| |
 |
Programmable hearing aids are a special kind of hearing aid that can be "programmed" through computer software. The software is
provided by hearing aid manufacturers to support their
products.
In the picture to the left, notice
a small piece of hardware between the computer screen and mirror. The
patient's hearing aid and computer software are
interfaced through this hardware using specially designed cables.
The main advantage is that with today's digital products, more fine tuning can be incorporated into the patient's hearing
aids. The disadvantage is that for any modification to be
made, the patient must be hooked up to the audiologist's computer.
|
The benefits of programmable
hearing aids to patients include:
- Multiple
Programs: Two to four separate programs that are appropriate
for different listening situations can be loaded into the device. For
instance, the user can use one program for listening in quiet, another
program for listening in a background of noise, and a third program for
speaking on the telephone. Switching from program to program can be done
by means of a remote control or with a toggle switch or push button on the
instrument.
- Wide
Dynamic Range Compression: A major problem for people with
sensorineural hearing loss is discomfort as a result of changes in sound
intensity. Typically, patients' tolerance for low-frequency sounds is
different than their tolerance for high-frequency sounds. By accounting
for these differences, digital/programmable
hearing aids can be set so that low-intensity sounds will remain audible,
moderate-intensity sounds will be comfortably loud, and high-intensity
sounds will be loud but not uncomfortable for all frequencies.
- Reduction
Of Background Noise: By using two separate microphones,
one facing toward the front and the other facing toward the back, hearing
aids can effectively minimize distracting noise from the back while
emphasizing the desired signal from the front. This has been one of the
most substantial advances in hearing aid technology, because it directly
addresses a common and difficult complaint of patients with sensorineural
hearing loss: listening in a background of noise.
- Feedback
Suppression: Because a hearing aid does not create a perfect
seal with the ear canal, some of the amplified sound will travel around
the shell and escape into the air. Under certain circumstances, for
instance if a hand is placed over the aided ear or if a telephone is
placed on the ear, this escaping sound will be reflected back into the
microphone of the hearing aid and be re-amplified. As this continues to
occur, acoustic resonance occurs which can produce an annoying whistling
sound. Digital hearing aids are able to sense when this feedback will
occur and will automatically compensate for the unwanted sound so that
feedback occurs much less often. This is one of the most important
advantages of digital hearing aids.
- More
Natural Sounding Perception Of One's Own Voice: Most people who
are new to wearing hearing aids comment that their own voices sound
different to them. This often occurs simply because something has been
placed in the ears. For instance, just covering your ears with your
fingers will probably give you an echo-like perception. Several
manufacturers have developed hearing aids that can be fitted with only
minimal occlusion of the ear canal so that your own voice sounds more
natural. This kind of fitting typically is limited to people with
high-frequency hearing loss but normal hearing in the low frequencies.
top |
|
|
|