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Hearing Aids (HA) Or technology to the rescue Upcoming Talk: Isabelle Peretz Musical & Non-musical Brains Nov. 22 @ 12 noon + Lunch Rm 2068B South Building Finishing up with Tinnitus One last method of treatment Tinnitus retraining therapy Habituation to tinnitus sound to reduce aversiveness HA Basics BTE ITE In the ear ITC Behind the ear In the canal CIC Completely in canal HA History Ear trumpets Prehistoric Speaking tubes (17th century) In-ear, around ear Limited frequency range Direct sound from mouth Aurical Aids Hollowed ram horns Effective at less than 1000 Hz Artificial ear drums (19th century) Perforated ear drum Try to insert rubber, cotton or dermal layer Wire attachment to ossicles Ineffective Early Electronic HAs Carbon-based (early 20th century) Carbon microphone Sound Diaphram: moves carbon globules Problems Static, no additional amplification Bulky, large battery Benefits Motion of carbon in electric field creates current Gain 30 dB SPL Greater frequency range (500 – 2000 Hz) Vacuum Tube (circa 1920) Multiple vacuum tubes response to current in microphone Problems Expensive, Multiple batteries, bulky Benefits Powerful (up to 140 dB SPL gain) Analogue Technology (75% sold) HA: no more vacuum tubes by 1953 Transistors introduced 1952 Transistors: Cheaper to produce, much less energy required, equal power Head-mounting Allowed for integrated circuits Multiple transistors & resistors in same area Benefits Eye-glass, Barrettes Cheaper, less bulky, improved frequency range Problems No signal processing All linear changes in amplification HAs Design Microphone Amplifier High/Low pass filters Attenuators Adder Variable gain amplifier speaker (output) Digital HAs (25%) Convert analogue signal to digital Advantages Much greater capacity for signal processing Less energy consumption Preprogrammed environments Lighter Cheaper to produce Problems Programmability? HA Effectiveness HOH Population 40% neutral or dissatisfied with HA (Cochran, 2002) No difference between Digital & Analogue Problems Battery 100 hrs (1 week to 10 days) Will run out, must be replaced/recharged Limited benefit in noise Best if 1 meter or less