Digital Hearing Aids
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Types of Hearing Aids       Hearing Aid Technology

The human ear does not just make sounds louder but it also process the sound information before transmitting it to the brain.  Some hearing losses only involve the loudness of sound.  These are called a "Conductive Loss".  A hearing aid will be expected to greatly benefit these patients.  However, many of the conductive losses can also be treated with medications or surgery. 

As we grow older, "nerve" or inner ear hearing losses become more common and often involve the processing of sound.  Hearing aids will help these losses but rarely restores the hearing to a normal condition.

Luckily, hearing aids have come along way in the last decade.  Improved filters and circuits have resulted in greater benefit to patients and improved patient usage.  The new digital hearing aids closely match the patient's hearing loss and provides even greater help in the understanding of sounds.   

Search PubMed for Tinnitus   Search PubMed for Hearing Aids

Hearing Aid Technology   Back to Top

All hearing aids, including digital hearing aids, are made up of a microphone, a receiver, and an amplifier.  The arrangement of these components and type of components determine how you hear with a hearing aid.

The least complex amplifier is a fixed analog signal processor.  The sound is taken in through the microphone and amplified by the signal processor.  The signal processor determines how much the sound is amplified, the slope the sounds are amplified, and the overall output of the hearing aid.  The amplified signal is converted to sound with the receiver.  Trim pots for low cut and high cut for frequency response is possible with fixed analog amplifiers to help better shape the sound to better fit your hearing loss, however these are difficult to add to the small completely-in-the-canal hearing aids and the shaping of the sound will not completely match the pattern of the hearing loss.

The next technological step is a programmable analog signal processor.  This amplifier works in much the same way the fixed amplifier, however it can be shaped and tuned via a computer connection which makes it possible to adjust even the smallest of hearing aids.  Typically there are controls to adjust high cut, low cut, gain, output, compression, and knee point.  These are far superior hearing aids to the hearing aids of 10 years ago.

The newest technological advancement in hearing aids is programmable digital signal processors.  These digital hearing aids, features patented algorithms based on new, advanced understanding of human hearing that delivers a more natural, lifelike listening and communication experience.  unlike the programmable analog signal processor the programmable digital signal processor is a tiny microprocessor (computer) that receives the sound form the microphone and shapes it with a computer than delivers the sound to the receiver into the ear.  The sound is much more natural in quality.  These hearing aids can be made in any style and are some of the smallest we have seen and without a doubt the most adjustable on the market today.

There are different levels of digital hearing aids available with the most advanced offering features such as feedback management, multi-channel expansion, adaptive noise management and wide dynamic range compression.  

Advantages of the Different Types of Hearing Aids   Back to Top
 
Hearing aids come in many different styles and models.  The four physical style of hearing aids are BTE (behind-the-ear), ITE (in-the-ear), ITC (in-the-canal), and CIC (completely-in-the-canal).  Generally speaking, the smaller the hearing aid the more expensive it will be.  The BTE and ITE are usually the least expensive with the ITC and CIC hearing aids more expensive.

All  types are available in analog, programmable and digital models.

BTE (behind-the-ear)
The BTE hearing aids are pre-made, not custom made, this is one reason for the lower cost.  They are used by children and persons with severe to profound hearing losses.  They connect to an ear mold which fits in the ear.  Because of the rate a child's ears grow they are more economical than custom shelled hearing aids because only the ear mold needs to be replaced

Key Benefits

bulletMost powerful of the hearing aid styles for severe to
profound losses
bulletGood for children because ear molds can be changed more
economically than the hearing aid shells
bulletCan more easily be used with auditory trainer or loop
system

 

ITE (in-the-ear)
The ITE hearing aids are the largest of the custom made hearing aids.  They can be fit in a wide range of patients, from mild to severe hearing losses.  Because of the size they are much easier to build than the smaller custom hearing aids.

Key Benefits

bulletInexpensive
bulletMicrophone closer to ear level than BTE
bulletCan fit a wide range of patients

 

ITC (in-the-canal)
The ITC hearing aids are the next smallest custom made hearing aids.  They are visible, however smaller than the ITE hearing aids.  They are more difficult to build because they are smaller and the placement of the electronics takes more time.

Key Benefits

bulletMicrophone is even closer to ear level than BTE and ITE
bulletMore cosmetically appealing
bulletFits hearing aids in the mild to moderate range

 

CIC (completely-in-the-canal)
CIC hearing aids have many benefits besides being discrete.  They are the smallest of the custom made hearing aids.  The electronics in the CIC hearing aids are miniaturized to the smallest possible size and carefully placed by hand in the tiny shell.  They are much more difficult to make than the other custom made hearing aids.

Completely-in-the-canal hearing aids have a number of potential benefits that are unique to them (Mueller and Ebinger, Seminars in Hearing 17:1, Feb 1996).

Key Benefits

bulletIncreased Gain
bulletIncreased Output
bulletReduced Distortion
bulletReduction of the Occlusion Effect
bulletReduction of Acoustic Feedback
bulletEase of Removal
bulletComfort
bulletSecurity of Fit
bulletTelephone Use
bulletListening with Headsets
bulletNo VC Wheel
bulletImproved Localization
bulletReduced Wind Noise
bulletFewer Wax Problems for the hearing aid loudspeaker
bulletCosmetic Appeal


Page last updated 04/20/2008 

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Copyright Kevin T Kavangh 1999, 2001, 2002, 2007

 

 

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