Is the Telecoil Making a Comeback?

Is the Telecoil Making a Comeback?

In the past few years, hearing healthcare professionals have, in general, moved away from the telecoil, a hearing aid feature that was necessary in the past to assist hearing aid users with hearing on the telephone.  Technology as of late has improved significantly. Enough so that the telecoil is not necessary for most patients.  However, due to the additional perks of having a telecoil, it appears to be making a comeback when it comes to hearing aids.
Before we can understand these additional perks, we need to understand the telecoil itself.  So what exactly is a telecoil?  It is a small coil of wire that is designed to pick up the magnetic signal that is emitted by a telephone.  This sends the signal from the telephone directly into the hearing aid wearer’s ear.  Initially, one could access their telecoil by flipping a switch or pressing a button on their hearing aid.  Some hearing aids are still designed this way, but others now directly and immediately connect to the telephone when it is held up to the patient’s ear and hearing aid which eliminates the need to press a button, providing improved ease of use.

The telecoil used to be a necessary feature because of a little issue called feedback.  Ask anyone who wore a hearing aid in the past if their aids ever whistled at them. Chances are, they will say yes.  This irritating whistling sound is called feedback, and can be caused by closing up the space between a hearing aid microphone and speaker, ie; by cupping your hand over the hearing aid or by putting a hat on, hugging someone, or putting a phone up to the hearing aid.  The good news is that hearing aid manufacturers have greatly improved feedback suppression, an algorithm that helps eliminate feedback before it is an issue, in modern hearing aids, therefore lessening the need for the telecoil.

There was a period of time in which telecoils were not offered in certain hearing aids because they were no longer as necessary.  Eliminating the telecoil enables manufacturers to make smaller hearing aids, which appeal to those of us that are cosmetically conscious.

However, as previously mentioned, recently, the telecoil appears to be making a comeback.  Not necessarily because it is needed to communicate on the telephone, but because of the increasing popularity of loop systems.  A loop system is a copper wire that can be connected to a PA system.  This wire sends the signal of interest (a person speaking into a microphone, a movie, theatre production, etc) directly into the hearing aid wearer’s ear. What constitutes whether or not your hearing aid is loop system compatible? The telecoil.  Only hearing aids with telecoils have access to these looping devices.  Because of this, hearing healthcare providers are beginning to counsel their patients more extensively on the benefits of having a telecoil in order to assist patients in their decision on whether or not a telecoil is a must in their hearing aid or not.

As already stated, the main benefit to not having a telecoil is the ability of being able to wear a smaller hearing aid, so you must weigh your pros and cons carefully in order to make the best decision for yourself.  Find a local hearing healthcare provider to assist you in the decision making process by clicking here

Starkey Introduces New Wi Series

Starkey Wi Series Hearing aidStarkey has joined the Bluetooth craze with its introduction of Wi, the new product line designed to eliminate whistling, provide improved understanding in background noise, and stream audio from televisions, radio and computers wirelessly to your hearing aids.

The Wi series works in conjunction with the Starkey SurfLink Media streamer, which Starkey touts as a “set it and forget it” wireless transmitter that you simply plug into your TV or other audio devices with no need for a pairing procedure to the hearing aids.  Once the device is plugged in, you can simply enjoy unrivaled sound quality sent directly to your hearing aids.  Transitioning of the connection to another audio device is simple; just move to the room with another SurfLink and the devices will connect automatically for you! Now your friends and family members can enjoy listening to television at their comfort level while you have access to the volume necessary for you and your hearing loss.

The Wi series is available in two receiver in the ear styles, both Standard and Absolute Power; providing your hearing healthcare professional more flexibility to better fit your hearing loss.  In addition, for those who prefer having control over their hearing aids, the Wi series comes with an optional SurfLink remote control which provides access to volume and program changes in the hearing aids.

To determine if the Starkey Wi series is right for you, make an appointment with your local hearing healthcare provider.

Envoy Medical Corporation Unveils The Esteem

Envoy Medical Corporation recently unveiled the newest surgical option for hearing impaired individuals after obtaining approval for commercial distribution from the FDA in March 2010. The Esteem, a fully implantable hearing device, is the first and only hearing device that does not use a microphone or a speaker.  It can be worn at all times and, unlike a traditional hearing aid, does not have to be taken off during showering or swimming.

The Esteem is comprised of a sensor, sound processor and a driver, all of which are surgically implanted into the middle ear.  The sensor attaches to one of the tiny bones, called the incus, in the middle ear. These bones pick up sound vibrations from the eardrum and convert them from mechanical energy to electronic signals. The sound processor, implanted outside of the middle ear, receives the electronic signals from the sensor and sends the information to the driver.  The sound processor is the component of the device that can be programmed by your hearing healthcare provider.  The driver is cemented to another of the middle ear bones, the stapes, and converts the electrical stimulus back to mechanical stimulation, which is then sent to the inner ear.

Users of the Esteem receive a personal programmer, which acts as a remote control so that the user can turn the Esteem on and off, change programs and control the volume of the device.   The battery for the device is an estimated 6 to 9 years, at which time the battery is replaced via a surgical procedure.

Currently, candidacy for the Esteem is as follows:

  • 18 years of age or older
  • Stable moderate to severe sensorineural hearing loss (hearing loss caused by a deterioration or abnormality in the inner ear or hearing nerve) The *Esteem is different than a cochlear implant as a cochlear implant is a device implanted into the inner ear and is appropriate for those with hearing losses that are profound in nature.
  • Minimum of 90 days of experience with a traditional hearing aid
  • Normal middle ear, eardrum and Eustachian tube function

The most common side effects experienced by users of the Esteem implant are:

  • Taste disturbance (metallic taste caused by severing of Chorda Tympani nerve.  Occurred in 60% of trial cases)
  • Pain
  • Dizziness
  • Nausea
  • Device Failure

Esteem is still in the early stages of implementation, thus there are only a handful of surgeons that are licensed to perform the surgery.  Surgeons must complete a three part training and only about 30% of surgeons pass the training.  Currently, there have been 500 Esteem surgeries completed.

The cost of the Esteem is $30,000 per ear.  The downside is that the surgery and device are not covered by insurance, thus the price is out of pocket.  The battery replacement runs around $4,500 to $5,000 for each device.  Envoy does provide financing options for the Esteem.

The Esteem device is not without controversy.  The company states that if the device fails or if the benefit is unsatisfactory, another surgery is required.  During the process of implantation, one of the bones of the middle ear is cut, therefore requiring a prosthesis if the device is removed.  There is a significant drop in hearing when the device is turned off, even more significant than what the wearer’s hearing loss was prior to surgery due to the disarticulation of the middle ear bones.  In addition, individuals with the Esteem implant cannot undergo MRIs due to the metal components of the device.

For more information on the Esteem middle ear implant, visit http://www.envoymedical.com/

ReSound Unite Mini Microphone

ReSound Unite Mini MicrophoneReSound, one of the world’s leading hearing aid manufacturers, introduced the ReSound Unite Mini Microphone at the American Academy of Audiology convention held in Chicago earlier in April of this year.

ReSound is the creator of the Alera product line, a family of hearing instruments that has changed how we perceive wireless technology implementation in hearing aids.  Various accessories can be used with the Alera instruments to improve sound quality of television, telephones and various other Bluetooth devices.

However, ReSound has once again gone above and beyond by creating a microphone that can be used in conjunction with the Alera instruments to aid in improved conversation.  The Mini Mic works as an FM system, which is a device that essentially transmits the voice of a person speaking into a microphone directly into the hearing aids of the listener. The Mini Mic opens up a whole new world to Alera users, whom did not have prior access to FM system use with the Alera instruments.  The Mini Mic can be clipped onto the collar of the person that is speaking and is very lightweight and discreet.

Added bonus- the Mini Microphone can be plugged into external audio devices like iPods and various other MP3 players, thus streaming music directly into your hearing aids!

Starkey AMP Review

Starkey Amp Hearing AidThere is a new hearing aid on the market, and it’s designed to appeal to those of us that need amplification, but aren’t ready for a traditional hearing aid. Introducing Amp, the virtually invisible amplifier that was designed especially for first time hearing aid users. Amp was created by Starkey, one of the world’s leading hearing aid manufacturers.

Starkey claims that Amp acts as a miniature amplifier and can be used with many levels of hearing loss. It can be fit in one visit and fits deep into the ear, providing users with a cosmetically appealing hearing device. Because of where the aid sits in the ear canal, it claims to provide users with more natural hearing. The Amp is programmed by a hearing healthcare professional to match your specific hearing needs and, according to Starkey, is an improvement over Lyric, the virtually invisible analog hearing aid that remains in the wearer’s ear for up to four months, because Amp has the latest in digital hearing aid technology and is removed daily, providing better hearing and ear canal health.

Amp comes in three different sizes; small, medium and large. Almost 70% of hearing impaired individuals can benefit from the amplification that Amp provides. Amp uses a regular size 10 hearing aid battery and comes with a magnetic tool that allows wearer’s to increase and decrease the volume. To find out if you are a candidate for Amp, contact your local hearing healthcare professional or visit www.amphearing.com to find a qualified hearing professional near you.

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