• Title/Summary/Keyword: Hearing aids fitting

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PDA-Based Hearing Aids fitting System (PDA를 이용한 이동형 보청기 보정 시스템)

  • Yoon, Tae-Ho;Kim, Kyeong-Seop;Shin, Seung-Won;Lee, Sang-Min
    • Proceedings of the KIEE Conference
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    • 2006.10c
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    • pp.241-243
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    • 2006
  • In this research, we tried to implement a PDA (Personal Digital Assistant)-based hearing aids fitting system to manipulate hearing aids-fitting parameters in the user's local environment. Due to the inherent portability of PDA system, we can consequently perform the hearing aids fitting operation without visiting a special site.

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A Case Report of Delayed Identification of Hearing Loss and Hearing Aid Fitting Failure (청력손실과 보청기 조절 오류의 발견 지연 1례 보고)

  • Heo, Seung-Deok
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.3
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    • pp.215-221
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    • 2017
  • Audiological rehabilitation by itself can provide satisfactory services through acquisition of background information on hearing loss, audiological evaluation, analysis of electroacoustic characteristics of hearing aids, and determining acoustic gain. However, hearing can be exacerbated, and sound pressure level of hearing aids can be lowered. Moreover, breakdown of hearing aids can happen. Therefore, the early detection of hearing loss and regular follow-up observations are very important. The aim of this study concern the direction of effective audiological rehabilitation by checking the clinical cases where hearing aids fitting failures were found.

Development of Smart Phone Application with User Fitting for Hearing Impaired in Various Environment (환경별 사용자 피팅이 가능한 스마트폰 보청기 어플리케이션 개발)

  • Lee, K.;Kang, S.-I.;Park, G.S.;Lee, S.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.121-128
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    • 2015
  • In this paper, we introduce our smart phone application for hearing impaired people. Unlike previous hearing aids application, our application has both functions of self hearing tests and sound amplification. We provide user with two types of self hearing test, those are standard hearing test and detail hearing test. Each test has different advantages like short test time and accurate test result, however both tests provide reliable result. Our hearing test allows that user can measure their hearing loss level according to the frequency. Sound amplification function provide proper fitting formula by using NAL-NL1, and it guarantees high speech intelligibility. Our application can also memorize user's fitting data at specific test condition. Therefore those who using our hearing aids application can easily reset their hearing aids / earphone properties periodically. Our application is advanced at the aspect of self fitting function that no other previous application did. So we are expecting these comfortable processes about fitting lead the number of hearing aids user to be increased.

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Comparison of Clinical Usefulness of Program-Assisted and Real Ear Measurement-Assisted Hearing Aids Fitting (프로그램과 실이 측정을 이용한 보청기 적합의 임상적 유용성의 비교)

  • Chang, Young-Soo;Jung, Hye Im;Cho, Yang-Sun
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.12
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    • pp.663-668
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    • 2018
  • Background and Objectives The main objectives of this study were to determine the clinical usefulness of the program-assisted and real ear measurement (REM)-assisted fitting of hearing aids. Subjects and Method Fifteen participants with moderate to moderately severe hearing loss were enrolled in this study. Objective and subjective fitting results were assessed to compare the benefits between the program-assisted fitting (using a software fitting program) and the REM-assisted fitting. Real ear insertion gain (REIG), sound-field audiometry using warble tone, and Korean Hearing in Noise Test (K-HINT) were performed as objective tests. Sound quality rating was performed as a subjective test. Results In the program fitting, 48.89% of fitting points failed to come within ${\pm}10dB$ of the REIG target. In the REM fitting, however, the percentage of failure significantly decreased to 23.33% (p=0.013). In K-HINT test, the reception threshold for speech in quiet situation significantly decreased from 50.1 dB HL with the program fitting to 44.7 dB HL after the REM fitting (p<0.001). In front noise condition, signal-to-noise ratio improved from 4.53 dB to 3.50 dB with the REM fitting without statistical significance (p=0.099). In the sound quality rating, the REM fitting ($4.27{\pm}0.56$) showed a significantly better sound quality ratings than the program fitting ($3.69{\pm}0.74$) (p=0.017). Conclusion The REM fitting showed better results in both subjective and objective measurements than the program fitting.

A Study of Korean Non-linear Fitting Formula based on NAL-NL1 for Digital Hearing Aids (디지털 보청기에서의 NAL-NL1 기반 한국형 비선형 fitting formula 연구)

  • Kim, H.M.;Lee, S.M.
    • Journal of Biomedical Engineering Research
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    • v.30 no.2
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    • pp.169-178
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    • 2009
  • In this study, we suggest Korean nonlinear fitting formula (KNFF) to maximize speech intelligibility for digital hearing aids based on NAL-NL1 (NAL-nonlinear, version 1). KNFF was derived from the same procedure which is used for deriving NAL-NL1. KNFF consider the long-term average speech spectrum of Korean instead of English because the frequency characteristic of Korean is different from that of English. New insertion gains of KNFF were derived using the SII (speech intelligibility index) program provided by ANSI. In addition, the insertion gains were modified to maximize the intelligibility of high frequency words. To verify effect of the new fitting gain, we performed speech discrimination test (SDT) and preference test using the hearing loss simulator from NOISH. In the SDT, a word set as test material consists of 50 1-syllable word generally used in hearing clinic. As a result of the test, in case of moderate hearing loss with severe loss on high frequency, the SDT scores of KNFF was more improved about 3.2% than NAL-NLl and about 6% in case of the sever hearing loss. Finally we have obtained the result that it was the effective way to increase gain of mid-high frequency bands and to decrease gain of low frequency bands in order to maximize speech intelligibility of Korean.

Auto fitting Parameter Extraction for Digital Hearing Aids (디지털 보청기의 자동 보정 파라미터 추출)

  • 석수영;정호열;정현열
    • Journal of Korea Multimedia Society
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    • v.3 no.5
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    • pp.495-505
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    • 2000
  • In this paper, we propose an efficient auto-fitting system for digital hearing-aids which automatically adjusts the fitting parameters according to the auditory characteristics of hearing handicapped person. The fitting parameters are extracted from audiogram of hearing handicapped and are applied to digital hearing-aid purposed GM3036 chip. The characteristics of each parameter are compared with those from theoretical 2cc graph. The purposed system has applied to 50 patients and their satisfaction ratios show to the very high. As results, it shows effectiveness of proposed system.

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Implementation of Fitting Software for Fully Implantable Middle Ear Hearing Device (완전 이식형 인공중이용 적합 소프트웨어의 구현)

  • Lee, J.W.;Jung, E.S.;Lim, H.K.;Lee, J.H.;Seong, K.W.;Kim, M.N.;Cho, J.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.3 no.1
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    • pp.21-25
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    • 2009
  • Generally, fully implantable middle ear hearing device (F-IMEHD) is implanted under the skin nearby human temporal bone with all components including implantable microphone and vibration transducer. The microphone and transducer have different characteristic before and after implant. Fitting process is performed for this characteristic change of them and proper performance of hearing aids for each patient. Conventional hearing aids and partially implantable hearing aids, they have wired connector for fitting process. However in case of F-IMEHD, it is difficult this wired connection, because all components of F-IMEHD is implanted. In this paper, fitting software that can be apply wireless fitting hardware for F-IMEHD has been designed and implemented. It can find out proper fitting parameter reflecting characteristics of the microphone and transducer for patients who has difficulty in hearing.

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Implementation Of Client Management Database Program For Digital Hearing Aids Fitting System

  • Lee Gun Jae;Park Byoung Uk;Yoo Dong Gu;Kim Hack Yoon
    • Proceedings of the IEEK Conference
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    • 2004.08c
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    • pp.755-758
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    • 2004
  • A hearing aid performs the role of fitting in order to provide those with a hearing problem with a better hearing ability in ordinary circumstances. The existing Fitting system in the hearing aid is consisted somewhat complex, and simply performs the role of Fitting without any supervisions of those with a hearing problem. Such is these methods makes it unable to establish an organized supervision, and shows a problem in making high efficiency. In order to solve this problem mentioned as above, the based thesis have connected the Fitting program and the patient-management database program for the easy use by the user.

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Auditory Recognition of Digit-in-Noise under Unaided and Aided Conditions in Moderate and Severe Sensorineural Hearing Loss

  • Aghasoleimani, Mina;Jalilvand, Hamid;Mahdavi, Mohammad Ebrahim;Ahmadi, Roghayeh
    • Journal of Audiology & Otology
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    • v.25 no.2
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    • pp.72-79
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    • 2021
  • Background and Objectives: The speech-in-noise test is typically performed using an audiometer. The results of the digit-in-noise recognition (DIN) test may be influenced by the flat frequency response of free-field audiometry and frequency of the hearing aid fit based on fitting rationale. This study aims to investigate the DIN test in unaided and aided conditions. Subjects and Methods: Thirty four adults with moderate and severe sensorineural hearing loss (SNHL) participated in the study. The signal-to-noise ratio (SNR) for 50% of the DIN test was obtained in the following two conditions: 1) the unaided condition, performed using an audiometer in a free field; and 2) aided condition, performed using a hearing aid with an unvented individual earmold that was fitted based on NAL-NL2. Results: There was a statistically significant elevation in the mean SNR for the severe SNHL group in both test conditions when compared with that of the moderate SNHL group. In both groups, the SNR for the aided condition was significantly lower than that of the unaided condition. Conclusions: Speech recognition in hearing-impaired patients can be realized by fitting hearing aids based on evidence-based fitting rationale rather than by measuring it using free-field audiometry measurement that is utilized in a routine clinic setup.

Use of Hearing Aids in Unilateral Cochlear Implantee (편측 인공와우 이식자의 보청기 사용)

  • Heo, Seung-Deok;Kim, Lee-Suk;Jung, Dong-Keun;Choi, Ah-Hyun;Ko, Do-Heung;Kim, Hyun-Gi
    • Speech Sciences
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    • v.12 no.4
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    • pp.197-202
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    • 2005
  • The cochlear implantation(CI) as an useful tool for aural rehabilitation in bilateral severe to profound hearing impairment. However, CI prefer to usually one ear in spite of bilateral hearing impaired. because of the various characteristics of hearing loss, the hearing conservation for the future possibility, and socioeconomic condition of hearing impaired person and their families. The unilateral CI has limitations such as a directional loss, a difficult speech understanding in noise and a neural plasticity. These limitations will be overcome by hearing aid(HA) which is familiar with hearing impairer. but HA fitting for bimodal-binaural hearing are difficult because the difference output characteristic of HA and CI. This study will be confirm realities of use of HA in unilateral cochlear implantee. For this goal, 25(m:f=10:15) child participated who are used to HA for 1 to 17 months. We had telephone interviews with their mother about use of HA, change of auditory performance and own voice. As the results, hearing threshold levels of unimplanted ear, the use of a appropriate HA, implanted and aided hearing threshold level(HTL) are must be considered for successful biomodal-binaural hearing. Especially, implanted and aided HTL should be very useful parameter for a prediction of HA effect and a criterion of selection for bilateral cochlear implantation.

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