PH Guide Target9.0 Step by Step 210x297 029 1324 02 en
PH Guide Target9.0 Step by Step 210x297 029 1324 02 en
Step-by-step Guide.
TargetMatch 14
2
Overview
You can hover on each of the icons in the dashboard to see key
information such as creation date of the audiogram, serial
numbers of the hearing aids, fitting formula, feedback test
status, Bluetooth® side, and more.
Information on the client, Information on hearing aids, acoustic All hearing aid adjustments and fine tuning.
such as personal data, parameters, and accessories.
audiogram, RECD, and
REUG.
Work area
The work area is the space where the selected content is
shown. Phonak Target has a color code:
Indicates a restriction in functionality that may impact
the client’s experience or highlights important
information that requires your attention.
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Notification sidebar
The notification sidebar provides quick access to information
or reminders that can support you in completing a fitting or
foster conversations with your client.
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Setup
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Trial & tools
Within [Trial & tools], you can find tools for testing, After the trial period ends and the client wishes to pursue new
updating and resetting hearing aids or accessories. hearing aids and with their preferred settings, save the client‘s
existing session to the new hearing aids.
Trial hearing aids
Phonak Trial hearing aids allow you to offer your client the A performance level change is not possible during a
opportunity to experience different performance levels in Phonak Remote Support session.
a single hearing aid. Trial hearing aids are offered as BTE
and RIC hearing aids with direct connectivity. The ability Before fitting a new client with Trial hearing aids, reset the
to change performance levels in Target allows you to Trial hearing aids to factory settings to remove any previous
address a client’s needs from the first visit. fitting information.
Select the desired performance level and press [Continue]. Measurement settings
Target will configure the performance level selected. When Under [Measurement settings], you can activate measurement
finished, you can then start again for the contralateral settings in order to measure the reference test gain (RTG),
side. Once the process is complete, the hearing aids are full-on gain (FOG), or maximum power output (MPO) settings
ready to be fit in a client’s fitting session. of the hearing aids.
The trial period duration can be configured between 2 and Firmware update
8 weeks, with 6 weeks set as the default. If you connect Under [Firmware update], you can update the firmware, when
the hearing aids to the fitting software at any time, needed, for fitting interfaces, hearing aids, accessories,
including during a Remote Support session, a new trial chargers and Roger™ devices.
period starts from that date.
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Training mode
Training mode allows you to simulate a fitting. All Target
fitting functionalities are available allowing you to become
more familiar with how the software works. No physical
devices are needed.
Select the hearing aids you wish to simulate from the hearing
aid list within [Instruments]. Click on [Connect] to begin the
simulation.
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Client view
Client view helps to facilitate the counseling process for your To access Client view, click [Client view] in the upper right hand
client and their communication partners. Information about corner of the black menu bar.
hearing, hearing loss, and devices can be presented on your
computer screen or on a second display screen.
Transfer fitting
Target lets you transfer some settings from a fitting session to
a new selection of hearing aids. The transfer fitting tool can be
found within the [Fitting] dropdown menu, located in the top
black menu bar. During the transfer process, Target will prompt
you about which settings can or cannot be transferred.
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The acoustic parameters and feedback test results are the coupling chosen is occluded), then change the acoustic
not transferred over because Target does not know whether parameters in Target before the settings are transferred from
you will use the same acoustic parameters with the new the previous hearing aids to the new hearing aids.
hearing aids. Also, the fine tuning will not be transferred over.
Transferring a fitting is not possible to or from a
If the acoustic parameters of the hearing aids you want to bimodal fitting.
transfer settings into is calculated differently (i.e. Target
calculates a 2 mm earmold vent for the new hearing aids, but
Instruments
Acoustic parameters and receiver check mismatch, it is possible for you to rectify the mismatch either
Phonak Target automatically links acoustic parameters in the acoustic parameters screen or by replacing the receiver
together when they are the same. You can view, change or to match what is entered in Target.
unlink the acoustic parameters at any time.
Accessories
Click on [Instruments] > [Acoustic parameters]. Enter or Accessories can be manually selected in [Instruments] >
confirm the correct coupling information. [Accessories]. Check [Show only compatible accessories] to
only see the list of accessories that are compatible with
If the client has a custom earpiece manufactured by Phonak, the selected hearing aids.
the acoustic code on the earpiece can be entered. The acoustic
code is a 6 digit code printed on the earpiece. Entering in the
acoustic code will automatically enter the appropriate acoustic
parameter information.
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Feedback & real ear test
It is recommended to perform the feedback and real ear test at The feedback threshold can be increased in step sizes of one or
the first fitting appointment. The test can be run in both ears three until reaching the maximum gain limit of the hearing aid.
consecutively or one ear at a time. The test combines the The step size is not provided in decibel units, but corresponds
individual feedback threshold, characteristics of the client’s ear to the number of overtuning steps you have in total to reach
canal and the acoustic parameter settings for a more accurate the maximum gain limit.
fitting calculation.
The maximum gain that can be reached is 12 dB. Information
This measured feedback threshold is visually represented in on the additional gain applied can be seen in the gray or green
Phonak Target as a solid purple line. banner above the curve display.
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Use estimated vent and sound leakage from
feedback test
Clicking [Use estimated vent and sound leakage from feedback
test] replaces the acoustic vent information entered into the
acoustic parameters screen. You are using the information
from the feedback test to determine the actual venting of the
earpiece. Checking the box will change the pre-calculation of
the fitting.
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AudiogramDirect
AudiogramDirect is an in-situ hearing test within Phonak By default, Target will recalculate the hearing aid settings
Target. You can test a client’s hearing directly through their based on AudiogramDirect results, unless this option is
hearing aids, taking into account the properties of the manually unchecked.
individual ear and the chosen hearing aids. AudiogramDirect
does not replace diagnostic audiological assessments. Previous hearing tests can be compared and reviewed by
clicking on [History].
Confirm that the feedback test has been measured before
using AudiogramDirect. Click [AudiogramDirect] > [Start] to UCL measurements are disabled during a Phonak Remote
test air conduction (AC) hearing thresholds and uncomfortable Support session.
loudness levels (UCLs) using the connected hearing aids. UCL
measurements are optional.
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Global tuning
Auto acclimatization
Automatically acclimatize a client to a higher overall gain level
by setting a target gain level you wish the client to reach and
the number of days the client would need to reach that target
gain. The benefit for the client is the hearing aid gradually and
comfortably acclimatizes, instead of you having to increase the
gain session by session manually.
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TargetMatch
TargetMatch is an automated guidance system for real ear The workflow with Aurical uses a proprietary software
measurements. It guides you through a step-by-step workflow interface, allowing for a proprietary workflow.
of calibration, probe tube placement, unaided measurements,
aided measurements, and automatic target matching. The Natus Otosuite software version needed is 4.88 or later.
TargetMatch can be accessed via [Global tuning]. Click [R] / The fitting formula used is taken from the fitting formula
[Start both] / [L] to start. The assistant will then guide you selected in [Global tuning].
through a series of steps.
Select whether you wish to perform measurements via [REM] or
The hearing aid adaptive features are set automatically during [Test box].
the measurements and will be restored to their original states
afterwards. Calibration
Complete the probe tube calibration by attaching new probe
TargetMatch always uses the open REM workflow. This means tubes to the probe assemblies of the REM system. Check that
it automatically mutes/unmutes the hearing aid and measures the calibration results fall within the shaded region. It is
the environmental noise when appropriate. recommended to perform probe tube calibration with every
new set of probe tubes.
The signal used for aided measurements is the International
Speech Test Signal (ISTS). Unaided measurements
Guided probe tube placement is a function that assists you
TargetMatch 1.0 with placing the probe tube at the correct insertion depth. It is
TargetMatch 1.0 is available when using Phonak Target within available for clients age 10 years and above, and designed to be
Noah and with Natus Aurical FreeFit and Aurical HIT test box. used with nonsurgical adult ears.
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Click [R Start] / [L Start] to begin the REUG measurement with TargetMatch 2.0
guided probe tube placement. TargetMatch 2.0 is on the IMC2 protocol. IMC2 stands for Inter
Module Communication 2. It is an industry standard for a
Once the probe tube is placed at the ear opening, click [Start] software interface, allowing fitting software and REM software
or press the power button on the Aurical FreeFit to start the to “talk” to each other directly.
guided probe tube placement. Carefully move the probe tube
towards the eardrum as indicated. The values are presented in Preparation
millimeters and match the scale on the probe tubes provided TargetMatch 2.0 is available when using Phonak Target version
by Natus. The green check mark indicates when the probe tube 9.0 and later within Noah. It is compatible with:
is at the correct position. • Auditdata Primus Pro with software version 4.1.0 or higher
• Interacoustics Affinity 2.0 and Affinity Compact with
Click [Measure] or press the power button on the Aurical software version 2.19 or higher
FreeFit to start the REUG measurement. • Signia Unity 3 with software version 5.9.0 or higher
Aided measurements When you start TargetMatch 2.0, it will recalculate the hearing
Insert the hearing aids into the client‘s ears. Make sure the aids to 100% gain level. The measurement will be performed in
probe tube position does not change while inserting the the client’s startup program. The automatic adjustments made
hearing aids. Click on [Start measurement] to measure the in the startup program will be applied to the other programs in
acoustic transformation measurements, including acoustic the client’s fitting.
coupling, real-ear occluded gain (REOG), and microphone
location effect (MLE). Select the preferred fitting formula to use. This fitting formula
will be applied to the client’s fitting after completing
Select the program that will be active during the aided response TargetMatch 2.0. Select the REM system you will be using. This
measurements and how you wish to perform verification. selection only needs to be done once.
• Automatic match – automatically run the measurements and
adjust the hearing aid output to match targets. This sequence of Calibration
measuring and matching will be performed twice. Complete the probe tube calibration by attaching new probe
• Manual match – manually adjust hearing aid responses to tubes to the probe assemblies of the REM system. Check that
match targets. the calibration results fall within the shaded region. This
• Measure responses only – measure hearing aid responses only shaded region will differ depending on which REM
without adjusting the hearing aid. manufacturer you are working with.
The aided responses will be performed at soft speech at 50 dB It is recommended to perform probe tube calibration with
SPL, average speech at 65 dB SPL and loud speech at 80 dB SPL. every new set of probe tubes. However, if the probe tube
calibration has already been performed, this step can be
For test box measurements, you will be reminded to place the skipped.
hearing aids into the test box. Click on [Start measurement] to
obtain the hearing aid responses. Unaided measurements
The unaided measurement includes probe tube placement
Finalizing TargetMatch 1.0 combined with the REUG measurement. Once the probe tube is
The results screen is displayed in output view. The different lines inserted into the ear canal, click [Start].
indicate:
• dark red/blue lines are the aided responses from the hearing aid During the measurement, the placement of the probe tube will
• light red/blue lines are the standard targets be checked for clients age 10 years and above. With a correct
• dotted gray lines are the individualized targets placement, a green checkmark appears. With a poor placement,
an orange message will appear and troubleshooting tips will be
The individualized targets are based on the audiogram, fitting provided to help improve the measurement.
rationale, the acoustic transformation measurements and the
feedback threshold. It shows the targets that can be achieved. You can choose to skip this step. When skipping, average REUG
will be applied.
Click [Save] to apply the changes to the fitting and store all
measurements to Noah. The results can be reviewed Aided measurements
afterwards either in Otosuite or Phonak Target. Insert the hearing aids into the client‘s ears. Make sure the
probe tube position does not change during insertion.
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Select which input levels to measure. Average speech at 65 dB Global gain level
SPL is mandatory. Soft speech at 50 dB SPL and loud speech After successful completion of these measurements, the global
at 80 dB SPL are optional. It is recommended to measure and gain level can be modified, especially if the client is not yet
match at all three levels to ensure that optimal dynamic range acclimatized to 100% gain settings. When reducing the global
can be achieved for soft, medium and loud signals. You have gain level, only the overall gain will be reduced while the
the option to reselect and remeasure levels as needed. The automatic fine tuning will be preserved.
sequence of measuring and matching the 65 dB level will be
performed twice. With Paradise hearing aids and newer, you can enable and
adjust auto acclimatization within this step. For previous
In this step, REOG will be measured and applied, as well. generation of hearing aids, the global gain level and the auto
acclimatization period can be modified in [Global tuning].
Click [Save] to save the results and apply the changes to the
fitting.
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Fine tuning
Fine tuning gives access to more specific fitting functionalities media player, to directly involve your client in selecting
such as adjusting gain and MPO, as well as hearing performance the preferred settings.
and sound cleaning features, for an individualized fitting.
Program manager
The left side of the fine tuning screen is used for the handling To manage the programs, click on [Program manager] above
of programs. Click [All programs] to adjust all programs the programs. The startup program, program structure, and
simultaneously. Click [AutoSense OS] to modify all acoustic streaming programs can be customized here.
automatic programs or [AutoSense OS (streaming)] to modify
automatic streaming programs. Click on the [+] icon to add an additional manual program.
To modify a single program, click on the program, e.g. Gain & MPO
[Calm situation], in the list and adjust as needed. The gain values are adjustable for soft, moderate and loud
The undo or redo arrows are located next to [Fine tuning] and input sounds. The optimum fitting range is available if the
can be used to undo or redo steps in the fine tuning screen. individual UCL measurement values were entered into the
client’s audiogram, otherwise average values are used.
Compare settings To modify the MPO simultaneously in all channels, click [MPO]
This tool provides a convenient way for your client to compare shown on the left beside the MPO values.
your latest hearing aid settings resulting from your recent
adjustments from the previous hearing aid settings. You can The overall gain can be changed by clicking [All].
compare and choose programs from earlier fittings without
leaving the session. The gain or MPO values can be changed by clicking on the up
or down arrow next to the table. You have the option to make
one step changes (single arrow) or three step changes (double
arrow). These steps do not equal to changes in decibels. If you
wish to view the compression ratio for each frequency
The first snapshot of the hearing aid settings will be taken channel, they are shown in the row directly underneath the
automatically after connecting the hearing aids to Target. gain values.
In the fine tuning screen, additional snapshots can be taken
manually at any time. Use sounds from the integrated
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Program options Dynamic Noise Cancellation
Program options can be adjusted from the default settings. Dynamic Noise Cancellation is a spatial noise cancellation
The features can be activated, deactivated, or changed in feature that works in combination with a directional
strength for each program individually. The available ranges beamformer to improve the SNR in challenging situations. It is
within each scale are visible and depend upon performance level. microphone dependent so it is only activated when the
beamformer is fully activated and switches off as soon as the
In a binaural fitting, the settings of the features are coupled SNR reaches 18 dB and higher.
for the left and right sides by default.
It is featured in Speech in noise and Speech in loud noise
To enable the option to uncouple the features between sides, programs only. Dynamic Noise Cancellation is available with
go to [Fitting], located in the black menu bar, and select Paradise hearing aids and newer. It is recommended to allow
[Advanced L/R coupling]. Dynamic Noise Cancellation to be adjusted and personalized
for each situation by the client using the myPhonak app,
StereoZoom 2.0 especially as the acoustic environment greatly differs from
StereoZoom 2.0, is a binaural beamfomer that enhances the situation to situation.
signal-to-noise ratio from the front and back in challenging
environments. StereoZoom 2.0, active only in the Speech in Speech Enhancer
loud noise program, smoothly increases its focus strength Speech Enhancer is an adaptive algorithm designed to enhance
based on the noise floor level. the peaks of a speech signal in quiet situations. It is featured in
Calm situation and it is on by default when the global gain
The hearing aid microphone mode slider sets the microphone level is set to 90% or above. Speech Enhancer is available with
directionality from UltraZoom blended with StereoZoom 2.0, Paradise hearing aids and newer.
allowing for more spatial awareness, to StereoZoom 2.0 only,
allowing for more speech focus to the front. When Speech Enhancer is active, it will apply up to 10 dB
additional gain in the following circumstances:
The client can further personalize the microphone • Speech between 30-50 dB input level is detected
directionality for their specific listening environments using • A minimum SNR of 10 dB
the Speech Focus slider in the myPhonak app.
When adjusting the Speech Enhancer slider, the maximum
gain that can be achieved is 10 dB. For optimal use of Speech
Enhancer, verify that the feedback threshold is not limiting
available headroom.
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Motion Sensor Hearing RogerDirect™ + mic
Motion Sensor Hearing changes the beamformer setting to The options to set microphone directionality and microphone
Real Ear Sound and deactivates Dynamic Noise Cancellation attenuation relative to the Roger signal can be set in
when having a conversation while walking in a noisy [Program options].
environment. It only activates when the AutoSense OS
classification is Speech in noise or Speech in loud noise. The three microphone options available are omnidirectional,
Real Ear Sound and fixed directional. To change the default
Motion Sensor Hearing is on wide (Real Ear Sound) by default, microphone option, move the hearing aid microphone slider.
but the other values are mixed (fixed directional), narrow
(UltraZoom) and off. The more you move the slider to the left, The hearing aid microphone is set to 0 dB attenuation to
the narrower the microphone mode will become. ensure awareness of surrounding sounds.
Motion Sensor Hearing is available with Paradise rechargeable The RogerDirect adaptive behavior is either standard adaptive
hearing aids and newer. or dual adaptive.
• Standard adaptive (default) – As the noise level increases,
Soft noise reduction the Roger signal adapts automatically (up to +20 dB) while
Soft noise reduction reduces gain for very soft input sounds, the hearing aid microphone is not attenuated.
such as fans, air conditioners and clock ticking. It is for softer • Dual adaptive – As the noise level increases, the Roger signal
input broadband sounds around 30 to 35 dB. increases automatically (up to +10 dB) while the hearing aid
microphone is attenuated (up to -10 dB).
This feature is available with Paradise hearing aids and newer.
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Automatic fine tuning
Automatic fine tuning is a situation-based fine tuning tool.
The available adjustments are dependent on the client’s
evaluation of the sound situation. The fine tuning steps are
clearly displayed before the action will be applied.
Target offers several curve display options to choose from. Real ear
Each option offers a different view of how amplification is The real ear view shows the gain applied, in dB, to the
provided by the hearing aid, and can further support in the hearing aid across frequencies, in addition to the client’s ear
fine tuning process, depending on your fitting objectives. canal resonance.
Below are the descriptions for each view.
2cc
Gain The 2cc view shows the gain of the hearing aid in relation to
Insertion gain a 2cc coupler.
The insertion gain view shows the amplification, in dB, applied
at the eardrum by the hearing aid. The client’s own ear canal
resonance (REUG) is removed to focus on the gain the hearing
aid applies to achieve the target output signal.
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Output Extended curve display
Output is the sum of the input signal plus the gain applied by
the hearing aid.
HL
Hearing level (HL) in dB. The extended curve display options provide functional
transparency for:
The output of a hearing aid is measured in dB SPL. To compare • free field input level
entered hearing thresholds and UCLs to the output of the • real ear occluded response (REOR)/ real ear occluded gain
hearing aid, these data are converted into dB HL. (REOG)
• hearing aid output
Real ear • direct sound compensation
The real ear view shows the sum of the frequency response of • vent compensation
a hearing aid and the direct sound. The direct sound is when
sounds reach the eardrum directly without passing through The extended curve display options can be found in the curve
the hearing aid microphone. This typically occurs with open display dropdown menu.
domes and vented earmolds.
Free field input signals
As the client’s auditory characteristics are specified in dB SPL, Viewing free field input curves can demonstrate how the real
you can determine whether a particular signal of interest will ear aided gain (REAG) plus the free field input curves equals
be audible, comfortable or uncomfortable. real ear aid response (REAR).
2cc
The 2cc view shows the response of the hearing aid in dB SPL
as measured in a 2cc coupler.
Input/output REOR/REOG
The input/output curve represents the aided output in dB SPL REOR/REOG is the effect that can be seen when the hearing
real ear or 2cc for a selected frequency, plotted against aid is inserted in the client’s ear and turned off.
increasing input level on the x-axis.
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The purpose of REOR/REOG is to determine the venting REMs
characteristics of the client’s earpiece. You can use this Measuring the hearing aids with REM equipment may unveil
information to determine if the vent is performing as expected small dips in the measured responses compared with the curve
by allowing certain frequencies to pass through it, as well as displays seen in Target. This is due to the client receiving a
determine if the presence of a vent is introducing undesired combination of the amplified sound and direct sound entering
acoustic effects that could impact amplification. through the ear through the vent of the earpiece.
When handling the gain and MPO tool for certain frequencies
you may not see an effect or changes in the curve display
when increasing or decreasing the steps. If you notice no
effect in the curve display when handling certain frequencies,
you can view the hearing aid output curve together with the
REOR view to further understand why.
The hearing aid output and the REOR displays can be used to
identify where and at which frequencies the direct sound is Viewing the direct sound compensation effect within the
masking the hearing aid output. As a result, fine tuning in this [Output - SPL 2cc] curve display will show that the hearing aids
frequency range does not result in any perceivable changes. are working as intended in the areas affected by direct sound.
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Curves without vent compensation
Open couplings and vents especially allow low frequency
sounds generated by the hearing aid to leave through the
vent (vent loss).
SoundRecover2
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SoundRecover2 settings can be viewed in the curve display.
The shaded area gives information for which frequency range
it is active in.
• The first solid line is cut off frequency 1 (CT1).
• The dotted line is cut off frequency 2 (CT2).
• The third line is the maximum output frequency.
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Tinnitus Balance
The Tinnitus Balance noise generator is available in all Phonak Global Tuning
hearing aids, except Phonak Sky™ pediatric products. Phonak The noise generator can be enabled in [Fitting] > [Global
does not have any recommended clinical fitting guidelines for tuning] > [Tinnitus Balance]. When enabled, the shape of the
fitting Tinnitus Balance to children under the age of 18 years. generated noise is shown in green. The curve display must be
set to [Output].
The noise produced provides a means of sound enrichment
that can be used as part of a tinnitus management program, Below the curve displays you can increase or decrease the
either in the context of masking or sound therapy. noise level and also change the shape to more low- or high-
frequency emphasis. The values of the maximum noise level
The spectral characteristics of the noise generator can be are also shown for each hearing aid.
adjusted to meet each client’s specific needs. The default
characteristics are calculated based on the client’s audiogram; In the upper left hand corner of each display, an indicator
alternatively, white or pink noise can be selected. The noise shows the free field equivalent dB(A) level, which is enlarged
generator can be incorporated into the automatic program or when you hover over it with the mouse.
an additional manual program.
Within the dropdown menu of [Tinnitus Balance shape], the
Audiogram default, [Set to hearing loss], can be changed to [Set to white
The gain level and shape of the generated noise will be noise] or [Set to pink noise].
pre-calculated individually for each ear based on the
audiogram, and the gain and MPO characteristics of the High noise levels
hearing aid. For a more precise pre-calculation, you can also The maximum output level of the Tinnitus Balance noise
input the client’s most troublesome tinnitus frequency. generator is limited to 85 dB(A). In accordance to common
noise exposure guidelines, a warning message will be shown
Click on [Client] > [Audiogram] > [Most troublesome tinnitus] when the noise generator level exceeds 80 dB(A). If this occurs,
below the curve displays. Enter the frequency and level of the the recommended maximum wearing time per day will appear
client’s most troublesome perceived tinnitus. The ranges for below the maximum noise level. Also, the color of the
these values are 125 Hz to 16,000 Hz and 0 dB SL to 45 dB SL. Tinnitus Balance noise generator shape will change from green
to orange.
When available, the Tinnitus Handicap Inventory (THI)
questionnaire result can be entered in the [THI] field. This THI
value is not used in pre-calculation.
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Fine tuning If needed, the fine tuning of the Tinnitus Balance noise
More detailed adjustments to the Tinnitus Balance noise generator can be reset by clicking on the recalculation icon in
generator can be found in [Fine tuning] > [Tinnitus Balance]. the dashboard.
Access to every channel of the chosen hearing aid allows for
a precise adjustment to the loudness and shape of the In [Fitting] > [DataLogging], you can review adjustments to the
generated noise. noise generator made by the client. This option is only available
if you have selected the volume control to access changes to
Changes to the noise generator within the automatic the generated noise, instead of the hearing aid gain.
programs will be automatically applied to all AutoSense OS
programs (i.e. noise is constant across all automatic By clicking [Device options] you can configure the volume
programs). The majority of tinnitus clients will utilize control behavior to control either the hearing aid gain or noise
amplification and the noise generator in all situations, generator levels.
therefore when enabled, the noise generator is on by default
within all automatic programs and added manual programs. QuickSync allows for synchronized ear-to-ear changes on both
sides for volume changes and Tinnitus Balance. The benefit is
Program customization that the client only needs to make a change to volume or
You can create additional programs for specific use cases. Tinnitus Balance on one hearing aid and the other hearing aid
automatically adjusts.
Gain and noise generator program:
• Clients may want the noise generator and gain activated However, the client may prefer to make individual adjustments
in a specific situation (e.g. for use where they are most per hearing aid because they perceive differences in how their
bothered by their tinnitus). The Tinnitus Balance noise tinnitus sounds between ears or their tinnitus fluctuates in
generator can be used in a single manual program and loudness and frequency. For these clients, you can turn off
disabled in automatic programs. QuickSync by unchecking the box [L/R sync (QuickSync)]. The
ability to disable QuickSync is only applicable with Phonak
Noise generator only program: Lumity hearing aids or newer.
• Clients with normal hearing may desire a noise generator
program only. The gain can be muted by clicking [Gain
options] as long as the Tinnitus Balance noise generator is
active. The mute option is available in additional programs
only in the [Tinnitus Balance] tab.
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DataLogging
DataLogging is a tool for gaining knowledge about: If the client consistently changes the volume setting for
• how long a client spends in a specific sound environment a particular program, you can choose to apply the volume
– usage time. adaptations to the client’s fitting under [Adaptation of
• how often a client makes a volume adjustment logged data].
– adaptation changes.
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Device options
With Lumity hearing aids and newer, you have the option to Tap Control training and sensitivity
turn off QuickSync for volume and Tinnitus Balance by With Paradise rechargeable hearing aids and newer, Tap
unchecking the box [L/R sync (QuickSync)]. Control can be configured in [Manual controls]. Tap Control can
be used to accept/end phone call, pause/resume streaming,
When the hearing aid is connected, each configuration can be and start/stop the smartphone’s voice assistant.
demonstrated on the hearing aid in [Signals & alerts].
When the hearing aids are connected, click on [Training &
The status of RogerDirect installation can be viewed by clicking sensitivity] to coach the client on the double tap gesture and
[RogerDirect] on the left side of the screen within [Device to determine how sensitive the double tap sensor should be.
options]. The status can also be viewed by hovering over the The training window can be displayed in a client-friendly view
hearing aid icon in the dashboard. for improved client engagement.
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Indicator light
Indicator light is only available with Phonak Sky hearing aids
and the Phonak Naída™ Link M hearing aid. There are five light
patterns that can be activated or deactivated by checking the
box beside each option under [Indicator light] within [Device
Options]. The options include:
• Device on
• Roger access
• Low battery
• Volume change
• Program change
The default setting for sensitivity is “Normal”. The setting Client reports
“Firm” means a strong double tap motion is needed to activate In [Device options], there is the option to email or print a
Tap Control. The setting “Gentle” means a light double tap customizable fitting report for the client to take home. The
motion is sufficient to activate Tap Control. report contains hearing aid information, as well as program
information. The report can be printed in several languages
When the client double taps successfully, a green check based on the client’s preference. The report can also be printed
mark appears. with larger fonts to improve readability.
Junior mode
Depending on the age of the child, Junior mode offers age Click [Apply Junior mode] to continue.
specific DSL or NAL defaults and hearing aid configurations
optimized to meet the needs of children. Junior mode includes A notification to attach a tamperproof solution will appear
four age ranges: for children between 0-3 years when hearing aids are initially
• 0-3 years connected. If the available hearing aid does not have a
• 4-8 years tamperproof solution, a different notification will appear.
• 9-12 years
• 13-18 years The startup program for both DSL and NAL fittings, across all
Junior mode age groups, is AutoSense Sky OS.
These default settings are endorsed by the Phonak Pediatric
Advisory Board and National Acoustics Laboratory. They
provide a starting point for flexible and efficient pediatric
fittings. Within [Setup], you can customize and change the
Junior mode default parameters to better suit your pediatric
fitting workflow.
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Overview of Junior mode DSL default settings
Program structure 0-3 years 4-8 years 9-12 years 13-18 years
Startup AutoSense Sky OS AutoSense Sky OS AutoSense Sky OS AutoSense Sky OS
Roger/DAI+Mic Real Ear Sound Fixed directional Fixed directional Fixed directional
Indicator light Enabled Enabled Disabled Disabled
Push button Disabled Disabled Enabled Enabled
Volume control Disabled Disabled Enabled Enabled
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You have the flexibility to modify the ActiveVent status in all options]. With a long press down on the multifunction button,
the other programs. These include the: the hearing aid microphones become muted. This allows the
• exclusive AutoSense OS programs (Speech in loud noise, client to enjoy listening to media streaming with reduced
Speech in Car, and Music) environmental noise.
• streaming programs
• manual programs not linked to AutoSense OS Checking ActiveVent receiver functionality
The receiver [Check] within the client session will indicate if
Fine tuning there is a mismatch between the receiver information entered
When fine tuning in individual programs, consider if the into Target compared to what is physically connected to the
ActiveVent status is appropriate for that individual program hearing aid. However, it cannot indicate if ActiveVent itself is
before making gain changes. When toggling between the open functioning correctly.
and closed vent status, you see the gain changes reflected in
the curve display. Changing the vent status may be sufficient To perform a listening check and verify the mechanical
in addressing a client’s subjective sound quality reports. If the function of ActiveVent, go to [Measurement settings] under
vent status selected is appropriate, then proceed with [Trial & tools], located outside the client session. There are two
additional fine tuning changes, if needed. measurements to choose from in order to verify each
ActiveVent states, open versus closed.
Each time you switch between programs or vent status
within Target, it is possible the client will perceive the vent
status changing.
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CROS and BiCROS fitting
When entering in audiogram information, it is recommended To adjust the loudness ratio between the CROS transmitter
to enter the audiogram information for both ears, even if the and the hearing aid, click [CROS Balance] within [Global
better hearing ear is within normal hearing limits. The reason tuning]. To adjust the microphone mode for the CROS
for this is because Target sets a 40 dB HL flat hearing loss for transmitter, click [Program options] within [Fine tuning].
an empty audiogram. For a client with normal hearing in the
better hearing ear, this can result in overamplification. Click [Device options] to adjust the manual control settings
for the CROS and BiCROS system. By default, the multifunction
The CROS transmitter wirelessly transmits sound to the button on the CROS transmitter is enabled for CROS Balance.
hearing aid via Binaural VoiceStream Technology™ (BVST). The multifunction button on the hearing aid is enabled for
As soon as you unmute and enable both the CROS microphone volume change.
and hearing aid microphone in Target, a notification appears
stating that BVST will activate. The CROS and BiCROS system When streaming from accessories, the CROS signal will be
will briefly reboot. This is an automatic reboot and the client paused. The CROS signal will automatically resume when
may hear the hearing aid briefly turn off and back on again. streaming is stopped. The hearing aid will switch back to the
The wireless connection between the CROS transmitter and the startup program and the reconnection beeps between the
hearing aid is enabled. hearing aid and the CROS transmitter will be presented.
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Please note that APD Bimodal has not been validated Adults may choose this wearing option for relaxing, without
with children. the weight of the sound processor behind the ear, or when the
sound processor is placed in a waterproof case for swimming
The fitting formula can always be changed as desired in or doing sports. With small children, they often wear the
[Global tuning] under [Fitting]. sound processor clipped to their clothing as their little ears
may have difficulty accommodating the sound processor worn
Modifiable hearing aid settings on their ear.
Accessible functionalities that can be modified on the hearing
aid include: SoundRecover2
• acoustic parameters For adult bimodal fittings, a systematic review by Vroegop
• feedback and real ear test et al (2018) concluded that “Current evidence suggests that
• fitting formula frequency lowering or transposition is not beneficial,”
• fine tuning of gain and MPO especially as the high frequency audibility is expected to come
• program option settings within each program. The program from the sound processor.1 In addition, the subjective benefit
structure cannot be changed. of SoundRecover2 from the hearing aid may change when
• SoundRecover2 more high frequency information is available via the sound
• signals and alerts processor. Thus, the decision to activate SoundRecover2 in the
hearing aid should be made on a case by case basis.
Off-ear compatible program
Off-ear compatible program may be generated in the For pediatric bimodal fittings, it is recommended to continue
program structure when the sound processor is read-out. to use SoundRecover2, especially if the child is used to
The off-ear compatible program is for the sound processor listening with SoundRecover2.
in a bimodal fitting.
Loudness balancing
The microphone on the sound processor switches to the When both the hearing aid and sound processor are connected
microphone on the magnetic headpiece. The microphone to Target, there is no synchronization between the devices. For
mode is in omnidirectional. example, if you are fine tuning the gain settings in a manual
program on the hearing aid side, Target cannot switch the
In order for the Naída Link M or Sky Link M to stay aligned sound processor into the same manual program. The sound
with the sound processor, there is an off-ear compatible processor stays locked in its start-up program.
program in the hearing aid. In the hearing aid, the settings
will be based on the Calm situation program. Therefore, for loudness balancing within specific programs, it is
recommended to only connect the hearing aid to Target, after
the sound processor settings have been saved to Target. In this
way the client can manually change the program on the sound
processor to the same program that needs fine tuning on the
hearing aid side.
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Remote Support
Phonak Remote Support is designed to support the client’s The client must download the myPhonak app onto their
fitting by providing hearing aid care from a distance. If the smartphone and pair the hearing aids to the app before a
client needs adjustments to their compatible Phonak hearing Remote Support session can take place. Once this has been
aid settings, this can be done in real time, in their own completed, client status will be updated in Phonak Target. The
environment, e.g. at home, rather than in a clinic. [Manage eSolutions] icon allows you to manage the client’s
status by viewing the phone pairing status or removing the
Requirements client from Remote Support.
• Latest Phonak Target software version available for optimal
experience. Begin the video call and follow up session
• Most current myPhonak app version installed on the client’s At the time of the appointment, click on [Start Remote
mobile phone. Support]. You and your client will be connected to the video
• An initial hearing aid fitting must be performed in the clinic. call. You may have to wait for the client to enter the Phonak
• Computer with an integrated webcam or microphone or an Remote Support session with the myPhonak app.
external webcam and microphone connected to the
computer. For better sound quality, use headphones with a Once connected, you will see and hear your client. Make sure
microphone connection. the video and microphone on your computer are enabled.
• Stable internet connection (Wi-Fi, LAN or 4G) with at least 5 Switching between an integrated or external microphone or
Mbit/s of data transfer connection for uploads and webcam can be performed before or during a session by
downloads. clicking on the settings icon which is located at the top right
hand corner of the Remote Support screen.
Set up for Phonak Remote Support
Internet connection can be checked within Target to ensure the As soon as the client enters the Remote Support session and
setup is appropriate for a Remote Support session. Click on has accepted the camera and microphone requests on their
[Setup] > [Internet] > [Internet services] > [Connection test]. smartphone, both videos are displayed on the screen.
Once completed, the status will be shown.
It is recommended that the client has new batteries in their
hearing aids or sufficient charge in their rechargeable hearing
aids before connecting to the Remote Support session.
Once the hearing aids are connected, use Phonak Target as you
typically would in a follow-up session. The hearing aids are live
and any adjustments you make are sent to the hearing aids in
real-time.
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After fitting is complete, click on [Save & close session] to save Remote Support session. Click [Yes] to confirm and disconnect
the fitting to the hearing aids and Target. from your client’s smartphone.
1. V roegop JL, Goedegebure A, & Van Der Schroeff MP. (2018). How to optimally fit a hearing aid for bimodal cochlear implant users: A systematic review.
Ear and Hearing, 39(6), 1039–1045. https://doi.org/10.1097/AUD.0000000000000577
The Bluetooth® wordmark and logos are registered trademarks owned by the Bluetooth SIG, Inc. and any use of such marks by Sonova AG is under license.
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life is on
Since 1947, Phonak is dedicated to preserving social, emotional and
physical life quality by opening new acoustic worlds. We believe that
well-hearing equates to well-being and thus is essential for living life to
the fullest. Today we offer the broadest portfolio of innovative hearing
solutions. And, together with our hearing care professionals, we keep on
focusing on what matters most: improving speech understanding,
changing people’s lives and having a positive effect on society as a whole.
www.phonak.com