Professional use only User Guide Nucleus® CR220 Intraoperative Remote Assistant
Note Important information or advice. Can save inconvenience. Warning (harmful) Potential safety hazards and serious adverse reactions. Could cause harm to person. CI513 CI522 CI24RE (CA) CI24RE (ST) CI24RE H CI422 • • • • • • It is not compatible with ABI and double array implants CI512 • The Cochlear™ Nucleus® CR220 Intraoperative Remote Assistant is compatible with the following implants: Compatibility Symbols Immediately before surgery ............................................................
Visual alerts .................................................................................................X Displaying system details ..........................................................................X Resetting the remote assistant ................................................................X General care and precautions ........................................................................X Technical and legal information .................................................................
Not used Pin for attaching the remote assistant lanyard Right arrow OK button Home button Not used Lock or unlock slider 6 - CR220 User Guide © Cochlear Limited 2012 Note: buttons highlighted in orange do not perform any function.
Hold the remote assistant in the palm of your hand. Keep it within 2 metres (about six feet) of the sound processor (about six feet) of each other. Operating it at a greater distance may cause increased delay between the sound processor and the remote assistant response time or loss of communication all together. How to hold and operate the remote CR220 User Guide - 9 4. To return to the eprevious menu or Home screen, use the 'Home' button 3.
10 - CR220 User Guide © Cochlear Limited 2012 © Cochlear Limited 2012 CR220 Series USB cable AND Global power adaptor CP900 series charging kit CR220 User Guide - 11 Computer with Computer with a USB port a USB port OR OR To charge the remote assistant battery, you will need: Tools to charge the remote assistant battery Ensure that you only use battery charging equipment supplied by Cochlear to charge the remote assistant battery.
12 - CR220 User Guide Charging with a computer OR 3. Using a computer with a USB port OR 2. Using the global power adaptor 1. Charge using the sound processor battery charger © Cochlear Limited 2012 When the battery is full, this screen will appear When charging correctly, this screen will appear Green indicator light on battery charger When charging, the indicator light will be steady green Three options for charging the remote assistant Getting started OK 5. Home screen will appear 1.
1. Press & hold OK OK 2. Press right arrow OK 3. Press OK Dn Up OK 4. Select 'Start' and press OK 5. Screen appears 2. Menu appears Dn Up OK 3. Select 'Practice Mode' and press OK 4. Menu appears Dn Up OK 5. Select 'Start' and press OK OK 6. Press OK OK 6. Screen 7. Press appears OK If you wish to enter practice mode while a sound processor is paired: Rt 1.
16 - CR220 User Guide 1. Hold the processor coil on 2. 'Pair processor' the coil guides at the back of prompt screen the remote assistant will display To pair the remote assitant with a sound processor: © Cochlear Limited 2012 OK 3. Press OK and wait during initialisation If there is already a sound processor paired, you can re-pair with a different sound processor at any time using the following instructions.
Press and hold the OK button until the menu screen displays. Dn OK The remote assistant automatically goes into standby mode if it has been inactive for an extended period. Press any button to 'wake' the remote assistant from standby mode. OK Up 2. Select Switch Off from the menu selection to turn the remote assistant off. 1. To turn the remote assistant off: Turning the remote assistant off OK OK Press the OK button quickly from Home screen.
20 - CR220 User Guide © Cochlear Limited 2012 If the remote assistant displays any processor errors, refer to pages 3133 to resolve the errors. Recharge batteries if they are not fully charged. Refer to pages 9-10 for instructions to recharge the batteries. Recharge batteries and resolve processor errors Getting started 2. The 'Locked' or 'Unlocked' screen will appear © Cochlear Limited 2012 CR220 User Guide - 21 The remote assistant cannot be turned off while the keypad is locked.
22 - CR220 User Guide Do not sterilise the remote assistant. Remote assistant in a sterile plastic bag © Cochlear Limited 2012 Before entering the operating theatre, place the remote assistant in a sterile bag and seal the bag. Place the remote assistant in a sterile bag Getting started Rt © Cochlear Limited 2012 OK OK 3. Press OK to start continuous impedance measurement CR220 User Guide - 23 5. 'Stopping' screen will display, followed by results screen 2. Impedance screen will display 4.
24 - CR220 User Guide Impedance not found Currently being measured Open circuit Impedance OK Not yet tested/skipped © Cochlear Limited 2012 Electrode definitions for impedance test 2. AutoNRT screen will display OK CR220 User Guide - 25 8. Number of electrodes successfully measured will also display OK 3. Press 4. AutoNRT 5. Press OK launch screen OK will display 7. On successful completion, AutoNRT complete screen will display © Cochlear Limited 2012 6. AutoNRT will run Rt 1.
Graph view L R Trace view Press any button to pause the process and display the AutoNRT Paused screen. 26 - CR220 User Guide © Cochlear Limited 2012 2. If you choose to cancel the AutoNRT test prior to successful measurements, the screen displays a cancelled message. 1. You can pause the AutoNRT results while the test is running.
28 - CR220 User Guide Using the remote assistant © Cochlear Limited 2012 Turn it off © Cochlear Limited 2012 CR220 User Guide - 29 You will need to upload the results from the remote assistant to the cochlear implant fitting software (CustomSound or NFS). Refer to the user guide for your fitting software for full instructions. Uploading results to fitting software Do not use an oven or microwave or any other electrical or heating device to dry the remote assistant. 4.
30 - CR220 User Guide Using the remote assistant © Cochlear Limited 2012 Text Text Coil cable fault Can't find processor © Cochlear Limited 2012 Text Incorrect coil type CR220 User Guide - 31 Troubleshooting information Text Screen display Processor error Error Visual alerts The remote assistant displays visual alerts when errors occur. Some alerts mean that the testing processes cannot continue (e.g. if the processor coil has moved off the implant).
Switch on processor error Remote assistant battery low 32 - CR220 User Guide © Cochlear Limited 2012 Charge remote error Processor battery low Processor battery empt Charge processor error Remote assistant battery empty Error Coil off implant © Cochlear Limited 2012 Troubleshooting information Text Processor and implant error Screen display Coil fault Incorrect implant Error Using the remote assistant Screen display CR220 User Guide - 33 This alert may display during impedance or AutoNR
Rt Rt Rt Rt 3. 'Beeps on remote' 4. Press right 5. 'Remote info' menu will display arrow screen will display Rt 34 - CR220 User Guide Rt Hm © Cochlear Limited 2012 Hm 6. Press 7. 'Processor info' 8 Press Home button to return to setright screen will display tings menu and 'Home' screen arrow OK 2.
Only use the intraoperative remote assistant while the recipient is under anaesthetic. Do not use or store the device in dusty or dirty areas, extreme high or cold temperatures (e.g. Do not store in direct sunlight, behind a window or in a car for extended periods of time) Take care when placing the remote assistant in a bag or pocket with other objects as the display may scratch. Commercially available protective films may be used to protect the remote assistant display from scratches.
38 - CR220 User Guide © Cochlear Limited 2012 Push-buttons/keys and a slider for control of processor features and its own system features. A display for indicating system status and activity. A speaker for sounding an audible alert. In-built coil sensor to check if the processor’s coil is receiving sound signals from the processor and for pairing. On-board battery charging circuit. A temperature sensor for battery safety. A micro USB connector for charging the remote assistant and updating the firmware.
Depth 90% RH 0% RH © Cochlear Limited 2012 +50 ºC (+122 ºF) +5 ºC (+41 ºF) 40 - CR220 User Guide +50 ºC (+122 ºF) 90% RH Minimum -40 ºC (-40 ºF) 0% RH Condition Storage temperature Storage relative humidity Operating temperature Operating relative humidity Environmental conditions Wireless transmission range Display Push-key functions Maximum Proprietary Low Power Bidirectional Wireless Link 2.4 GHz 3. 7 V 4.
Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. Consult the dealer or an experienced radio/TV technician for help. • • 42 - CR220 User Guide IC ID: 8039A-R200FF © Cochlear Limited 2012 Increase the separation between the equipment and receiver. • FCC ID: WTOR200FF Reorient or relocate the receiving antenna.
Printed in Australia 369388 Iss4 APR12 Cochlear implant systems are protected by one or more international patents. The statements made in this guide are believed to be true and correct in every detail as of the date of publication. However, specifications are subject to change without notice. Nucleus is a registered trademark of Cochlear Limited. AutoNRT, Cochlear and the elliptical logo are trademarks of Cochlear Limited.