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Experts say an "intelligent" hearing aid has the potential to help the many people who have hearing problems in both ears. They currently have to use aids that work independently of each other. It means people with hearing problems have to alter the settings on each one when they change environments.

The latest technology in hearing aids is the digital aid. In the past, electronic aids have all used analog circuitry, where the sound is transformed into an electrical signal and then further modified. There are natural limitations in the amplifier's ability to amplify the signal without exceeding power limitations or introducing distortion. In digital technology, the electrical waveform is converted into a digital code of a series of ones and zeros.

Implantable hearing aids are a new system that consists of a tiny magnet placed inside the middle ear and an external sound processor. In the implant procedure the eardrum is carefully lifted up, providing access to the middle ear. A micro-magnet is then placed on a segment of the tiny bones in the middle ear, and then the eardrum flap is closed. The entire procedure takes about 30 minutes and is performed under local anesthetic.

Consumers report they want hearing aids to provide more benefit in noisy situations, have better sound quality and produce less feedback (Kochkin, 2002). Many of these problems occur due to limitations associated with hearing aid microphones. The microphone for ear-level hearing aids has a relatively small "effective area" within which it works maximally. The effective area is dictated by microphone size and location and can be thought of as the ideal area between the talker and listener. When the hearing aid user is listening to talkers located beyond this effective area, the strength of the signal of interest (the talker's voice) diminishes rapidly as the distance increases, making it difficult to hear.

Are you thinking about getting hearing aids? Interested in upgrading the ones you have? While advances in technology have improved the performance and variety of hearing aids, they have also significantly increased their cost. Determining what type or brand of hearing aids to buy can be an overwhelming decision.

Where can I buy a hearing aid?: "Dispensers"-merchants or audiologists-sell hearing aids. Ask friends or family for referrals. You also can check out prospective dispensers with your local Better Business Bureau, consumer protection agency, or state Attorney General. Your state or local consumer protection office may have records of complaints against dispensers or physicians, and can tell you how they responded to the complaints. Consumer protection officials also can tell you whether dispensers or audiologists must be licensed or certified by the state.

There are typically three contributions that hearing aids can provide the user. The first is to amplify normal conversational speech to levels that are maximally understandable, which leads to improved communication. The second is to allow the patient to hear other environmental sounds, such as warning signals and music. The third contribution is to promote education and development. Hearing aid use in the hearing impaired child may allow the development of normal language and speech skills.

A hearing aid makes sounds louder so that you are able to hear them. It is battery-operated and you usually put it in or around your ear. Hearing aids are available in different shapes, sizes and types. However, all hearing aids work in a similar way. Very simply, they all have a built-in microphone that picks up sound. This sound is then processed electronically, either by analogue circuits, or digitally.

When does the hearing aid warranty expire? Most hearing aids come with a standard 1 year warranty from the manufacturer, although some companies are now offering a full 2 years or more of coverage. Can I get additional coverage after the initial warranty period has ended? Extended warranties that go beyond the first year may be purchased from the manufacturer, your audiologist, a general insurance company, or other companies that have special warranty plans just for hearing aids.

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