If you are found to have a hearing loss, you will have many styles of hearing instruments from which to choose. Your hearing health professional will help you select the model that is most appropriate for you. He or she will take into consideration the type of hearing loss you have, your lifestyle, and your budget.
Your hearing health professional might recommend that you be fitted with two hearing aids for maximum listening ease. We refer to this as a "binaural" fitting. Just as you have two hears, having hearing instruments in both ears helps you better understand speech and identify the source of sounds.
CIC (Completely in the Canal)Our smallest custom hearing instrument, CIC fits securely in the hearing canal. The CIC is nearly invisible to the naked eye, making it perfect for those who are cosmetically conscious. A CIC hearing instrument is often a good choice for a mild to moderately severe hearing loss.
Open
FitSmall and cosmetically
appealing, Open Fit is ideal for high
frequency loss.
ITC
(In the Canal)
ITE custom hearing instruments fit securely in the outer portion of your ear. This position allows for easy volume adjustments. ITE instruments can be fit with a wide range of circuit options including digital, programmable, and directional microphone.
BTE (Behind the Ear)The BTE fits directly
behind the ear. BTE's are ideal for persons
who need significant power, made possible by
a larger battery compartment. BTE's are also
an excellent choice for children, who can
quickly outgrow in-the-ear type instruments.
Class A Analog Circuitry
The Class A amplifier is the amplifier first introduced in hearing aids. Therefore it is the least expensive and best understood amplifier.

Class D Analog Circuitry
The
Class D
amplifiers are more complicated, but
essentially they have an oscillator which
oscillates at 220 kHz, this oscillation is
divided to create a square wave of 110 kHz.
The square wave is further converted to a
triangular wave by the integrator, and the
amplified audio signal input that we wish to
hear is added to the triangular wave via the
adder circuit. The circuit contains a "duty
cycle modulator" which generates a positive
voltage for everything above threshold and a
negative voltage for signals below the
threshold level. A series of pulses remains.
Loud sounds are coded via wide pulses while
soft sounds have narrow pulses. The
advantage of such a system is that the
system is on only when there is an incoming
signal present. Consequently, battery life
is improved in the Class D amplifier. Also
the amplifier is much smaller than either
the Class A or B. This amplifier reduces
harmonic distortion under higher input
levels. The average hearing aid user is able
to hear louder sounds with much less
distortion when this amplifier is compared
to the Class A or B amplifiers. The quality
of sound is much improved. Most hearing aid
fitters are choosing the Class D amplifier
because the hearing aid user will gain much
clearer, non-distorted sound, even in
noisily situations.

Full Digital
The digital processing circuits are using many of the principles of sound management which are described in the compression circuits listed above. They all are doing some type of sound compression to control how loud the sound get. They usually have adjustments for the kneepoint and the output limiting. They also are able to enhance soft sounds. When the instrument senses speech sounds below your threshold they will increase the sound until you should be able to understand the speech. How long has it been since you have been able to understand when someone whispers?
The digital instrument actually changes the sound from the analog signal into a digital format of zeros and ones. This is where all the sound processing is done. This helps eliminate some of the distortion problems found in analog sound processing. They are also able to sample the incoming sounds. When it finds a "steady state" noise, the instrument will not increase the volume of that sound and will only enhance what it recognizes as speech. Therefore, you usually do much better in noisy situations then with a analog hearing aid circuit.





