NANO BTE PLUS User manual
Behind the Ear
OTC Hearing Aids
User Manual
1
This OTC hearing aid is for users who are 18 and older. People who are
younger than 18 with hearing loss should see a doctor, preferably an ENT,
because they may need medical testing and management. Hearing loss can
affect speech and learning, so professional fitting and continuing care are
also important.
WARNING: When to see a doctor
If you have any of the problems listed below, please see a doctor, preferably
an Ear, Nose and Throat doctor (an ENT).
• Your ear has a birth defect or an unusual shape. Your ear was injured
or deformed in an accident.
• You saw blood, pus, or fluid coming out of your ear in the past
6 months.
• Your ear feels painful or uncomfortable.
• You have a lot of ear wax, or you think something could be in your ear.
Warnings
WARNING: If you are younger than 18, do not use this. You should go to
a doctor, preferably an Ear, Nose and Throat doctor (an ENT), because
your condition needs specialized care. Over-the-counter hearing aids are
only for users who are age 18 or older.
Warnings
2 3
• You get really dizzy or have a feeling of spinning or swaying
(called vertigo).
• Your hearing changed suddenly in the past 6 months.
• Your hearing changes; it gets worse then gets better again.
• You have worse hearing in one ear.
• You hear ringing or buzzing in only one ear.
WARNING: This hearing aid should not cause pain when inserting it.
Remove this device from your ear if it causes pain or discomfort when you
insert or place it. To try again, make sure to follow the instructions. If you
feel pain or discomfort again, contact the manufacturer. If your pain or
discomfort doesn’t go away, contact your hearing healthcare professional.
You can also report this to FDA as an adverse event according to the
instructions that appear later.
CAUTIONS AND NOTICES
Caution: This is not hearing protection.
You should remove this device if you experience overly loud sounds, whether
short or long lasting. If you’re in a loud place, you should use the right kind of
hearing protection instead of wearing this device. In general, if you would use
ear plugs in a loud place, you should remove this device and use ear plugs.
Caution: The sound output should not be uncomfortable or painful.
You should turn down the volume or remove the device if the sound output
is uncomfortably loud or painful. If you consistently need to turn the volume
down, you may need to further adjust your device.
Caution: You might need medical help if a piece gets stuck in your ear.
If any part of your hearing aid, like the eartip, gets stuck in your ear, and you
can’t easily remove it with your fingers, get medical help as soon as you can.
You should not try to use tweezers or cotton swabs because they can push
the part farther into your ear, injuring your eardrum or ear canal, possibly
seriously.
Note: If you remain concerned, consult a professional.
If you try this device and continue to struggle with or remain concerned
about your hearing, you should consult with a hearing healthcare professional.
Note: What you might expect when you start using a hearing aid.
A hearing aid can benefit many people with hearing loss. However, you should
know it will not restore normal hearing, and you may still have some difficulty
hearing over noise. Further, a hearing aid will not prevent or improve a
medical condition that causes hearing loss.
Warnings Warnings
4 5
People who start using hearing aids sometimes need a few weeks to get used
to them. Similarly, many people find that training or counseling can help them
get more out of their devices.
If you have hearing loss in both ears, you might get more out of using hearing
aids in both, especially in situations that make you tired from listening – for
example, noisy environments.
Note:Tell FDA about injuries, malfunctions, or other adverse events.
To report a problem involving your hearing aid, you should submit
information to FDA as soon as possible after the problem. FDA calls them
“adverse events” and they might include: skin irritation in your ear, injury
from the device (like cuts or scratches, or burns from an overheated battery),
pieces of the device getting stuck in your ear, suddenly worsening hearing
loss from using the device, etc.
Instructions for reporting are available at https:/www.fda.gov/Safety/
MedWatch, or call 1-800-FDA-1088. You can also download a form to mail
to FDA.
Note: If you experience side effects, such as skin reaction or accelerated
accumulation of ear wax accumulation, contact a physician, preferably an Ear,
Nose and Throat physician.
Thank you for choosing Nano Hearing Aids!
We are excited for you to experience our hearing aids.
If you have any questions, feel free to contact us at:
Customer Success Team
6-8-
Warnings
6 7
. Getting Started 9
Tips for Getting Started
Resources
What’s Included
BTE Plus Overview
Charging Dock Overview
2. Preparing Your Hearing Aids
Charge Your Hearing Aids
Select Dome
Attach Dome
Thin Tube Selection
3 Wearing Your Hearing Aids
Insert Dome in Ear Canal
Position Stabilizer
Place Hearing Aid Behind Ear
Turn Hearing Aid On
Adjust Hearing Aid
Change Program/Mode
Remove Hearing Aid
. The Nano Hearing App
. Caring for Your Hearing Aids
Cleaning Your Hearing Aids
Remove/Change Thin Tube
Protecting Your Hearing Aids
. Troubleshooting
. Accessories Available for Purchase
Technical Specs
. Safety Information
. Maintenance, Storage and Disposal
. Warranty
. Return Policy
. Regulatory and Legal Information
Table of Contents Table of Contents
8 9
Welcome
On behalf of Nano, we’d like to congratulate you on your
state-of-the art purchase. Our products have helped
thousands of satisfied customers. We are passionate
about helping you find an affordable solution to the
challenges brought about by your hearing loss.
Your new hearing aids are the perfect mix of price and
quality, and we are confident they will help you hear
more clearly. Becoming comfortable with using the
hearing aids will take time, so practice wearing it while
speaking with friends and family, watching TV, listening
to music, or participating in your favorite activity
involving sound!
Tips for Getting Started
Resources
What's Included
BTE Plus Overview
Charging Dock Overview
Getting Started
10 11
Tips for Getting Started
Please refer to Your Journey to Better Hearing for a guide to
wearing your hearing aids for the first 21 days.
To set you up for success, we recommend the following additional
tips to help get you started:
• Before wearing your new device, we recommend removing any
wax build up in the ear canal. A professional ear cleaning may
be necessary, as excess wax may cause feedback.
• Hearing aids should be fully charged before using for the
first time.
• Wear the hearing aids for a few hours the first day. Try to
increase the amount of time you wear them each day. Start by
wearing them in a quiet environment, gradually working your
way to more challenging environments, such as restaurants.
• Initially, wear the hearing aids at home. You’ll notice sounds you
may not have heard in a while, like the refrigerator humming.
Over time, your brain will learn to adapt to these new sounds.
Tips for Getting StartedTips for Getting Started
• Have one-on-one conversations in a quiet environment.
• Listen to an audio book or podcast.
• Noisy environments can be quite challenging for new hearing
aid users (and even normal hearing people). Be patient as you
explore the more challenging listening environments.
• Ask your friends and family to help you by speaking clearly and
slowly. It will also be very helpful if they face you as they speak.
• Everyone’s experience with adapting to hearing aids is different.
Be patient as you go through the process of adjusting to them.
Most likely, your hearing has decreased over a few years time.
Your brain is now receiving more auditory information than it
has in a while and will take some time to adapt.
• Feedback/chirping can be expected when the hearing aid is
inserted in the ear with the power on. Feedback can also be
expected if you place your hand next to your ear with the
hearing aid on.
• Wind noise/wind shear may be experienced when outdoors or
any time wind turbulence over the microphone is present.
12 13
Resources
Use the Quick Start Guide to get you started using your hearing
aids right away.
This User Manual will provide more detailed information about
using your hearing aids.
For an electronic version of this User Manual, use the QR
code below.
ResourcesResources
If you have any questions, feel free to contact us at:
Customer Success Team
6-8-
Our friendly Advanced Support Team is here to help!
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Hearing aids
Charging dock
User Manual
Quick Start Guide
Return policy
Accessories:
• Charging cable
• Charger plug
• Thin tubes
• Open domes
• Closed domes
• Vented domes
• Hearing aid brush
• Filament
What’s IncludedWhat’s Included
What's Included:
USB Type A®to
USB Type C™
Charging cable
Filament
Charging Dock
Hearing Aids Thin Tubes
Charger plugDomes
Small Medium Large
Hearing aid
brush/wax loop
16 17
BTE Plus Overview BTE Plus Overview
Overview
Bluetooth™connectivity for
App Control
Volume Levels
Program Selection
Listening Programs
All Around
Restaurant
TV
Outdoors
Advanced Feedback
Management
Advanced Noise Reduction
Directional Microphones
to optimize sounds from
the front
FUNCTIONS
Dome Microphones
Charging Indicator Light
Charging Contacts
Thin Tube
Color Coded Right/Left Indicators
Rocker Switch
Stabilizer
18 19
Charging Dock OverviewBTE Plus Overview
Overview, Cont...
Multi size domes
Open fitting options
Cleaning brush with
thin tube cleaner
Charging dock with
power supply
Toggle control for volume
& program changes
FEATURES
Left charging well Right charging well
Charging Light
Charging Port
20 21
Step : Charge Your Hearing Aids
Hearing aids should be fully charged before using for the first
time.
• Indicators on the tip of the thin tube near the dome will identify
the aid as right or left. Right aid will have a red indicator. Left aid
will have a blue indicator.
• Plug the USB end of the charging cable into the charge plug.
Plug the USB-C end of the charging cable into the charging
dock.
• Hearing aids must be powered off to charge. Hearing aids will
not properly charge if placed in charger while powered on. If
hearing aids are off, you will not hear feedback/chirping as you
cup them in your hand. To turn aids off, press and hold the
upper portion of the rocker switch for 3 seconds. When the aid
is off, the light on the aid will flash blue.
• Place the aids in the charging wells: Right aid in the right well,
left aid in the left well. When properly inserted in the charging
Charge Your Hearing Aids
Preparing Your Hearing Aids
Charge Your Hearing Aids
Select Dome
Attach Dome
Thin Tube Selection
22 23
Charging Time Expected amount of hearing aid use
hours hours
minutes hours
Step 2: Select Dome
• It may take some time experimenting with various domes to
find the one that best suits your ears and listening preference.
A dome can affect comfort, the way your voice sounds, and
overall amplified sound. For your convenience, open, closed,
and vented domes are included with your Nano Hearing Aids.
Charge Your Hearing Aids
dock, the light in the center of the hearing aid rocker switch will
illuminate.
Indicator Light on Rocker Switch
Blue light Hearing aid is charging
Green light Hearing aid is fully charged
Charging Tips
• For best results, turn hearing aids off prior to charging.
• Hearing aids may be left in the charging dock overnight or for
an extended amount of time.
• If hearing aids were powered off prior to charging, they will
remain off when removed from the charging dock.
• The expected amount of hearing aid use time based on
charging time is as follows:
Charge Your Hearing Aids
24 25
Dome Selection Guide
Issue Recommedation
Dome is too tight
Try a smaller vented dome
Try a smaller open dome
Try a smaller closed dome
Dome is too loose/
Dome slips in ear
with jaw movement
Try a larger vented dome
Try a larger open dome
Try a larger closed dome
Feedback/chirping
from hearing aid
Try a different open dome
starting with smallest
Try a closed dome
starting with smallest
Try other feedback troubleshooting
tips page
Own voice is
uncomfortable
or booming
Try aid without a dome
Try a smaller open or vented dome
Select Dome
• Place the hearing aid (powered on) in your ear (reference page
) with the dome attached to the thin tube. Open and close
your jaw with a chewing motion several times to ensure the
dome doesn’t move out of your ear. Use the guide below to
help select another dome if necessary.
• Keep in mind:
- With a smaller, open dome, your voice is likely to sound
more natural.
- With a larger, closed dome, you may feel like you’re speaking
in a barrel.
- Always start with trying smallest to largest open domes.
Then, try smallest to largest closed domes.
Select Dome
VENTEDCLOSEDOPEN
26 27
Note: If dome is not securely attached to the thin tube
before insertion, the dome could possibly get lodged in
your ear canal when the hearing aid is removed. In the
event this happens, we recommend visiting a physician or
hearing healthcare professional for removal.
Thin Tube Selection
If you find the thin tube is too short, please reference page 59 to
change to a longer thin tube.
If you find the thin tube is too long, please contact our Customer
Success Team at 619-738-2438.
Attach Dome
Tip: We encourage you to try using the hearing aid without
a dome. While domes have been provided, you may find
it more comfortable and less occluding without domes.
However, if you experience feedback or chirping without a
dome, proceed with selecting a dome that best fits your ear.
Step 3: Attach Dome
Securely attach a new dome to the tip of the hearing aid as
shown. Once the dome is attached, give it a slight tug to make
sure it’s secured to the tip.
Attach Dome
28 29
Step 1: Insert Dome in Ear Canal
Blue indicator for left ear.Red indicator for right ear.
Insert Dome in Ear Canal
Insert Dome in Ear Canal
Position Stabilizer
Place Hearing Aid Behind Ear
Turn Hearing Aid On
Adjust Hearing Aid
Change Program/Mode
Remove Hearing Aid
Wearing Your Hearing Aids
30 31
Step 2: Position Stabilizer
Using your finger, position the stabilizer into the curvature of your
ear. The stabilizer helps keep the aid secure in your ear.
If you find the stabilizer too long, you may cut it. It won’t affect the
functionality of the thin tube. If you feel it’s not comfortable or
not fitting in the curvature of your ear, you may cut it completely.
Be careful not to cut the thin tube itself.
Position Stabilizer
Hold the thin tube bend with your thumb and finger as shown.
Gently insert the dome into your ear canal.
Feedback/chirping can be expected when the hearing aid is
inserted in the ear with the power on. Feedback can also be
expected if you place your hand next to your ear with the hearing
aid on.
Tip: If uncomfortable feedback/chirping is experienced
during the insertion process, hearing aid may be turned
off prior to insertion. Once hearing aid is in the ear, turn
hearing aid on.
Turn Hearing Aid On
32 33
Step 3: Place Hearing Aid Behind Ear
Step 4: Turn Hearing Aid On
If hearing aid is off, press and hold the upper portion of the rocker
switch for 4 seconds until the hearing aid turns on.
Adjust Hearing Aid
Place Hearing Aid Behind Ear
Step 5: Adjust Hearing Aid
Rocker Switch: Make adjustments to your hearing aid by using
the rocker switch. You may also adjust your hearing aid with the
Nano Hearing App. (See page 39.)
Press & Hold
TURN ON ( LIGHT)
TURN OFF ( LIGHT)
seconds
seconds
Quick Press
VOLUME INCREASE
UPPER ROCKER SWITCH
Press & Hold
CHANGE PROGRAMS
Quick Press
VOLUME DECREASE
LOWER ROCKER SWITCH
34 35
Rocker Switch
Function Action Indicator Beep
Turn on Press and hold the upper portion of the
rocker switch for seconds
Aid will power on to the last program used
beep for Program beeps for Program etc
Turn off Press and hold the upper portion of the
rocker switch for seconds long beep
Volume
Increase
Quick touch the upper portion of the rocker
switch to cycle the volume up from volume
levels
beep every time volume is increased
tone beep when max volume is reached
Volume
Decrease
Quick touch the lower portion of the rocker
switch to cycle the volume down
beep every time volume is decreased
tone beep when minimum volume is reached
Program/
Mode
Press and hold the lower portion of the rocker
switch for seconds to advance to the next
program programs total
beep Program
beeps Program
beeps Program
beeps Program
Adjust Hearing Aid
Adjust Hearing Aid
36 37
Programs/Modes
Press and hold lower portion of rocker switch for secs
to change program for sound shaping
Program Indicator Recommended for
All around beep Quiet environments
home or office
Restaurant beeps Restaurants crowds
TV beeps Closed spaces with limited
noise levels
Outdoor beeps Noisy places that require
maximum noise reduction
Tip: The description of the program may not apply to you.
For example you may prefer the “Outdoor” program when
you’re indoors or when listening to music. Find the program
that suits you best for a given listening setting.
Change Program/Mode
Step 4: Change Program/Mode
Your hearing aids have programs from which to choose.
Programs allow you to change between different listening settings
by shaping the sound differently in each setting. Take time to
switch between programs to determine which program best suits
your comfort and listening needs. You may find program works
best for you in a quiet environment, whereas program works
best for you when you’re outdoors. Alternatively, you may find
that you prefer listening to one particular program at all times.
To change the program, press and hold the lower portion of the
rocker switch for seconds. You will hear the number of beeps
that corresponds to the program selected.
Change Program/Mode
Directional microphone activates if noise is coming from behind.
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