referring now to fig1 there is shown a tone count audiometric computer apparatus having a plurality of oscillators 10 - 20 to generate the various frequency signals which will be utilized to determine hearing level threshold . the outputs from the plurality of oscillators 10 - 20 are applied simultaneously to attenuators 22 , 24 and then respectively to ear - frequency selector relays 26 , 28 . the ear - frequency relay selectors 26 , 28 are connected to a tone interrupter unit 30 which applies selected frequencies in bursts to the power amplifier 32 . the power amplifier 32 is connected through the attenuation relays 34 to the right / left ear selector unit 36 which is connected to the earphones 38 . input signals from the computing unit ( not shown ) control the start of the testing sequence , the intensity of the test frequency and the selection of the ear to be tested . the tone count and diametric computer apparatus implements the hughson - westlake protocol which is normally used in clinical pure - tone audiometry for determining hearing threshold levels . the protocol begins the test for each frequency at a presentation level or intensity that the subject is likely to hear , such as 30 db , to acquaint the subject with the tone used . the level of presentation is then decreased in steps of 10 db until the examinee fails to indicate his hearing of the tone . at this point the level is increased in 5 db steps and the intensity at which the examinee first hears the tone is noted . the intensity is then decreased in 10 db steps until the tone is no longer heard . the ascent in 5 db steps is then repeated . this procedure of increasing in 5 db steps until the examinee hears the tone and then decreasing in 10 db steps until he no longers hears the tone is repeated until agreement within 5 db occurs between two levels at which he first hears the tone during three consecutive ascents . this common or lower value is stored in memory as the examinee &# 39 ; s hearing threshold level for that frequency and ear . the method of determining the examinee &# 39 ; s detection of tones utilizes tone counting . the examinee is presented a number of tone bursts at a given intensity and must hear them sufficiently well enough to count them . the number of tone bursts in each tone train is varied pseudorandomly in the range from 1 through 4 tones . the examinee indicates the number of tones heard by depressing the appropriately numbered button on a response panel which is appropriately numbered . turning now to fig2 there is shown the computing means of the audiometric computer apparatus having a reset control unit 40 connected to the state generator 42 . the reset control 40 is activated to place the computing means in an idle state ( state 1 ) until the examinee presses the start button which is shown on the response panel 44 . the program counter or state generator 42 then enters several states that initialize the contents of the address register 46 , the random access memory 48 , the latch relay 50 , and the presetable down counter 52 which correspond to the variables of ear and frequency and current tone presentation level . the signals to the ear - frequency selector and the ear selector of fig1 are four bit binary words . the most significant bit corresponds to the ear being tested or reviewed ( e = 0for right ear ; e = 1 for left ear .) the three remaining bits correspond to one of 6 frequencies being generated or reviewed ( f = 000 through 101 ). the decimal value of the binary contents of counter 52 correspond to one - fifth the hearing presentation level or intensity , g , of the tones in db units . thus , g = 00110 corresponds to a presentation level of 30 db . the constants k2 and k3 are frequently used values and are stored in random access memory 48 . the register 46 is used to remember whether any previous correct answers have occurred in the test sequence for the existing ear and frequency combination . register 46 is initialized to logical 0 and later set to logical 1 at the occurrence of the first correct answer . in each test on a given ear and frequency is started at 30 db , a level most examinees can hear . however , if he cannot hear the tones or is uncertain of his role in the test , the intensity is increased in 15 db steps until he either gives a correct response or the tone count audiometric computer apparatus reaches the top of its intensity range . after the first correct response , the normal hughson - westlake protocol is entered and all succeeding intensity increments occur in 5 db steps . the register j in the decoder and driver unit 54 is initialized to a logical 0 and set to a logical 1 when in the 5 db ascent phase of the hughson - westlake protocol . the contents of the register thresh , t , which is located in decision unit 56 are initialized at the top of the tone count audiometric computer apparatus &# 39 ; s intensity range and are modified to equal the contents of decoder 58 at each correct answer following the 5 db ascent phase . the contents of register t are used to check agreement within 5 db of presentation levels at which the examinee first hears the tones during two consecutive ascents . when agreement occurs , register t contains the value defined as the examinee &# 39 ; s hearing threshold level for that ear and frequency . the state generator 42 then enters state 10 in which the analog switch ( tone interrupter ) is prepared for future action and the latch whose contents control the relay - selected tone attenuation sections is loaded with the contents of decoder 58 . the loading of the latch causes the relays to set . the next program counter state of state generator 42 causes a number from the high frequency counter or random number generator 60 ( count sequence 1 , 2 , 3 , 4 , 1 . . .) to be selected . this number selection presets the down counter 52 such that it will be toggled down to the zero state by a slow clock 62 . before the count down is started a cycle of the same slow clock 62 is used to flash a light on the examinee &# 39 ; s panel response unit 44 warning him to listen carefully for the subsequent presentation of tones . each state of the down counter 52 is used to allow a tone to pass through the analog tone interrupter circuit to the earphones . thus , a tone train is presented to the examinee &# 39 ; s earphones . the fall and rise times of each tone in the train are25 milliseconds and each tone &# 39 ; s duration is 330 milliseconds . each silent period separating tones within a tone train is also 330 milliseconds ( 50 percent duty factor ). while the down counter 52 is slowly being toggled towards zero and for a short period afterward , the state generator 42 waits in state 11 . after the last tone in the train occurs a monostable generator in the panel response unit 44 is used to cause a time delay ( typically 1 . 8 to 2 . 0 seconds ) during which the examinee may respond by depressing the appropriately numbered button . at the end of the time delay , the examinee &# 39 ; s last response is transferred to the latch unit and the state generator 42 continues . the next state checks an equality circuit to determine if the examinee &# 39 ; s response was correct . the program from this point contains many possible sequences and is best described by the flow chart which is shown in fig3 . at the end of the audiometric test , the state generator 42 enters and remains in state 37 during which time the seven - segment digital display 64 is unblanked for viewing the examinee &# 39 ; s hearing threshold levels for all ear and frequency combinations . the results are presented singly in the same sequence as they were acquired during the test . each result for the next ear and frequency combination is viewed by depressing an examine button once . the results may be viewed as often as desired or the tone count audiometric computer apparatus may be interrogated automatically by another digital data acquisition device ( computed , data logger , etc .). the tone count audiometric computer apparatus is made ready for the next test by depressing a reset button or by providing an external , ttl compatible signal . as this point , the state generator 42 enters state 1 and the data from the previous examination is no longer available . the state generator 42 proceeds again only when the next examinee presses his start button . although the invention has been described with reference to a particular embodiment , it will be understood to those skilled in the art that the invention is capable of a variety of alternative embodiments within the spirit and scope of the appended claims .
a hearing threshold level measuring apparatus for automatically determining testing hearing level in each ear and processing the test scores for either manual or automatic readout . a predetermined number of tone bursts varied randomly from one to four in each test sequence and automatically decreased in level . the subject is provided with a response panel containing pushbuttons labelled one through four . the subject &# 39 ; s bearing threshold is then determined from his pushbutton responses to his correct burst tone counts .