GSI Suite User Manual D-0102647 Rev G

GSI Suite
user manual
part Number D-0102647 Rev. G
Setting The Clinical Standard www.grason-stadler.com
Grason-Stadler, 10395 West 70th Street, Eden Prairie, Minnesota 55344

800-700-2282 • 952-278-4402 • fax 952-278-4401 • e-mail info@grason-stadler.com
GSI Suite User Manual
Table of Contents
Introduction ................................................................................................................................................... 5
Intended Use of GSI Suite ........................................................................................................................ 5
Installation and Setup .................................................................................................................................... 6
Precautions ................................................................................................................................................ 6
Prerequisites .............................................................................................................................................. 6
GSI Suite Installation Instructions ................................................................................................................ 8
Installing on Windows® 7 and 10 ............................................................................................................. 8
Connecting GSI Instruments ..................................................................................................................... 9
Connecting the AudioStar Pro or Pello to a PC ...................................................................................... 10
Connecting the GSI 61 to a PC ............................................................................................................... 10
GSI 61 with USB Port............................................................................................................................. 11
GSI 61 with Serial Port ........................................................................................................................... 11
Connecting the GSI 39 to a PC ............................................................................................................... 12
Connecting the GSI TympStar to a PC ................................................................................................... 12
Cable Connections .................................................................................................................................. 13
Connecting the GSI TympStar Pro to a PC............................................................................................. 14
Connecting the GSI Corti to a PC ........................................................................................................... 15
Connecting the GSI AMTAS Pro or GSI AMTAS Flex to a PC ............................................................ 16
Launching GSI Suite ............................................................................................................................... 18
Uninstalling GSI Suite ............................................................................................................................ 18
User Interface – Screen Layout and Controls ............................................................................................. 19
Main Screen ............................................................................................................................................ 19
Menu Toolbar.......................................................................................................................................... 21
Patient/Session Directory ........................................................................................................................ 26
Creating a Patient List ............................................................................................................................. 29
Information Panels .................................................................................................................................. 31
Patient Information ................................................................................................................................. 31
Test Session Information ........................................................................................................................ 34
Compare Audiograms ............................................................................................................................. 36
Comments ............................................................................................................................................... 37
Audiometry – AudioStar Pro, Pello, GSI 61 ........................................................................................... 39
Audiometry – GSI 39 .............................................................................................................................. 47
Counsel View .......................................................................................................................................... 48
Tympanometry – GSI 39, TympStar and TympStar Pro ........................................................................ 49
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Screener................................................................................................................................................... 49
Tympanogram ......................................................................................................................................... 50
Reflex Thresholds ................................................................................................................................... 52
Reflex Decay ........................................................................................................................................... 54
Reflex Latency ........................................................................................................................................ 56
Eustachian Tube Function Test ............................................................................................................... 57
Otoacoustic Emissions – GSI Corti ........................................................................................................ 59
Batch Transfer – GSI Corti and AMTAS Flex ....................................................................................... 62
Assign Tests Dialog ................................................................................................................................ 62
Typical Use Cases ....................................................................................................................................... 64
Uploading Audiometric Results Using AudioStar Pro, Pello ................................................................. 64
Uploading Audiometric Results Using AMTAS Pro or AMTAS Flex .................................................. 64
Uploading an Audiogram using GSI 61 .................................................................................................. 66
Uploading from the GSI 39..................................................................................................................... 67
Uploading Middle Ear Data - TympStar ................................................................................................. 69
Uploading Tympanometric Results Using TympStar Pro ...................................................................... 70
Uploading Otoacoustic Emission Results Using Corti ........................................................................... 71
Editing Comments and Locking the Session .......................................................................................... 72
Configuration .............................................................................................................................................. 73
Templates Tab ......................................................................................................................................... 73
General Tab ............................................................................................................................................. 75
Session Information Lists ....................................................................................................................... 76
File Repository Backup/Restore ............................................................................................................. 77
Network Database Backup/Restore ........................................................................................................ 77
Configuration Data Import/Export .......................................................................................................... 78
Predefined Comments ............................................................................................................................. 80
Audiometry Tab ...................................................................................................................................... 82
Tympanometry Tab ................................................................................................................................. 83
Devices Tab ............................................................................................................................................ 84
Labels and Fields Tab ............................................................................................................................. 85
Templates .................................................................................................................................................... 86
Template Manager .................................................................................................................................. 86
Template Editor ...................................................................................................................................... 88
Working with Components ..................................................................................................................... 96
Integrating GSI Suite: Third Party Networking Options .......................................................................... 102
Noah 4 ................................................................................................................................................... 102
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Troubleshooting ........................................................................................................................................ 103
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Introduction
GSI Suite is a data management software program that is designed to store
audiologic data and generate electronic copies of results for attaching to the
medical record. Electronic formats include PDF, TIFF, JPEG, and XPS. It may be
used as a standalone software package or as part of a networked solution when
paired with Noah® 4.
Intended Use of GSI Suite

GSI Suite is used to view and store audiometric data. It can also provide the data
in electronic formats that are compatible with electronic medical records. The test
results are used for audiologic evaluation, documentation, and assessment of
middle ear function.
GSI Suite supports the GSI AudioStar Pro™, GSI Pello™, GSI 61TM, GSI
TympStarTM (V1 and V2), GSI TympStar Pro™, GSI 39TM, GSI AMTAS Pro™,
GSI AMTAS Flex™ and the GSI Corti™.
Data transferred from the AudioStar Pro and Pello includes all pure tone and
speech results as well as MCL, UCL, masking levels, Stenger (pure tone and
speech), results from special tests (TEN, BKB-SIN, and QuickSIN) and PIPB
Rollover Index as well as session comments, examiner name and patient
demographic information that was entered directly into the audiometer.
The GSI 61 data transferred includes the following: air conduction (masked and
unmasked) thresholds, bone conduction (masked and unmasked) thresholds, and
sound field thresholds. For the GSI 61, speech information is entered manually in
the appropriate fields within GSI Suite.
Data transferred from the GSI TympStar and GSI TympStar Pro includes the
following: tympanometric tracings and numeric data, reflex thresholds, reflex
decay scores, reflex latency and intact and perforated Eustachian tube function
(ETF) tests. Results from up to three probe tones may be stored in a single session.
Data transferred from the GSI 39 includes the following: tympanometric tracings
and numeric data, reflex screening results and audiometric thresholds (air
conduction, unmasked) depending on the configuration of the GSI 39.
Data transferred from the Corti includes both TEOAE and DPOAE tests that have
been collected on the device. The signal to noise data and OAE values are both
transferred.
Data from the GSI AMTAS Pro is transferred from the audiometer and includes
the threshold data, speech data, comments and quality indicators. The GSI
AMTAS Flex is transferred from the PC or tablet and includes the threshold data,
comments and quality indicators.
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Installation and Setup
Precautions
The following precautions will aid in the secure collection and storage of patient
data:
 Disable the “suspend USB” power option to ensure proper communication

between instrument and PC.
 Store backup of data in a safe manner.
 Create backup of patients’ data regularly.
 To avoid data from being misused, if stolen, the data must be encrypted.
 To avoid unwanted data transfer from PC to the network, ensure that an
appropriate virus & spyware scanner is installed, updated, and effective.
Please contact a local administrator for help and guidance.
 All users must have a unique login to the PC.
 When using a third party networked software, the communication to the
database must be secure (encrypted) to avoid client information being
captured during network transmission. See the third party user manual for
details.
 When using a third party networked software, all users should have a
unique login to the database to ensure traceability and identification of data
updated or deleted from the database. See the third party user manual for
details.
Prerequisites
GSI Suite PC Minimum Requirements
 CPU: 1.6 GHz.
 RAM: 2 GB.
 Hard Disk: 20 GB free space.
 USB Port: 1 for each connected GSI instrument.
o Optionally, an additional USB port will be required if a printer is
connected to the PC.
 Display Resolution: 1366 x 768.
 CD-ROM Drive or USB to install program.
 Network LAN Card (if connecting to database via a network).
GSI Suite Supported Operating Systems

 Microsoft Windows® 10 Pro.
 Microsoft Windows® 7 Professional.
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GSI Suite Software Requirements

The following will be installed automatically with the GSI Suite installation, if
they are not already present on the PC.
 Microsoft .NET Framework version 4.6.

 Drivers for the GSI instruments.
Compatible Third Party Software
Noah 4
 GSI Suite supports Noah version 4.8 or greater.

 GSI Suite must be launched as a module from a patient record within Noah
4.
 PC requirements, installation steps and network configuration setup steps
are outlined in the Noah 4 user manual.
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GSI Suite Installation Instructions
Installing on Windows® 7 and 10

Initiating GSI Suite
Insert the GSI Suite CD/USB. If auto-run is disabled, browse the CD/USB
drive and double click on the GSISuiteInstall.exe file.
NOTE: The installation may require a restart of the computer to continue. In

order to install this application, the user must either be an Administrator or know
the Administrator password.
Prerequisites Check
1. Read the license agreement carefully.
2. Select the “I Agree” check box to accept the agreement and press “Next”
to continue. Select “Cancel” to avoid acceptance of the license agreement
and exit setup.
3. In order to use the GSI Suite, it is necessary to have .NET 4.6. Before the
GSI Suite application is installed, the setup will evaluate the computer for
these programs. If the programs are not currently installed, GSI Suite will
display a dialog box indicating that it is necessary to install these
programs. Press “Install” to install the prerequisite software. This may take
several minutes.
4. Follow the on-screen instructions to complete the installation.
NOTE: Installing GSI Suite will also install the GSI Instrument Service
software package.
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Connecting GSI Instruments

To configure GSI Suite to a specific audiometer or tympanometer, you need to
make the connection between the instrument and the PC and also configure the
software. The Configure menu item, Devices tab, allows you to indicate the
devices that are connected to the PC. The Connected Devices section is where you
define the GSI instrument(s) that GSI Suite will use. The GSI AMTAS Flex
section is used with the Audiometry GSI AMTAS Flex check box to specify the
Bluetooth paired AMTAS Flex device. The GSI 39 section configures the port
settings and serial number for the GSI 39. The GSI 61 section configures the bone
conductor placement and the serial number for the GSI 61. The TympStar section
is where you indicate the serial number of the TympStar. The Corti section
configures the port name and serial number and has information on the display
name identifiers and an option to require confirmation before erasing tests from
the device.
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Connecting the AudioStar Pro or Pello to a PC

1. Use a standard A/B USB Cable.
2. Plug the hexagon connector (B plug) into the USB port on the AudioStar
Pro or Pello.
3. Plug the USB connector (A plug) into a USB port on the computer.
4. Power on both the AudioStar Pro or Pello and the PC.
5. Launch GSI Suite.
6. GSI Suite will automatically detect the AudioStar Pro or Pello.
NOTE: GSI Suite will communicate with one supported audiometer in addition
to one supported tympanometer. The audiometer can be an AudioStar Pro, Pello,
GSI 61, or a GSI 39. If multiple audiometers are connected to the same PC, GSI
Suite will communicate only with the device configured in the Configure-
>Devices->Connected Devices.
When the AudioStar Pro or Pello is connected to GSI Suite, the connection
icon will be solid white arrows.
If the AudioStar Pro or Pello is not connected, there will be a circle with
a line through it indicating no connectivity.
Connecting the GSI 61 to a PC

The following settings need to be used to allow for the GSI 61 to communicate
with a PC.
1. DIP Switches S901 #7 and #8 are to be in the off position (Test Battery
Record).
2. The GSI 61 must be in Remote mode for it to communicate with a
computer. From the GSI 61, press the Remote button. The middle of the
GSI 61 display screen now displays Remote.
to one supported tympanometer. The audiometer can be an AudioStar Pro, Pello
GSI 61 or GSI 39. If multiple audiometers are connected to the same PC, GSI
Suite will communicate only with the device configured in the Configure-
>Devices->Connected Devices.
When the GSI 61 is connected to GSI Suite, the connection icon will be
solid white arrows.
If the GSI 61 is not connected, there will be a circle with a line through it
indicating no connectivity.
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GSI 61 with USB Port

2. Plug the hexagon connector (B plug) into the USB port on the GSI 61.
4. Turn the power on GSI 61 and the PC, if not already on.
5. Press Remote on the front panel of the GSI 61.
7. GSI Suite will automatically detect the GSI 61.
GSI 61 with Serial Port

If the GSI 61 has an RS232 serial connection for remote transfer, it is necessary to
use a USB to serial adapter.
1. Install the drivers for the USB to Serial DB25 Adapter from the CD that
came with the adapter. The instructions for this can be found on the CD in
the directory:
D:\22429_26886_29343-USB to Serial Adapter [select the drive for your

CD ROM if not D].
2. Plug the round connector of the Mac Hayes serial cable (GSI Part Number
4205-1000) into the GSI 61.
3. Attach the 25 pin gender adapter (GSI Part Number 4230-3725) to the
Hayes cable.
4. Attach the USB serial cable (GSI Part Number 4205-1100) to the gender
adapter.
NOTE: The USB Serial Cable/Adapter (GSI Part Number 8004411) in the GSI
kit has been thoroughly tested and is the supported adapter.
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5. Plug the USB cable into the PC.

6. The operating system should recognize that new hardware has been
connected and bring up the Found New Hardware window. If the drivers
have been installed, a message will indicate that the hardware is ready to
use and the instrument will be ready for detection. If the drivers have not
been installed, the Found New Hardware Wizard will be initiated (if the
wizard does not start automatically, manually initiate it from the Control
Panel).
Connecting the GSI 39 to a PC

2. Plug the hexagon connector (B plug) into the USB port on the GSI 39.
4. Power on both the GSI 39 and the PC.
5. Verify that the GSI 39 is configured to use a baud rate of 115200 (see the
GSI 39 user manual).
7. Configure the GSI Suite to receive data from the GSI 39 (see
Configuration).
8. Restart GSI Suite to use the new configuration for the GSI 39.
to one supported tympanometer. The audiometer can be an AudioStar Pro, GSI
61, or GSI 39. The tympanometer can be a TympStar or GSI 39.
The GSI 39 may be used as an audiometer, a tympanometer or both. The GSI
Suite configuration is used to assign the GSI 39 as the audiometer or
tympanometer.
Connecting the GSI TympStar to a PC

The following settings allow the GSI TympStar to communicate with a PC
1. From the front panel of GSI TympStar, press the Remote button. The GSI
TympStar must be in Remote mode for communication with a computer.
The middle of the GSI TympStar display screen now displays Remote.
2. Ensure that TympStar is set to Summary + XY for data transfer. To verify
this setting, press ETF, Return, Instrument Options, Data Transfer and
ensure that Tymp is set to Summary + XY.
3. Data transfer must be initiated from Page Mode.
NOTE: GSI Suite can communicate with one tympanometer and one
audiometer. If multiple tympanometers are connected to the same PC, GSI Suite
will communicate with the device configured in the Configure->Devices-
>Connected Devices.
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When the GSI TympStar is connected to the GSI Suite, the connection
icon will be solid white arrows.
If the GSI TympStar is not connected, there will be a circle with a line
through it indicating no connectivity.
Cable Connections
1. The USB driver for the adaptor is located on the CD that is included with
the adaptor. Install the USB driver for the USB adaptor using the enclosed
instructions.
2. Connect the USB serial (9 pin) adaptor cable to the back of the GSI
TympStar RS232 port.
3. Connect the USB extension cable to the end of the USB to Serial adaptor
cable, if necessary.
4. Plug the USB cable into a USB port on the PC.
5. Power on the GSI TympStar and the PC.
6. Press Remote on the front panel of the GSI TympStar.
8. Select the Tympanometry tab.
9. GSI Suite will automatically detect the GSI TympStar.
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Connecting the GSI TympStar Pro to a PC

2. Plug the hexagon connector (B plug) into the USB port on the TympStar
Pro.
4. Power on both the TympStar Pro and the PC.
6. GSI Suite will automatically detect the TympStar Pro.
NOTE: GSI Suite will communicate with one supported tympanometer in

addition to one supported audiometer. The tympanometer can be a TympStar
Pro, TympStar Pro, or a GSI 39. If multiple tympanometers are connected to the
same PC, GSI Suite will communicate only with the device configured in the
Configure->Devices->Connected Devices.
When the TympStar Pro is connected to GSI Suite, the connection icon
will be solid white arrows.
If the TympStar Pro is not connected, there will be a circle with a line
through it indicating no connectivity.
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Connecting the GSI Corti to a PC

1. Use an A/mini B USB Cable.
2. Plug the mini connector (B plug) into the USB port on the Corti.
4. Power on both the Corti and the PC.
6. GSI Suite will automatically detect the Corti.
NOTE: GSI Suite will communicate with one Corti and one supported
tympanometer in addition to one supported audiometer. If multiple audiometers
or tympanometers are connected to the same PC, GSI Suite will communicate
only with the device configured in the Configure->Devices->Connected
Devices.
When the Corti is connected to GSI Suite and the OAE tab is selected,
the connection batch icon will be solid white arrows.
If the Corti is not connected and the OAE tab is selected, there will be
a circle with a line through it indicating no connectivity.
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Connecting the GSI AMTAS Pro or GSI AMTAS Flex to a PC

GSI AMTAS Pro
The GSI AMTAS Pro connects to a GSI AudioStar Pro or Pello audiometer. The
data from AMTAS Pro program is stored on and transferred from the audiometer.
Follow the instructions for connecting the audiometer to the PC.
GSI AMTAS Flex

The GSI AMTAS Flex does not connect to an audiometer but runs directly from a
PC or tablet. If the PC used for GSI Suite is the same PC as used for AMTAS
Flex, a local batch transfer option will be available. If the AMTAS Flex program
is on a different PC than GSI Suite, connection between the two devices can be
made via wireless Bluetooth®. Data may also be exported from GSI AMTAS Flex
and imported into GSI Suite via USB drive.
To connect using Bluetooth®, both the AMTAS Flex device and the Suite device
need to have Bluetooth®. Before you can transfer data you need to pair the
AMTAS Flex PC/tablet with the Suite PC. In order to pair the devices you need
to know the name of the AMTAS Flex PC/tablet and the Suite PC. To find the
computer name Right click on the Start button and select System from the pop-up
menu (Win 10) or Select Start the right-click on Computer, and then click
Properties (Win 7). On the AMTAS Flex the computer name is also displayed in
the ‘About’ dialog. The specific process of Bluetooth pairing will depend on the
operating system being used – consult the Windows documentation for more
details.
Windows 7
1. Turn on Bluetooth on the device and make it discoverable.
2. Select the Start button > Devices and Printers.
3. Select Add a device > select the device > Next.
4. Follow any other instructions that might appear.
Windows 10
1. Turn on Bluetooth on the device and make it discoverable.
2. Select the Start button > Settings > Devices > Bluetooth & other devices.
3. Turn on Bluetooth, then select Add Bluetooth or other device > Bluetooth.
Choose the device and follow additional instructions if they appear, then select
Done.
NOTE: It is recommended that GSI Suite be install on Windows 10 if

connecting to AMTAS Flex using Bluetooth. If the GSI Suite PC is using an
external Bluetooth adapter, it is recommended that the built in Windows 10
Bluetooth driver be used.
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Once the devices have been paired in Windows the GSI Suite program needs to be
configured. In the Configure option from the main menu, select the Devices tab
and under the Connected Devices section make sure that GSI AMTAS Flex has
been checked. In the GSI AMTAS Flex section make sure that the Flex device is
listed and that the device is checked. To import GSI Flex data wirelessly, select
the Audiometry tab.
In the GSI Suite program the Batch Transfer option on the menu bar
has an arrow with a dropdown sub menu – select the wireless option.
The GSI Suite program will connect to the configured wireless
device.
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Launching GSI Suite

Standalone
1. Double-click the shortcut icon on the desktop to open GSI Suite.
2. It is also possible to open this application from Start>Programs>Grason-
Stadler>GSI Suite>GSI Suite.
Noah 4
1. GSI Suite will be listed as a measurement module within Noah 4.
2. Open the Noah 4 software.
3. Select an existing patient or create a new patient in the Noah 4 database.
4. Double-click the GSI Suite icon in Noah to launch GSI Suite.
NOTE: For proper installation and operation with Noah 4, it must be installed
before GSI Suite is installed. If GSI Suite is installed first, and Noah is added at
a later time, simply reinstall GSI Suite to ensure optimal communication
between GSI Suite and Noah.
Uninstalling GSI Suite

Windows 7
Steps:
1. Open the Windows Control Panel.
2. Select Programs and Features.
3. Select GSI Suite.
4. Select Uninstall.
5. Follow the onscreen instructions.
Windows 10
Steps:
1. Open the Windows Settings Panel.
2. Select Apps and Features.
3. Select GSI Suite.
4. Select Uninstall.
5. Follow the onscreen instructions.
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User Interface – Screen Layout and Controls

Main Screen
The following picture shows the main window of the GSI Suite application and
identifies the major sections of the window.
Test Type Tabs Test Tabs

Menu Toolbar
Information Test Results

Panels
The top of the program window contains the Menu Toolbar. The menu toolbar
contains the options for the common functions in the program. From the menu
you create or select patients, transfer data from the device, view and print reports.
The configuration settings used in the program are accessed from the menu
toolbar.
The Information Panels are on the left side of the program window. There are
five (5) panels that display the patient and test session information and provide
the list of audiograms to allow the selection for comparing audiograms.
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The Test Type tabs are displayed under the menu bar and above the test results.
The test types correspond to the audiometric data that is collected and transferred
from the GSI instruments. The selection of a test type tab changes the test results
display to match that of the test type. The test tabs will also change to
correspond to the specific tests of the selected test type. There are four (4) test
type tabs.
 Audiometry
 Tympanometry
 Reflex
 OAE
The audiometry tab has a drop down menu in the tab where you may select the
frequency range. The tympanometry and reflex tabs have drop down menus in
the tab where you may select the probe tone frequency. Only probe tone
frequencies that have corresponding data are available for selection. To view the
desired test results select the appropriate test type tab and then the sub tab. Sub
tabs are disabled if there is no corresponding data. The test type and test tabs are
listed below.
Audiometry Tab
 Standard Audiogram
 Fine Resolution
 Screening
 Speech Tables
 Speech Audiogram
Tympanometry (226, 678, 1000 Hz)

 Screening
 Tympanogram
 ETF Intact
 ETF Perforated
Reflex (226, 678, 1000 Hz)

 Reflex
 Reflex Decay
 ARLT
OAE
 DP
 TE
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Menu Toolbar
Icon/ Label Description/Function

Buttons
Select to add a new patient. This will clear the current patient
New Patient
information and session data.
NOTE: Prior to entering new patient information, any

previously collected data must be erased from the instrument.
Lookup Allows operator to search for an existing patient and/or session

Patient saved in the database.
Used to recall patient or test information.
Lookup Menu Select the down arrow to display the Lookup drop down menu.
The Select option displays the Patient Select Dialog and allows
you to choose a patient. Select Patient is only available when
there is an unassigned session- such as when a user presses
“Transfer” before entering patient information.
The View Patient option displays the Lookup Dialog in order to
select a patient and test session for review.
The Create Patient List displays the Patient List Dialog used to
create a list of patients for transfer to the GSI AudioStar Pro,
Pello, TympStar Pro or Corti.
New Session Select to initiate a new test session for the current patient. A
new session is activated by clearing previous session data so
that new test data can be transferred and saved to the new
session.
NOTE: Prior to transferring new session data, existing data

must be saved or deleted.
Delete Test Select to delete the test that is currently being displayed.
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Buttons
Transfer Select to initiate transfer of test data stored within the connected
instrument. The icon is used for audiometric and
tympanometric devices. OAE devices use a batch transfer.
When transfer is not available the circle with the slash appear in
the icon.
NOTE: Remote must be selected on the GSI 61 or GSI

TympStar before initiating the data transfer.
The Transfer icon is not displayed when GSI Suite is configured
for the GSI 39. Data transfer from the GSI 39 must be initiated
from the device.
Batch The Batch Transfer icon is used to transfer test data from the
Transfer AMTAS Flex. Multiple tests are transferred with the batch
(AMTAS transfer and individual tests assigned to the patients in Suite
Flex) through the Assign Tests dialog.
Batch Menu Local is only available when the GSI AMTAS Flex program is
installed on the same PC as GSI Suite. It transfers the data from
AMTAS to Suite where the test may be assigned to the patient.
Import is used to transfer data that has been exported from

AMTAS Flex, typically on a USB drive. A file open dialog is
presented to select the location of the USB drive and then test
are assigned in Suite.
Wireless is used to transfer data from AMTAS Flex via

Bluetooth. The two devices must be paired. The files are
transferred wirelessly and then the tests manually assigned.
Batch Select to initiate transfer of test data stored within the connected
Transfer Corti instrument.
(OAE)
The OAE test tab must be selected.
If the OAE test tab is selected and there is no Corti connected

the icon is greyed out and has the circle with a slash over the
arrow.
D‐0102647 Rev. G Page 22


Buttons
Assign Tests The assign tests is available when the Audiometry or OAE test
tab is selected and there are AMTAS Flex or Corti test results
that have been transferred to GSI Suite but have not yet been
assigned to a patient.
Save Saves a draft of the patient and session information that is

present on the screen.
Save Menu Save session allows the user to save a draft of the session for
future editing.
Session Lock allows the user to lock the session after all
information has been captured. Session Lock prohibits any
additional editing.
View Report For the current session, displays the default report in a PDF
viewer. The default report may be user defined.
View Menu Select the down arrow to display the View drop down menu.
The menu presents a list of reports. The reports that are in the
list are those reports that have been tagged as favorites. The
default report is indicated with a checkmark. Select Browse to
find reports that are not listed in the menu.
Print Report Sends the default report of the current session to the default
printer.
Print Menu Select the down arrow to display the Print drop down menu.
The menu presents a list of reports. The reports that are in the
list are those reports that have been tagged as favorites. The
default report is indicated with a checkmark. Select Browse to
find reports that are not listed in the menu.
File For the current session, File saves the default report based on
the configured file format (i.e. PDF, XPS, TIFF, JPEG).
The examiner may browse the computer and save the file to a
specific location on the PC or the report will be automatically
D‐0102647 Rev. G Page 23

Buttons
saved to a specific location with a predefined file name. See the

Configuration Dialog section for information about reports.
File Menu Select the down arrow to display the File drop down menu. The
menu presents a list of reports. The reports that are in the list
are those reports that have been tagged as favorites. The default
report is indicated with a checkmark. Select Browse to find
reports that are not listed in the menu.
The examiner may browse the computer and save the file to a
specific location on the PC or the report will be automatically
saved to a specific location with a predefined file name. See the
Configuration Dialog section for information about reports.
Counsel Provides an opportunity for the examiner to explain the results

of a hearing evaluation using visual aids such as the speech
banana, phonemes, hearing loss level and images of common
sounds overlaid on the audiogram. Select the drop down menu
for optional overlays.
Overlay Select one or more of the following options to be displayed on

Options the audiogram for patient counseling: Speech Banana,
Phonemes, Hearing Loss Levels, and/or Images (of common
sounds).
Configuration Allows the examiner to customize settings such as reports,

audiometry, tympanometry and general settings in the software.
See the Configuration Dialog section for information about
customizing options.
Help Launches the GSI Suite User Manual.
Help Menu Select the down arrow to display the Help drop down menu.
The Help option displays the GSI Suite manual and the About
dialog displays the software version and application
information.
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Buttons
Graph Clicking on this icon rotates the graph display from right to left,
Display Icon left to right and combined view.
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Patient/Session Directory
The Lookup button will display either the Patient Select Dialog or the
Patient/Session/Test Dialog. If data has been transferred from a device and no
patient has yet been assigned, the Patient Select Dialog is displayed. The Select
Patient from the Lookup Menu is available when unassigned data is displayed.
To search, begin typing a letter (last name or first name) or number (for ID) in the
field next to the magnifying glass. Enter any combination of letters and numbers.
When a character is entered, GSI Suite will begin filtering the list of patients. To
use criteria for two or more fields, put a space between the criteria.
Pressing the X icon to the right of the criteria field, will clear the search field.
When the desired patient name appears in the list, highlight the name and press the
Select button.
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If the data on the display has already been assigned to a patient then the Lookup
button displays the View Patient Dialog. To locate an existing patient record,
select the Lookup icon from the menu bar (or Select View Patient from the Lookup
Menu). The View Patient/Session/Test dialog will be displayed.
To search, begin typing a letter (last name or first name) or number (for ID) in the
field next to the magnifying glass. Enter any combination of letters and numbers.
When a character is entered, GSI Suite will begin filtering the list of patients. To
use criteria for two or more fields, put a space between the criteria.
Pressing the X icon to the right of the criteria field, will clear the search field.
When the desired patient name appears in the list, select the name. The sessions
associated with that patient will be displayed.
NOTE: When using GSI Suite within Noah 4, only the selected patient’s sessions
will be displayed. Data from different instruments may be merged into a single
session for display and reporting.
Next to each patient session, a padlock icon will indicate if the session is locked or
unlocked. After the session date and time information are check boxes for the Aud,
Imp and OAE columns. These columns correspond to the audiometry,
tympanometry and OAE data that may be part of a session. These check boxes are
used to select and merge data from different test sessions. This merged data may
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be used for creating a combined report. When a test session is highlighted, the
tests associated with the session are displayed in the right column of the dialog.
The Edit button opens the Patient Information dialog where the patient data may
be edited or the patient deleted.
The View button closes the Lookup dialog and displays the information from the
selected patient in the main program window.
The Merge button is only available when audiometry and impedance or OAE data
from two different test sessions has been selected. The merge button creates a new
virtual test session with the data from both sessions. The Lookup dialog is closed
and the merged data is presented in the main program window.
The New Session button creates a new test session for the selected patient. The
Lookup dialog is closed and the test results display is cleared. The new session is
ready to receive data from the instrument via the Transfer button.
The Cancel button closes the Lookup dialog restoring the main program window.
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Creating a Patient List

A list of patients may be exported from GSI Suite so that they can be downloaded
to a GSI instrument that supports this function, such as the AudioStar Pro,
TympStar Pro or Corti. Select the test tab appropriate for the instrument and then
select the ‘Create Patient List’ item from the Lookup drop down menu. The Patient
Demographic Export dialog will be displayed. This is where patients for export
may be selected. The patients that have been entered into GSI Suite will appear
on left frame titled Patient. The patients that have been selected for export appear
in the right frame titled Patient List. To put patients into the Patient List, highlight
the patient and then select the right arrow in the middle of the dialog, to transfer
them to the Patient List. To remove a patient from the Patient List, highlight the
patient in the Patient List and select the left arrow to move back to the Patient
frame.
The search field (i.e., the field with the magnifying glass icon) operates in a similar
manner to the Patient Lookup dialog. To search, begin typing a letter (last name or
first name) or number (for ID) in the field next to the magnifying glass. Enter any
combination of letters and numbers. When a character is entered, GSI Suite will
begin filtering the list of patients. To use criteria for two or more fields, put a space
between the criteria. Pressing the X icon to the right of the criteria field, will clear
the search field.
AudioStar Pro, Pello and TympStar Pro

When all the patients have been selected for exporting, select the GSI instrument(s)
that will receive the list and press the OK button. The patient list is stored in a
specific location on the PC. The GSI instrument will have an option to import the
patient list. In order to import the patient list, the GSI instrument should be
connected to the computer where the patient list was created.
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Corti
To transfer patient information to Corti, select the OAE tab prior to selecting the
‘Create Patient List’ from the Lookup drop down menu. The Patient Demographic
Export dialog for Corti will be displayed.
When all the patients have been selected for exporting, select the ‘Transfer
Patients’ button. If data exists on the Corti and you attempt to transfer patients, a
warning message is displayed indicting that the data on the device will be erased.
From the dialog you may also “Clear Device’ which will delete all the existing
data on the attached Corti.
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Information Panels
Patient and test session summary information is displayed in the information
panels on the left side of the program window. The data that is not transferred
from GSI instruments may be manually entered. This data includes comments,
patient demographics, special test results, and other data not transferred from the
GSI instruments. There are five (5) information panels.
Patient Information
The Patient Information panel displays the patient demographic data.
The up or down arrow on the right side of the title area collapses or expands the
patient summary information. In order to see more patient information than what
is displayed in the summary area, place the mouse over the Patient Information
text in the title bar to display a popup dialog of the patient information.
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The edit patient icon is used to edit the patient information. When selected, the
Patient Edit dialog is displayed and allows the user to edit or delete the patient
information.
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 The patient ID must be entered to save session data. It is recommended

that the first and last name also be entered, to reduce incorrect transfer of
patient data.
 Enter patient first name, last name, patient ID, gender, and birth date to be
displayed on the report. The names and ID fields are limited to 50
characters and may be any combination of letters, numbers, or symbols.
 The date of birth must be entered as mm/dd/yyyy. It is possible to select
the calendar icon to select the birth date.
 The labels for the fields may be defined by the user (see Configure).
 There are four (4) user defined fields available and may be defined by the
user (see Configure).
 To delete the patient and all session data, select the Delete button. A
confirmation dialog will be presented.
NOTE: When a patient is deleted, the only possibility of restoring the data is to
use a previous database backup.
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Test Session Information

The Test Session Information panel displays information specific to the current
test session.
The open padlock icon indicates the status of the session is

Unlocked and future editing is permitted.
The closed padlock icon indicates the status of the session is

Locked and editing is not permitted.
This icon displays the user defined fields. The user defined field
dialog is presented and the data may be edited.
The left arrow icon moves to the previous test session for the
current patient.
The right arrow icon moves to the next test session for the current
patient.
CAUTION: Session information, including comments, cannot be edited after

the Lock Session has been selected.
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session summary information. In order to see more session information than what
is displayed in the summary area, place the mouse over the Session Information
text in the title bar to display a popup dialog of the session information.
 The time and date will be recorded upon data transfer.

 Age of the patient, at the time of the test, is calculated by the software and
displayed after data has been transferred from the GSI instrument and the
birth date information has been entered on the screen.
 The status of the session is indicated by the padlock icon.
 The Instrument name is automatically populated when patient and test
information has been saved.
 The serial number of the AudioStar Pro, Pello and the probe serial number
of the TympStar, TympStar Pro and Corti will be transferred with the test
data. The instrument serial number of a GSI 61, TympStar, and GSI 39
must be entered manually in the “Configure” window.
 Location may be entered from the main screen or from the configuration.
Multiple locations (if required and entered) may be accessed from the
dropdown menu. This is an optional field of entry.
 Examiner name and reliability will be transferred from the AudioStar Pro
and Pello if selected before data transfer. These values may be manually
entered from the main screen or from the configuration. Multiple
examiners and reliability labels may be accessed from the drop down
menu. These are optional entries.
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Compare Audiograms
The Compare Audiogram Information panel displays the list of audiograms that
have been collected for the patient. When the panel is expanded by using the down
arrow on the right corner of the panel, a list of sessions containing an audiogram
is presented. The audiograms that are listed include the current session plus all of
the audiograms for that patient across different test sessions.
When the compare audiogram panel is open, you may select individual
audiograms to be displayed by checking the include check box. The audiogram
is added to the test results audiogram area. The highlighted entry of the list is the
audiogram that has the colour on the display. The other audiograms that have
been included are presented in gray. You may change the selected audiogram by
clicking with the mouse or using the arrow keys to change the highlight. To
return to viewing a single audiogram, press the up arrow on the right side of the
header to close the compare audiogram panel.
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Comments
The comments panel displays the clinical comments that have been transferred
from the instrument or entered manually. Comments will be transferred from the
AudioStar Pro, Pello and TympStar Pro if entered on the instrument to the clinical
comments.
NOTE: Some special tests on the AudioStar Pro and Pello will automatically
place information in the comments and will be transferred to GSI Suite upon
data transfer.
comments information. In order to see more information than what is displayed in
the summary area, press the pencil icon on the left side of the panel.
Pressing the pencil icon in the comments section will open the comments window.
The comments window contains two tabs, one for Clinical comments and one for
Session comments. Complete reports may be composed in one or both tabs.
Comments or report notes will be added to the report. If there is text in both
sections, they will appear separately on the report. Comments may be amended or
edited at any time and from any tab until the session has been locked.
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The comments window provides common word processing editing features and
font and paragraph control. You may also insert a table into the comments section.
When the insert table is selected a dialog is presented that allows you to choose the
number of rows and columns in the table. The table is inserted at the current cursor
location in the comment. You may add text to the rows and columns as desired
and control the height and width using the mouse to expand and contract the rows
and columns. The comments dialog also provides a proofing section where you
may enable a spell check. Once you select the enable spell check button all of the
suspected errors will be underlined in red. You may move through the errors using
the find next error button.
Predefined Comments
The comments dialog also provides the ability to add text that has been previous
entered and saved. The predefined comments are initially entered and managed
from the Configure/General option from the menu bar. You may have predefined
comments for both the clinical and session comments. Each predefined comment
has a name that you define when you create the predefined comment. In the
comment dialog you select the predefined comment by name and then press the
insert button to insert the text into the comment at the current cursor location.
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Audiometry – AudioStar Pro, Pello, GSI 61
On the audiometry tab, a dropdown menu provides options for the frequency
range for the display of the audiometric data. The choices available will depend
on the data that has been transferred. The options may include the following:
 Standard (125-12k Hz)
 Standard HF (125-12k Hz for AudioStar Pro with HF headphones)
 High (8k-20k Hz)
 Full (125-20k Hz)
Standard Audiogram
The standard audiogram displays all pure tone air conduction, bone conduction,
and sound field scores for the frequency range 125 Hz to 12,000 Hz. This view
includes effective masking levels. Other measures included in the standard
audiogram include the following:
 MCL (M)
 UCL (U)
 Tinnitus (t)
 Hearing aid (A) aided responses
 Cochlear implant (CI) aided responses
 TEN test results (TEN)
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Pure tone average (PTA) –air and bone conduction - and Speech Intelligibly Index
(SII), which are calculated by the AudioStar Pro and Pello, will also be transferred
and displayed.
NOTE: Data transfer from the GSI 61 is limited to threshold and masking data.
The PTA values will be automatically calculated based on the pure tone
thresholds and selected parameters in the GSI Suite’s configuration. Other
special tests must be noted in the comments or manually entered into the GSI
Suite.
Below the graphs and tables are two sections that may contain additional
information. The up or down arrow on the right side of the title area collapses or
expands the Test Details and Audiogram Classification sections. Any Stenger
results (if performed and transferred from the AudioStar Pro or Pello audiometer)
are displayed below the audiogram in the Test Details section. The Audiogram
Classification section contains information that was obtained using the GSI
AMTAS automated audiometry program.
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GSI AMTAS™
Data collected with GSI AMTAS may be transferred to Suite from the audiometer
for AMTAS Pro or as a batch from AMTAS Flex. The data appears as a standard
audiogram and speech results with additional information on the audiogram
classification, predicted reliability and quality indicators that are part of the GSI
AMTAS. The Audiogram Classification section displays the classification and
predicted reliability.
The quality indicators appear as a pop up dialog when you hover over the Session
Information. For details on the Quality Indicators see the GSI AMTAS manual.
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High Frequency Audiogram
The High Frequency Audiogram displays air conduction values for the high
frequency range of 8,000 Hz to 20,000 Hz. Effective Masking levels will be
displayed if available.
NOTE: High Frequency testing must be performed with HDA-200/300 or

DD450 headphones.
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Full-Frequency Audiogram
The full frequency audiogram displays all pure tone air conduction, bone
conduction, and sound field scores for the full frequency range 125 Hz to 20,000
Hz. This view includes effective masking levels and Stenger results (if performed
and transferred from the AudioStar Pro or Pello audiometer). Pure tone average
(PTA) –air and bone conduction - and Speech Intelligibly Index are calculated
automatically based on the pure tone thresholds.
NOTE: High Frequency testing must be performed with HDA-200/300 or

DD450 circumaural headphones. Bone conduction and sound field thresholds
are limited to frequencies supported by the transducers. Please see specifications
for specific frequency ranges.
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Speech Tables
The Speech Tables tab displays results of speech testing in a list format. The test
ear, test type, stimulus source, wordlist, dB level, score (%) and effective masking
level will be transferred from the AudioStar Pro and Pello. The right and left ear
results will be stored in separate columns. Binaural testing will be stored in the
same column as the right ear. QuickSIN, BKB-SIN test results and Speech Stenger
data are also visible on this screen.
Speech data does not transfer from the GSI 61. Speech table data may be manually
entered into GSI Suite. From the Speech Table tab, press the Add button. A pop-
up dialog will allow manual entry of speech results to appear on the report.
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Speech Audiogram
The speech audiogram displays audiometric speech results in a graphic format.

The SRT occupies the 50% point of the graph while the WRS and other
discrimination scores are shown as audiometric symbols on the coordinating dB
and score percentage point. In addition to the graphic display, the results are visible
in a table format that contains the PIPB Rollover index score.
NOTE: For more information on Speech Audiograms, please see the AudioStar
Pro or Pello user manual.
NOTE: Speech data does not transfer from the GSI 61
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Fine Resolution
The Fine Resolution tab displays threshold data in a tabular format. The ears are separated
and columns indicate the frequency (Hz), level (dB HL) and the masking level (dB EM).
The data is specific to the transducer and test type. The selections of the frequency range,
transducer and test type may be made in the lower section of the screen. Only transducers
and test types containing data will be available for selection.
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Audiometry – GSI 39
Standard Audiogram
The GSI 39 standard audiogram displays all pure tone air conduction thresholds
for the frequency range 125 Hz to 8,000 Hz.
NOTE: High Frequency, bone conduction and speech audiometry are not
available on the GSI 39.
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Counsel View
The Counsel view increases the size of the audiogram graphs for optimal
counseling. In addition to the enlarged audiograms, up to four display overlays
may be selected.
The operator may select which overlays are displayed from the drop down menu
of the counsel toolbar icon.
The operator may also adjust the values used on the overlays based on facility
preferences and research from the Configuration->Audiometry->Overlay Options.
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Tympanometry – GSI 39, TympStar and TympStar Pro

Screener
Screening Tympanometric data transferred from the GSI 39, TympStar and
TympStar Pro into the GSI Suite software includes the tympanogram and the
following tympanometric information: peak compliance, peak pressure, Ear Canal
Volume, and gradient. This information will be recorded in the GSI Suite
Tympanogram Table. See the Configuration section for information on the
normative data displayed on the tympanogram. The Screening Tab displays the
data.
Reflex screening results, including up to four (4) stimuli (any combination of

ipsilateral or contralateral), may be transferred directly from the instruments into
the GSI Suite. The results will be displayed in a table format showing an indication
of a response Yes or NR or NT to indicate No Response or Not Tested and the
level.
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Tympanogram
There are separate screens for each available probe tone frequency. The probe
tone frequency selection is a drop down menu from the tympanometry tab. When
there are middle ear evaluation results available in multiple probe tone frequencies,
those options will become selectable.
NOTE: GSI Suite will only display and store one tympanogram test for each
probe tone frequency.
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TympStar
Diagnostic Tympanometric data, including Y, B, G, and B/G (two-component),
may be transferred from the GSI TympStar V1 and V2 directly into the GSI Suite
software. Tympanometric information such as peak compliance, peak pressure, ear
canal volume or C1 (in ml or mmho), sweep direction and gradient will be recorded
in the GSI Suite Tympanogram Table under the tympanogram.
NOTES: The Tympanometric Peak Pressure must be marked on all

tympanograms except 226 Hz Y tracings for transfer from the GSI TympStar to
the GSI Suite.
The TympStar must be set to transfer graphic and numeric data (Summary +
XY) for proper display of test results in GSI Suite.
TympStar Pro
Diagnostic Tympanometric data may be transferred from the GSI TympStar Pro
directly into the GSI Suite software. Tympanometric information such as peak
compliance, peak pressure, Vea (equivalent ear canal volume), sweep direction,
gradient and tympanogram type will be recorded in the GSI Suite Tympanogram
Table under the tympanogram. The baseline adjustment and immittance
component may be selected directly from the ear title header at the top of the
tympanogram.
The baseline adjustment is a check box on the left side and the immittance
component selection is a dropdown menu on the right side of the ear header.
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Reflex Thresholds
Reflex Table
The reflex table is displayed under the tympanogram. Reflex data from the GSI
39, TympStar and TympStar Pro is transferred to the reflex table.
TympStar
Diagnostic Reflex Thresholds, including up to five (5) ipsilateral and contralateral
stimuli, may be transferred directly from the GSI TympStar into the GSI Suite. The
thresholds will be displayed in a table format and will include the intensity level,
deflection compliance (ml) and the pressure value (daPa) where the reflex was
obtained.
NOTES: Reflex Thresholds must be marked to complete successful transfer to

GSI Suite. If the thresholds are obtained using the Threshold Seek function, they
will be automatically marked and shown in the table with the intensity level and
# symbol. If the reflex thresholds are obtained manually, the thresholds must be
marked before transferring to GSI Suite (see the TympStar manual for
instructions on marking thresholds). If Reflex Thresholds are not marked, an
error message will appear and will indicate which thresholds have not been
defined.
GSI Suite will display up to 5 columns of data in the reflex threshold tables
based on availability in the test results and the following stimulus priority: 500,
1,000, 2,000, 4,000, 250 Hz, LBN (low band noise), HBN (high band noise),
BBN (broad band noise) CLK (click), EXT (external stimulus), or N-A (non-
acoustic).
TympStar Pro
Diagnostic Reflex Thresholds, including up to eight (8) ipsilateral and contralateral
stimuli, may be transferred directly from the GSI TympStar Pro into the GSI Suite.
The thresholds will be displayed in a table format and will include the intensity
level, deflection compliance (mmho) and the pressure value (daPa) where the
reflex was obtained.
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Reflex Graphs
The TympStar and TympStar Pro also display the diagnostic reflex graph. The
results transferred from the instrument are displayed by selecting the Reflex tab.
There may be multiple graphs corresponding to the stimulus intensities displayed
for a single panel and the arrows on the sides of the panels scroll the graphs. The
threshold is indicated by the outline surrounding the graph.
The header of each reflex graph panel shows the stimulus information on the top
left side and the level where a reflex has been marked on the top right side. The
reflex graph displays the stimulus intensity above each graph and the amplitude
deflection below each graph. If a ‘TS’ label appears in the graph panel (top left)
it indicates that the data was obtained using the threshold seek function of the
instrument. The footer of the panel displays the immittance measurement and the
mmho value of the marked reflex on the left side and the pressure at which the
reflex was performed on the right side. If an “NR” label appears in the footer it
indicates that no response was found. If an “NS” label appears in the footer it
indicates that the data was not set. Not set indicates no threshold was selected and
the test has not been marked as no response.
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Reflex Decay
Reflex Decay Table
The reflex decay table is displayed under the tympanogram. Reflex decay data
from the TympStar and TympStar Pro is transferred to the reflex decay table. The
GSI 39 does not provide reflex decay testing.
TympStar
Reflex Decay results, including up to five (5) ipsilateral and contralateral stimuli,
may be transferred directly from the GSI TympStar into the GSI Suite. The results
will be displayed in a table format and will include the intensity level, decay time
in seconds (if applicable), and daPa value.
NOTES: GSI Suite will display up to five (5) columns of data in the reflex decay
tables based on availability in the test results and the following stimulus priority:
500, 1,000, 2,000, 4,000, 250 Hz, LBN (low band noise), HBN (high band
noise), BBN (broad band noise) CLK (click), EXT (external stimulus), or N-A
(non-acoustic).
TympStar Pro
Reflex Decay results, including up to eight (8) ipsilateral and contralateral stimuli,
may be transferred directly from the GSI TympStar Pro into the GSI Suite. The
results will be displayed in a table format and will include the intensity level, decay
time in seconds (if applicable), and daPa value.
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Reflex Decay Graphs

The TympStar and TympStar Pro also display the reflex decay graph. The results
transferred from the instrument are displayed by selecting the Reflex Decay tab.
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Reflex Latency
Acoustic Reflex Latency Test (ARLT)
The reflex latency table is displayed under the reflex latency graph. Reflex latency
data from the TympStar and TympStar Pro is transferred to the reflex latency table.
The GSI 39 does not provide reflex latency testing. The results transferred from
the instrument are displayed by selecting the Reflex Latency tab.
NOTES: The TympStar Pro offers different methods for the calculations of the
latency measurements. The data that is transferred to Suite is the method that
was in use and displayed on the instrument at the time of the data transfer. The
table columns may be different depending on the calculation method.
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Eustachian Tube Function Test

The TympStar and TympStar Pro are able to transfer Eustachian Tube Function
(ETF) test data to GSI Suite. Both Intact and Perforated data may be transferred
and the ETF test type is selected with the tabs on the right side of the
Tympanometry display.
Intact
Eustachian Tube Function (Intact) data may be transferred from the GSI TympStar
and TympStar Pro directly into the GSI Suite software. Tympanometric
information such as peak compliance, peak pressure, ear canal volume and sweep
direction will be recorded in the ETF Table. Three tympanograms will be
displayed corresponding to the measurement instructions for the EFT procedure.
There are separate screens for each available probe tone frequency. The probe
tone frequency selection is a drop down menu from the tympanometry tab. When
there are ETF results available in multiple probe tones, those options will become
selectable.
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Perforated
Eustachian Tube Function (Perforated) data may be transferred from the GSI
TympStar and TympStar Pro directly into the GSI Suite software. The ETF
perforated graph displays the ear canal pressure over time. Tympanometric
information such the opening and closing time and pressure will be recorded in the
ETF Table.
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Otoacoustic Emissions – GSI Corti

The GSI Corti is able to transfer Otoacoustic Emission (OAE) test data to GSI
Suite. Both Transient (TEOAE) and Distortion Product (DPOAE) data may be
transferred. The Corti can store many OAE tests and the data from the device is
transferred in ‘batch’ mode. The transfer icon in the menu bar changes from
Transfer to Batch when the OAE tab is selected. When the Batch is selected and
if the Corti is connected and powered on, GSI Suite will pop up a dialog to confirm
that you want to import the tests on the device. After confirmation of the import,
GSI Suite imports the data from Corti and the ‘Assign Tests’ dialog is displayed.
GSI Suite will automatically assign a retrieved test to a patient based on the patient
identifiers retrieved from the device when one and only one patient is found to
match the retrieved identifiers (Patient ID and Last Name). Tests that are not
automatically assigned to a patient need to be manually assigned by the user
through the ‘Assign Tests’ dialog (See Next Section).
The OAE test tab has two tabs on the right side of the OAE test display that
correspond to the test type data – DP (Distortion Product OAE) and TE (Transient
Evoked OAE).
The OAE display consists of an ear title bar, header section, test details and a data
table. The ear title bar of the OAE display has an option for the format of the
display of data – Value Graph or Bar Graph. The Value graph displays the
amplitude (dB SPL) of the OAE and the noise floor on the Y axis with frequency
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(F2 or frequency band) as the X axis. The Bar graph displays the amplitude (dB)
of the OAE signal to noise ratio on the Y axis with the frequency as the X axis.
The header section contains information about the test; test number, the test result
for a screening test, the date and time of the test, the data collection protocol and
probe serial number. There is a check box in the header labeled “For Report”
which is to indicate which tests should be included in the report. During batch test
assignment, the software marks one test per ear for the report when the session
only contains one OAE test per ear. If there is more than 1 test per ear, no tests are
automatically marked for the report and it is user’s responsibility to mark which
tests are included in the report. The arrangement of the OAE graphs on the report
is configured on the OAE test graph template component properties. The report
component allows for up to 4 graphs arranged per row and column.
The test details section contains the graphic representation of the OAE and the
format of the display determined by the selection in the ear title bar. The Value
graph for the DP test has a check box option to display normative data that has
been published by Boys Town National Research Hospital (Ear and Hearing 1997;
18; 440-455). The normative data provides the 95th and 90th percentiles from the
impaired distributions (top shaded), and the 10th and 5th percentiles from the normal
distribution (bottom shaded). DP amplitudes within or above the top shaded range
indicate a high probability of normal hearing. DP amplitudes within or below the
bottom shaded range indicate a high probability of hearing loss. The dark shaded
area in between represents a range of uncertainty where the normal hearing and
hearing impaired populations overlap.
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In the bar graph view, each column represents one DP test frequency or TE
frequency band. The height of each column represents the SNR measured. When
a protocol with a Pass criteria has been selected, the user will see a horizontal green
line at the decibel level corresponding to the SNR required for a PASS. Green bars
are a pass, yellow a non-Pass.
The data table presents the numeric values of the OAE response in a table.
Numerical view of a specific test provides complete test information including F2
frequencies, L1 and L2, DP or TE, NF, SNR and outcome.
D‐0102647 Rev. G Page 61
Batch Transfer – GSI Corti and AMTAS Flex

Assign Tests Dialog
Both the GSI Corti and AMTAS Flex allow the batch transfer of data – multiple
tests from the device transferred in a group. In order for the tests to be saved in
Suite, they must be assigned to a patient. The Assign Tests dialog provides the
interface to attach test results to patients. The Assign Tests dialog will be displayed
when Batch button is pressed and the data has transferred. The Batch button is
available for OAE data when the Corti is connected and the OAE tab is selected.
For audiometric data collected with AMTAS Flex, the Batch button is available
when in the Audiometry tab if Suite has been configured with AMTAS Flex as an
audiometer. For audiometric data the Batch button has a sub menu with options
that determine how the data is transferred.
The ‘Assign Test To Patients’ dialog has three sections; Patients, Unassigned Test
and Assigned Tests. The Patients section is on the left side of the dialog. It
contains a search box in the top of the section. To search, begin typing a letter (last
name) or number (for ID) in the field next to the magnifying glass. Enter any
combination of letters and numbers. When a character is entered, GSI Suite will
begin filtering the list of patients. To use criteria for two or more fields, put a space
between the criteria. Pressing the X icon to the right of the criteria field, will clear
the search field. If the patient is not in the database, a new patient may be created
using the “New Patient” button in the lower left.
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Highlight
tests
Drag and Drop
test onto patient
The unassigned tests section is on the top right. The tests in this section are those
that have been imported from the Corti or AMTAS Flex but had no matching
identifiers. These tests must be manually assigned. In order to assign a test to a
patient, the mouse is used to highlight the test and then holding the left mouse
button the test is dragged and dropped on top of the highlighted patient row in the
Patients section. To select multiple tests use left mouse button with the Shift or
Ctrl key. To delete any test, a delete button may be selected at the end of the test
row. A confirmation is required to delete the test.
Once a test has been assigned it will appear in the Assigned Test section in the
lower right. It may be unassigned by selecting the “Unassign” button at the end of
the row.
To complete the import and assigning of the test, select the “OK” button in the
lower right side. The Cancel button will remove the assignments and return the
tests to unassigned.
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Typical Use Cases
Uploading Audiometric Results Using AudioStar Pro, Pello

1. If the application is not already running, double-click the GSI Suite icon
on the desktop or select from the Windows Start menu to launch the
program.
2. Select or enter the patient demographics.
3. If the patient has been seen before and has data in GSI Suite:
a. Press the Lookup icon.
b. Scroll through the patient list (left column) or enter search criteria
in the top field to sort the patient list.
c. Select the desired patient and then press the new session icon.
4. For a new patient:
a. Press the New Patient button.
b. Enter the patient information (name, date of birth, ID).
5. Prior to testing the patient, use the Data Erase – Clear Session button on
the instrument to start a new session. Not doing this step may result in
mixing test results from different sessions and/or patients.
6. Perform Air conduction testing and press Store to save each threshold.
Then perform Bone Conduction testing and press Store to save each result.
Perform Speech Testing and press Store to save each result. Perform
special tests as needed and press Store to save results of special tests.
7. Select the Data Transfer button on either the AudioStar Pro or from within
the GSI Suite. All data will be transferred to the appropriate audiogram
within GSI Suite.
NOTE: Data transfer may be initiated from the AudioStar Pro, Pello or the GSI
Suite.
8. Press the Save icon on the GSI Suite toolbar to store the audiometric data
to the session.
Uploading Audiometric Results Using AMTAS Pro or AMTAS Flex

AMTAS Pro
program.
D‐0102647 Rev. G Page 64


5. Test the patient with AMTAS Pro. During the AMTAS Pro test the
audiometer is ‘locked’ as indicated by the icon on the audiometer. The
data is automatically stored on the audiometer connected to the AMTAS
Pro PC.
6. On the audiometer select the Patient button on the audiometer.
7. Select the Transfer Session menu option.
8. Select the AMTAS Pro data session for transfer. The AMTAS Pro data
will be listed in the Session List with an “A_Name_Date Time” naming
convention. Use the A and the date and time to ensure the proper AMTAS
Pro test is selected. Highlight the appropriate test and press select using
the navigation key on the audiometer or double click using the mouse.
9. Confirm the data has been transferred. Press the Save icon on the GSI
Suite toolbar to store the audiometric data to the session.
AMTAS Flex
program.
5. Test the patient with AMTAS Flex. The data from the AMTAS Flex is
stored on the PC/tablet running the AMTAS program. There are three
methods of transferring data from AMTAS Flex to GSI Suite. Select the
most convenient method.
a. The PC/tablet for AMTAS Flex is the same as the PC running GSI
Suite.
i. From the GSI Suite menu toolbar, select the Batch Icon
dropdown option Local.
ii. All unassigned AMTAS Flex tests will be displayed in the
GSI Suite Assign Test dialog.
iii. Assign the test to the appropriate patient.
b. Transfer data via USB drive.
i. On the AMTAS Flex select Export from the AMTAS Flex
Config App menu toolbar. Export the data to the USB
drive location.
ii. From the GSI Suite menu toolbar, select the Batch Icon
dropdown option Import.
iii. Indicate the USB drive location in GSI Suite.
iv. The imported data will be displayed as unassigned tests in
the GSI Suite Assign Test dialog.
v. Assign the test to the appropriate patient.
c. Transfer data via Bluetooth wireless.
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i. Prior to transferring via wireless, the AMTAS Flex and

the GSI Suite PC need to be ‘paired’ via Windows
Bluetooth pairing. The GSI Suite Configuration for
AMTAS must also be setup to indicate AMTAS Flex as
an audiometer in the Connected Devices and the AMTAS
Flex PC/tablet must be checked in the AMTAS Flex in
the AMTAS Flex Paired Wireless Device.
ii. From the GSI Suite menu toolbar, select the Batch Icon
dropdown option Wireless.
iii. The imported data will be displayed as unassigned tests in
the GSI Suite Assign Test dialog.
iv. Assign the test to the appropriate patient.
6. Close the Assign Test dialog.
Uploading an Audiogram using GSI 61

1. From the GSI 61, press the Remote button. The GSI 61 should be in
Remote mode prior to starting GSI Suite.
program.
3. Select or enter patient demographics.
a. If the patient has been seen before and has data in GSI Suite:
i. Press the Lookup icon.
ii. Scroll through the patient list (left column) or enter search
criteria in the top field to sort the patient list.
iii. Select the desired patient and then press the new session
icon.
b. For a new patient:
i. Press the New Patient icon.
ii. Enter the patient information (name, date of birth, ID).
NOTE: The middle of the GSI 61 display screen displays Remote and the GSI
Suite data transfer icon changes from not allowing transfer to allowing transfers.
4. Prior to testing the patient, press the Data Erase on the GSI 61. Not doing
this step may result in mixing test results from different sessions and/or
patients.
5. From the GSI 61, select Display Status or Display Audiogram button.
6. Test for thresholds and data transfer:
a. Obtain the first threshold and press the Save button on

the GSI 61. Continue collecting thresholds for all frequencies for
both ears, saving after each threshold.
b. Select the Data Transfer button on either the GSI 61 or from
within GSI Suite. All thresholds will be transferred to appropriate
audiogram within GSI Suite.
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NOTE: Data transfer may be initiated from the GSI 61 or the GSI Suite.
7. Speech data (except PTA) must be entered manually into the appropriate
tables on GSI Suite audiogram.
a. From the speech tables tab in GSI Suite, select Add on the
appropriate ear to display a menu for manual entry of speech
results.
b. Each speech test performed (SRT, WRS, etc.) must be entered
separately.
8. Enter notes and/or comments into the Comments field.

9. [Optional] Enter the examiner’s name on the GSI Suite.
10. Ensure the appropriate serial number is entered in the serial number field
in GSI Suite.
to the session.
Uploading from the GSI 39

program.
icon.
b. For a new patient:
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3. Prior to testing the new patient, all data must be erased. Press the M-- on
the GSI 39 to erase all data. Not doing this step may result in mixing test
results from different sessions and/or patients.
4. Perform testing.
5. Select the Data Transfer button on the GSI 39. All data will be
transferred to appropriate displays within GSI Suite.
NOTE: Data transfer can only be initiated from the GSI 39.
to the session.
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Uploading Middle Ear Data - TympStar

program.
icon.
b. If this is a new patient or the patient data is not already in GSI
Suite:
3. From the GSI TympStar, press the Remote button.
NOTE: The middle of the GSI TympStar display screen now displays Remote
and the GSI Suite data transfer icon changes from not allowing transfer to
allowing transfers.
4. Prior to testing the patient, all patient data must be erased from the GSI
TympStar. To erase data, press the Page button on the TympStar. Confirm
“All Test” is listed on the TympStar screen menu. Press the Clear button
on the display. Not doing this step may result in mixing test results from
different sessions and/or patients.
5. Perform middle ear testing as required for both ears. At the end of each
test, the data is automatically saved in the memory of the TympStar.
NOTE: Ensure tympanometric peak pressure and reflex thresholds have been
manually marked if required.
6. Press the Page button to enter the memory of the TympStar.

7. For most efficient transfer, ensure that all tests are selected in the page
mode (upper left soft key) and press the Data Transfer button from the
front panel of the TympStar or the Transfer icon in GSI Suite.
8. Enter notes and/or comments into the Comments field.
9. [Optional] Enter the examiner’s name on the GSI Suite.
10. Ensure the appropriate serial number is entered in the serial number field
in GSI Suite.
11. Press the Save icon on the GSI Suite toolbar to store the tympanometric
data to the session.
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Uploading Tympanometric Results Using TympStar Pro

program.
5. Prior to testing the patient, use the Data Erase – Clear Session button on
the instrument to start a new session. Not doing this step may result in
mixing test results from different sessions and/or patients.
6. Perform the tympanometric testing. For the tympanometry testes Mark the
tabs that you want to transfer. For the reflex data make sure to select and
press Store to save each threshold if not using threshold seek. Perform
special tests as needed.
7. Select the Data Transfer button on either the TympStar Pro or from within
the GSI Suite. All data will be transferred to the appropriate tabs within
GSI Suite.
NOTE: Data transfer may be initiated from the TympStar Pro or the GSI Suite.
8. Press the Save icon on the GSI Suite toolbar to store the tympanometric
data to the session.
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Uploading Otoacoustic Emission Results Using Corti

1. Collect the OAE data on the Corti.
program.
3. Select the OAE test tab.
4. Attach the GSI Corti and power on the device.
NOTE: Data transfer may be initiated only from GSI Suite.
5. Select the Batch icon in the main menu bar.

a. Enter the Name or ID in the Search text box.
b. Scroll through the patient list (left panel) to confirm that the
patient is listed.
c. Drag the appropriate tests from the “Unassigned Test” panel to the
desired patient and then drop the test onto the patient.
c. Drag the appropriate tests from the “Unassigned Test” panel to the
new patient and then drop the test onto the patient.
8. Repeat steps 6 and 7 until all unassigned test have been assigned to
patients.
9. Press the Save button to store the OAE data.
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Editing Comments and Locking the Session

program.
2. Select the Lookup icon to display patient directory.
3. Perform a search and select the patient’s session to edit.
4. Type the appropriate notes into the comments field. Ensure the notes are
accurate – when the session is locked, no further editing is permitted.
5. Ensure all data has been captured in the patient session (Audiometry,
Tympanometry, comments, etc.).
6. When the comments are complete, select the drop-down arrow next to the
save icon and select Session Lock. The session will now be finalized and
no additional changes can be made.
7. The Padlock icon in the test information section of the GSI Suite will now
indicate locked.
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Configuration
Select the Configure button from the toolbar to launch the Configuration. The
configuration dialog allows the operator to save preferences and default settings
for the functions of GSI Suite.
Templates Tab
The Templates tab provides options for defining and managing the reports within
GSI Suite. The Template section provides the options for managing the report
templates. The Report Settings section defines the default format and font settings
for the report as well as defining specific locations for saving the report. The
Facility Information section defines the report logo and sets the facility address
information.
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Templates
The Templates section is where the default report templates are defined and
created. The default template is the template that will be used if the View, Print,
or File button is selected from the GSI Suite toolbar. It will appear with a
checkmark in the dropdown menu. The Manage option is described in more detail
in Templates section of the manual.
Report Settings
The Report Settings define the paper size for the report. The Report File button
displays the report file configuration dialog. The dialog provides options for
defaulting the report format, file name, and location where the report is to be
stored.
NOTE: The following are prohibited characters for use in a file name: “, <, >,
|, :, *, ?, /, \. Suite changes these to a '-' (dash).
D‐0102647 Rev. G Page 74

General Tab
The General section includes options for the orientation of the audiogram and
tympanogram graph view. The Graph orientation determines the arrangement of
the right and left audiograms and tympanograms on the display. The General
section also has setting to allow prompts for saving data and selection of the
program language. The Session Information Lists section permits the operator to
manage entries to the Examiners, Reliability, Location and Physician Lists. The
File Repository Backup/Restore provides the user with a way to backup and restore
the data maintained by GSI Suite. The Configuration Data Import/Export allows
the user to input and output files that have the session information lists, predefined
comments and report templates. The Log section aids in troubleshooting problems
by providing options to collect log files (from GSI Suite and Instrument Services)
and/or send the log files to GSI. The Predefined comments manage the comments
that may be stored and inserted into the clinical or session comments.
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Session Information Lists

The Suite Configuration has an option to manage the information that is presented
in the drop down menus for the session. This information includes:
 Examiner
 Location
 Reliability
 Physician
Select the Manage Session Information Lists button from the General tab.
When the button is selected a dialog is presented to manage the information.
Select the tab at the top to select the session information and use the buttons at the
bottom of the dialog to add, edit and delete the information.
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File Repository Backup/Restore

The Suite Configuration has an option to backup the GSI Suite data, when running
standalone (i.e. using its own local database and not with Noah). Choose
Configuration from the Main Screen then the General tab. The File Repository
Backup/Restore section has buttons to backup and restore.
NOTE: When doing a restore, all of the existing data in the system will be
replaced by the data from the backed up database.
Network Database Backup/Restore

To backup or restore a patient database when using GSI Suite with a third party
networked software solution (e.g., Noah), follow the instructions in the third party
software user manual.
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Configuration Data Import/Export

In order to move reports and the other configured information from one PC to
another, the Suite Configuration has an option to import and export the GSI Suite
configuration data. The configuration data includes the report templates,
predefined comments, session information lists and facility information. The
import and export function provide on screen instructions to ensure the appropriate
templates are selected. Only templates that are not locked may be exported. Select
the Export button to display the Export Dialog.
The dialog has check box options to select the reports and/or predefined comments,
session information lists and facility information for exporting. A list of available
templates on the PC is shown and you select the templates for export using the
arrows. Select the reports and then define the filename and location for the export
file. When ready to export select the Export button.
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When an export file has been created and exported, the file may be copied to a
transfer media (or to a shared network drive), where it can be imported to another
PC.
The Import button presents the Import dialog. Browse to find the file containing
the templates and/or predefined comments to be imported. When the file has been
selected, the dialog displays the templates in the file. A checkbox indicates if the
file contains other information. To import the file, select the Import button from
the dialog.
NOTE: Importing configuration data should only be from the same version of
the software that was used to export the data. The data is not backward
compatible – for example, configuration data exported from Suite version 2.2
is not compatible and should not be imported with version 2.5.
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Predefined Comments
Predefined comments are comments that may be saved and inserted into the patient
clinical or session comment. When the Manage Predefined comments button is
selected from the General tab of the configuration, the Predefined Comments
Editor window is displayed. The window has a main menu bar at the top and a
tree listing of the predefined comments in the left panel. The main panel has an
editing toolbar and space to enter the text of the comment.
The left panel has two main nodes; Clinical and Session that correspond to the two
types of predefined comments that may be saved. The triangle to the left of the
folder icon expands and collapses the node to display the individual comments that
have been saved. In order to create a new comment, you should select the
appropriate category, clinical or session, before pressing the New button. When
the New button is selected, the title of the comment is entered in the space that
created under the folder. This name that is entered is the comment title and appears
in the node under the category. The comment title is the name that appears in the
main program when selecting a predefined comment to insert. You select an
individual comment from the left panel to edit, copy, rename or delete.
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Menu Toolbar
The Menu Toolbar contains the following options:

 New – creates a new comment – the title for the comment is entered in the
left panel and the edit panel is enabled where new text for the comment
may be entered
 Edit – enables the edit panel where the current comment may be modified
 Save – saves the current comment
 Copy – makes a copy of the current comment
 Rename – adds a new page to the current template
 Delete – deletes the currently selected comment
Comment Editor
The comments editor panel provides common word processing editing features,
font and paragraph control. You may also insert a table into the comments section.
When the insert table is selected a dialog is presented that allows you to choose the
number of rows and columns in the table. The table is inserted at the current cursor
location in the comment. You may add text to the rows and columns as desired
and control the height and width using the mouse to expand and contract the rows
and columns. The comments editor panel also provides a proofing section where
you may enable a spell check. Once you select the enable spell check button all of
the suspected errors will be underlined in red. You may move through the errors
using the find next error button.
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Audiometry Tab
The Audiometry tab has options for the display of the audiogram; the connections
of the lines and the default view. The Default View determines if the left and right
ears are displayed as separate audiograms or if the data is displayed as a single
audiogram with both ears (combined). The air and bone conduction pure tone
average is defined in this section. The PTA calculation is used for instruments that
do not transfer the PTA values to Suite such as the GSI 61. The Overlay Option
section allows adjustments for the counselling overlay values.
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Tympanometry Tab
The Tympanometry tab has an option to display the normative data curves. The
Default View determines if the left and right ears are displayed as separate
tympanograms or if the data is displayed as a single tympanogram with both ears
(combined).
NOTES: For the 226 Hz probe tone, the Normal box, as defined by ASHA, will
appear on the tympanogram. The boundaries for this normal box are -150 daPA
to + 100 daPa and 0.2 cm3 to 1.4 cm3.
For the 1,000 Hz probe tone, the normal area as described by Margolis, et. al.,
is represented on the display by dashed lines at the 5th and 95th percentile.
American Speech-Language-Hearing Association (1990). “Guidelines for
Screening for Hearing Impairment and Middle Ear Disorders.” ASHA, 32
(Suppl. 2) 17-24.
Margolis, R.H., Bass-Ringdahl, S., Hands, W., Holte, L. and Zapala, D.A.
(2003) “Tympanometry in Newborn Infants – 1K Hz Norms” Journal of
American Academy of Audiology, 14 (7), 383-292.
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Devices Tab
The Devices tab allows you to indicate the devices that are connected to the PC.
For AMTAS Flex, the check box in the Audiometry is checked. For AMTAS Flex,
if data is transferred locally or via USB drive only the AMTAS Flex audiometer
needs to be checked. For wireless transfer of data, the GSI AMTAS Flex section
is used to indicate the paired wireless (Bluetooth) device. This tab configures the
port settings and serial number for the GSI 39. The devices tab configures the bone
conductor placement and the serial number for the GSI 61. The TympStar section
is where you indicate the serial number of the TympStar. The Corti section
configures the port name and serial number and has information on the display
name identifiers and an option to require confirmation before erasing tests from
the device.
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Labels and Fields Tab

The labels and field tab allows you to define the labels that will be used for the
patient demographic information. In addition to the fixed demographic fields,
the user may also define up to four user defined fields.
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Templates
Templates are the basis for the reports in GSI Suite. The individual patient test
data is used with a template to create the report. The templates are created and
edited from the Manage button of the Configuration Template tab.
Template Manager Template Filter

Tool Bar
Options operate on the
selected template
Templates
Selected template
has border
Open
Opens the template
for editing
Icons Pages
Icons indicate default, Number of pages
favorite and locked in the report
The Template manager dialog displays a thumbnail of the templates that are on the
PC. There is a toolbar at the top of the dialog with commands that provide options
for working with the templates.
 New – create a new template by launching the Template Editor with a
blank template.
 View – display the selected template using the current patient and test
information.
 Copy – copies the selected template and adds to the list of templates (with
– Copy (1) appended to the name of the template).
D‐0102647 Rev. G Page 86

 Rename – rename the selected template.

 Default – set the default template. Only one template can be selected as
the default.
 Favorite – tag the selected template as a favorite. Favorite templates
appear in the program menu toolbar as the drop down options for View,
Print and File. Favorites can be User Defined or Locked.
 Delete – deletes the selected template.
Below the toolbar are filter tabs for the display of the template thumbnails.
There are three categories of templates.
 Locked - GSI configured and installed with the software. You cannot
change content or layout but can copy to start a new user defined report.
 User Defined - Templates where the content & layout has been designed
by you, the user.
 Favorites - Templates that appear in the dropdown menu of View, Print
and File. Favorites can be User Defined or Locked.
The thumbnail presentations of the individual templates are displayed below the
filter tabs. There is a scroll bar beneath the thumbnails to scroll through the
templates. The footer of the template contains the name of the template and icons
to indicate the category and number of pages. The open button opens the selected
template for editing by displaying the Template Editor. It is possible to open the
Template Editor for the selected template by double clicking with the mouse on
the template. The close button closes the template manager dialog.
NOTE: Locked templates cannot be edited. However, it is possible to copy

the locked template and edit the copy.
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Template Editor
The Template Editor creates and edits the templates that are used for reports. From
the Template Manager, select New from the toolbar or select a specific template
and press the Open button. The Template Editor has a menu toolbar and formatting
tools at the top of the dialog and a report editing area in the center of the dialog.
The left side displays the report components that are used in creating a template
and on the right side are page view and zoom controls.
To create a template, select a component and drag it to the report layout area.
Arrange the components in the work area and use the tools and properties of the
components to achieve the desired layout. Once satisfied with the layout, save the
template.
Tool Bar
Component Formatting Tools
Report
Components
Report
Layout
Thumbnail
Area
view and page
selection
Lay out Zoom
and fit to
screen button
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Menu Toolbar
The Menu Toolbar contains the following options:

 New – creates a new template – the operator will be prompted to save any
existing data before a new blank template is presented.
 Open – presents the Template Manager dialog where an existing template
may be selected.
 Close – closes the current template.
 Save – saves the current template.
 Default – makes the template the default.
 Remove/Favorite – removes a favorite or makes a favorite template.
 New Page – adds a new page to the current template.
 View Report – displays the current template as a report using the current
patient and test information.
 Print – send the current template to the default printer.
 Properties - displays a dialog of general properties for the template. The
properties include the margins and default font settings for the header and
the text.
The header and text default fonts may be set in the Template Properties dialog to
override the settings from the Configuration dialog. Header and text settings can
also be overridden at the Component level, allowing full flexibility when
customizing reports.
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Component Formatting Toolbar
Order
Align Size
The Component Formatting toolbar sits below the Menu toolbar. This toolbar
contains the options for formatting the items on the report layout area. These tools
work on multiple items to align, size and order the components. Use ‘Ctrl’ to select
multiple components (or drag box around components with the mouse).
Template Components
The template components are the report items that represent the patient and test
data. The components are organized into four groups.
 General – contains the facility and patient information as well as common
report elements.
 Audiometry – components related to audiometric testing.
 Tympanometry - components related to middle ear testing.
 OAE – components related to otoacoustic emission testing.
To use a component in the template, select the component with the mouse and drag
it onto the report layout area. The same component can be used multiple times in
the same template.
Each component has properties that may be reviewed and changed. Some of the
properties are general and are found on all components such as the header and text
defaults.
Other properties are specific to the individual component and specify how the data
is displayed such as which ear the audiogram graph displays. The components
have a context menu that provides access to the properties and other features of the
component. The context menu is accessed by a right click on the component in
the report layout area. Details of the properties and context menu are described in
more detail later in this manual.
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General Components
Approval Examiner name and licensing information plus a line for a

Block signature.
Displays the comments entered on the Clinical tab of the

Comments Editor for the given test session. The length of
Clinical the comments is not restricted in the Comments Editor, so if
Comments there are more comments than can fit in the allocated area,
some comments may not be displayed unless the ‘Allow
Overflow’ is checked in the properties of the component.
Facility Textual information of the facility as defined in the Template

Information tab of the Configuration.
Graphic Graphic that is specific to the given template.
Line Allow placement of a line on the report.
Graphic as it is specified in the Configuration Dialog of GSI

Logo
Suite.
Page
Displays the page number on the report.
Number
Patient
Patient demographic information.
Information
Date and time when the report is generated

Report
Date/Time NOTE: The date/time of the test is available in the
Audiogram and Tympanometry test information component.
Displays the comments entered on the Session tab of the

Comments Editor for the given test session. The length of
Session comments is not restricted in the Comments Editor, so if
Comments there are more comments than can fit in the allocated area,
some comments may not be displayed unless the ‘Allow
Overflow’ is checked in the properties of the component.
Session
Displays the date and time of when the session was created.
Date/Time
Text Any additional text that is fixed for the given template.
User
Displays the user defined fields that are specified in the
Defined
Labels and Fields tab of the configuration.
Fields
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Audiometry Components
AMCLASS Displays the audiometric classification for GSI AMTAS

Table collected audiograms.
AMCLASS
Displays the quality indicators for GSI AMTAS collected
Quality
audiograms
Indicators
Audiogram
Displays the audiogram in graphic format.
Graph
Displays the audiometric values in a table format. Since the

size of the table can vary depending on the stored data, there
is a fixed sized and auto sizing setting. The fixed sized
Audiogram component will always use the space of the component on the
Table report. If there is more data than can fit in the allocated area,
some data will not be displayed. The Auto sizing component
will use all space on a given page and add more pages
automatically if required to display all of the data.
Audiometry
Displays information on the audiometer instrument, test date,
Test
location, physician, reliability and age at time of test.
Information
BKB-SIN Displays the BKB-SIN results table.
Displays the audiogram symbols. The properties for this

Legend component will allow you to select which symbols will be
shown in the legend.
QuickSIN Displays the QuickSIN results table.
Screening Indicates the predicted accuracy and if the screening test was
Classification within normal limits.
Screening Displays the individual frequencies tested and the result

Hz Response (pass/fail).
Screening Displays the intensity level and the number of frequencies

Test Details required to pass for an overall pass of the screening test.
Speech
Displays the speech audiogram where the SRT % is plotted
Audiogram
against the db HL.
Speech
Tabular display of the speech tests with PB min and max and
Rollover
the rollover index.
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Tabular display of the speech tests with level and % for the
Speech Table
speech lists.
Stenger Displays the Stenger results.
Tympanometry Components
ARLT Graph Displays the reflex latency graphs.
Diagnostic
Displays the tympanogram in graphic format.
Tympanometry
Displays the tympanograms from the ETF Intact protocol

EFT Intact
with the tabular information on the shift in tympanogram
Graph
peaks.
ETF
Display the pressure over time graph for the ETF
Perforated
perforated protocol.
Graph
Reflex Decay
Displays the reflex decay graphs.
Graph
Reflex Graph Displays the reflex graphs.
Reflex Table Displays the reflex information in a tabular format.
Screening Displays the tympanometry screening information

Tymp + Reflex including the tympanogram and reflexes.
Tympanometry
Displays information on the tympanometer instrument, test
Test
date, location, physician and age at time of test.
Information
Otoacoustic Emission Components
OAE Test
Displays the OAE test information in a graphic format.
Graph
OAE Test Displays information on the OAE test instrument, test date,
Information examiner, location, physician and age at time of test.
D‐0102647 Rev. G Page 93
Template Layout
Header
Body
Footer
The template layout area is in the middle of the Template Editor dialog. This is
the design area of the template. There are three sections of the layout area.
 Header – top of the page and repeats on each additional page.
 Body – center of the page and does not repeat on additional pages.
 Footer - bottom of the page and repeats on each additional page.
Components may be placed in any area of the template layout.
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Thumbnail and Page
The Thumbnail and Page control is found on the right side of the Template Editor.
This control provides the thumbnail view of each page in the report and allows a
toggle between pages for multipage reports.
If you hover over the thumbnail, you will see a circle with an X. Pressing the X
will delete that page of the template. Above the thumbnail area, can be icons which
show you if the current template that is being edited, is a favorite and/or the default
template.
Zoom
The Zoom control is found on the lower right side of the Template Editor dialog.
There are options for adjusting the report layout workspace size using the slider or
dropdown menu. There is also a fit to screen command button.
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Working with Components

To create a template, select the component from the component listing on the left
side of the screen and drag (left clicking the component and holding the left mouse
button down while moving the item) the component to the layout work area. When
multiple components are in the layout area, select the component by clicking on
the component. Move the component by dragging the component to the desired
location in the layout area. Rotate and resize the component from the outlined
border of the component.
Rotate
Resize
Drag from
any corner
When the component is placed on the layout area, access the context menu by right
clicking on the component.
The context menu options include the following.

 Toggle Border - draws/removes a box around the component.
 Rotate – rotates the component 90 degrees clockwise with each click.
 Properties – display options for the component.
 Cut – remove the component (can be pasted in another location).
 Copy – makes a duplicate of the component. To paste, right click in an
open area on the template workspace.
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The component properties can be general properties such as the fonts for the header
and text or specific properties related the information displayed by the component.
NOTE: There are two types of headers. The layout area has a header which is
the section of the layout area at the top of the page that repeats for each page of
the report. There are no properties for this header. There is also a header for
each component that is the line of text above the information displayed by the
component. This header has properties that define the text and the font.
Can specify font or

use default set up in
the Configure
Dialog
Displays an optional
line of text above the
component
Displays an optional
label next to the
information
No Header
No Labels
Header
Labels
Patient Information Component - General Properties
Component properties that are specific to the component will be displayed under
the general properties. These properties will vary depending on the type of
information displayed by the component. For the Patient Information component,
the individual patient information fields and the arrangement of the fields are
defined in the specific properties.
D‐0102647 Rev. G Page 97
Selection of the individual field is achieved by choosing the field from the
Available Fields list and moving the field to the Selected Fields and Order list with
the right arrow button. Selecting a field in the Selected Fields and Order list allows
you to order the field using the up/down arrow. The *empty* field selection
displays a blank line to provide spacing if needed.
Other components that allow you to specify the fields and field order include
Facility and Test information. The information used for the Facility Information
component and Logo component is set up in the Configuration dialog.
In the General component section, the Text component provides a way to include
specific text. This is fixed text that is defined from the Edit Text selection of the
context menu. In addition to the Logo, it is possible to add a picture to the template
by using the Graphic component – right click on the component to choose the file.
The Graphic component accepts the common graphic formats.
D‐0102647 Rev. G Page 98

In the Audiometry component section, the specific properties have options for
selection of the ear and choosing the specific test information that will be
displayed. The specific properties for the Audiogram Graph are show below.
For the Audiogram Table there are specific properties that control how the table is
presented. The audiogram table can potentially be very large, though not likely,
since you can store 1 Hz increments for the entire audiometric range (125-20,000
Hz).
The Auto Sizing option displays the table on a separate page and will automatically
add pages as needed to display all of the data. The Fixed Size will display the table
in the space that you size for the component - if the test results do not fit in the area
provided, the data will be truncated.
D‐0102647 Rev. G Page 99
The Tympanometry component specific properties involve selection of the ear and
probe tone and choosing the specific test information that will be displayed. The
specific properties for the tympanometry graph are shown below.
The OAE test information component properties allow the selection and order of
the specific test information that will be displayed. The OAE graph properties
provide selection of the ear and protocol as well as the graph options. The specific
properties for the OAE graph are shown below.
D‐0102647 Rev. G Page 100

When working with multiple components the component formatting tools provide
a way to align, size and order the components on the page. To select multiple
components, hold the ‘Ctrl’ or ‘Shift’ key while clicking the components of
interest. Alternatively, use the mouse to drag a selection box around the
components. When the components are selected, choose the formatting tool from
the toolbar.
When all components are arranged on the layout area, save the template using the
Save option on the menu toolbar.
D‐0102647 Rev. G Page 101
Integrating GSI Suite: Third Party Networking Options
Noah 4
The Noah software system is designed specifically for the hearing care industry,
providing hearing care professionals with a unified system for performing client-
related tasks. Noah 4 provides a platform for software applications from hearing
instrument manufacturers, audiologic equipment manufacturers, and office
management system suppliers to work together. Noah uses modules to record tests,
perform fittings, and take notes.
NOTE: For proper installation and operation, Noah 4 must be installed before
GSI Suite is installed. If GSI Suite is installed first, Noah 4 is added at a later
time, simply run Register with Noah from the GSI Suite Programs menu or
reinstall GSI Suite to ensure optimal communication between GSI Suite and
Noah 4.
Using Noah 4
1. Review the Noah 4 user manual for standard operation.
2. To begin testing, create a new patient or select an existing patient from the
Noah 4 database.
3. Select the GSI Suite module from the Module toolbar.
4. Follow the normal steps in GSI Suite to collect and save data.
a. GSI Suite will have identical data transfer, comments, and printing
functionality when launched as a Noah 4 module as when it is
launched as a standalone.
b. Test results MUST be saved before exiting GSI Suite or the
client’s data will be lost.
c. Noah locks the report after 24 hours. Edit to the report cannot be
made after the 24 hour period.
NOTE: If GSI Suite is launched from the Windows Start Menu (standalone),
data will be stored in local encrypted database files. Data stored in local database
files is not available in GSI Suite when GSI Suite is launched from Noah 4.
When GSI Suite is launched from Noah 4, the data will be stored in the Noah 4
database. Data stored in the Noah 4 database is not available in GSI Suite when
GSI Suite is launched from the Windows Start Menu (standalone).
D‐0102647 Rev. G Page 102

Troubleshooting
The GSI Suite program maintains log files in order to help identify the source of
any errors. If any unexpected errors or problems with this product occur, please
send the log file to GSI to investigate. The configuration dialog has an option that
will allow the appropriate log files to be gathered and saved and/or emailed. To
use the configuration option, go to the General tab in the configuration window
then select either Email Logs or Save Log Files. The email option will utilize the
email client on the computer. If there is not a default email client on the computer,
it will be necessary to save the log files and send them separately.
D‐0102647 Rev. G Page 103

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part Number D-0102647 Rev. G

Setting The Clinical Standard www.grason-stadler.com

Grason-Stadler, 10395 West 70th Street, Eden Prairie, Minnesota 55344

Troubleshooting ........................................................................................................................................ 103

Intended Use of GSI Suite

Installation and Setup

 Disable the “suspend USB” power option to ensure proper communication

GSI Suite Supported Operating Systems

GSI Suite Software Requirements

 Microsoft .NET Framework version 4.6.

Compatible Third Party Software

 GSI Suite supports Noah version 4.8 or greater.

GSI Suite Installation Instructions

Installing on Windows® 7 and 10

NOTE: The installation may require a restart of the computer to continue. In

Connecting GSI Instruments

Connecting the AudioStar Pro or Pello to a PC

Connecting the GSI 61 to a PC

GSI 61 with USB Port

GSI 61 with Serial Port

D:\22429_26886_29343-USB to Serial Adapter [select the drive for your

5. Plug the USB cable into the PC.

Connecting the GSI 39 to a PC

Connecting the GSI TympStar to a PC

Connecting the GSI TympStar Pro to a PC

NOTE: GSI Suite will communicate with one supported tympanometer in

Connecting the GSI Corti to a PC

Connecting the GSI AMTAS Pro or GSI AMTAS Flex to a PC

GSI AMTAS Flex

NOTE: It is recommended that GSI Suite be install on Windows 10 if

Launching GSI Suite

Uninstalling GSI Suite

User Interface – Screen Layout and Controls

Test Type Tabs Test Tabs

Information Test Results

Tympanometry (226, 678, 1000 Hz)

Reflex (226, 678, 1000 Hz)

Icon/ Label Description/Function

NOTE: Prior to entering new patient information, any

Lookup Allows operator to search for an existing patient and/or session

NOTE: Prior to transferring new session data, existing data

Icon/ Label Description/Function

NOTE: Remote must be selected on the GSI 61 or GSI

Import is used to transfer data that has been exported from

Wireless is used to transfer data from AMTAS Flex via

If the OAE test tab is selected and there is no Corti connected

Icon/ Label Description/Function

Save Saves a draft of the patient and session information that is

Icon/ Label Description/Function

saved to a specific location with a predefined file name. See the

Counsel Provides an opportunity for the examiner to explain the results

Overlay Select one or more of the following options to be displayed on

Configuration Allows the examiner to customize settings such as reports,

Help Launches the GSI Suite User Manual.

Icon/ Label Description/Function

Creating a Patient List

AudioStar Pro, Pello and TympStar Pro

 The patient ID must be entered to save session data. It is recommended

Test Session Information

The open padlock icon indicates the status of the session is

The closed padlock icon indicates the status of the session is

CAUTION: Session information, including comments, cannot be edited after

 The time and date will be recorded upon data transfer.