Middle Ear Analyzers AT235 and AT235h
- Efficient Middle Ear Examinations
Impedance
The AT235 is an automatic middle ear analyzer ideal for
diagnostic and screening evaluations. The primary design of
the AT235 emphasizes ease of use without compromising
testing flexibility. Test batteries of the AT235 include
precision
standard tympanometry, ispsilateral and contralateral acoustic
reflex and reflex decay, Eustachian tube function test and air
conduction audiometry.
Automated tympanometry may be combined with 2
programmable reflex test batteries. Further manual reflex
testing is available for more tests or to confirm/modify
automated reflex results. The AT235 allows more than 40
reflex tests per ear to be stored and printed. These capabilities
provide the necessary tests for the majority of any clinic’s
needs. The addition of high frequency probe tones to
optimize tympanometry testing of infants is available with
the AT235h model.
leading diagnostic solutions
Middle Ear Analyzers AT235/AT235h
- Efficient diagnostic middle ear examinations
Normal Tympanometry User definable reflex test
Interacoustics utilize two beneficial techniques Two user programmable acoustic reflex
to acquire tympanograms. The first is an sequences are available allowing the user to
‘endless airflow’ technique which improves the define a simple screening procedure for test A
instrument’s ability to obtain a tympanogram and a more in-depth evaluation as test B. These
on difficult to test patients or when a slight protocols may be programmed and/or selected
leak is present. This prevents the system from by the push of a button. The parameters for
continually resetting to continue the test. The test A and B come with a factory default setting
second feature is an intelligently controlled but are easily changed to better suit alternative
pump system with an adaptive speed control. clinical test routines. The protocols allow
This feature combines a very fast test speed with intensity presentations at fixed levels, in auto
high resolution of the tympanogram peak which threshold mode or a defined sequence to display
might otherwise be obtained only with a slower reflex growth. The AT235 and AT235h allow
pump speed. mixing of ipsi and contra reflexes in the protocol
as well as a variety of stimuli such as pure tones
AT235h - High Frequency or noise bands. There are few limitations on
storing and printing as more than
and Manual tympanometry 40 reflexes may be recorded
The AT235h provides additional high- per ear. All reflex testing
frequency probe tones for Y-component testing may be done manually
in addition to the traditional 226Hz tone. in addition to the
With the push of a single button, the AT235h automated routines.
will switch to a 678, 800 or 1000 Hz probe
tone. A tympanogram that is recorded using
a high frequency probe tone (e.g. 1000 Hz) is
considered more suitable for screening neonates.
In addition to automatic mode, the pump action
on the AT235h can be controlled manually.
In this mode, pressure increase/decrease is
controlled by keys on the front panel. Pressure
speed can be toggled between three speeds.
High frequency screening tympanometry A wrist strap for proper clinical
records the IYI tympanogram. measurements is included.
Decay – Contra and Ipsi
Acoustic reflex decay testing is available
with ispsilateral stimulation as well as with
contralateral stimulation. The AT235 comes
with a standard single TDH39 transducer for
stimulating the contralateral ear, and an insert
phone is available as an option.
ETF Test Tympanogram and reflex test results
The AT235 performs a single Eustachian Tube displayed simultaneously.
Function test suitable for use when the eardrum
is intact. Instructions on the display guide the
test. Three tympanograms are produced from
which the condition of the Eustachian tube can
be inferred.
The AT235h has a further ETF test suitable for
when the eardrum is perforated.
Children’s Train
When you need to hold the attention of an A group of increasing stimuli for reflex
active child, all you have to do is press the Child testing, clearly displays reflex growth with
Train button to activate the visual distraction increasing intensity.
display of a moving train – complete with
billows of smoke from the engine.
A moving train may help to keep children
quiet during testing.
Automated Eustachian Tube test
is available.
Middle Ear Analyzers AT235/AT235h
- Efficient diagnostic middle ear examinations
Audiometry
A basic air conduction pure tone audiometry
function is a standard feature on the AT235 and
AT235h. Basic pure tone audiograms may be
generated manually or with an automatic HL
function. All that is required is the purchase of
an optional, independent headset. For patient
safety, the maximum output may be limited.
Detachable probe.
Probe Systems
Interacoustics has a unique and efficient probe
design that can be quickly converted from a
diagnostic style to a screening pencil probe.
The software automatically recognizes which
probe end is currently in use and converts to the
appropriate calibration values. The diagnostic
probe is held in place by a custom shoulder
strap and is more appropriate for more extensive
testing. Meanwhile, the screening probe is ideal
for performing quick and basic tympanograms
with a screening ispsilateral reflex.
Audiometry is available through an independent
headset with two phones (optional).
Clinical measuring is also possible with the
included shoulder strap.
Printing Options
A fast thermal printer is built into the
instrument. If the data is downloaded to the
Interacoustics OtoAccess™ database or NOAH,
printouts may be generated through the PC.
Example of printout from the AT235/AT235h.
Example of printout from the AT235h.
Middle Ear Analyzers AT235/AT235h
- Efficient diagnostic middle ear examinations
Data Storage with
Windows® Based Software
Transferring data to a PC is possible by
two different applications. OtoAccess™ is the
Interacoustics® database platform that enables
data collection from multiple instrument sources
into one patient file. Hearing aid information
may also be included. NOAH hearing aid fitting
software will also integrate the test data when
used with the Interacoustics® NOAH
impedance module software.
Various included and optional parts.
A convenient light-
weight carrying case
(optional) will hold the
AT235 or AT235h and
all its accessories.
General Technical Specifications
Standards: Eustachian Tube Function: Outputs:
Safety: EN 60601-1, Class I, Type B. AT235: Function test for use when the Contra TDH39 headset may be used
EMC: EN 60601-1-2. eardrum is intact. for audiometry.
Impedance: EN 60645-5/ANSI S3.39, AT235h: Functions tests for use with Double TDH39 Headset for
Type 2. both intact and perforated eardrums. audiometry (optional).
Audiometer: EN 60645-1/ANSI Acoustic Reflex Functions:
S.3.6, Type 4 Tone. Test types:
Test Types: Manual Audiometry.
Medical CE-mark: Automatic Reflex: Automatic Audiometry according
Interacoustics A/S meets the Two independent user selectable to ISO 8253-1 (Patient controlled
requirements of the Annex II of the protocols. Hughson-Westlake).
Medical Device Directive 93/42/EEC. Series of fixed intensities available.
Approval of the quality system is made Automated intensity search functions Various:
by TÜV – identification no. 0123. available for threshold search and
reflex growth indication. PC Communication:
Tympanometry: Free mixing of Ipsi and Contra. Input/output for computer
Manual Reflex: communication via USB. One
Probe tone: Manual control of all stimuli. mode allows an external PC to both
Frequency: 226Hz. AT235h also: May also be used to redo part of monitor and control the instrument.
678Hz, 800Hz, 1000Hz for automated test results. The control actions can be followed
traditional IYI-curve tympanometry. Reflex Decay: on the display and operation panel.
Level: 85 db SPL. Manual control, with stimulus Online communication, where the
Gain Control: AGC. duration of 10 sec. measurement data are sent to an
Ipsi or contralateral stimulation. external PC can be selected.
Air pressure:
Control: Automatic. Contra Earphone: Keyboard:
Range: Default +200 to –400daPa TDH39 or insert receiver CIR22 Connection for external keyboard,
(max. +300 to -600daPa). (optional). standard PC type.
Safety limitation: -800 daPa and
+600 daPa. Attenuator: Printer
Pressure change rate: Selectable in the 1dB or 5dB steps. Built in fast thermal printer with
set-up between 50, 150 and >250 paper width: 112 mm.
daPa/s or automatic. Memory:
Compliance: Internal memory for two ears. Accuracy:
Range: 0.1 to 6.0 ml (numerical: 0.1 Each ear: 6 Ipsi and 6 Contra Stimulation Frequencies: ±1%.
to 8.0 ml). recordings. Each may have up to 6 Probe tone frequency: ±1Hz.
stimuli. Also, there is memory for Probe tone level: 85 dB SPL.
Function: additional manual reflex recordings. ±1.5 dB measured in an IEC126
Automatic, where pump speed, (Total max. 78 reflexes per ear). acoustic coupler. AGC for ear canal
start and stop pressure can be user- compensation.
programmed in the set-up. Audiometer Functions: Pressure measurement: 5% or 10 daPa,
AT235h: Auto and manual pump whichever is greater.
functions. Patient Response: Compliance measurement: ±5% or
Connection for patient response 0.1 ml, whichever is greater.
switch.
Interconnections
Software for PC:
AT235 /
PrintView
AT235h
OtoAccess™
UPS400 Mains NOAH Modules
Supply100-240V IFC69
General Technical Specifications - continued
Examples of Compatible Windows Software: Power supply: UPS400 (Included) 100-240V. Dimensions: (LxWxH): 36x26x10 cm /
Interacoustics OtoAccess™ Database. 14x10x4 inches.
PrintView for PC monitoring and printing. Warm up time: 10 minutes at room Weight: 2.8 kg / 6 lbs.
IA-NOAH-Imp Module for interfacing to temperature (20˚C).
NOAH. Air Freight Packing: (LxWxH):
Consumption: 15VA, max. 45VA. 48x31x37 cm/ 19x22.2x14.6 inches.
Frequencies and Intensity Ranges: Gross weight: 6.5 kg / 12.4 lbs.
For safety / comfort reasons an optional Construction: Plastic cabinet.
limitation of maximum intensity is available.
Frequency Reflex Audiometry
Contralateral Ipsilateral
TDH39 Insert/CIR22 TDH39 EAR-Tone 5A
Min Max Min Max Min Max Min Max Min Max
Hz dBHL dBHL dBHL dBHL dBHL
125 -10 90 - - - - -10 90 -10 95
250 -10 110 0 100 - - -10 110 -10 100
500 -10 120 0 105 10 105 -10 120 -10 110
750 -10 120 - - - - -10 120 -10 120
1000 -10 120 0 110 10 110 -10 120 -10 120
1500 -10 120 - - - - -10 120 -10 120
2000 -10 120 0 105 10 105 -10 120 -10 120
3000 -10 120 0 100 10 100 -10 120 -10 120
83004702 - 3 - 04/2007
4000 -10 120 0 95 10 100 -10 120 -10 120
6000 -10 120 - - - - -10 120 -10 105
8000 -10 110 - - - - -10 110 -10 100
WB noise -10 120 0 100 10 105 - - - -
LP noise -10 120 0 100 10 105 - - - -
HP noise -10 120 0 100 10 105 - - - -
Printer Option: Included Parts: Optional Parts:
AT235/AT235h-xp is identical to the AT235/ ATP-AT235u Universal Probe System with TDH39 Audiometric Headset
AT235h but has no built-in printer. Suitable for shoulder strap and wrist strap EAR-Tone5A Insert Phones for Audiometry
installations where computer connection takes TDH39 Single Contralateral Headset ACC25 Carrying Case
care of printing. UPS400 External Switch Mode Power Supply CIR22 Contralateral Insert Phone
Power Cable (110/220V, please specify) APS2 Patient Signal
BET50 Box of 65 assorted Eartips CAT40 Calibration Unit 0.2-0.5-2.0-5.0 ml
TPR26 3 Rolls of Recording Paper IES-2 Impedance Ear Simulator
PCR-AT235 Dust Cover OtoAccess™ Database and diagnostic modules
Operation/Multilingual CE manuals software
Interacoustics A/S Sales and Service in your area:
Phone: +45 6371 3555
Fax: +45 6371 3522
E-mail:
[email protected]Web: www.interacoustics.com
Mail: Interacoustics A/S
DK-5610 Assens, Denmark
