53
9.2.2 Running a test sequence 53
9.3 Tympanometry testing 53
9.3.1 The Tympanometry screen 55
9.4 ETF-I (Eustachian Tube Function - Intact) testing 57
9.5 Acoustic reflex testing 58
9.6 Reflex Threshold testing 59
9.6.1 The Reflex Threshold screen 61
9.7 Reflex Decay testing 63
9.7.1 The Reflex Decay screen 65
9.8 Manual Tympanometry 66
9.8.1 The Manual Tympanometry screen 67
9.9 Admittance (Y) Recorder 68
9.9.1 The Admittance (Y) Recorder screen 70
9.10 ETF-P 70
9.10.1 The ETF-P screen 71
10 The OTOsuite Immittance module 73
10.1 OTOsuite toolbar icons and control panels 73
10.2 Shortcut keys 78
10.3 Leakage and other probe problems 80
11 Testing with ZodiacQuick Check - PC-based 82
11.1 Starting a measurement 82
11.2 The Quick Check measurement screen 84
12 Testing with ZodiacDiagnostic or Clinical - PC-based 86
12.1 Sequence testing 86
12.1.1 Setting up a sequence 86
12.1.2 Running a test sequence 87
12.2 Quick Check testing 87
12.3 Tympanometry testing 88
12.3.1 The Tympanometry screen 90
12.4 ETF-I (Eustachian Tube Function - Intact) testing 91
12.5 Acoustic reflex testing 92
12.6 Reflex Threshold testing 93
12.6.1 Manual Reflex Threshold testing 93
12.6.2 Automated Reflex Threshold testing 95
12.6.3 The Reflex Threshold screen 96
12.7 Reflex Decay testing 98
12.7.1 The Reflex Decay screen 99
12.8 Manual Tympanometry 101
12.8.1 The Manual Tympanometry screen 102
12.9 Admittance (Y) Recorder 103
4 Otometrics - MADSEN Zodiac

12.9.1 The Admittance (Y) Recorder screen 104
12.10 ETF-P 106
12.10.1 The ETF-P screen 107
12.11 Tympanogram History 108
12.11.1 The Tymp History screen 109
13 Managing test results in MADSEN Zodiac 111
14 Printing from Zodiac 112
15 Transferring data to OTOsuite 113
16 Printing test results from OTOsuite 114
17 Service and maintenance 115
17.1 Equipment failure 115
17.2 Service and repair 115
17.3 Maintenance 116
17.3.1 Calibration 116
17.3.2 Probe admittance calibration 116
17.4 Cleaning MADSEN Zodiac 118
17.4.1 Recommended cleaning agents 119
17.4.2 Cleaning the device 119
17.4.3 Cleaning the shoulder strap 120
17.4.4 Cleaning the probe and probe tip 120
17.4.5 Fitting a new probe tip 122
17.4.6 Cleaning the test cavities 123
17.4.7 Cleaning the printer 123
17.4.8 Disposable accessories 124
18 Standards and safety 125
18.1 Symbols used 125
18.2 Warning notes 126
18.3 Manufacturer 128
18.3.1 Responsibility of the manufacturer 128
19 Technical specifications 129
20 Accessories 136
21 Notes on EMC (Electromagnetic Compatibility) 137
App. 1 MADSEN Zodiac immittance methodology and features 140
App. 1.1 An introduction to immittance 140
App. 1.1.1 Immittance testing 140
App. 1.2 Tympanometry 141
App. 1.2.1 Tympanometry testing on infants 141
App. 1.2.2 Tympanometric features 141
App. 1.2.3 ETF-I (Eustachian Tube Function - Intact) 143
App. 1.2.4 Valsalva’s Maneuver 143
App. 1.2.5 Toynbee’s Maneuver 143
App. 1.3 Acoustic Reflex testing 144
Otometrics - MADSEN Zodiac 5

App. 1.3.1 Acoustic reflex quick check 144
App. 1.3.2 Acoustic reflex threshold 145
App. 1.3.3 Acoustic reflex decay 145
App. 1.3.4 Admittance Recording 145
App. 1.4 ETF-P (Eustachian Tube Function - Perforated) 145
App. 1.5 Susceptance and Conductance, B/G 146
App. 1.5.1 Susceptance, B 146
App. 1.5.2 Conductance, G 147
App. 1.5.3 B/G viewing of tympanograms 147
App. 1.5.4 Component compensation 148
App. 2 MADSEN Zodiac 导抗方法和功能 150
App. 2.1 导抗简介 150
App. 2.1.1 导抗测试 150
App. 2.2 鼓室导抗测试 150
App. 2.2.1 婴儿鼓室导抗测试 151
App. 2.2.2 鼓室导抗测试的功能 151
App. 2.2.3 ETF-I( 完整鼓膜的咽鼓管功能测试) 153
App. 2.2.4 Valsalva 法153
App. 2.2.5 Toynbee 法153
App. 2.3 声反射测试 153
App. 2.3.1 声反射筛查 154
App. 2.3.2 声反射阈 154
App. 2.3.3 声反射衰减 154
App. 2.3.4 导纳监测 154
App. 2.4 ETF-P( 穿孔鼓膜的咽鼓管功能) 155
App. 2.5 电纳和电导 (B/G) 155
App. 2.5.1 电纳 (B) 155
App. 2.5.2 电导 (G) 156
App. 2.5.3 鼓室导抗图的 B/G 查看 156
App. 2.5.4 组件补偿 157
App. 3 Immitanz beim MADSEN Zodiac Methodologie und Funktionen 158
App. 3.1 Tympanometrie – eine Einführung 158
App. 3.1.1 Tympanometrieuntersuchung 158
App. 3.2 Tympanometrie 159
App. 3.2.1 Tympanometrieuntersuchungen bei Kleinkindern 159
App. 3.2.2 Tympanometrische Funktionen 159
App. 3.2.3 ETF-I, (Eustachische Röhrenfunktion – Intakt) 161
App. 3.2.4 Valsalva-Manöver 162
App. 3.2.5 Toynbee-Manöver 162
App. 3.3 Stapediusreflextest 162
App. 3.3.1 Stapediusreflex-Screening 163
App. 3.3.2 Stapediusreflexschwelle 163
App. 3.3.3 Stapediusreflex-Decay 163
App. 3.3.4 Admittanzüberwachung 164
App. 3.4 ETF-P (Eustachische Röhrenfunktion – Perforiert) 164
App. 3.5 Suszeptanz und Konduktanz, B/G 165
App. 3.5.1 Suszeptanz, B 165
App. 3.5.2 Konduktanz, G 166
App. 3.5.3 B/G-Bewertung von Tympanogrammen 166
App. 3.5.4 Komponentenausgleich 167
6 Otometrics - MADSEN Zodiac

App. 4 MADSEN Zodiac Inmitancia Metodología y Funciones 168
App. 4.1 Una introducción a la inmitancia 168
App. 4.1.1 Prueba de inmitancia 168
App. 4.2 Timpanometría 169
App. 4.2.1 Prueba de timpanometría en niños 169
App. 4.2.2 Funciones timpanométricas 169
App. 4.2.3 ETF-I (Función de la trompa de Eustaquio - Intacta) 171
App. 4.2.4 Técnica de Valsalva 171
App. 4.2.5 Técnica de Toynbee 172
App. 4.3 Prueba de reflejo acústico 172
App. 4.3.1 Screening de reflejo acústico 172
App. 4.3.2 Umbral de reflejo acústico 173
App. 4.3.3 Decadencia de reflejo acústico 173
App. 4.3.4 Monitoreo de admitancia 173
App. 4.4 ETF-P (Función de la trompa de Eustaquio - Perforada) 173
App. 4.5 Susceptancia y Conductancia, B/G 174
App. 4.5.1 Susceptancia, B 174
App. 4.5.2 Conductancia, G 175
App. 4.5.3 B/G visualización de los timpanogramas 175
App. 4.5.4 Compensación de componente 176
App. 5 MADSEN ZodiacImmittance Méthodologie et caractéristiques 178
App. 5.1 Introduction aux tests d'immittance 178
App. 5.1.1 Tests d'immitance 178
App. 5.2 Tympanométrie 179
App. 5.2.1 Tests de tympanométrie sur des nourrissons 179
App. 5.2.2 Fonctions de tympanométrie 180
App. 5.2.3 ETF-I (Fonction de la trompe d’Eustache - Intacte) 181
App. 5.2.4 Manoeuvre de Valsalva 182
App. 5.2.5 Manoeuvre de Toynbee 182
App. 5.3 Test du réflexe acoustique 182
App. 5.3.1 Dépistage du réflexe acoustique 183
App. 5.3.2 Seuil du réflexe acoustique 183
App. 5.3.3 Décroissance du réflexe acoustique 183
App. 5.3.4 Contrôle d'admittance 184
App. 5.4 ETF-P (Fonction de la trompe d’Eustache – Perforée) 184
App. 5.5 Susceptance et conductance, B/G 185
App. 5.5.1 Susceptance, B 185
App. 5.5.2 Conductance, G 186
App. 5.5.3 Affichage de tympanogrammes B/G 186
App. 5.5.4 Compensation de composante 187
App. 6 Immettenza MADSEN Zodiac Metodologia e caratteristiche 188
App. 6.1 Un’introduzione all’immettenza 188
App. 6.1.1 Test dell’immettenza 188
App. 6.2 Timpanometria 189
App. 6.2.1 Test timpanometrici su bambini 189
App. 6.2.2 Caratteristiche timpanometriche 189
App. 6.2.3 ETF-I (Funzione della tromba di Eustachio) 191
App. 6.2.4 Manovra di Valsalva 191
App. 6.2.5 Manovra di Toynbee 192
App. 6.3 Test del riflesso acustico 192
App. 6.3.1 Screen. riflesso acustico 193
Otometrics - MADSEN Zodiac 7

App. 6.3.2 Soglia riflesso acustico 193
App. 6.3.3 Decay del riflesso acustico 193
App. 6.3.4 Monitoraggio dell’ammettenza 193
App. 6.4 ETF-P (Funzione della tromba di Eustachio - Perforata) 194
App. 6.5 Suscettanza e Conduttanza, B/G 194
App. 6.5.1 Suscettanza, B 195
App. 6.5.2 Conduttanza, G 196
App. 6.5.3 Visualizzazione B/G dei timpanogrammi 196
App. 6.5.4 Compensazione del componente 196
Index 198
8 Otometrics - MADSEN Zodiac

1 Introduction to MADSEN Zodiac
MADSEN Zodiac is a compact device for immittance testing.
MADSEN Zodiac is available both as a Quick Check device and as a diagnostic testing device. Both types can be operated
either directly from the device (Stand-alone), and/or from the OTOsuite Immittance module software (PC-based).
MADSEN ZodiacQuick Check- Stand-Alone MADSEN ZodiacDiagnosticand Clinical- Stand-
Alone
See Testing with ZodiacQuick Check - Stand-Alone
►43
See Testing with ZodiacDiagnosticorClinical -
Stand-Alone ►48
MADSEN ZodiacQuick Check - PC-based MADSEN ZodiacDiagnostic and Clinical - PC-based
See Testing with ZodiacQuick Check - PC-based ►
82
See Testing with ZodiacDiagnostic or Clinical - PC-
based ►86
Supported tests
Depending on the configuration, Zodiac supports the following tests and functionalities:
• Tympanometry (Quick Check, Diagnostic, Clinical)
• Reflex Screening (Quick Check, Diagnostic, Clinical)
• Reflex Threshold (Diagnostic, Clinical)
• Reflex Decay (Diagnostic, Clinical)
• ETF-I (Eustachian Tube Function - Intact) (Diagnostic, Clinical)
• ETF-P (Eustachian Tube Function - Perforated) (Clinical)
• Admittance Recording (multiple uses, e.g. patulous Eustachian Tube evaluation, acoustic reflexes with external stim-
ulus) (Diagnostic, Clinical)
• Manual Tympanometry (Diagnostic, Clinical)
• Viewing tympanogram history (Diagnostic, Clinical)
Operating MADSEN Zodiac
•Stand-alone Zodiac
You can operate Zodiac as a stand-alone unit using the built-in keypad and display, or, if you are using the OTOsuite
Otometrics - MADSEN Zodiac 9

Immittance software module, you can operate Zodiac using the PC’s keyboard and mouse with the OTOsuite Immit-
tance module acting as the display.If you are controlling Zodiacfrom OTOsuite, see theMADSEN ZodiacDiagnostic &
ClinicalPC-basedUser Guide.
•PC-based Zodiac
You can operate the PC-based version of Zodiac using the PC’s keyboard and mouse with the OTOsuite Immittance
module acting as the display.
Probes
Depending on the configuration, MADSEN Zodiac supports the following probes:
• The hand-held Quick Check probe: MADSEN ZodiacQuick Check, as well as MADSEN ZodiacDiagnostic and Clinical
• The two diagnostic probe types, Classic and Comfort: MADSEN ZodiacDiagnostic and MADSEN ZodiacClinical
• A contralateral insert phone or TDH-39 supra-aural phone: MADSEN ZodiacDiagnostic and MADSEN ZodiacClinical
MADSEN Zodiac - OTOsuite interfacing
MADSEN Zodiac is designed to operate with the OTOsuite Immittance module. From the OTOsuite Immittance module,
which is NOAH compatible, you can perform tests, monitor test results, create User Tests, store and export data, and print
reports.
Noah
The Noah System is a HIMSA product for managing clients/patients, launching hearing test applications and fitting software,
and storing audiological test results. MADSEN Zodiac test results can be stored in the Noah database via OTOsuite.
Printing test results
Some versions of MADSEN Zodiac have a built-in thermal printer for printing test results. When MADSEN Zodiac is used in
connection with the OTOsuite Immittance software module, test results can be transferred to OTOsuite for printing as
OTOsuite reports.
1.1 The OTOsuite Immittance module
The OTOsuite Immittance module offers real time presentation of test results
and full test control of MADSEN Zodiac directly from a PC. Stand-alone ver-
sions of Zodiac, which have integrated user interfaces, can be operated inde-
pendently of the Immittance module, although additional features and
diagnostic value are offered by the Immittance module's comprehensive user
interface and NOAH compatibility.
When used for testing, the OTOsuite Immittance module adapts to the connected test device. The test functionalities of
the OTOsuite Immittance module depend on the connected device, as does the selection of test parameters and remote
control.
The Immittance module functions are described in Testing with ZodiacDiagnostic or Clinical - PC-based ►86.
The OTOsuite Immittance module lets you work with NOAH or save and view results via XML files.
Supported tests
Depending on the Zodiac connected to OTOsuite, the OTOsuite Immittance module supports the following tests and func-
tionalities:
• Tympanometry (Quick Check, Diagnostic, Clinical)
• Reflex Screening (Quick Check, Diagnostic, Clinical)
10 Otometrics - MADSEN Zodiac
1 Introduction to MADSEN Zodiac