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Starkey - Next Level - August 2022

How Can I Use Starkey's Multiflex Tinnitus Pro During Fittings?

Andrea Hannan-Dawkes, AuD, FAAA

February 1, 2021

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Question

How can I use Starkey's Multiflex Tinnitus Pro during fittings?

Answer

Multiflex Tinnitus Pro is Starkey's next-generation feature for sound management, which extends the flexibility of our tinnitus technology with the addition of two new signals, audiogram-shaped and custom to the range of stimulus options.  These stimulus types can be chosen in the tinnitus screen of Starkey Inspire software.  All options offer a 10,000 Hertz bandwidth with 16 bands of adjustability.

Let's take a closer look at each of these options.

  • White noise is the original Multiflex Tinnitus Stimulus and is available in all styles and technology tiers of Livio Edge AI, Livio AI, Livio and older products. The signal is based on the patient’s pure tone average and provides equal energy distribution across frequencies. The challenge with this stimulus is that a flat response may sometimes result in segments of the stimulus being too loud or too soft, especially with a sloping hearing loss. Then interactions are accounted for in the real-ear response, and the stimulus is adjustable.
  • The new audiogram-shaped signal uses the patient's more specific individual thresholds to shape the stimulus. This reduces the likelihood that the signal will be either too loud or too soft in certain frequency regions and helps account for things like loss of low frequency sounds due to acoustic leakage. Stimulus gain is calculated in each channel with consideration for the hearing loss and coupling.
  • The new custom stimulus allows custom shaping of the Multiflex Tinnitus Stimulus for a personalized signal with a greater degree of precision by using the audiogram and the patient's personal preferences and perceptions. Personalized shaping of the Multiflex Tinnitus Stimulus is accomplished using the Multiflex Tinnitus Pro tool, which is a research-based approach to improving the efficiency of the masking signal. The tool measures Minimum Detection Levels (MDL) and Minimum Masking Levels (MML) to achieve personalized shaping of the tinnitus stimulus. To create a custom stimulus, go to the tinnitus screen in Inspire and click on stimulus personalization. This process is quick and easy for both the clinician and the patient. Be sure to make any necessary changes to acoustic options before running the tool because they can't be changed during testing.

This Ask the Expert is an excerpt from Tinnitus Management Like No Other, From No-One Else. For more information, visit www.starkey.com or visit Starkey's Partner Page on AudiologyOnline.


andrea hannan dawkes

Andrea Hannan-Dawkes, AuD, FAAA

Education and Training Division

Dr. Andrea Hannan Dawkes joined Starkey in 2010 as a member of the Education and Training team.  In her current role as a senior member of the group, she assists in the development of educational materials, leads training classes, and serves as the liaison for Starkey’s university and student initiatives.  Prior to joining Starkey, Dr. Hannan Dawkes worked as a clinical audiologist in a variety of prominent medical centers, served as an audiology clinical supervisor and adjunct faculty member at Hofstra University, and contributed to research efforts involving signal detection, hearing aid performance, and signal processing.  She earned her Master of Arts degree in Audiology from the University of Maryland at College Park and her Doctor of Audiology degree from the Arizona School of Health Sciences.


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