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Tips & Hints FDA Warning Limited Warranty Terms How it Works Listen to the device The use of a device in the ear may increase the accumulation of ear wax or cause skin irritation. If you notice any irritation, or if wax builds up rapidly, please consult your SpeechEasy® Provider. What the Limited Warranty Covers and the Period of Coverage Janus Development Group, Inc. warrants that the SpeechEasy® device will be free from manufacturing defects in materials and workmanship for one year from the date of manufacture. The warranty extends only to the original purchaser. SpeechEasy® is a device designed to emulate choral speech — a phenomenon which has been found to induce fluency in people who stutter. Your SpeechEasy® device creates this choral speech pattern through the use of Altered Auditory Feedback (AAF), which consists of a combination of Delayed Auditory Feedback (DAF) and Frequency Altered Feedback (FAF). The use of AAF in people who stutter has been shown to produce amazing results. The fluency that SpeechEasy® can help to induce is not entirely automatic. Depending on the individual, a degree of effort may be required in order to pay attention to the auditory feedback generated by the device. Most users find that after a few days of actively reminding themselves to listen to the device, this process becomes fairly automatic. Stretch vowel sounds Battery Warning Stretching vowels can help achieve the voice inhibition needed to go though difficult sounds. As you approach a sound you know is difficult, attempt to stretch the vowel sounds on a few words prior to the difficult sound. You can also apply this technique by stretching the vowel sound on small words throughout your reading and/or conversation. (For example, words like I, the, and, out, of, etc.) • SpeechEasy® should only be used as recommended by your SpeechEasy® Provider or Physician. Perform “warm-up” exercises • Dispose of batteries immediately in a receptacle that is inaccessible by children. Every time you put your SpeechEasy® in your ear, take a minute to do some “warm-up” exercises to get accustomed to listening to the signal again. Simple recitations, such as counting to ten or saying the months of the year, are effective exercises. While performing these exercises, be sure to listen to the device and to be conscious of the signal. Use a starter You should take some time to practice each day by reading aloud using the “uh” method. During the reading, each time you naturally stop to take in a breath, start speaking again using an “uh” sound. Follow this regimen for at least ten minutes in the morning and again at night (even though you may already be fluent when you read aloud to yourself). This simple exercise can lead to a continuing improvement in your conversational speech. • Keep your batteries out of reach of small children and pets. • Never change batteries in front of small children. • Never let children play with batteries. • Never incinerate batteries. • Never put batteries in your mouth for any reason. • Always check medication before swallowing; batteries have been mistaken for tablets. ! If a battery is swallowed, immediately call The National Button Battery Ingestion Hotline at (202) 625-3333 for counsel on treatment. Minimizing anticipation The SpeechEasy® can significantly enhance your fluency, but thoughts and feelings of expecting to stutter may linger for awhile. For years you may have expected to stutter every time you spoke, but with an ongoing improvement in fluency, this will change. In the early stages of adjusting to the SpeechEasy®, many users state that they expect to stutter on a word and are surprised when they do not. In addition to using an “uh” between utterances as described in the section above, you might find it beneficial to also add an “uh” before a word you anticipate you will stutter on. You may need to experiment to determine if you really need to do this – or to determine the degree to which you may need to do it. The signal from the SpeechEasy® and the routine application of an “uh” may be sufficient for you. Should you apply this technique, focus on the “uh” as you blend into the word, not on the word itself. Ear wax blockage is the most common cause of low or no sound. To remove ear wax from the instrument, use the cleaning tool provided by your SpeechEasy® Provider. Do NOT attempt to use toothpicks, pins, needles or other sharp objects as this could cause damage to the instrument. Depending on the depth and degree of the blockage it may be necessary to see your SpeechEasy® Provider for a thorough cleaning. Ease into difficult situations Immediate perfection with the SpeechEasy® is an unrealistic expectation. Do not feel like you should immediately be fluent in areas where you typically have the most difficulty. For example, if you have a great deal of trouble being fluent while using the telephone, do not feel pressured to make several phone calls in one day. Instead, limit your amount of exposure to these difficult encounters while simultaneously gaining confidence and experience using your SpeechEasy®. You should find that as time progresses, your difficult situations will become less frequent and easier to manage. Symptom Possible Cause Remedy Low Volume or dead Wax in sound tube Battery Clean Replace Intermittent, scratchy Wax in sound tube Weak battery Moisture in Microphone Moisture in Receiver Clean Replace Use a Drying Kit Use a Drying Kit Experience the process Whistle (feedback) Volume too high Ear wax Readjust Clean instrument Clean your ears Reinsert See your SpeechEasy® Provider Even though your experience using the SpeechEasy in the Provider’s clinic was quite an event, you will be going through an adjustment process of adapting to the use of your new aid. Some points that will require adaptation are: getting accustomed to the signal in your ear, learning to listen to the second signal, gradually taking on more challenging speaking situations, and learning how to make the SpeechEasy® work best for you. All of these items will take time ... be patient and pace yourself during this process. ® Not properly inserted Loss or gain of weight Sound Distorted Wax in sound tube Weak battery Moisture in Microphone Moisture in Receiver What You Must Do For Warranty Service To file a claim, contact the Speech Language Pathologist who fitted you for the device. If you are unable to reach your Speech Language Pathologist, contact us at the address below. Claims must be filed within the warranty coverage period. Information verifying the date of original purchase may be requested. Except for implied warranties arising under state law, or as otherwise limited by law, the time within which an action must be commenced to enforce any of our obligations arising under this warranty or under any statute or law of the United States or any state thereof, is limited to ninety (90) days from the date you discover or should have discovered the defect. Our Address Janus Development Group, Inc. 112 Staton Road Greenville, NC 27834 Telephone: (252)551-9042 Troubleshooting ! Your Responsibility and What is Not Covered The above warranties are subject to the following conditions: • All warranty servicing must be performed at authorized service centers. • This warranty does not cover the cost of re-fitting or re-evaluation, except as specifically provided under “What We Will Do.” • This warranty does not cover damage, defects, or failure caused by abuse or misuse; excessive wax accumulation; improper care; impact or insertion of foreign objects; improper fitting; vandalism; improper storage; maintenance or repair performed by anyone other than an authorized service center; application of harmful chemicals; Acts of God, fire, or water; abrasives; negligence; failure to follow manufacturer’s instructions; loss of the device; normal wear and tear; or alteration. • This warranty is effective only if the product is purchased and used in the United States. • Warranty claims may need to be substantiated with proof of purchase for your device (bill of sale), at Janus’ request. Please retain the device bill of sale for your records. What We Will Do If a device fails under a warranted condition, we will repair or replace the device, at our option, at no cost to you. If we choose to replace the device, we will replace the device with the same product or another comparable product of equal or higher value. If repair or replacement will take longer than fifteen (15) business days (not including shipping time), we will notify you of an estimated repair or replacement date. We will pay shipping costs from an authorized SpeechEasy® dispensing speech language pathologistís office to our facility and pay for shipping back to your residence. If we replace the entire device under warranty, including all fitted parts, we will cover the cost of re-fitting (which may include an ear impression and any additional shipping charges). Repaired or replaced devices are warranted only for the remainder of the original warranty period. Please see “Limitations on Liability and Warranty Exclusions” and “Disputes,” below, for additional important information. Clean Replace Use a Drying Kit Use a Drying Kit Benefits of AAF • Alteration of auditory feedback results in 50-95% stuttering reduction in 80-90% of the stuttering population who try it. • Use of altered auditory feedback reduces stuttering regardless of rate of speech; implying that people who stutter need not be asked to reduce their rate of speech to achieve fluency. • The fluency effects of altered auditory feedback are more robust and satisfactory (about 50-95%) than masking noise (about 40-50%). • Use of altered auditory feedback has been shown to be effective when speaking in front of an audience. • Use of altered auditory feedback has been shown to be effective when speaking on the telephone. • No differences in the effectiveness of altered auditory feedback when used either in the right or the left ear. © 2004-Rev.2 Janus Development Group, Inc. Limitations on Liability and Warranty Exclusions With the exception of any warranties implied by state law as limited in this document, the foregoing warranty is exclusive and in lieu of all other warranties and obligations. We disclaim and shall not be liable for any indirect, consequential, special, or incidental damages, whether in contract, tort, or otherwise, and whether or not we have been advised of the possibility of the same. Except to the extent otherwise required by law, our liability in connection with any order or device shall not exceed the price you paid to us for the device, excluding freight, service fees, and taxes. We are not responsible for any costs or losses you may incur because of a canceled order, failure of delivery, late delivery or errors in delivery, travel incurred for purchase or delivery, mistakes on an order accepted by you, or shipping from a location other than that of a providing SLP. The sole remedy provided by this warranty is the repair or replacement of defective devices. Any refunds are in our complete discretion and do not obligate us to make any future refunds. ALL WARRANTIES IMPLIED BY STATE LAW, INCLUDING (BUT NOT LIMITED TO) IMPLIED WARRANTIES OF MERCHANTIBILITY AND FITNESS FOR A PARTICULAR PURPOSE, ARE EXPRESSLY LIMITED TO THE DURATION OF THE EXPRESS LIMITED WARRANTIES SET FORTH ABOVE. Some states do not allow limitations on how long an implied warranty lasts, so the above limitation may not apply to you. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state. Disputes This warranty is governed by the laws of the State of North Carolina, without regard to principles of conflicts of laws, and applicable United States federal law. The United Nations Convention on Contracts for the International Sale of Goods shall not apply. YOU AGREE TO SUBMIT ANY CLAIM, DISPUTE, OR CONTROVERSY (REGARDLESS OF THE FORM OR TYPE OF ACTION) AGAINST US TO ARBITRATION ADMINISTERED BY THE NATIONAL ARBITRATION FORUM UNDER ITS CODE OF PROCEDURE THEN IN EFFECT (available at http://www.arb-forum.com or via telephone at 1-800-474-2371). Except to the extent otherwise required by law, you agree that the arbitration proceedings will take place exclusively in Greenville, North Carolina, USA. You may be entitled to file suit under state laws without submitting your claim to arbitration first. Information on arbitration may be obtained from, and a claim may be filed with, the National Arbitration Forum at P.O. Box 50191, Minneapolis, MN 554050191 USA. Miscellaneous Terms A waiver of strict compliance with any term herein shall not be deemed a continuing waiver or waive any other terms or conditions. Any modification or amendment to this warranty must be in writing and signed by the President of Janus Development Group, Inc. in order to be effective. Distributors, dealers, and speech language pathologists are not authorized to add to or vary this warranty. If any term herein is illegal, invalid, or unenforceable, then such term shall be ignored, but the remaining terms and conditions shall remain in effect. The official language of this warranty is English. We are excused from performance to the extent of any delay or inability to perform arising due to weather events, disasters, acts of terror, governmental action or regulation, labor or materials shortages or disputes, or other circumstances not under our control. Care & Maintenance Manual Congratulations Inserting and Wearing Cleaning General Care We wish you every success with your new fluency tool and feel confident in the knowledge that its effects will dramatically improve your life. • Hold the SpeechEasy® positioned the way it will sit in your ear. Your SpeechEasy® is a precision instrument and regular care will reduce the likelihood of it needing service or repair. On a daily basis, you should: Avoid heat Please keep this manual in a safe place and refer to it often. • Gently insert the canal portion of the device into your ear. • Wipe the instrument with a soft lint free cloth or facial tissue. Your new SpeechEasy® requires attention, in order to keep it in top working condition. The device is designed and manufactured to provide you with many years of superior performance, but only under proper care. The information in this booklet will help you to care and maintain your SpeechEasy® — and ultimately to extend the life of your new investment. Please take the time to read this guide and learn how to use and care for your new SpeechEasy® device. Getting Familiar ITC Microphone • If your instrument is not properly inserted, whistling (feedback) and/or discomfort will occur. ! • Should you feel undue pressure or discomfort after properly inserting your device, please contact your SpeechEasy® Provider. • Remove the instrument with a gently twisting motion. Pull String • Never pull on the volume control or battery compartment as damage can result. In The Canal (ITC) • Your instrument may be equipped with a pull string for easier removal. Wax Guard Vent Volume Control Behind The Ear (BTE) Battery Door Microphone Second Memory Option (if selected) Battery Door SpeechEasy® Identification A unique, identifying serial number is either imbedded in the custom shell of your instrument or is placed within the interior of the battery door. This serial number is specific to your device and allows us to track any problems or repairs. Please write this number on the Notes panel for future reference. Turning Device On & Off For devices equipped with a volume control knob: Battery Information Battery sizes CIC = 10A CIC ITC = 312 BTE = 13 ITC BTE We recommend the use of zinc air batteries to provide longer battery life. • The tab should be removed from the battery 30–60 seconds prior to installing it into the device (this prevents a battery ‘surge’ from damaging the SpeechEasy®). Figure 1 • If the device happens to get wet, let it dry naturally with the battery door open. A dry aid kit may also be purchased from a hearing professional which can help to remove moisture. • Never dry a device with a hair dryer. Figure 2 To clean: 2. Using the tool included with your purchase, gently brush away wax that has collected on the door, as shown in Figure 3. • If a battery is swallowed, immediately call: The National Button Battery Ingestion Hotline at (202) 625-3333. Cleaning Devices with a Wax Spring or an Extended Receiver Tube • Identify the positive side of your new battery. If your device does not have a volume control knob: ! WARNING—Attempting to close the door with the battery inserted incorrectly will cause damage to your instrument. NEVER FORCE THE DOOR CLOSED! Severe damage to your SpeechEasy® can occur from improper installation. See additional warnings on back. Figure 3 The opposite end of the brush provided with your SpeechEasy® device should house a small wax pick for cleaning this style of wax protection system. 1. Hold the device horizontally, with the sound outlet to one side, as shown in Figure 4, and gently pick the wax out of the area surrounding the sound outlet. ! • It is recommended that you insert your SpeechEasy® while comfortably seated on a soft surface. • Carry a spare battery with you, in case of emergencies. If you sweat excessively, a Drying Kit can be very helpful, and will help protect your instrument from failure caused by moisture. REMEMBER—Continuous use will maximize your enjoyment and benefit. Wear your SpeechEasy® often. ! IMPORTANT—In addition to the cleaning processes described, we highly recommend that you have the instrument professionally cleaned periodically. Your SpeechEasy® Provider can help you determine when and where this should be performed. Service To clean: 2. Be careful not to push the wax into the sound outlet. • When not in use, store your SpeechEasy® in the case or pouch provided. • Never store your SpeechEasy® within reach of children or pets. 5. In the unlikely event that the wax guard door is removed or damaged, see your SpeechEasy® Provider for immediate assistance. • DO NOT place the battery directly into your device. The hinged door is designed to cradle the battery and hold it securely. • Avoid dropping your SpeechEasy®, especially on hard surfaces. • Never attempt to repair your SpeechEasy®. • Keep batteries away from children, pets and medications. If a battery is accidentally swallowed, seek medical attention immediately. • Open the battery compartment by holding the instrument firmly in one hand and using a fingernail to ease the battery door open. Handle with care • Avoid leaving your SpeechEasy® where it could potentially be exposed to extreme heat or cold. 1. Open the door and support with your finger. 4. Once done, be sure to close the wax guard door prior to inserting the device into your ear. Changing the battery • Protect the device from rain and snow. • Perspiration can also damage the device. • Do not carry loose batteries in your pocket or purse, as contact with other metal objects may short-circuit the batteries. • If the compartment door does not close smoothly, check to make sure the battery is inserted properly. • Turn on by inserting a battery in the door and closing the compartment. • SpeechEasy® should never be worn while swimming or participating in water-related activities. Your SpeechEasy may be equipped with this unique wax protection system. A small, hinged door is installed on the sound outlet of the instrument. This wax protection system helps reduce the likelihood of ear wax getting into and blocking the speaker and damaging other internal components. ® • After extended periods of exposure to cold temperatures, the battery may lose power. If this occurs, allow the SpeechEasy® to naturally return to room temperature and power should be restored. • The SpeechEasy® should never be worn in or near saunas, steam baths, regular baths, vaporizers or showers. • Store batteries in a cool, dry place. Do not refrigerate. • The CIC device cannot be turned on or off with a volume control. • Turn off by rotating the volume control backwards until it clicks off. Cleaning Instruments with a Flip-Top Wax Guard Avoid cold Avoid moisture 3. Be sure when brushing that you are pushing the wax away from the hole, rather than into the device! • Match the plus “+” sign on the battery with the “+” sign on the top edge of the battery compartment door and close the door slowly. You may also note that the battery door is designed so that the battery will only fit properly when the plus signs are matched. • Turn on by rotating the volume control forward. NEVER use alcohol, water or solvents to clean your SpeechEasy®. Your SpeechEasy® may be equipped with some type of wax guard system: a Flip-Top, Wax Spring, or Extended Receiver Tube. A Flip-Top Wax Guard, like the one shown in Figure 1, has a hinged door on the end of the device. A Wax Spring is a metal coil at the tip of the device that keeps wax from going further into the device. The Extended Receiver Tube Wax Guard is a white tube that extends slightly beyond the tip of the device, as shown in Figure 2. This tube creates a lip that hinders wax from entering the device. Note: Some devices may be too small to have a wax guard. • Do not wear the device when using a hair dryer or while applying hair spray or perfumes. • The device can function well when outdoors even during winter. Three Types of Wax Guard Systems BTE • Push gently behind the ear to expose the instrument enough to handle with your thumb and index finger. Battery Door • Lightly brush the face of the instrument. Be sure to brush away from the microphone sound inlet. • Leave battery door open at night to allow the device to air out. Removing Wax Guard Volume Control CIC • Wearing an improperly fitted device can lead to more serious complications. Completely In The Canal (CIC) Vent • Push carefully on the face of your instrument to ensure that it is fully seated in your ear. The instrument should fit securely in your ear. • Clean the canal tip using a brush and the wax pick. • Do not place the device near stoves, radiators, heat lamps or in direct sunlight. If you do not know where to obtain authorized service for your SpeechEasy®, our customer service staff will help you find a Provider in your area. Please call Janus Development Group. Figure 4 IMPORTANT— SpeechEasy® requires cleaning every day to stay operable. The number one cause for failure in SpeechEasy® devices is directly related to the lack of daily cleaning. Without cleaning, your SpeechEasy® quickly begins to accumulate wax and moisture, which lead to eventual damage of the internal components of the device. This damage, however, is relatively easy to prevent. By performing these cleaning procedures on your SpeechEasy® each day, you can dramatically extend the life of your device. Contact Information Janus Development Group, Inc. 112 Staton Road Greenville, NC 27834 Website: E-Mail: Phone: Fax: www.speecheasy.com [email protected] (252) 551-9042 (252) 413-0950