Summer 4560 User manual

Tongue Depressor Instructions
Page 9
Normal Throat
. . . . . . . . . . . . . .
Page 10
The Tongue and Cysts
. . . . . . .
Page
1
1
Acute Tonsillitis/Strep Throat
. .
Page 12 & 13
Sore Throat
. . . . . . . . . . . . . . . .
Page 14
Post Nasal Drip
. . . . . . . . . . . . .
Page 15
Thrush
. . . . . . . . . . . . . . . . . . . .
Page 15
Canker Sore
. . . . . . . . . . . . . . .
Page 16
Bony Growth/Acute Infection
.
Page 17
Contact Us
. . . . . . . . . . . . . . . .
Back Cover
Contents
Your Otoscope
Your Otoscope
. . . . . . . . . . . . .
Page
Page
1
Otoscope Instructions
. . . . . . .
Page 2
Normal Eardrum
. . . . . . . . . . . .
Page 4
Crooked Ear Canal
. . . . . . . . .
Page 4
Ear Wax
. . . . . . . . . . . . . . . . . . .
Page 5
Early Ear Infection
. . . . . . . . . .
Page 5
Swimmer’s Ear
. . . . . . . . . . . . .
Page 6
Drainage Tube
. . . . . . . . . . . . .
Page 6
Fluid Behind The Ear
. . . . . . . .
Page 7
Eardrum Perforation
. . . . . . . . .
Page 7
Using Your Tongue Depressor
Page 8
This booklet is intended to be an educational tool and contains descriptions of con-
ditions offered in good faith based on current knowledge. It is not intended to take
the place of professional medical advice or any medical diagnosis obtained from
your doctor. Your doctor should always be consulted when questions arise about any
condition described in this booklet or that you may be concerned about.

Your Otoscope
Please take the time to read this entire
booklet before proceeding to use your
new Otoscope. Always check proper
working condition before each use. If
the light has become dim or slightly
yellow, it indicates the need for battery
replacement. A yellowing light will make
a normal eardrum appear discolored
and yellow. See battery replacement
instructions, page 2.
It is recommended that after each
use, the Probe be removed and cleaned
by wiping it with rubbing alcohol. Avoid
touching the reflector plate inside your
Otoscope as it will become tarnished,
reducing the reflection of light. See probe
tip replacement instructions, page 2. To
turn Otoscope on, press the thumb button
above the handle grip.
FEATURES
Probe
On/Off Switch
Easy Grip
Handle
Replacement Tips
Battery
Compartment
Compartment
Eyepiece
Eyepiece
1

Otoscope Instructions
To allow for proper insertion into the ear canal you
must straighten what is a naturally crooked ear canal
(Figure A). To do so you must pull the ear up and back
(Figure B). Pull the ear down and back on an infant.
The Probe is then gently inserted and slowly moved
into the ear canal to see the eardrum. Although the
Probe is designed to fit safely into the ear canal
without causing damage, great care should still be
taken when inserting the Probe into this sensitive area.
If pain occurs, the Probe should be pulled out a short
distance.*
*NOTE
: If the Probe is difficult to insert or seems
too large to fit, consider using a smaller size Probe.
Choose the largest size that will fit into the ear canal.
Examining young children can vary in difficulty.
You may require someone’s help to carefully hold the
child as you might do when helping your Pediatrician.
Some infants who are uncooperative can be
examined while sleeping.
If it is difficult to see into the ear canal (Figure A),
it may be necessary to make small up and down
movements
(Figure B). This may be due to the
eardrum being partially
obstructed by wax, or a
crooked ear canal.
NEVER insert a cotton swab or any other instrument
through the Probe into the ear canal as this may
cause injury to the eardrum or ear canal.
2
Unsnap battery cover at base and replace batteries as shown above.
Pull probe tip
to remove, insert
until probe tip
snaps into place.
Probe
Replacement
Battery Replacement

3
Crooked Ear Canal
Pull ear up and back to straighten canal
Pull ear up and back to straighten canal
Figure A
Figure B
Copyright © 2003 Nucleus Medical Art, Inc. All rights reserved. www.nucleusinc.com
Copyright © 2003 Nucleus Medical Art, Inc. All rights reserved. www.nucleusinc.com

Normal Eardrum
A light gray color and a wax-like consis-
A light gray color and a wax-like consis-
tency is visible in a normal eardrum. You
may be able to see through the eardrum.
A bright spot reflecting back from the
Otoscope light will be visible. This is called
the light reflex.
The canal wall is delicate and light
colored. Normally ear canals are crooked,
not straight.
Crooked Ear Canal
The ear canal appears crooked and
narrow due to the bony part of the ear
canal which prevents seeing the whole
eardrum. This is a normal condition.
4
© E.H.Gill/Custom Medical Stock Photo

Ear Wax
(Cerumen)
The ear canal is protected by ear wax which both lubricates and cleanses. However it
may become necessary to remove the wax as it accumulates.
A condition that would require cleaning is if the eardrum is partially blocked by ear wax.
Consult a physician if the ear is completely blocked with wax, as it will cause loss of hearing.
A little ear wax is normal. It may come in a variety of colors and consistencies, from light
brown to almost black.
Early Ear Infection
(Otitis Media)
An early ear infection is indicated by
redness seen over the top part of the
eardrum and along the hammer bone as
shown in this photo. Your physician should
immediately be consulted for treatment.
5
© PROFESSOR TONY WRIGHT, INSTITUTE OF
LARYNGOLOGY & OTOLOGY /SPL/
Custom Medical Stock Photo

6
Swimmer’s Ear
(Otitis Externa)
This condition is especially painful. Avoid touching or moving the ear. The ear canal is
infected and tender as indicated by redness in the ear and the accumulation of material
(called an exudate) on the canal walls. This is a serious condition. You should immedi-
ately see your doctor or ear specialist (otolaryngologist).
Drainage Tube
(in the Eardrum)
This shows a common procedure for
children with chronic ear infections, or other
people who can’t pop their ears. A small
tube is placed in the eardrum to remove
fluid, prevent infections and equalize air
pressure. The tube will fall out painlessly
into the ear canal. It is necessary to follow
the progress of the tube with periodic
checkups by your doctor.
NOTE: There are a large variety of ear
tubes.
The tube shown here is only one of
the various types available.
© ISM / Phototake

7
Fluid
Behind
the
Ear
(Serous Otitis Media)
This photo pictures an ear with fluid
This photo pictures an ear with fluid
behind the eardrum. Occasionally, this is
easily recognizable by visible air bubbles.
The ear will feel full or blocked.
Fluid can accumulate during or after an
infection, allergy, or flying in an airplane
and not having your ears pop or clear. The
presence of fluid indicates that you should
see your doctor.
Eardrum
Perforation
(with Chronic Fluid)
This photo shows a perforated eardrum.
Mucous-like fluid sits just behind the
eardrum. Ears with this condition will drain
and require special medical attention. You
should see your ear doctor for treatment.
© SIU BioMed/Custom Medical Stock Photo
© NMSB/Custom Medical Stock Photo

Using Your Tongue Depressor with Your Otoscope
Using Your Tongue Depressor with Your Otoscope
Before you attempt to use your new
Tongue Depressor, please take the time to
read the entire guidebook and study the
photographs.
It is recommended that after each use,
the Tongue Depressor be cleaned by gently
washing it with soap and water, then dry
and wipe with rubbing alcohol. It is also
dishwasher safe.
FEATURES
Easy Grip Handle
Tongue
Depressor
8

Tongue Depressor Instructions
Some of the symptoms that will cause concern about a possible infection or illness in your
oral cavity or throat are pain, soreness, and temperature. Signs to look for before examining
inside the mouth are abnormal discoloration, discharge or sores on or around the lips, teeth,
and gums.
Hold the chin steady with your hand while holding the Tongue Depressor. Due to the pos-
sibility of gagging, some children are frightened by the Tongue Depressor. To minimize fear,
remind them that the examination is similar to putting a lollipop in the mouth without gagging.
In addition, if they can imagine letting their tongue lick a lollipop, their tongue will naturally
relax, providing a view of the back of the throat. Placing the Tongue Depressor further than
two-thirds of the way down the tongue will initiate a gagging reflex in most people. When
placing the Tongue Depressor on the tongue, have the person breathe gently through the
mouth as if panting. Avoid breathing through the nose.
You may use your Otoscope to illuminate the throat from outside of the mouth. Do not
attempt to use the Otoscope as a Tongue Depressor.
9

Normal Throat
10
© T. Bannor/Custom Medical Stock Photo
Normal throat and oral cavity:
The lips are smooth and have a darker color
than the
normal skin of the face. The lining of the mouth is moist and pinkish in color. The tongue itself
can vary considerably from being relatively smooth to having deep ridges.
As you slowly advance the Tongue Depressor
toward the back of the throat, depress the
tongue. It may be easier if a person sticks their
tongue out to allow for a clear view of the back
part of the throat. The roof of the mouth is also
a smooth pink color and ends in a piece of
tissue hanging down called the uvula. The uvula
should be pink and smooth, not swollen, and
may be anywhere from one-eighth of an inch
to an inch long. Tonsils are a lump of lymphoid
tissue that functions as a filter to the airway.
Degree of infection, as well as age, can greatly
vary the size of the tonsils. The surface has a
pitted appearance, like a sea sponge. With
age, tonsils usually regress and remain small.
The back part of the throat is the pharynx,
which is pink and smooth, not irregular.

The Tongue and Cysts
As previously stated, a normal tongue
can vary greatly
in size, texture and color.
A bumpy texture is quite normal.
Behind the lip, on the inside of the
cheek a small cyst of a salivary gland or
mucous sack is shown. This is similar to
an enclosed lump that can occur under
the skin. These small cysts are painful
when accidentally bitten during chewing.
Sometimes they need to be removed by a
physician, and other times they naturally
disappear.
Keep in mind that an isolated lump,
or any swelling, needs to be examined
by a physician.
11
© E.H.Gill/Custom Medical Stock Photo

Acute Tonsillitis/Strep Throat
Acute tonsillitis when caused by
Streptococcus bacteria is called strep throat;
however other bacteria or viruses can cause
tonsillitis.
A scratchy throat and swollen tonsils are
the first signs of infection. Pain will increase as
the severity of infection increases, accompa-
nied by fever, chills and painful swallowing.
This indicates that the tonsils may be infected.
A layer of pus (or exudate) on the surface will
be visible. As the infection with inflammation
increases in severity, the color will change
from a soft pink to a deep reddish color.
Other obvious signs which would not
appear in a normal throat are enlarged,
deeper colored blood vessels on the tonsil’s
surface and in the throat as shown.
Immediate treatment by a physician is
almost always necessary.
12
© NMSB/Custom Medical Stock Photo

Acute Tonsillitis/Strep Throat
Strep throat can sometimes occur without
the presence of pus (exudate) or a virus
may cause pus on the tonsils. So even if
your throat appears normal but is becoming
increasingly uncomfortable, see your doctor.
The earlier strep throat is diagnosed and
treated, the less chance there is of infecting
family members and others.
Caution: Rheumatic fever and kidney
infection can develop due to untreated
strep throat. Scarlet fever, pneumonia, ear
infections and sinusitis can also be caused
by strep infections.
Although your throat may appear normal,
if you suspect a developing problem, you
should, in most cases, see your doctor.
13
© SIU BioMed/Custom Medical Stock Photo
© DR P. MARAZZI /
SCIENCE PHOTO LIBRARY/
Custom Medical Stock

Sore Throat
(Acute Pharyngitis)
The top example shows the back wall of
the throat or pharynx with an infection. This
infection may or may not be related to infected
tonsils. The image shows the throat during quiet
breathing. You can see a small bright red area
at the back of the throat. Note that tonsillitis
and pharyngitis can be caused by the same
bacteria. You should see your doctor when the
pharynx, or back of the throat is red.
The bottom example also shows the back
wall of the throat or pharynx with an infection.
Saying “ah” allows more of the back of the
throat to be seen here. Take note of the bright
red spots and pus seen at the back of the throat.
You should see your doctor immediately if any
of the following occurs: difficulty in opening
the mouth, rash, joint pain, fever (over 101˚F),
sore throat persisting three to five days or more
accompanied by difficulty in breathing, difficulty
in swallowing, earache, blood in the saliva or
phlegm, lump in the neck or hoarseness.
14
© NMSB/Custom Medical Stock Photo
© E.H.Gill/Custom Medical Stock Photo

Post Nasal Drip
It is quite common to have a post-nasal drip with a cold, flu, sinusitis or allergies. A
substantial amount of mucous is produced daily by the sinuses and nose. Larger quanti-
ties of mucous are produced in the lining of the nose and sinuses during infections such
as a cold, flu and tonsillitis. Behind the uvula is a noticeably red pharynx. You should see
your doctor if you experience post-nasal drip.
Thrush
Thrush symptoms include the appear-
Thrush symptoms include the appear-
ance of patchy white areas on top of the
tongue and on each side of the mouth as
shown in this example. Thrush is
considered a yeast infection of the mouth.
This condition is infectious and should be
treated by a physician. This infection is
common in small children and can occur
after being treated with antibiotics.
15
© DR P. MARAZZI / SCIENCE PHOTO
LIBRARY/ Custom Medical Stock
© E.H.Gill/Custom Medical Stock Photo

Canker Sore
An ulcer on the inside lower lip is called
An ulcer on the inside lower lip is called
a canker sore. A canker sore can develop
anywhere in the mouth including under the
tongue, in the cheeks, on the gums, and
sometimes can occur due to trauma to the
area such as brushing the teeth or poking
the gums with a toothpick.
Caused by one of the Herpes virus, it
can be extremely painful. The sore can
last anywhere from seven to fourteen days
before completely disappearing. See your
doctor if discomfort persists.
16
© E.H.Gill/Custom Medical Stock Photo

Bony Growt
h
/
Acute Infection
/Acute Infection/
Bony growths
can develop on the roof
of the mouth and the jawbone (mandible).
The jaw can also develop similar growths.
It is unknown why the bone grows in this
manner. Bleeding and pain can easily
occur if the bone is scratched. Oral cavity
tumors can be benign or malignant (can-
cer). Examination by a physician or throat
specialist is required if lumps or masses
persist for more than two weeks.
Lower right shows an
acute infection
in the floor of the mouth
. The floor of the
mouth swells when glands become infect-
ed. Tenderness and marked swelling in
the neck area under the chin and jaw may
accompany this condition. See your physi-
cian or throat specialist as therapy should
begin as soon as possible.
17
© E.H.Gill/Custom Medical Stock Photo
© OJ Staats, MD/
Custom Medical Stock Photo

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WD23 1FX UK
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Contact Us
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to the store. Our Customer Relations Department may have a simple solution to your problem.
Please contact us at 1-800-268-6237 or e-mail us at customerser[email protected].
We at Summer Infant stand behind all of our products. If you are not completely satisfied or
have any questions, please contact our Customer Service Department at 1-800-268-6237 or
e-mail us at [email protected]
• Non-rechargeable batteries are not to be recharged. • Rechargeable batteries are to be removed
from the toy before being charged. • Rechargeable batteries are only to be charged under adult
supervision. • Only batteries of the same or equivalent type as recommended are to be used. • Batteries
are to be inserted with the correct polarity. • The supply terminal are not to be short-circuited.
Summer Infant, inc.
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Lincoln, RI 02865 USA 1-800-268-6237
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Please retain instructions for
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