Functional Testing for Device Calibration & Testing

ISO FRM 4.4.24, Rev 1, 04/19/2018

<table> <tr> <th>Software Version</th> <td width="200">&nbsp;</td> <th>Software Build</th> <td width="100">&nbsp;</td> <th>Software Module</th> <td width="100">&nbsp;</td> </tr> <tr> <th>Tester</th> <td>&nbsp;</td> <th>Test Type</th> <td colspan="3"> <input type="checkbox"/>Limited <input type="checkbox"/>Acceptance </td> </tr> <tr> <th>Processor</th> <td>&nbsp;</td> <th>Operating System</th> <td colspan="3"> <input type="checkbox"/>win7 <input type="checkbox"/>win8 <input type="checkbox"/>win10 <input type="checkbox"/>Other </td> </tr> <tr> <th>Physical Memory</th> <td>&nbsp;</td> <th>Comments</th> <td colspan="3">&nbsp;</td> </tr> </table>

<table> <tr> <th width="100">Date</th> <th width="300">Features</th> <th width="100">Results</th> <th width="200">Comments</th> </tr> <tr> <td>&nbsp;</td> <td>Automatically read and detect the model and style of the circuit and display its content to screen.</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>Allow selecting brand and product for connected hearing aid.</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>Allow making real-time or batch adjustments (set parameters to default or shipping values) to the hearing aid.</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>Allow burning/programming new settings to the circuit.</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>Allow refurbishing connected hearing aid (resetting parameters to default, removing brand, and patient data).</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>Allow saving connected hearing aid settings to a database file.</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>Allow importing saved settings from a database file to connected hearing aid.</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>Perform ezHITConfig conformance test.</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </table>

Sign-off

<table width="100%" border="1" cellpadding="1" cellspacing="0" class="inline"> <tr valign="top"> <th colspan="2">The application has successfully passed the above test sequences. The supporting log files and/or manual test worksheets have been included.</th> </tr> <tr valign="top"> <td width="70%">Signature<br />(It is acceptable to type in the name and date if the report is being sent electronically)</td> <td width="30%">&nbsp;</td> </tr> <tr valign="top"> <td>Date</td> <td>&nbsp;</td> </tr> </table>