Effective hearing screening

depends on three key factors:

Accuracy. Accuracy. Accuracy.
Because false referrals
hurt everyone!
Are false referrals doing your screen
program more harm than good?
Accuracy means high sensitivityall
hearing-impaired neonates are identi-
fied. But true accuracy also means high
specificityno hearing babies are mis-
takenly sent to a specialist for follow-up
testing. Are you thinking, Better safe
than sorry? Think againthese false
referrals can easily turn a well-inten-
tioned neonatal screening program into
a resource-devouring monster.
False referrals waste
valuable healthcare
resources
The fact is, referral rates can exceed 10%
of the total screened population if test
equipment is inaccurateand even
higher if the equipment is difficult to
use. As a result, hearing specialists
waste precious time doing follow-ups
on healthy babies and the total cost of
the screening program skyrockets.
False referrals cause
unnecessary emotional
stress
Naturally, every parent is concerned
about their babys health and the weeks
of uncertainty between the initial
screening and follow up can be emo-
tionally draining. Healthcare workers
are also placed in a stressful position as
the bearers of potentially bad news.
Yes, false referrals hurt everyone. But
now, thanks to AccuScreen, you can
reduce referral rates considerably!
1,000
120
100
Referral rates
40 60 80 120
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80
60
4% 6% 8% 12%
40
20
0
AccuScreen
Even minor differences in referrals rates (%)
have a great impact upon the numbers of
babies referred and the total cost of the
screening program.
2
ing
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Billy loves to shake it
But can he hear it rattle?
Fast, flexible, and accurate
Never before has hearing screening
been this accurate. Never before has a
screening system provided results as
quickly. Never before has a single,
hand-held screening unit included so
many key technologies. And never be-
fore has a unit been so simple to operate
that even non-professionals can learn to
screen after only a few minutes of in-
struction. Whats more, AccuScreen from
GN Otometrics interfaces to printers and
PCs for full patient documentation.
AccuScreen features all
standard screening tech-
nologies, thus making it
the most flexible screening
tool on the market today
AccuScreen offers three types of screen-
ing technologies: TEOAE and DPOAE,
in addition to the gold standard, ABR.
Since individual screening programs
vary greatly from hospital to hospital,
the ability to conduct any (or all) of
these types of screening ensures greater
flexibility and eligibility for reimburse-
ment. Moreover, since our implementa-
tion of DPOAE and AABR can be used
to screen patients of all ages, the total
return on investment is much higher.
AccuScreens unique
statistical algorithm makes
it the most accurate and
reliable device of its kind
in the world
Unlike most other screening equip-
ment, AccuScreen uses a special
mathematical algorithm to produce
a highly accurate signal-statistical
evaluation based on probability theory.
Moreover, thanks to our unique Arti-
fact Rejection System, AccuScreen is
largely unaffected by common external
influences, including hum from
overhead lights and other electronic
equipment, or in the case of AABR,
non-related electrical activity from
the brain or muscles. As a result,
AccuScreen functions perfectly in
screening environments where high
levels of ambient noise cause most
traditional equipment to fail.
Clinical studies have shown that AccuScreen features clinical sensitivity of 100% and specificity
levels over 96%* in well-baby nurseries, thus making it the most accurate device of its kind in
the world. In other words, virtually all hearing babies are passed and each and every hearing-
impaired baby is detected!
* OAE specificity > 96%. Two-step screening approach (OAE + AABR) > 98%.
Improving specificity by
just 2% eliminates 10 unnecessary
examinations of healthy babies...
...for each hearing-impaired
baby that is identified
(Assuming a 2 incidence).
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AccuScreens DPOAE and
AABR technologies can be
used for both children and
adults. For additional
accuracy, our unique TEOAE
algorithm has been optimized
for screening children under
six years of age.
The AccuScreen can be
configured to include
any or all of the following
test methods:
T = TEOAE
D = DPOAE
A = AABR
Here is a complete list of
the AccuScreen PRO product
configurations:
AccuScreen T
AccuScreen D
AccuScreen A
AccuScreen TD
AccuScreen TA
AccuScreen DA
AccuScreen TDA
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The ultra-lightweight
infant probe (4 grams)
easily disassembles for
cleaning. Soft disposable
ear tips are available in
a range of convenient
shapes and sizes.
P U S H
Simple system
Thanks to AccuScreens simple, menu-
based interface, learning to perform
accurate screenings is now significantly
easier than learning to program a VCR
or mobile phone! But dont let its ease
of operation fool youAccuScreen is
every bit as sophisticated as our most
advanced diagnostic equipment for
audiology labs and clinics.
Exceptional flexibility.
Outstanding features.
Our modular platform lets you tailor
your AccuScreen to include the specific
screening technologies you need for any
screening program. Moreover, wireless
data transfer makes it easy to exchange
information with a PC, and AccuScreen
even lets you store the results from up
to 250 individual patient tests in its own
built-in memory. And you can even
choose on-screen menus in a variety of
languages!
Anyone can perform accu-
rate screening after only a
few minutes of instruction
By automating all key processes,
AccuScreen provides a simple pass/refer
result at the touch of a button. Since
there is no need for screening personnel
to make subjective evaluations, there is
significantly less chance of human error
and all screenings maintain consistently
high standards.
See how simple it is to conduct an OAE screening*
1. Download babys name from a PC (via cable or IR)
or type it directly in the test unit
2. Make sure the ear is clean and free from obstructions.
3. Fit a soft, disposable ear tip on the probe and insert
it into the ear.
4. Choose the desired test and press OK. The results
will appear in less than 10 seconds.
* AABR screening also requires the attachment of disposable
electrodes to the babys head, neck, and cheek. Results take
approximately one minute to collect.
1 2 3 4
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Using our color-coded Y-cable and
extra-soft ear couplers, probes can be
attached to both ears before starting
an AABR test. That means examina-
tions can be made faster, without dis-
turbing resting infants after the test
of the first ear is completed.
End-to-end diagnostics
Since most OAE and ABR infant screen-
ing referrals are caused by middle-ear
conditions, the MADSEN OTOflex pro-
vides the perfect diagnostic follow-up
to AccuScreen.
OTOflex is a compact immitance device,
which provides both tympanometry and
acoustic-reflex testing using the recom-
mended 1000 Hz infant probe tone.
Thus, healthcare professionals can
quickly attend to AccuScreen referrals.
Moreover, the acoustic reflex test, using
a mild broadband noise stimulus, rules
out auditory neuropathy. Specially de-
signed infant eartips even allow prema-
ture babies to be accurately tested.
Thanks to OTOflexs powerful PC soft-
ware package, testing can be configured
and controlled wirelessly directly from
the PC keyboard. Results can be pre-
sented either on- or offline as needed.
Whats more, automatic, user-config-
ured tests help make OTOflex results
fast, consistent, and reliable. Finally,
multi-patient memory and the ability to
directly print single-page reports via
Bluetooth

, ensures flexible testing and

documentation virtually anywhere.
Birth
Administration
Screening
Follow-up Screening
& Diagnostics
Early
Intervention
GN Otometrics provides a complete range of
innovative audiological equipment for screening,
diagnostics, and fitting/testing of hearing aids,
including information management systems.
7
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AccuScreen PRO
TEOAE

DPOAE

AABR

Automated OAE & ABR test sequence

Pass/Refer indication

Ultra lightweight probe (4 gr)

Data storage > 10 years

Test memory 250 tests
Patient record memory 250 patients
User selectable languages

Battery powered (> 10 hrs continuous operation)

Automatic power down after 15 minutes

Time/date stamp function (real-time clock)

Graphic display with backlight

Label printer interface

Display of statistical waveforms

Printing of statistical waveforms

Carrying case

Alphanumeric keypad

Manual data entry

PC interface (upload/download of data)

IR port (wireless data transfer to/from PC)

AccuLink (PC database software)

OZ software interface (e-Screener Plus

SM
& SIMS

HI*TRACK
TM
interface

Features:
Distributor:
USA CPT
TM
codes:
92586 Auditory evoked potentials; limited
92587 Evoked Otoacoustic emissions; limited
92588 Evoked Otoacoustic emissions; comprehensive or diagnostic
GN Otometrics is the worlds leading
manufacturer of hearing and balance
instrumentation and software - innovative
concepts designed to help healthcare pro-
fessionals make the best possible deci-
sions. Our solutions range from infant
screening applications, audiologic diag-
nostics and office management software,
to balance testing and hearing instrument
fitting.
Headquartered in Copenhagen, Denmark,
and with a center of development in the
United States, we maintain a global net-
work of distributors and subsidiaries. GN
Otometrics is part of GN Store Nord.
GN Otometrics, Europe. +45 72 111 555. [email protected]
GN Otometrics, North America. 1-800-289-2150. [email protected]
www.gnotometrics.com