Insera In-the-ear (ITE) Hearing Aid Guide - Unitron
Inserain-the-ear (ITE)hearing aid guideA Sonova brand
Thank youThank you for choosing these hearing aids.We care deeply about people with hearingloss. We work closely with hearing healthcareprofessionals to make advanced, purposedriven solutions available to everyone.Because hearing matters.This user guide applies to the following models:Year of introduction: 2017T Insera ProT Insera 800T Insera 700T Insera 600T Insera 500Your hearing aidsHearing healthcare professional:Telephone:Model:Serial number:Replacement batteries:Size 10ASize 312Size 13Warranty:Program 1 is for:Program 2 is for:Program 3 is for:Program 4 is for:Date of purchase:
Quick referenceLow batterywarningTable of contentsBattery sizeYour hearing aids at a glance. 2On/OffWarnings. 410A2 beepsevery30 minutesSoundCore technology. 9312EarMatch. 913Turning your hearing aids on and off .12Putting your hearing aids in your ears. 10OffOnChanging batteriesBattery information.13Tinnitus masker . 16Operating instructions.191313312Battery symbol 10Push buttonUsing the telephone. 26312Protecting your hearing aids. 2910Cleaning your hearing aids. 30Battery symbolRotary dialAccessories.31Assistive listening devices. 34Troubleshooting guide. 35Warning to hearing aid dispensers (to comply with the U.S.Food and Drug Administration (FDA) regulations) . 39Information and explanation of symbols.41Compliance information. 43Patient feedback. 45s witching programs volume controlv olume controlforward louder,back softerAdditional notes. 46
Your hearing aids at a glanceFull shell directional1 Microphone - sound enters your hearing aidsthrough the microphones. Microphone shield protects microphones from dirt & debris1232 P ush button - switches between listeningprograms or changes the volume level,depending on your customized fitting43 Battery door (on & off) - close the door to turn onyour hearing aids, open the door all the way toturn off your hearing aid or to change the battery4 Rotary dial - controls the volume5 Vent - aids in the reduction of occlusion makingyour own voice sound better6 Removal handle - assists in removing very smallhearing aids from the ear canal12345 Mini canal omni5Half shell / canal directional123452124356 CIC (Completely-in-the-canal)Half shell/canal omni12435Mini canal directional12356 IIC (Invisible-in-the-canal)123563
Warnings The intended use of hearing aids is toamplify and transmit sound to the ears andhereby compensate for impaired hearing.The hearing aids (specially programmed foreach hearing loss) must only be used by theintended person. They should not be usedby any other person as they could damagehearing. Hearing aids should only be used asdirected by your physician or hearinghealthcare professional. Hearing aids will not restore normalhearing and will not prevent or improve ahearing impairment resulting from organicconditions. Do not use your hearing aids in explosionhazard areas. Allergic reactions to hearing aids are unlikely.However, if you experience itching, redness,soreness, inflammation or a burningsensation in or around your ears, inform4your hearing healthcare professional andcontact your physician. In the unlikely case that any parts remainin the ear canal after the removal of thehearing aid, contact a physician immediately. Remove your hearing aids for CT andMRI scans or for other electromagneticprocedures. Special care should be exercised in wearinghearing aids when maximum soundpressure levels exceed 132 decibels. Theremay be a risk of impairing your remaininghearing. Speak with your hearing healthcareprofessional to ensure the maximum outputof your hearing aids is suitable for yourparticular hearing loss.Magnet and battery warnings Never leave hearing aids, batteries ormagnets where small children and petscan reach them. Never put hearing aids orbatteries in your mouth. If a hearing aidor battery is swallowed, call a physicianimmediately.5
The magnet may affect some medicaldevices or electronic systems. Always keepthe magnet (or the telephone equippedwith the magnet) at least 30 cm (12”) awayfrom pacemakers, credit cards or othermagnetically sensitive devices. Too high distortion during dialing orphoning may mean that the phone handsetis stressed by the magnet. To avoid anydamage, please move the magnet toanother place on the telephone receiver.Precautions The use of hearing aids is only part ofhearing rehabilitation; auditory training andlip reading instruction may be required aswell. In most cases, infrequent use of hearingaids does not provide full benefit. Once youhave become accustomed to your hearingaids, wear your hearing aids everyday allday.6 Your hearing aids use the most moderncomponents to provide the best possiblesound quality in every listening situation.However, communication devices such asdigital cell phones can create interference(a buzzing sound) in hearing aids. If youexperience interference from a cell phonebeing used close by, you can minimize thisinterference in a number of ways. Switchyour hearing aids to another program, turnyour head in a different direction or locatethe cell phone and move away from it.LabelingThe serial number and year of manufacture arelocated on the outside of the hearing aid.7
Cell phone compatibility ratingSome hearing aid users have reported a buzzingsound in their hearing aids when they are usingcell phones, indicating that the cell phone andhearing aid may not be compatible. Accordingto the ANSI C63.19 standard (ANSI C63.192006 American National Standard Methods ofMeasurement of Compatibility Between WirelessCommunications Devices and Hearing Aids), thecompatibility of a particular hearing aid and cellphone can be predicted by adding the rating forthe hearing aid immunity to the rating for the cellphone emissions. For example, the sum of thehearing aid rating of 4 (M4) and a telephone ratingof 3 (M3) would result in a combined rating of 7.Any combined rating that equals at least 5 wouldprovide “normal use”; a combined rating of 6 orgreater would indicate “excellent performance.”The immunity of this hearing aid is at leastM4/T4*. The equipment performancemeasurements, categories and systemclassifications are based upon the bestinformation available but cannot guarantee thatall users will be satisfied. ote: The performance of the individualNhearing aids may vary with individual cellphones. Therefore, please try this hearing aidwith your cell phone or, if you are purchasinga new phone, please be sure to try it with yourhearing aid prior to purchase. For additionalguidance, please ask your hearing healthcareprofessional for the booklet entitled “Hearingaid compatibility with digital wireless cellphones.”SoundCore technologySoundCore includes four intelligent featuresworking together to understand your listeningenvironment making the fluid adjustmentsneeded so you can actively participate in everyconversation across every environment.EarMatchThe EarMatch process provides the bestpersonalized performance by compensating foryour unique ear shape.* For models featuring a telecoil input option89
Putting your hearing aids in your earsYour hearing aids may be color-coded on thebattery door and/or the label on the hearing aid:red right ear; blue left ear.Inserting your hearing aid1.1. Hold the hearing aid betweenyour thumb and index fingerwith the battery door facingaway from your ear.2. If your hearing aid has a2.removal handle, insert byholding the hearing aid withthe removal handle at thebottom.3. Gently insert the canal3.portion of the hearing aidinto your ear using your indexfinger to push back and tuckthe hearing aid completelyinto place. It should fit snuglyand comfortably. Gently pull down andback on your earlobe to help you insert thehearing aid into your ear canal more easily.10Removing your hearing aid1. To remove your hearing aid,grasp it with your thumb andindex finger. If your hearingaid has a removal handle,gently pull on it to removeyour hearing aid.2. Move your jaw up and downor apply pressure to the backof your ear to help loosen thehearing aid.1.2. Note: Do not use the controls orthe battery door to remove your hearing aids.11
Turning your hearing aids on and offBattery informationThe battery door acts as an on and off switch.1. On: Close the battery door 1.fully.Low battery warning Note: When you first turnyour hearing aid on, thepush button functionalitymay have a delay before it isactive to prevent pressingit unintentionally duringinsertion2. Off: Open the battery doorto turn off the hearing aidand change the battery.122.Two long beeps indicate the hearing aid batteryis low. After the low battery warning, soundsmay not be as clear. This is normal and can befixed by changing the batteries.If you can’t hear the low battery warning, yourhearing healthcare professional can change itspitch or loudness. If you prefer, it can be turnedoff entirely. Your hearing aids are designed to generate alow battery warning every 30 minutes until youchange the batteries, but depending on thecondition of the batteries, they may die beforeanother low battery warning occurs. Therefore,it is recommended that the batteries arereplaced as soon as possible once you hear thelow battery warning.13
Replacing the batteryCaring for batteries Always discard batteries in a safe andBattery symbol13312133121010Battery symbol1. Gently swing out the battery door with yourfingernail.2. Grasp the battery with your thumb andindex finger and remove.3. Insert the new battery into the batterycompartment with the plus ( ) sign on thebattery facing the same way as the batteryindicator on the battery door. This willensure that the battery door closes properly.environmentally friendly way. To prolong battery life, remember to turnyour hearing aids off when not in use,especially when asleep. Remove the batteries and keep the batterydoor open while hearing aids are not beingworn, especially when asleep. This will allowinternal moisture to evaporate. Note: If the battery is inserted incorrectly, thehearing aid will not turn on.4. Close the battery door.1415
Tinnitus maskerTinnitus masker uses broadband noise toprovide temporary relief of tinnitus.Tinnitus masker warnings The tinnitus masker is a broadband soundgenerator. It provides a means of soundenrichment therapy that can be used aspart of a personalized tinnitus managementprogram to provide temporary relief fromtinnitus. The underlying principle of soundenrichment is to provide supplementarynoise stimulation which can help defocusyour attention from your tinnitus and avoidnegative reactions. Sound enrichment,coupled with instructional counseling, is anestablished approach to managing tinnitus. Air conduction hearing aids with thetinnitus masker are to be fitted by a hearinghealthcare professional familiar with thediagnosis and management of tinnitus.16 Should you develop any side effectswhile using the tinnitus masker, such asheadaches, nausea, dizziness or heartpalpitations or experience a decreasein auditory function such as decreasedloudness tolerance, worsening of tinnitus, orspeech not as clear, you should discontinueuse of the device and seek medicalattention. The volume of the tinnitus masker can beset to a level which could lead to permanenthearing damage when used for a prolongedperiod of time. Should the tinnitus maskerbe set to such a level in your hearing aid,your hearing healthcare professional willadvise you of the maximum amount of timeper day you should use the tinnitus masker.The tinnitus masker should never be used atuncomfortable levels.17
Important information The tinnitus masker generates sounds that areused as part of your personalized temporarytinnitus management program to provide relieffrom tinnitus. It should always be used asprescribed by a hearing healthcare professionalwho is familiar with the diagnosis and treatmentof tinnitus. Good health practice requires that a personreporting tinnitus have a medical evaluation bya licensed ear physician before using a soundgenerator. The purpose of such an evaluationis to ensure that medically treatable conditions,which may be causing tinnitus, are identifiedand treated prior to using a sound generator. The tinnitus masker is intended for adults 18years of age or older who have both hearingloss and tinnitus.18Operating instructionsYour hearing aids may come with two controlsthat allow you to further adjust them – a rotarydial and a push button. Your hearing aids mayalso come with an IIC remote.Rotary dialThe rotary dial on your hearing aidscan be set up as a volume control.Volume controlIf the rotary dial has been configured as avolume control: Rotate dial slowly forward towards yournose to increase the volume Rotate the dial slowly backward away fromyour nose to decrease the volumeThe optional remote control also allows you toadjust your volume levels; please refer to theremote control user guide for more information.19
As you change the volume level, your hearingaids will beep.Volume settingPush buttonThe push button on yourhearing aids can be either aprogram control, a volumecontrol or a combination of both.BeepsSuggested volume level1 beepTurning volume upshort beepTurning volume downshort beepMaximum volume level2 beepsMinimum volume level2 beepsProgram controlIf the push button has been configured as aprogram control, each time you push the button,you will move to a different hearing aid program.Your hearing aids beep to indicate whichprogram you are in.Program settingProgram 1 (e.g. automatic program)1 beepProgram 2 (e.g. speech in noise)2 beepsProgram 3 (e.g. easy-t/telephone)3 beepsProgram 4 (e.g. music)4 beepsEasy-t/telephoneshort melodyDuoLink (if enabled)20BeepsOpposite ear beepsthe same as sidebeing adjustedPlease see the front of this booklet for a listing ofyour personalized programs.21
Volume control Program/volume control push buttonIf your push button has been configured as avolume control, either: Push the button on your right hearing aid toincrease the volume, and Push the button on your left hearing aid todecrease the volumeor: Push the button to step through your volumelevelsAs you change the volume control, your hearingaids will beep.Volume settingBeepsSuggested volume level1 beepTurning volume upshort beepTurning volume downshort beepMaximum volume level2 beepsMinimum volume level2 beeps22If your hearing healthcare professional hasconfigured one hearing aid to be a programcontrol and the other hearing aid to be a volumecontrol: Push the button on your right / lefthearing aid to access your differentprograms, and Push the button on your right / lefthearing aid to step through your volumelevels23
Tinnitus maskerDuoLinkIf your hearing healthcare professional hasconfigured both a tinnitus masker program anda volume control, you can adjust the tinnitusmasker level while you are in the tinnitusmasker program. To adjust the noise level,either:Rotary dial Rotate dial slowly forward towards yournose to increase tinnitus masker, and Rotate the dial slowly backward away fromyour nose to decrease the tinnitus maskerPush button (right/left) Push the button on your right hearing aidto increase the tinnitus masker, and Push the button on your left hearing aid todecrease the tinnitus maskerPush button (steps) Push the button to step through yourtinnitus masker volume levelsAs you change the level, your hearing aids willbeep.If DuoLink is enabled, when you change thevolume or program settings on one hearing aid,the other one changes as well. DuoLink worksfor both the push button and the rotary dial.For example, if your push button is configuredas a program control and DuoLink is enabled,when you push the button on one hearing aid,the program will change on both hearing aids.2425
Using the telephone Push buttonYour hearing healthcare professional may haveset up a phone program on your hearing aidsthat you can access using the push button oroptional remote control. Easy-tYour hearing aids may also have a telephonefeature, which automatically switches to adedicated telephone program when a receiveris brought close to one of your hearing aids. Youwill hear a short melody when you switch to theeasy-t program. When the receiver is movedaway from the hearing aid it will automaticallyreturn to the previous listening program.If your hearing aid doesn’t automatically switchto the easy-t program when a receiver is heldto your ear, you may need to attach an easy-tmagnet to your telephone. The magnet isdesigned to strengthen the magnetic field atthe earpiece of the telephone.26To attach the optional magnet:1.1. Clean the telephone receiver.Hold the magnet nearthe “listening end” of yourtelephone receiver and release2.it. The magnet will flip to theappropriate side and seekthe optimal position on thetelephone receiver.3.2. Place the double-sided tapein this optimal position on thetelephone receiver.3. Attach the magnet to the tape. Your hearing healthcare professional may alsohave set up a phone program that you canaccess through your optional remote control.27
Binaural PhoneThe Binaural Phone feature allows you to hold aphone to one ear and hear the sound clearly inboth ears. No accessories are required.Binaural Phone is available in your hearing aidsthrough: Push button Easy-tIf your hearing aids are configured to work withthe wireless uDirect or uStream streamers,you might benefit from a Bluetooth hands-freeoption. Refer to the uDirect or uStream userguide for more information.Protecting your hearing aids Open the battery door when not in use. Always remove your hearing aids when 28using hair care products. The hearing aidscan become clogged and cease to functionproperly.Do not wear your hearing aids in the bath orshower or immerse them in water.If your hearing aids do become wet, donot attempt to dry them in an oven ormicrowave. Do not adjust any controls.Open the battery doors immediately, andallow your hearing aids to dry naturally for24 hours.Protect your hearing aids from excessiveheat (hair dryer, vehicle glove box ordashboard).Regular use of a dehumidifier, such as aDri-Aid kit, can help prevent corrosion andprolong the life of your hearing aids.Do not drop your hearing aids or knock themagainst hard surfaces.29
Cleaning your hearing aidsAccessoriesUse a soft cloth to clean your hearing aid at theend of each day, and place it in its case withthe battery door open to allow moisture toevaporate.The uDirect, uStream, uMic, uTV and a remotecontrol are optional accessories that may beavailable for your hearing aids. Ear wax is natural and common. Ensuring yourhearing aids are free of ear wax is an importantstep in your daily cleaning and maintenanceroutine.uDirect and uStream are streamers that provideeasy, hands-free access to Bluetooth enableddevices, such as mobile phones. They canprovide remote control functions to adjust yourhearing aids for increased listening comfort.uDirect also has a wired audio jack to plug indevices like MP3 players.uTV is used with a streamer (uDirect or uStream)to send sound from your TV directly to yourhearing aids. The uTV can also transmit soundfrom stereo systems, computers and otheraudio sources.For more information on using the uDirect,uStream or uTV, please see the user guide forthat accessory. For information on how to get astreamer or uTV accessory, please contact yourhearing healthcare professional. Using the brush that was provided with yourhearing aids, clean ear wax from your hearingaids everyday. Never use alcohol to clean your hearing aids. Do not use sharp tools to dislodge ear wax.Sticking household items into your hearing aidscan seriously damage them. Talk to your hearing healthcare professionalabout regular appointments to have the waxremoved from your hearing aids.30uDirect 3, uStream and uTV 331
uMicuMic is a personal wireless microphone systemthat lets you hear conversations better innoisy environments, through either uStream oruDirect.Remote controlYour hearing aids may also come with anoptional remote control which allows you toswitch between different listening programs,and change your volume settings.IIC remote The IIC remote contains a magnet. If youuse a medical device like a pacemakeror ICD device (implantable cardioverterdefibrillator), please read the specific userguide to clarify possible impact of magneticfields to your medical device. Do not place the IIC remote (neither opennor closed) in your breast pocket. Keep adistance of at least 15 cm (6 inches) betweenthe IIC remote and your medical device.32keychainThe IIC remote contains ahousingmagnet that functions likea remote control to changethe settings of yourIIC remotehearing aids.Your hearing aids, in combination with IICremote, can be configured as:Program switch Volume controlTo use the IIC remote, unscrewthe magnet from the keychainhousing and hold it inside theear canal without touching thehearing aid.33
Assistive listening devicesListening in public placesTelecoils pick up electromagnetic energyand convert it into sound. Your hearing aidsmay have a telecoil option that can help youlisten in public places equipped with telecoilcompatible assistive listening devices suchas a loop system. When you see thissymbol, a loop system is present andmay be compatible with your hearingaids. Please contact your hearing healthcareprofessional for more information on loopsystems.Troubleshooting guideCausePossible remedyNo soundNot turned onTurn onLow/dead batteryReplace batteryPoor battery contactConsult your hearinghealthcare professionalBattery upside downInsert battery plus ( ) sideupHearing aids blockedwith ear waxSee “Cleaning your hearingaids.” Consult your hearinghealthcare professionalConnecting to external audio sourcesYou can connect to external audio sources byusing the uDirect optional wireless accessory.Ask your hearing healthcare professional forinformation about uDirect.3435
CausePossible remedyNot loud enoughLow volumeCausePossible remedyIntermittentTurn up volume; see hearinghealthcare professional formodels without a manualvolume control or if problempersistsLow batteryReplace batteryDirty battery contactConsult your hearinghealthcare professionalTwo long beepsLow batteryReplace batteryHearing aids notinserted properlySee “Putting your hearingaids in your ears.” Removeand reinsert carefullyWhistlingChange in hearingConsult your hearinghealthcare professionalHearing aids notinserted properlyHearing aids blockedwith ear waxSee “Cleaning your hearingaids.” Consult your hearinghealthcare professionalSee “Putting your hearingaids in your ears.” Removeand reinsert carefullyHand/clothing near earMove hand/clothing awayfrom your earPoorly fitting hearingaidsConsult your hearinghealthcare professional36Low batteryReplace battery37
CausePossible remedyNot clear, distortedPoorly fitting hearingaidsConsult your hearinghealthcare professionalHearing aids blockedwith ear waxSee “Cleaning your hearingaids.” Consult your hearinghealthcare professionalLow batteryReplace batteryWeak on the telephoneLow volumeTurn up volumeTelephone notpositioned properlyMove telephone receiveraround ear for clearer signal.See “Using the telephone”Hearing aid requiresadjustmentConsult your hearinghealthcare professionalFor any problems not listed in the guide, contact yourhearing healthcare professional.Warning to hearing aid dispensers(to comply with the U.S. Food and DrugAdministration (FDA) regulations)A hearing aid dispenser should advise a prospective hearing aiduser to consult promptly with a licensed physician (preferably anear specialist) before dispensing a hearing aid if the hearing aiddispenser determines through inquiry, actual observation, or reviewof any other available information concerning the prospective user,that the prospective user has any of the following conditions: (i)Visible congenital or traumatic deformity of the ear. (ii) History ofactive drainage from the ear within the previous 90 days. (iii) Historyof sudden or rapidly progressive hearing loss within the previous 90days. (iv) Acute or chronic dizziness. (v) Unilateral hearing loss ofsudden or recent onset within the previous 90 days. (vi) Audiometricair-bone gap equal to or greater than 15 decibels at 500 hertz(Hz), 1,000 Hz, and 2,000 Hz. (vii) Visible evidence of significantcerumen accumulation or a foreign body in the ear canal. (viii)Pain or discomfort in the ear. Special care should be exercised inselecting and fitting a hearing aid whose maximum sound pressurelevel exceeds 132 decibels because there may be risk of impairingthe remaining hearing of the hearing aid user. [This provision isrequired only for those hearing aids with a maximum sound pressurecapability greater than 132 decibels (dB).]Important notice for prospective hearing aid usersGood health practice requires that a person with a hearing loss havea medical evaluation by a licensed physician (preferably a physicianwho specializes in diseases of the ear) before purchasing a hearingaid.Licensed physicians who specialize in diseases of the ear are oftenreferred to as otolaryngologists, otologists or otorhinolaryngologists.3839
The purpose of medical evaluation is to assure that all medicallytreatable conditions that may affect hearing are identified andtreated before the hearing aid is purchased. Following the medicalevaluation, the physician will give you a written statement thatstates that your hearing loss has been medically evaluated and thatyou may be considered a candidate for a hearing aid. The physicianwill refer you to an audiologist or a hearing aid dispenser, asappropriate, for a hearing aid evaluation. The audiologist or hearingaid dispenser will conduct a hearing aid evaluation to assess yourability to hear with and without a hearing aid. The hearing aidevaluation will enable the audiologist or dispenser to select andfit a hearing aid to your individual needs. If you have reservationsabout your ability to adapt to amplification, you should inquireabout the availability of a trial-rental or purchase-option program.Many hearing aid dispensers now offer programs that permit you towear a hearing aid for a period of time for a nominal fee after whichyou may decide if you want to purchase the hearing aid. Federallaw restricts the sale of hearing aids to those individuals who haveobtained a medical evaluation from a licensed physician. Federallaw permits a fully informed adult to sign a waiver statementdeclining the medical evaluation for religious or personal beliefsthat preclude consultation with a physician. The exercise of sucha waiver is not in your best health interest and its use is stronglydiscouraged.Information and explanation ofsymbolsxxxxThe numbers after the CE symbol correspond to thecode of certified institutions that were consulted underthe above-mentioned directives.This symbol indicates that it is important for the user toread and take into account the relevant information inthis user guide.This symbol indicates that it is important for the userto pay attention to the relevant warning notices in thisuser guide.Important information for handling and effective use ofthe product.Australia and New Zealand EMC andRadiocommunications compliance label.Children with hearing lossIn addition to seeing a physician for a medical evaluation, achild with a hearing loss should be directed to an audiologistfor evaluation and rehabilitation since hearing loss may causeproblems in language development and the educational andsocial growth of a child. An audiologist is qualified by training andexperience to assist in the evaluation and rehabilitation of a childwith a hearing loss.40With the CE symbol, Unitron confirms that thisUnitron product – including accessories – meets therequirements of the Medical Devices Directive 93/42/EEC as well as the Radio Equipment Directive 2014/53/EU on radio and telecommunications transmitters.This symbol indicates that the products described inthese user instructions adhere to the requirements foran application part of Type B of EN 60601-1. The surfaceof the hearing aid is specified as applicated part ofType B. Copyright symbol41
This symbol shall be accompanied by the name andthe address of the authorised representative in theEuropean Community.Compliance informationThis symbol shall be accompanied by the name andthe address of the manufacturer (who are placing thisdevice on the market).Hereby, Unitron Hearing declares that this product meets therequirements of the Medical Device Directive 93/42/EEC andcomplies with Radio Equipment Directive 2014/53/EU. The fulltext of the Declarations of Conformity can be obtained from themanufacturer.Operating conditions:This device is designe
3. Gently insert the canal portion of the hearing aid into your ear using your index finger to push back and tuck the hearing aid completely into place. It should fit snugly and comfortably. Gently pull down and back on your earlobe to help you insert the hearing aid into your ear canal more easily. 1. 2. Removing your hearing aid 1.
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Furuncle of external ear. H60.00 Abscess of external ear, unspecified ear. H60.01 Abscess of right external ear. H60.02 Abscess of left external ear. H60.03 Abscess of external ear, bilateral. H60.1 Cellulitis of external ear. Cellulitis of auricle Cellulitis of external auditory canal. H60.10 Cellulitis of external ear, unspecified ear
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