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What are Hearing aids?

Hearing aids are sophisticated yet simple battery-operated electronic devices which function to make the sounds in the environment louder. The hearing aids come in different shapes, sizes, and technologies, etc.

Types Of Hearing aids

Analog Hearing aids

They Convert sound signals into digital signals, which are processed by a tiny computer inside the hearing aid and converted back to sound signals after amplification.

They provide too much of amplification for loud sound and too litte amplification for soft sounds.

Analog hearing aids cannot discriminate between speech and unwanted noise. henece they amplify everything.

One's own voice sounds uncomfortable. especially for children and elderly.

An analog hearing aids is made up of several electronic componenets, hence is prone to frequent repairs.

Mobile phones are not compatible with analog hearing aids and always produce a disturbing buzz sound.

Digital Hearing aids

They convert sounds digital signals (data) that are processed precisely by a tiny computer to sound.

They provide just enough amplification so that soft. Normal and loud sounds are clear & Comfortable.

They suppress background noise so that speech is easier to listen to and understand, especially in noisy environments.

They are power efficient thus battries last longer.

One's own voice sounds better & comfortable. in case of children this help improve speech quality.

Digital hearing aids are reliable and less prone to wear and tear.

Conversing on mobile phones is easier and clear with digital hearing aids. Some can even directly pairs with your mobile devices.

Hearing aids come in different shapes and sizes

Behind the Ear (BTE)

This model is placed behind the ear, with a small hook like structure. It usually also has a volume control button. The amplified sound is conducted into the ear canal via an ear mould that also helps adhere the Hearing Aids to the ear. Owing to their larger size, BTE models are often the only type of aids powerful enough to aids those with Profound loss. They are also most often recommended to elderly and pediatric clients due to their robust design and easy to handle controls with strong coupling options.These hearing aids come in both disosable battery operated and rechargeable options.

Receiver in the Canal (RIC)

RIC hearing aids are the most widely used model in the world as they hit the sweet spot between power and comfort/discreteness. This is achieved by increasing the distance between the microphone and the receiver (speaker)of the hearing aids. These are worn behind the ear, with a thin wire coupling to the receiver placed in the ear canal of the individual. RICs are also the most advanced hearing aids with features like Bluetooth connectivity, rechargeability, etc.

In The Ear (ITE):-

ITEs are custom hearing aids, which means they are tailor made according to the shape of the client’s ear canal. There are no components that are placed behind the ear as the whole aids is placed at the entrance of the ear canal. Despite their smaller size ITEs can have options for directional microphones and a longer battery life than the smaller custom hearing aids. They coveruptil moderately severe to severe loss. ITEs are now also equipped with better technologies than before and can be used wirelessly and connect to smartphones as well.

In The Canal (ITC):-

These hearing aids fit mostly in the ear canal with only a small portion visible at the canal entrance. They are just slightly smaller than ITEs and have a volume control or program button. ITCs are a great option for those looking to have discreet hearing aids that are still able to provide gains up to severe hearing loss.

Completely in the Canal (CIC) :-

TheThese hearing aids are almost invisible from the outside. They fit completely inside the ear canal of the user, and so, can make use of the natural localization cues provided by the external ear. They are the best option for those that have up to moderately severe hearing loss and want to keep their hearing aids hidden from view.

Invisible in the Canal (IIC):-

TThis is the smallest, most discreet type of hearing aids available as they are virtually invisible. The whole device fits deep inside the ear canal. It is the hearing aids of choice for those that have mild to moderate hearing loss.

Latest Advancements in Hearing aids

Rechargeability One of the most demanded features since years, and rightly so considering the hassle it was to carry, replace and take care of disposable batteries. It was also the rise of rechargeable wireless earphones in the market which pushed the initiative. Now all major brands provide hearing aids of different styles with the option of rechargeability.

Wireless Connectivity Another one of the useful features which are a demand of the times we live in, is Bluetooth and/or Wireless connectivity to the digital world around us. Now the hearing aids wearers can seamlessly connect their hearing aids to their smartphones, laptops, TVs, etc. Either directly or with accessories to aids the connection.

The client can perform the following when connected wirelessly to different devices.

Media Streaming – while connected to your smartphone and/or laptop, the user can directly stream the media being played on the device into the client’s ears.
Handsfree Communication – The user can pick up, reject, and converse on an incoming call directly through the hearing aids, handsfree.
Personalised Configuration– Through the hearing aids’s application on the phone, the user can personalise their hearing experience according to the need of the situation. The user can check battery percentage (rechargeable only), increase/decrease their volume, adjust sound quality, etc.

Remote Adjustment – Another feature which is the demand of scenarios like the COVID-19 Pandemic was remote adjustment of the hearing instrument. This enables the Audiologist to fine tune and adjust the hearing aids of the user according to the issues faced by the user at the comfort of their homes with their smartphone application.

Find my Hearing aids – With the discreteness and comfort, came some cases of elderly and children losing their hearing aids. Now the users can track their hearing aids last known location to find aids in finding their hearing aids.

Ear-to-Ear Connectivity – Our Ears are naturally connected to each other via the anatomy and nerves, but the hearing aids users often face difficulties in challenging situations such as speech in noise. Ear-to-ear connectivity allows the hearing aids to transfer data regarding the environment and the sounds present in it to be able to best identify the sound of interest and focus on that, rather than having speech and noise having equal emphasis. Another use of ear-to-ear communication is alerts when a hearing aids crosses the radius of connectivity thus, alerting the user of the hearing aids being dropped.

Tinnitus Management Tinnitus is one of the most common complaints of hearing-impairsed individuals, and its management with a tinnitus masker with the hearing aids is a great invention and a relief for individuals with bothersome tinnitus.

Assistive Listening Devices and Accessories

Hearing aids alone are not always capable of handling everydifficult to hear situation and/or the difference in technology may cause some connectivity issues.

Some of the commonly available Accessories are:

Phone Connector – This is an accessory used to connect mobile phones to the hearing aids. This is used for phones and/or hearing aids which do not have direct streaming available.

TV Connector – This accessory is used to connect the audio output of the TV to a connector which then transmits the signal to the hearing aids.

Remote Control –This Accessory is used to control the basic functions and sound properties of the hearing aids for patients who do not have compatible mobile phones. One can change volume, change the program, etc.

Table Microphone system – This accessory is used primarily by people who attend situations like a board meeting wherein, they need to catch voices from all around the table.

Remote Microphone – This accessory is for users who wish to listen to a speaker either far away or in a difficult situation like a noisy hall. It must be carried by the speaker or clipped to their dress for best SNR (Signal-to-Noise Ratio).

Combination Accessories – These are special and advanced accessories which are a combination of different accessories. Their mode can be changed for the desired usage and work as a complete solution.

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