Hearing Aids

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All About Hearing Aids:
While hearing aid technology is advancing faster than even computers and can be confusing to the lay person, all hearing aids do one thing and that is to increase amount of information received in the auditory cortex of the brain.

How that happens differs depending on the type of technology employed. All hearing instruments a microphone which picks up the sound in the environment. Some of the more advanced products even have two and are usually referred to as "Directional". 

Conventional: hearing aids have been around with very little changes except for the size of the components since the first transistor hearing aid of the late 1950's. These hearing aids make everything louder and usually have one or two switching transistors and are known as Class 'A' or Class 'B' amplifiers. the advantage to a conventional hearing aid is the price which will run from a low of $395.00 to $1895.00 depending on the size, manufacturer and features included.  

Advanced :hearing devices first started to appear in the late 1980's and were the first devices which allowed more precision in the fitting process. Often having several hundred transistors on an integrated circuit chip they provided a much clearer sound quality and lowered the high distortion found in previous aids when background noise started to increase. Most advanced hearing devices also have compression which will start to automatically reduce the amount of amplification provided as sounds grew louder. Advanced devices start at $660.00 and will range to $2395.00 depending on size, manufacturer and options.

Programmable: hearing instruments started to appear in the mid 1990's and have become very good at allowing the hearing professional to make fine adjustments using a computer while the patient is wearing the instrument. While all hearing aids can be considered programmable (by adjusting small screw settings or switching internal components) Industry standards are dictating the terminology refer to instruments where the parameters are adjusted digitally (not to be confused with a Digital unit) with the use of a computer or hand held programmer. Sound quality and adjustments vary widely as does These units have mostly been made obsolete by the Digital instruments.

All of the above listed products are known as "Analog" hearing aids and use an amplifier, to increase the sound. and then send the amplified signals to a speaker also called in the industry a receiver. Just like any other consumer product some of the devices are much better than others.

Digital: or Digital Signal Processors (DSP) while they will not restore your hearing to normal, because of the way they function can provide most of the hearing impaired population all of the auditory cues available to normal hearing individuals. DSP units also utilize one or two microphones and a receiver this is the only similarity between the two. It's critical to remember that while all Digital units are programmable but not all Programmable instruments are digital. The difference in sound quality between Analog and Digital has been compared to the difference between records and CD's.  Pricing for Digital devices start at around $1000.00 and can go as high as $3950.00 per unit

 
More information can be found in "The Consumers Guide to Hearing Aids" published by The Wilson Company.

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