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01 HEARING 02 HEARING SYSTEMS 03 ACCESSORIES AND MORE ABOUT THE SENSE OF HEARING HEARING SYSTEMS FROM AUDIO SERVICE CHAPTER HEARING GET A BETTER UNDERSTANDING OF HEARING 04 – 13 From sound wave to sensation 06 – 07 Listen to yourself 08 –09 Pay attention to your hearing 10 – 11 Take the hearing test 12 – 13 CHAPTER HEARING SYSTEMS HEARING CONNECTS Fully enjoy hearing again All-round performance Hearing system designs Our expertise – Your benefits Experience maximum convenience 14 – 27 16 – 17 18 – 19 20 – 25 26 27 CHAPTER ACCESSORIES AND MORE THE KEY TO HEARING Perfectly adjusted to your needs The ultimate in ease of operation Simply a must 28 – 35 30 – 31 32 – 33 34 – 35 A kind word, good advice, an upbeat conversation. Human communication is diverse and colorful. It is the link to our environment, it informs us and enriches our life. Our sense of hearing allows us to take an active part in living with others – hearing, understanding and sharing are inextricably linked. However, if our hearing fades, then our quality of life diminishes too. For over 35 years Audio Service has been pursuing the aim of helping people with hearing impairment to enjoy their environment again with all their senses. In the following pages we would like to explain in greater detail the sense of hearing and its importance for speech comprehension and tell you more about what advanced hearing systems can do for you. Your Audio Service team CHAPTER 01 HEARING FROM SOUND WAVE TO SENSATION UNDERSTANDING AND REACTING IN RECORD TIME. Ossicles (hammer, anvil, stirrup) Cochlea Concha Auditory nerve INN LE EA R R AR EA RE ER DD TE Eardrum MI OU Auditory canal 7 T he world is full of sound. Sounds are waves which are gathered by the concha and directed through the auditory canal to the eardrum. This begins to vibrate, which then sets the three ossicles in the middle ear - hammer, anvil and stirrup - into motion. A membrane transfers the vibrations to the cochlea which is filled with fluid. There the sensory hair cells are set into motion, as a result of which the sound waves are converted into nerve impulses. Different sensory hair cells move, depending on the wavelength. The auditory nerve sends impulses to the corresponding areas in the brain where they are perceived as sounds. Only if these complex processes work perfectly is the original sound, such as speech, music, a ringing phone or some other everyday noise, correctly interpreted and triggers comprehension, reactions and also emotions within a fraction of a second. CHAPTER 01 HEARING LISTEN TO YOURSELF IDENTIFYING AND UNDERSTANDING THE FIRST SIGNS. Many people simply don’t notice the first signs of slowly deteriorating hearing or barely notice them over a long period and therefore ignore them. Although the ability to hear decreases slowly, this loss is not noticed at first because the usual auditory impressions seem unchanged. Initially, only the high frequencies are affected – wind noise or birdsong become steadily quieter and finally disappear completely from the usual auditory impression. Then speech comprehension also begins to decline more and more, only occurring in noisy situations at first. It then becomes impossible to clearly detect high unvoiced consonants which leads to frequent questions and misunderstandings. 9 THERE ARE SEVERAL LEVELS OF HEARING LOSS: SLIGHT HEARING DETERIORATION MODERATE HEARING DETERIORATION SEVERE HEARING DETERIORATION Perception range In addition, the brain tries to complete what was not heard and quickly tires as a result. So it’s especially important to interpret these signs correctly, particularly in the initial stages of hearing loss. Although our brain can compensate changes in hearing and hearing loss over a longer period, in the long term it loses the ability to recognize and decode sound signals. The result: the brain must first reacquire this ability. For this PROFOUND HEARING DETERIORATION Hearing deterioration reason, hearing experts recommend the timely use of hearing systems to prevent communication difficulties and limitations in quality of life from happening in the first place. CHAPTER 01 HEARING PAY ATTENTION TO YOUR HEARING THE EAR IS A SENSITIVE SENSORY ORGAN WHICH WOULD LIKE TO BE HANDLED WITH CARE. W ith our ear, we are continually connected to our surroundings. Like vision, hearing is an important sense for our social interaction. Yet, while we can close our eyes, our ear is in a state of permanent readiness. We are always perceiving sounds, even while sleeping. This has a long-term effect not only on hearing but also the autonomic nervous system. In addition to hearing loss, other physical symptoms can result as well. For this reason – protect your hearing. Avoid noisy situations, use earplugs, set a noise limit for devices you use with headphones and above all – give your hearing a break every now and then. 11 EXPERTS DISTINGUISH BETWEEN TWO TYPES OF HEARING LOSS: Conductive hearing loss is a functional disturbance in the outer or middle ear that can be treated surgically or medically or that, in specific cases, can be counterbalanced using hearing systems. sound waves may be directed perfectly into the inner ear, but they can’t be adequately processed as the sensory hair cells are often damaged. Here, the support of cutting-edge hearing systems is recommended. rt dp ho ne /c s ar dr iv La i ng w nm in ow tra Bi er ffi rd c so ng /n or m al W co hi nv sp er er sa in tio g n Qu ie tr oo m ce co n at a ke r 90-110 uu m us ic vi a ea 110 M Lo ud sp 120 Va c l fa l 130 he a of f ki ng ta e rp la n W at er dB 170 volume Ai N ew Ye a r's Ev e fir ec ra c ke r at t he ea r Sensorineural hearing loss affects either the inner ear, the auditory nerve or even both. The 65-85 Noise damages hearing permanently. The graphic shows the volume level of everyday sounds. Starting at 85 dB, the auditory cells can be weakened and damaged after long-term 55-65 40-60 30-40 20-30 exposure. Starting at 120 dB, sound is perceived as pain. Starting at 130 dB, health damage can occur; at 170 dB, there is a threat of complete hearing loss. CHAPTER 01 HEARING E veryone's hearing is different. Your personal hearing can only be checked with a hearing test. You therefore need to speak to a hearing specialist to arrange a personal appointment. The current level of technology offers effective hearing solutions that can meet your needs to a high degree and preserve your lifestyle, personal independence, and safety. Today’s hearing systems can reliably compensate for individual deficits. Worn discreetly in both ears, cutting-edge hearing systems work together with the remaining hearing ability and offer natural ambient sound and better speech comprehension. 13 TAKE THE HEARING TEST REGULAR CHECKUPS WITH YOUR HEARING SYSTEM SPECIALIST ARE THE BEST PRECAUTION. pitch low high quiet Normal hearing volume Speech range Limited hearing loud The graphic shows the reduced degree to which various sounds and the speech range are perceived in the case of typical hearing loss: everything within the light blue field is no longer heard. During a hearing test, hearing ability is checked in the different pitches. The audiogram resulting from this illustrates individual hearing ability and is the basis for selecting and setting hearing systems. HEARING AND COMPREHENSION CONNECT HEAR BETTER, LIVE BETTER. G ood hearing means having a high quality of life. Hearing systems by Audio Service ensure both with natural sound, better speech comprehension, and perfect spatial orientation. Hearing system shown in original size CHAPTER 02 HEARING SYSTEMS FULLY ENJOY HEARING AGAIN INDIVIDUAL Cutting-edge hearing systems are customized to HEARING personal hearing loss, generally by amplifying lowpitched tones differently to high-pitched tones. Loud and soft sounds are also often processed differently. Only in this way does the sound meet your individual needs and is pleasant and natural. Disruptive noise in the background, speech in the foreground: hearing systems reproduce the human brain’s natural function of filtering out unimportant signals and emphasizing those that are important. Hearing systems suppress disruptive background noise and emphasize speech. HEARING AND UNDERSTANDING SPEECH 17 SPATIAL HEARING Pioneering abilities: High sounds are needed for directional hearing – if they are no longer heard, the source of the sound can no longer be located. Modern hearing systems do not just supplement the missing sounds but they also detect which direction they are coming from. In street traffic, this is of particular importance and this also makes everyday life easier. To do this, the modern hearing system technology from Audio Service transfers the microphone signals from the right to the left hearing system and vice-versa. Processed together centrally, they deliver a new generation of spatial hearing (see p. 27). CHAPTER 02 HEARING SYSTEMS ALL-ROUND PERFORMANCE TO S U C THE WHOLE WORLD OF HEARING SYSTEMS. RIC / Receiver-In-Canal hearing systems are worn behind the ear and the receiver (speaker) is located in the auditory canal. This ensures a natural sound experience. RIC People today are as colorful and complex as the world they live in and access with their senses. Audio Service focuses on the sense of hearing and comprehension and offers the right hearing system for every individual need. This ensures that the world is easy to understand and full of variety M 19 M (ITE) Custom or ITE / In -The-Ear hearing systems offer favorable acoustics by virtue of their placement in the auditory canal. They combine maximum discretion with a perfect fit. B TE BTE / Behind-The-Ear hearing systems rest discreetly behind the concha, so they are very comfortable to wear and convenient to use. for everyone. Modern features such as connection with a variety of audio devices – via remote control with Bluetooth® wireless technology or via a smartphone using an app – provide support. CHAPTER 02 HEARING SYSTEMS Custom – THE DISCREET TECHNICAL MARVEL IN THE AUDITORY CANAL Custom or in-the-ear hearing systems are a cosmetically discreet solution for anyone seeking a system that is as inconspicuous as possible. They are worn directly in the auditory canal. State-of-the-art laser technology is used for precise fitting of the individually customized ear molds for the in-the-ear hearing systems in the auditory canal. This allows us to achieve a perfect fit, maximum discretion and unimpeded speech comprehension. The acoustic quality familiar to everyone is significantly influenced by the concha. It picks up sound coming from all directions, amplifies and concentrates it, and passes it on to the eardrum. In-the-ear hearing systems retain this natural directional effect of the concha well, since they are located in the auditory canal and pick up the sound and amplify it right next to the eardrum. Various performance characteristics and features are available to meet individual needs. Different types, from the virtually invisible DIC Icon to the Ida canal device, complete the range supplied by Audio Service. CHAPTER 02 HEARING SYSTEMS Behind-the-ear hearing systems rest discreetly behind the concha, so they are very comfortable to wear. The sound received is amplified by the receiver and directed through the sound tube into the auditory canal. Depending on the individual hearing impairment, the tube is held in place either by a customized ear mold or a standard ear mold. Audio Service BTE models can compensate for many different types of hearing loss. This style of hearing systems offers a large selection ranging from basic to high-tech hearing systems. Depending on the hearing deterioration, the housing shape varies from the small XS for slight to the HP for severe hearing loss. Many elegant housing designs and a large selection of colors allow you to decide whether you’d rather wear a discreet hearing system or consciously emphasize it. BTE – THE ALL-ROUNDER BEHIND THE EAR 23 XS – Exceptional design DUO – Modern and comprehensive P – Powerful for advanced hearing loss HP – For greater amplification CHAPTER 02 HEARING SYSTEMS The design of RIC hearing systems allows for a particularly small housing. In this case the receiver (speaker) rests directly in front of the eardrum inside the ear, while the hearing system is located behind the concha. Both elements are connected by fine cables that run through a discreet tube. The hearing system microphone reproduces the ambient auditory impression of the concha and carries the sounds directly to the receiver in front of the eardrum. Working together with the remaining hearing ability, the best possible reproduction of sound, sense of space, and speech comprehension is created. Individually crafted ear molds hold the receiver in the auditory canal and guarantee optimum wearing comfort. Depending on the degree of hearing loss and personal requirements, RIC hearing systems are available in a range of different sizes and amplification versions. quiX – THE ALTERNATIVE TO THE RIC HEARING SYSTEM – quiX is worn directly in the auditory canal which makes it virtually invisible. The standard housing with an exchangeable standard ear mold offers an instant hearing experience. RIC – HEARING SYSTEMS TAKEN TO A NEW LEVEL 25 Rixx – Discreetly small Mood – For the most demanding requirements Sun – Powerful and energy-efficient quiX – The alternative to the RIC hearing system 27 EXPERIENCE MAXIMUM CONVENIENCE HIGH-END HEARING SYSTEMS OFFER A RANGE OF CONVENIENT FUNCTIONS. Connectivity due to a Bluetooth remote control permits connection to various audio devices. The audio signals are transmitted to the hearing systems. Optional use of apps increases ease of operation. Binaural signal processing enables both hearing systems to be coordinated to each other and thus reconstruction of natural hearing with both ears. This is genuine spatial hearing which you can even control. Thanks to intelligent energy management all functions are used efficiently. Even at top performance the hearing systems use only little power. Wireless synchronization of both hearing systems produces a natural, balanced and agreeable sound. Automatic functions (artificial intelligence) automatically identify the situation you’re in and optimize the technical settings. THE KEY TO HEARING HEARING COMFORT TAILORED TO YOU. F or your optimal hearing experience, we also have a wide range of accessories and feature options available to enhance your perfect hearing experience. Your hearing system specialist will be happy to advise you on making the right choice. Hearing system shown in original size CHAPTER 03 ACCESSORIES AND MORE PERFECTLY ADJUSTED TO YOUR NEEDS WIRELESSLY CONNECTED WITH WEARABLES. W earables are small technical devices that are worn directly on the body or under clothing and enable connection to other smart devices. Hearing systems also belong to the wearables category. With an optional wireless remote control or using a smartphone with the app, you can be connected to other audio devices and mobile terminals. Audio data with excellent speech and sound quality are transmitted directly to your hearing systems, and you can experience music and speech in top stereo quality. In this way, hearing systems become wireless headphones. They provide you with the ultimate convenience and comfort. SmartConnect 31 FUNCTIONS OF THE BLUETOOTH REMOTE CONTROL: Smart Connect 2 1 3 4 5 5 6 1 Wireless remote control This multifunctional remote control system is a control unit, transmitter, receiver and microphone rolled into one. 4 Phone calls Interference-free and with excellent speech quality. The hearing system becomes a convenient headset. 2 Transmitter This functions as a Bluetooth adapter between the selected audio source and the remote control. 5 Listening to music In outstanding stereo quality. Without background noise and without disturbing others. Hearing comfort like with a wireless headset. 3 Television News, entertainment programs or feature films in stereo quality – high-speed data transmission ensures perfect synchrony between images and sound (lip-sync). 6 Computer Audio data from the computer – watching videos or playing games becomes a pleasure. Additional functions: A telephone coil for using induction loops, for example, in churches and theaters. An audio input for using FM systems. CHAPTER 03 ACCESSORIES AND MORE THE ULTIMATE IN EASE OF OPERATION THE SMARTPHONE AS A REMOTE CONTROL. A pps give you the option of both conveniently and discreetly controlling the hearing systems using a smartphone. Two different Audio Service apps are available for this. The Smart Remote app works without any other accessories. The hearing systems are operated with the smartphone using high-frequency sounds. This way, hearing programs and volume can be personalized and adjusted without anybody even noticing. The latest technology also allows you to specify the direction and width of the focused area which you wish to listen to. 33 The Smart Connect app is available as a supplement to the Smart Connect remote control with Bluetooth® wireless technology. The combination of remote control and app allows intuitive and simple hearing system operation. Along with program selection, volume and tone settings, the directional characteristics of the hearing systems can also be specified, depending on the technical features. This is a major advantage in challenging hearing situations, such as in the theater or opera. Using the smartphone as a remote control is especially practical if you do not have Smart Connect with you. s a ta NOW AT DownloadthefreeSmart Remote app or Smart Connect app now ACCESSORIES & APPS ACCESSORIES & APPS CHAPTER 03 ACCESSORIES AND MORE SIMPLY A MUST NOTHING TOPS OUR HEARING SYSTEMS. Filter systems Specially developed filters, singly or in combination, protect the delicate microphones and speakers and keep the sensitive technology inside the hearing systems clean. They are also used for distinguishing between left and right. IP67 certification Virtually all Audio Service BTE and RIC hearing systems are IP67-certified which means that they are water-resistant and dustproof. Surface finishes All Audio Service hearing systems have the ComforClean surface finish. Dirt and moisture simply roll off the surface, making it easy to care for your hearing system. Positive secondary effect: it extends the service life of your hearing system. But that's not all. On request, in-the-ear hearing systems can be given the ComforMed antibacterial and anti-germ finish we have developed in-house which ensures that the natural balance in the ear is maintained. 35 USEFUL ACCESSORIES MAKE LIFE EASIER. Rechargeable or disposable batteries Selected hearing systems can be operated with either a disposable or a rechargeable battery. For rechargeable batteries, an attractive charging station is available as an option. Remote controls Optional for most RIC, BTE and in-the-ear hearing systems. A remote control provides a convenient way to switch to another hearing program and change the volume.