Parts of a hearing aid: components and accessories

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How are hearing aids manufactured? Consider hearing aids as compact ear-level computing devices. While it's not mandatory to comprehend the intricacies of hearing aid technology to utilize them, having a fundamental grasp can enhance the ease of their use. Familiarizing with the essential components of a hearing aid can also be advantageous. Let's delve into the hearing aid parts and their respective functions.

What is a hearing aid?

A hearing aid is a sophisticated electronic device designed to enhance auditory perception for individuals experiencing hearing loss. It consists of several key components, including a microphone, an amplifier, and a speaker. Powered by batteries, hearing aids often incorporate advanced digital technology and signal processing to tailor the listening experience to the user's specific hearing needs. These devices play a crucial role in improving the overall quality of life for those with hearing impairments by helping them engage more effectively in conversations, enjoy various activities, and navigate their surroundings with greater ease. Hearing aids are available in different styles and sizes, catering to diverse preferences and degrees of hearing loss. Consulting with a qualified audiologist ensures proper fitting and customization, maximizing the benefits of this valuable assistive technology.

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How do hearing aids work?

Hearing aids operate through a comprehensive three-part mechanism:

  • Initially, the microphone captures incoming sounds, transforming them into digital signals 
  • Subsequently, the amplifier elevates the potency of these digital signals
  • Lastly, the speaker transmits the intensified sound into the ear

This intricate process allows individuals with hearing impairment to experience an enhanced auditory environment. The microphone's role in signal conversion, the amplifier's function in signal fortification, and the speaker's task in delivering intensified sounds collectively contribute to the effective functionality of hearing aids. 

Types of hearing aids

There are numerous designs of hearing aids, yet they can all be classified into three prevalent types: behind-the-ear (BTE), in-the-ear (ITE), and receiver-in-canal (RIC) devices.

  • BTE Hearing Aids: Positioned behind the ear, these aids channel sound through a clear tube. Despite their larger size, they incorporate advanced features like direct audio streaming and rechargeability. With bigger batteries, they boast an extended battery life, making them ideal for individuals with severe or profound hearing loss.
  • ITE Hearing Aids: Tailored to fit snugly inside the ear canal, these aids are compact and discreet. Loaded with advanced features, they suit an on-the-go lifestyle, making them a perfect choice for those who wear glasses.
  • RIC Hearing Aids: Among the most popular, these aids share similarities with BTE counterparts, but they are slimmer and smaller. Offering a natural listening experience and discreet aesthetics, RIC aids amplify sounds across all frequency ranges, catering to individuals with varying types and degrees of hearing loss.

Regardless of the type you use, all hearing aids consist of the same fundamental structures that aid in the processing and amplification of sound. The primary distinction between styles lies in the placement of these components within the ear and the potency of these parts in the hearing aids.

The main parts of a hearing aid

The essential parts of a hearing aid that contribute to its effectiveness:

Hearing aid case

Hearing aids are accompanied by individual cases designed to house and safeguard their components. These cases come in various types, with some offering waterproof features for added protection. Primarily, the purpose of these cases is to secure the safe transport of the hearing aid device. The diverse range of case options ensures that users can choose one that aligns with their specific needs, whether it is to enhance protection against environmental factors or additional durability during travel. Beyond mere storage, these cases play a crucial role in preserving the functionality and longevity of the hearing aid, making them an integral accessory for users seeking to maintain the optimal performance of their devices.

The microphone

A vital component in every hearing aid, the microphone serves the crucial role of capturing sounds while effectively minimizing background noise, ensuring that users experience clear and easily discernible auditory input. This component is intricately linked to the speaker, which then delivers the processed sound to the individual based on their specific hearing requirements.

The most recent advancements in hearing aid technology feature "directional" microphones, which represent a noteworthy enhancement. There are distinct types available:

  • Omnidirectional: Captures sounds from all directions, including the front, back, and sides of the wearer. Typically found in hearing aids, it works effectively in quiet environments like homes or during nature hikes. However, in noisy settings with high-volume background noise, it may not be the optimal choice due to its equal pickup from all directions.
  • Directional: Picks up sound from a specified direction, commonly the front in the case of hearing aids. Ideal for noisy settings, it enables the wearer to concentrate on sounds from the front, minimizing background noise distractions.
  • Adaptive directional: Captures sound from one direction but adjusts its pointing based on speech and sound signals. This provides the wearer flexibility to move comfortably between environments with different noise levels.

This evolution in microphone technology allows for a more tailored and versatile auditory experience, adapting to diverse situations and user preferences.

The speaker

This earpiece is intricately linked to the microphone, collaborating to deliver a seamless hearing experience encompassing both internal and external sounds. The coordinated functionality of the earpiece and microphone is fundamental to the overall effectiveness of the hearing aid system. The electrical signals are transformed into acoustic signals, which are the sounds you perceive. The speaker's role is to convey these sounds from the amplifier into your ears. The placement of this component in or on the ear varies depending on the extent of hearing loss.

Hearing aid amplifiers

An indispensable component within the hearing aid system, the amplifier plays a crucial role in augmenting the sounds captured by the microphone before transmitting them through the earpiece.

Throughout this mechanism, the amplifier extends the reach of the sound, broadening its impact. However, it's important to note that not all sounds undergo uniform amplification. The amplifier, often referred to as a microprocessor, employs meticulous adjustments to selectively process specific sounds. Subsequently, it directs these refined sounds towards the eardrum. Essentially, the hearing aid functions as a miniature computer, strategically enhancing certain sounds while effectively eliminating others, particularly background noise. This sophisticated processing ensures that the user receives an optimally refined auditory experience tailored to their unique hearing needs.

Hearing aid batteries

Every hearing aid comes equipped with a battery compartment. Notably, advancements in technology have introduced rechargeable options, allowing certain hearing aids to operate for an extended duration of up to 24 hours on a single charge. This innovative feature not only provides convenience to users but also represents a sustainable and eco-friendly approach by reducing the need for disposable batteries. While single-use batteries are typically utilized in hearing devices designed for individuals with significant or profound hearing impairment, as these devices demand higher battery capacity. 

The versatility of hearing aid battery options ensures that users can choose the most suitable power source for their hearing aids based on their preferences and lifestyles.

Optional components

After detailing the essential components of hearing aids, let's explore the additional components. Nevertheless, it's important to clarify that these are not strictly optional features. In certain instances, these components play a pivotal role in maintaining the hygiene of the device, while in others, individual elements work towards enhancing the overall listening experience.

Earmould, a custom-fitted piece

An earmould, also known as an ear mold or otoplastic, is a custom-fitted piece typically made of silicone or acrylic material that is designed to fit into the ear canal. Earmoulds are used in conjunction with hearing aids to ensure a comfortable and secure fit. The purpose of an earmould is to direct amplified sound from the hearing aid's speaker into the ear canal. Additionally, earmoulds can help in reducing feedback or whistling sounds that may occur with hearing aids. They come in various shapes and sizes, and their customization allows for an individualized fit, accommodating the unique contours of the wearer's ear. Earmoulds play a crucial role in improving the effectiveness and comfort of hearing aid use.

Hearing aid filters

The purpose of the filter is to shield the device from external elements like earwax, dust, and dirt. Employing filters and wax guards is essential to ward off potential blockages and damage to the entirety of the hearing aid.

Hearing aid domes

The domes are single-use earpieces positioned on the hearing aid's speaker. These constitute essential components for acoustic comfort, but their wear and tear are relatively rapid. Regular replacement is crucial to maintain hygiene standards and to enhance the overall listening experience.

Sound tube

This specialized tube links the earpiece to the hearing aid, and it is recommended to be replaced approximately every three months. Neglecting to replace it may jeopardize accurate acoustic transmission and can lead to discomfort and whistling due to sound feedback.

Telecoil and hearing aids

The magnetic induction system is ideal for individuals using a hearing aid equipped with a telephone coil, commonly known as a telecoil or t-coil. The coil facilitates the conversion of magnetic energy into electrical energy, subsequently amplifying it into a high-quality playback signal. This functionality enables the direct reception of signals from a microphone or a TV, bypassing issues related to distance, reverberation, and ambient noise.

Bluetooth and hearing aids connection

The Bluetooth feature enables hearing aids to establish a connection with a smartphone. In this way you can effortlessly stream audio signals from music players, televisions, and your mobile phones directly to your hearing aid, seamlessly transitioning between different devices. This enables you to enjoy music, watch television, and engage in phone conversations directly through your hearing aids.

Volume and memory control

  • Volume Adjustment: The volume control element of the hearing aid allows users to modify the volume of various sounds. This function may not be present in all hearing aids, and there's a valid reason for that. Not every hearing aid user requires this additional feature, so it's advisable to discuss with your audiologist or hearing professional to ascertain if volume control is necessary for you.
  • Memory Function: The memory control feature permits users to switch between preset memories in the hearing aid designed for different environments, such as restaurants, concerts, your home, and more. This feature is not universally available in all hearing aids. It's recommended to consult with your audiologist or hearing professional to assess whether memory control aligns with your lifestyle and requirements.

What are the hearing aid spare parts?

Hearing aid spare parts are components or hearing aid accessories designed to replace or maintain different elements of a hearing aid device. These parts ensure the proper functioning and longevity of the hearing aid. Common hearing aid spare parts include: batteries, domes, tubing, earmoulds, filters, cleaning tools, dehumidifiers, and remote controls.

It's crucial to use genuine and compatible spare parts recommended by the hearing aid manufacturer or audiologist to ensure proper function and avoid damage to the device. Additionally, consulting with a healthcare professional is advisable for guidance on the appropriate replacement parts for your specific hearing aid model.

Do I need a hearing aid?

A comprehensive evaluation of your hearing can determine the presence, type, and extent of any hearing loss, as well as whether the use of hearing aids would be beneficial. The assessment typically includes a thorough examination of your medical history, a detailed inspection of your ears, audiological tests, cognitive screening, and assessments of your needs. Additionally, speech-in-noise testing is conducted to gauge your ability to comprehend speech in challenging acoustic environments. The outcome of this assessment, coupled with your collaborative treatment plan developed with a hearing care professional, guides the selection of the most suitable hearing aid type and features for your requirements. Factors such as the dimensions and shape of your ear canal, ease of use and adjustment, skin sensitivities, overall comfort, and any specific cosmetic preferences are carefully considered in tailoring the optimal solution for you.

Where to buy hearing aids?

In the United Kingdom, you can purchase hearing aids from various sources, including:

  • Audiology clinics and hearing centers
  • Private audiologists
  • Online retailers
  • Pharmacies
  • Hearing aid manufacturers

Before purchasing hearing aids, it's crucial to have a thorough hearing assessment to determine the most suitable type and settings for your specific hearing loss. Consulting with an audiologist or hearing care professional is recommended to ensure you make an informed decision.

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