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10 things I wish I knew when first using the Eclipse

22 January 2024

When I first graduated as a Master of Science in Audiology in 2020, I started as an Audiologist at the University Hospital in Odense, Denmark. Here, I used the Interacoustics Eclipse almost every day on infants and adults. Even though I knew the software and equipment well before joining Interacoustics as a Clinical Product Manager in 2022, I’ve since learned many new and smarter ways of working with the Eclipse.

Based on my experiences here at Interacoustics and in the clinic, I have made a list of the top 10 things I wish I knew when first using the Eclipse.

 

Patient sat on examination bed with cVEMP electrode montage and looking toward a computer screen with an EMG monitor. The Interacoustics Eclipse is resting on a table next to the patient.
cVEMP testing with the Eclipse.

 

1. Shortcuts for wave markers

There are many different shortcuts in the Eclipse that can make your work a bit easier. For example, when placing different wave markers (e.g. I, III and V for ABR or P1 and N1 for VEMP), you might click the edit tab to place wave markers (Figure 1).

 

Three tabs available: Record, edit, and latency. A green arrow is pointing toward the edit tab.
Figure 1: Selecting the edit tab.

 

However, you could also stay in the record tab and use ‘1’, ‘2’, ‘3’, ‘4’, and ‘5’ on your keyboard to place wave markers. To place a trough, hold down CTRL and press 1, 2, 3, 4, or 5.

To see the shortcuts for other functions and tools, you can hover over the different icons.

 

2. Save and new session

When I was working at the clinic, I did not know that you could save a session and instantly open a new. My workflow consisted of using the save and exit function, and then re-opening the EP software.

However, when you click the paper with a star on it (or hold down CTRL and press N), you save your current session and immediately open a new session (Figure 2).

 

Figure 2: Save and new session.

 

3. Temporary and permanent changes

A question I often get when doing presentations on the Eclipse is: When is a change permanent or temporary?

To make a temporary change (e.g. changing polarity or rate for one session only), you do this by accessing the setup at top of the screen (Figure 3). Remember, settings changed in the temporary setup are not saved when you close the EP software.

 

Figure 3: Making a temporary change.

 

However, if you want to make a permanent change to a protocol or make your own protocol, you do this by accessing the system setup by clicking ‘File’ and ‘System setup’ (Figure 4).

 

Figure 4: Making a permanent change.

 

4. Change rejection level during recording

You can change the rejection levels in the Eclipse while you are recording. If you double click on the EEG on the upper right corner, you will open an advanced rejection menu where you can drag the dotted vertical lines in 1-µv steps to get the rejection level you want.

In Figure 5 below, you can see the rejection is set at 17 µv. Remember the higher your rejection, the more noise you allow in the recording. By lowering the rejection, you minimize the amount of noise recorded in your waveform.

 

Figure 5: Changing the rejection level.

 

The chosen rejection is then shown to the right of each EEG channel (Figure 6).

 

Figure 6: Chosen rejection shown in EEG.

 

5. Minimize interference

If you find yourself in environments with periodic interferences from mains power interference, it is possible to use the Eclipse’s ‘Minimize interference’ function to make the system less sensitive to these interferences. You can find this function in the system setup (Figure 7).

 

Temporary protocol setup with many options to tweak the protocol. Under ‘Optimize recording’, there are the options to enable Bayesian weighting and the minimize interference function.
Figure 7: Minimize interference function.

 

6. Queue function

If you are in the setup and look at the intensity options, then you can see a table with different intensities, if they are checked, and the number of times.

In Figure 8 below, 35 dB nHL has a checkmark and the number of times is 2. This means that intensity will be recorded two times on each ear. You can combine intensities so that you can have a queue of 80 dB nHL two times on each ear, 60 dB nHL two times on each ear and so forth. Using the ‘Ascend’ option means that the intensity will start from the lowest to the highest, and vice versa using the ‘Descend’ option.

 

Figure 8: Queue function.

 

7. Masking level method

When you are using masking, there are two masking level methods in the Eclipse (Figure 9):

  • Relative
  • Absolute

 

Selecting the masking level method is available in the temporary protocol setup under ‘Masking’. It is also possible to choose ‘Off’.
Figure 9: Selecting the masking level method.

 

Relative masking

The relative method increases or decreases the masking intensity based on the stimulus intensity. See Table 1 for two examples.

 

Masking offset Stimulus intensity Masking level
Plus 30 dB 60 dB nHL 90 dB SPL
Minus 10 dB 80 dB nHL 70 dB SPL

Table 1: Relative masking examples.

 

Absolute masking

The absolute method is a fixed masking intensity. If you have chosen 60 dB SPL as a masking intensity, then 60 dB SPL will always be presented no matter your stimulus intensity.

 

8. Change all ASSR intensities at once

You can change all ASSR intensities on each ear at the same time. You do this by right clicking on either ‘Right’ or ‘Left’ and choosing the intensity you want. Then the chosen intensity is added to the queue for all frequencies on that ear (Figure 10).

 

List of available intensities in 5-dB steps from 0 to 100 dB nHL.
Figure 10: Changing ASSR intensities.

 

9. Delete ASSR curves

You can delete ASSR measurements if you want to clean up your test screen. You can only do this in non-saved sessions. You do this by right clicking the intensity box and pressing ‘Delete’ (Figure 11).

 

ASSR curves for the 65 dB nHL intensity. One of the curves ends short of one minute, whereas the other ends short of two minutes. The user has right clicked the shorter measurement with the options to ‘Delete’, ‘Delete All’, ‘Hide’, or ‘Cursor’.
Figure 11: Deleting ASSR curves.

 

10. Patient preparation

As a new help, we have created ‘how to prepare the patient for’ videos for the different tests available with the Eclipse. These videos are available on our YouTube channel and on our Eclipse support page.

 

About the author

Rasmus Skipper, MSc Audiology, graduated from the University of Southern Denmark in 2020. Following two years of clinical practice at Odense University Hospital, Rasmus joined Interacoustics in April 2022 as Clinical Product Manager within ABR and OAE.

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