HEARING AIDS
DB HL (HEARING LEVEL)
Tenemos dB SPL que es Sound Pressure Level y tenemos dB HL que es el Hearing Level .
0 en dB HL is defined as the average in normal hearing ears.
Podemos convertir db SPL en dB HL usando tablas de conversión, y el factor de conversión es
la frecuencia.
AUDIOGRAMS: PURE-TONE HEARING THRESHOLD
Definition of normal hearing: Air conduction thresholds Normal if<20 dB HL in the range 500-
8000Hz.
Normal bone conduction thresholds match the air conduction thresholds.
ORIGING OF HEARING LOSS
Cochlear or sensorineural hearing loss: >20db HL in 500-8000Hz
-Air and bone conduction thresholds are affected similarly
-HF or LF hearing loss
Conductive hearing loss: >20dB HL in 500-8000Hz
-Bone conduction is unimpaired at all frequencies
-Flat hearing loss
TYPES OF HEARING AIDS
-BTE(behind the ear): mic-amplif-receiver
-ITE(in the ear )
-ITC(in the canal)
-CIC(completely in the canal)
GENERAL SCHEMA OF HEARING DEVICES
HEARING AIDS – AMPLIFICATION
Its function is to boost the level of the electrical signal that is delivered to the hearing aid’s
loudspeaker.
The amplification is divided into two stages.
1. Filtering
2. True amplification(GAIN)
The FILTER is used to control how much amplification occurs at certain frequencies.
HEARING AIDS – FILTERING
The frequency spectrum of the incoming signal is filtered by the device.
The frequency response of the filter re-shapes the incoming spectrum, resulting in a filtered
signal spectrum(B).
GAIN LINAR VS NON-LINAER
LINEAR hearing aid circuits: constant gain
NonLINEAR: hearing circuits: gain is a function of the input level
ABSOLUTE AND RELATIVE RESPONSE
LOUDNESS-LINEAR GAIN
A linear hearing aid amplifies both soft and loud sounds with the same gain
Moderate intensity sounds result comfortable, but high intensity sounds can be too loud
LOUDNESS-NON LINEAR GAIN
A non linear gain provides different amplification at different input levels
The non linear loudness growth compensates for the higher slope of the loudness curve in
sensorineural hearing loss ears.
OUTPUT LIMITING-COMPRESSION
PROGRAMABLE HEARING DEVICES
The response parameters of the hearing device can be manipulated with flexibility and relative
ease under computer control.
Advantages:
- Multiple channels with non-linear compression
- Multiple memories to store different programs
- Extremely useful in fitting young children
HEARING AIDS – SOME ISSUES