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Hearing Aid Guide
            SIEMENS Authorised Hearing Care Center




                         This guide is an overview of the various types of hearing aids available. Your audiologist
                         can provide you with more specific information on a particular hearing aid brand. Some
                         features may not be appropriate for certain types hearing loss.

                         Where do I start?

                         Most visits to Amplyclear Hearing & Speech Clinic will begin post your visit to your ENT
                         doctor. Your doctor may want to check for ear wax and other medical issues before getting
                         your hearing tested.
                         Members may self-refer, and your audiologist might consult the reports of ENT Doctor before
                         proceeding further with testing your hearing.

                         What if I have a hearing loss?

                         After a complete evaluation, your audiologist can help answer this question. Most hearing
                         loss in adults is permanent (not correctable by medication or surgery), but in many cases a
                         hearing aid will help. How much a hearing aid helps will vary by the individual, the degree
                         of hearing loss and the listening environment. In some cases, testing may indicate referral
                         to an otolaryngologist (ear, nose and throat specialist) for possible medical or surgical
                         correction for the hearing loss.

                         Do hearing aids work when there is background noise?

                         Everyone experiences increased difficulty hearing in the presence of noise, and this is
                         usually worse for someone with hearing loss. However, properly fit hearing aids can
                         provide significant benefit in this situation.

                         State-of-the-art directional microphone hearing aids can noticeably improve your ability to
                         hear sounds in front of you compared with those behind you (improved signal-to-noise
                         ratio). This can be helpful in a busy restaurant, for example, where the voices behind you
                         are louder than those across the table from you.

                                                                                                                           (Continued)




Copyright – Amplyclear Hearing & Speech Clinic                                                     #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad
                                                                                                    Chowk, Sector 12, Dwarka , New Delhi -110075.

                                                                                                    Ph: +91-9871064242
Digital hearing aids also offer help for noisy situations. They can “self adjust” in certain situations to
        help filter out some of the noise. No hearing aid can eliminate background noise, but the digital products
        can reduce some of the effects of background noise. Your expectations need to be realistic. There may
        be situations where the noise simply overwhelms what you want to hear. (This is also true for
        individuals with normal hearing.) For severe speech-in-noise problems, remote microphone FM systems
        are available.

        Which hearing aid style should I consider?

        Hearing aids are available in several styles outlined below. The best type for you depends on your
        hearing loss, ear anatomy, life style and demands on your hearing. After your hearing evaluation, your
        audiologist can help you make this choice. Below are the four major styles of hearing aids:



                                                     Behind-the-ear (BTE) This type of hearing aid fits over the
                                                     top and back of your ear. It is held in place by an ear mold that
                                                     fits into your ear canal directing sound from the hearing aid
                                                     toward your ear drum. It is easy to manipulate, and all the
                                                     advanced circuit types can fit in this model. The battery life
                                                     averages 22-25 days. Prices start at Rs. 6990/-. Digital models range
                                                     from Rs.6990/- to Rs. 1,74,990/-. FM technologies for maximum noise
                                                     reduction are compatible with this style.
          Photo courtesy of SIEMENS Hearing Instruments


                                                        In-the-ear (ITE) This style fills the bowl and canal of your
                                                        ear, however, there is no external piece sitting on top of your
                                                        ear. Like the BTE, it is easy to operate and most advanced
                                                        circuit types fit in this model. The battery life is about 10 days.
                                                        Prices start at Rs. 13,000.00. Digital models range from Rs. 13000/- to
                                                        Rs. 1,31,000/-

          Photo courtesy of SIEMENS Hearing Instruments
                                                        In-the-canal (ITC) This style fits mainly in your ear canal
                                                        and is noticeably less visible than the BTE or ITE. Because it is
                                                        smaller, it may be more difficult to manipulate, and not all
                                                        circuit types will fit into this model. The battery life is less as
                                                        the battery is smaller (10 to 12 days). Prices for this style start
                                                        at Rs. 13,500/- with digital models ranging from Rs. 13,500/- to Rs. 1,33,000/-

          Photo courtesy of SIEMENS Hearing Instruments
                                                        Completely-in-the-canal (CIC) This type of hearing aid fits
                                                        deeply into your ear canal and is virtually invisible. Because it
                                                        is so small, not all circuit types can be accommodated, nor is it
                                                        a good choice for severe and profound hearing losses. The
                                                        battery life is about five days.
                                                        Digital range for CIC Hearing aids is between Rs. 14000/- to Rs. 1,70,000/-

                                                                                                                        (Continued)
          Photo courtesy of SIEMENS Hearing Instruments




Copyright – Amplyclear Hearing & Speech Clinic                                                  #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad
                                                                                                 Chowk, Sector 12, Dwarka , New Delhi -110075.

                                                                                                  Ph: +91-9871064242
Digital or analog technology

        Analog: You now have a choice between analog or digital circuits for your hearing aid. Up until the mid
        1990s, analog was the only type of hearing aid circuit available. This circuit uses a variety of electronic
        components assembled together to arrive at the appropriate “prescription” for an individual’s hearing
        loss. Analog circuits are “hard wired” and may require rebuilding or replacement to make major changes
        in their “prescription.” Most have a user volume control and a few controls that allow for limited
        adjustment or fine tuning by your audiologist. For people in a limited and controlled listening situation,
        analog circuits may provide a satisfactory solution to their hearing loss. Individuals used to using analog
        hearing aids may have a preference for analog sound (as the quality of analog sound and digital sound
        are different).

        Digital have been widely available since 1997. They are microprocessor based devices that convert an
        analog signal into a digital signal, with the processor making the necessary adjustments to arrive at the
        appropriate “prescription” for an individuals’ hearing loss. By working with a digital signal, a particular
        sound can be manipulated and enhanced along a number of dimensions in a fraction of a second. With
        more advanced digital circuits other sounds may be reduced (such as background noise). Most hearing
        aids sold today are digital. Some of the advantages of digital hearing aids are as follows:

       • They are more flexible, allowing more adjustments for a more precise fit of a particular hearing loss.

       • Digital hearing respond to changes in sound loudness in a fraction of a second, allowing in some
          cases for the hearing aid to control volume automatically

       • Digital hearing aids can allow more features to be made available in a smaller case size, due to the
          miniaturization of microprocessors.

        Digital hearing aids can be divided into three levels of technology: entry level, mid level, and advanced.
        Below is a description of each:

        Entry-level digital hearing aids cost starts from Rs. 5990/- . They are very flexible compared
        to analog technology, offer a range of adjustments and can be fit to a wide range of
        losses. Most have a volume control; however some can be set to provide basic “automatic” volume
        control.

        Mid-level digital hearing aids        cost between Rs. 19990/- to Rs. 34990/- for each ear fitted. They offer more
        flexibility than entry level, sound can be adjusted in a greater number of channels. They are available
        with multiple programs, where more than one prescription can be programmed into the hearing aid,
        allowing the wearer to switch to a different listening prescription when their environment changes. Most
        are available with a directional microphone, which allows for better hearing of sounds in front of the
        listener compared to the back. Some have a basic automatic feedback control, and most offer some basic
        noise reduction methods (where background noise may be controlled but not eliminated).

        Advanced digital hearing aids        cost between Rs. 39990/- and Rs. 1,75,000/- for each ear fitted. These offer a greater
        number of channels than the mid-level hearing aids with more advanced adaptive directional
        microphones (microphones that adjust themselves to prioritize speech even if it is not directly in front of
        you). Automatic feedback control is more advanced on this type of instrument. Like mid level digital
        hearing aids, these offer multiple programs, however with advanced hearing aids the switching between
        these programs occurs automatically (or manually if you choose).

                                                                                                                           (Continued)




Copyright – Amplyclear Hearing & Speech Clinic                                                     #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad
                                                                                                    Chowk, Sector 12, Dwarka , New Delhi -110075.

                                                                                                    Ph: +91-9871064242
Advanced circuits can be programmed to offer the widest range of automatic volume control
        (enhancement of the soft sounds as well as the greatest control over unwanted louder sounds). For
        individuals with the greatest listening demands, advanced digital hearing aids may offer the best
        solution. Also because advanced circuits offer the most automatic control they are also a good choice for
        someone who does not want to make manual adjustments to their hearing aid.

        Should I get a hearing aid for each ear?

        If a hearing loss is present in both of your ears, using two hearing aids is best. Wearing two hearing aids
        adds “depth perception” to your hearing and helps you sort out speech in a background of noise. It also
        helps you localize or tell where sounds are coming from. Two hearing aids are most beneficial in noisy
        situations.


        What type of warranty should I expect?

        The warranties on hearing aids sold at Amplyclear Hearing & Speech Clinic are for two years.
        A written copy of the warranty should accompany your hearing aid.
        Once the aid is out of warranty, if a major repair is required, a fee of Rs. 500/- as service charge can be
        expected. Repairs that need to go back to the manufacturer take an average of 5-7 business days to
        complete.


        Where do I buy my hearing aid?
        After you have gone for your hearing test (Audiometry) and have been advise a Hearing Aid, look for an AUTHORISED Hearing Clinic
        Near to your place, an visit for a Hearing Aid Trial. Once you are satisfied, go ahead with the purchase. With an authorised partner you
        Can be confident of the after sale service for your device,

       Do I look for a particular brand of hearing aid?
        There are many brands and manufacturers of hearing aids. Most names are not familiar to consumers.
        Those that are familiar are often considerably more expensive due to their marketing costs. It is
        therefore important to have an audiologist whom you trust make recommendations about which brand
        and circuit may be best for you. The audiologist’s experience with multiple brands can help provide you
        with the best quality and performance at a reasonable price.


        What’s my next step?
        If you have further questions, call the Amplyclear Hearing & Speech Clinic at 9871064242, or email: info@amplyclear.com
        To schedule an audiogram or hearing aid evaluation, call 9871064242
        Please note an audiogram can also be done at Amplyclear Hearing & Speech Clinic prior to the hearing aid
        evaluation visit.




Copyright – Amplyclear Hearing & Speech Clinic                                                     #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad
                                                                                                    Chowk, Sector 12, Dwarka , New Delhi -110075.

                                                                                                    Ph: +91-9871064242

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Hearing aid guide

  • 1. Hearing Aid Guide SIEMENS Authorised Hearing Care Center This guide is an overview of the various types of hearing aids available. Your audiologist can provide you with more specific information on a particular hearing aid brand. Some features may not be appropriate for certain types hearing loss. Where do I start? Most visits to Amplyclear Hearing & Speech Clinic will begin post your visit to your ENT doctor. Your doctor may want to check for ear wax and other medical issues before getting your hearing tested. Members may self-refer, and your audiologist might consult the reports of ENT Doctor before proceeding further with testing your hearing. What if I have a hearing loss? After a complete evaluation, your audiologist can help answer this question. Most hearing loss in adults is permanent (not correctable by medication or surgery), but in many cases a hearing aid will help. How much a hearing aid helps will vary by the individual, the degree of hearing loss and the listening environment. In some cases, testing may indicate referral to an otolaryngologist (ear, nose and throat specialist) for possible medical or surgical correction for the hearing loss. Do hearing aids work when there is background noise? Everyone experiences increased difficulty hearing in the presence of noise, and this is usually worse for someone with hearing loss. However, properly fit hearing aids can provide significant benefit in this situation. State-of-the-art directional microphone hearing aids can noticeably improve your ability to hear sounds in front of you compared with those behind you (improved signal-to-noise ratio). This can be helpful in a busy restaurant, for example, where the voices behind you are louder than those across the table from you. (Continued) Copyright – Amplyclear Hearing & Speech Clinic #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad Chowk, Sector 12, Dwarka , New Delhi -110075. Ph: +91-9871064242
  • 2. Digital hearing aids also offer help for noisy situations. They can “self adjust” in certain situations to help filter out some of the noise. No hearing aid can eliminate background noise, but the digital products can reduce some of the effects of background noise. Your expectations need to be realistic. There may be situations where the noise simply overwhelms what you want to hear. (This is also true for individuals with normal hearing.) For severe speech-in-noise problems, remote microphone FM systems are available. Which hearing aid style should I consider? Hearing aids are available in several styles outlined below. The best type for you depends on your hearing loss, ear anatomy, life style and demands on your hearing. After your hearing evaluation, your audiologist can help you make this choice. Below are the four major styles of hearing aids: Behind-the-ear (BTE) This type of hearing aid fits over the top and back of your ear. It is held in place by an ear mold that fits into your ear canal directing sound from the hearing aid toward your ear drum. It is easy to manipulate, and all the advanced circuit types can fit in this model. The battery life averages 22-25 days. Prices start at Rs. 6990/-. Digital models range from Rs.6990/- to Rs. 1,74,990/-. FM technologies for maximum noise reduction are compatible with this style. Photo courtesy of SIEMENS Hearing Instruments In-the-ear (ITE) This style fills the bowl and canal of your ear, however, there is no external piece sitting on top of your ear. Like the BTE, it is easy to operate and most advanced circuit types fit in this model. The battery life is about 10 days. Prices start at Rs. 13,000.00. Digital models range from Rs. 13000/- to Rs. 1,31,000/- Photo courtesy of SIEMENS Hearing Instruments In-the-canal (ITC) This style fits mainly in your ear canal and is noticeably less visible than the BTE or ITE. Because it is smaller, it may be more difficult to manipulate, and not all circuit types will fit into this model. The battery life is less as the battery is smaller (10 to 12 days). Prices for this style start at Rs. 13,500/- with digital models ranging from Rs. 13,500/- to Rs. 1,33,000/- Photo courtesy of SIEMENS Hearing Instruments Completely-in-the-canal (CIC) This type of hearing aid fits deeply into your ear canal and is virtually invisible. Because it is so small, not all circuit types can be accommodated, nor is it a good choice for severe and profound hearing losses. The battery life is about five days. Digital range for CIC Hearing aids is between Rs. 14000/- to Rs. 1,70,000/- (Continued) Photo courtesy of SIEMENS Hearing Instruments Copyright – Amplyclear Hearing & Speech Clinic #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad Chowk, Sector 12, Dwarka , New Delhi -110075. Ph: +91-9871064242
  • 3. Digital or analog technology Analog: You now have a choice between analog or digital circuits for your hearing aid. Up until the mid 1990s, analog was the only type of hearing aid circuit available. This circuit uses a variety of electronic components assembled together to arrive at the appropriate “prescription” for an individual’s hearing loss. Analog circuits are “hard wired” and may require rebuilding or replacement to make major changes in their “prescription.” Most have a user volume control and a few controls that allow for limited adjustment or fine tuning by your audiologist. For people in a limited and controlled listening situation, analog circuits may provide a satisfactory solution to their hearing loss. Individuals used to using analog hearing aids may have a preference for analog sound (as the quality of analog sound and digital sound are different). Digital have been widely available since 1997. They are microprocessor based devices that convert an analog signal into a digital signal, with the processor making the necessary adjustments to arrive at the appropriate “prescription” for an individuals’ hearing loss. By working with a digital signal, a particular sound can be manipulated and enhanced along a number of dimensions in a fraction of a second. With more advanced digital circuits other sounds may be reduced (such as background noise). Most hearing aids sold today are digital. Some of the advantages of digital hearing aids are as follows: • They are more flexible, allowing more adjustments for a more precise fit of a particular hearing loss. • Digital hearing respond to changes in sound loudness in a fraction of a second, allowing in some cases for the hearing aid to control volume automatically • Digital hearing aids can allow more features to be made available in a smaller case size, due to the miniaturization of microprocessors. Digital hearing aids can be divided into three levels of technology: entry level, mid level, and advanced. Below is a description of each: Entry-level digital hearing aids cost starts from Rs. 5990/- . They are very flexible compared to analog technology, offer a range of adjustments and can be fit to a wide range of losses. Most have a volume control; however some can be set to provide basic “automatic” volume control. Mid-level digital hearing aids cost between Rs. 19990/- to Rs. 34990/- for each ear fitted. They offer more flexibility than entry level, sound can be adjusted in a greater number of channels. They are available with multiple programs, where more than one prescription can be programmed into the hearing aid, allowing the wearer to switch to a different listening prescription when their environment changes. Most are available with a directional microphone, which allows for better hearing of sounds in front of the listener compared to the back. Some have a basic automatic feedback control, and most offer some basic noise reduction methods (where background noise may be controlled but not eliminated). Advanced digital hearing aids cost between Rs. 39990/- and Rs. 1,75,000/- for each ear fitted. These offer a greater number of channels than the mid-level hearing aids with more advanced adaptive directional microphones (microphones that adjust themselves to prioritize speech even if it is not directly in front of you). Automatic feedback control is more advanced on this type of instrument. Like mid level digital hearing aids, these offer multiple programs, however with advanced hearing aids the switching between these programs occurs automatically (or manually if you choose). (Continued) Copyright – Amplyclear Hearing & Speech Clinic #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad Chowk, Sector 12, Dwarka , New Delhi -110075. Ph: +91-9871064242
  • 4. Advanced circuits can be programmed to offer the widest range of automatic volume control (enhancement of the soft sounds as well as the greatest control over unwanted louder sounds). For individuals with the greatest listening demands, advanced digital hearing aids may offer the best solution. Also because advanced circuits offer the most automatic control they are also a good choice for someone who does not want to make manual adjustments to their hearing aid. Should I get a hearing aid for each ear? If a hearing loss is present in both of your ears, using two hearing aids is best. Wearing two hearing aids adds “depth perception” to your hearing and helps you sort out speech in a background of noise. It also helps you localize or tell where sounds are coming from. Two hearing aids are most beneficial in noisy situations. What type of warranty should I expect? The warranties on hearing aids sold at Amplyclear Hearing & Speech Clinic are for two years. A written copy of the warranty should accompany your hearing aid. Once the aid is out of warranty, if a major repair is required, a fee of Rs. 500/- as service charge can be expected. Repairs that need to go back to the manufacturer take an average of 5-7 business days to complete. Where do I buy my hearing aid? After you have gone for your hearing test (Audiometry) and have been advise a Hearing Aid, look for an AUTHORISED Hearing Clinic Near to your place, an visit for a Hearing Aid Trial. Once you are satisfied, go ahead with the purchase. With an authorised partner you Can be confident of the after sale service for your device, Do I look for a particular brand of hearing aid? There are many brands and manufacturers of hearing aids. Most names are not familiar to consumers. Those that are familiar are often considerably more expensive due to their marketing costs. It is therefore important to have an audiologist whom you trust make recommendations about which brand and circuit may be best for you. The audiologist’s experience with multiple brands can help provide you with the best quality and performance at a reasonable price. What’s my next step? If you have further questions, call the Amplyclear Hearing & Speech Clinic at 9871064242, or email: info@amplyclear.com To schedule an audiogram or hearing aid evaluation, call 9871064242 Please note an audiogram can also be done at Amplyclear Hearing & Speech Clinic prior to the hearing aid evaluation visit. Copyright – Amplyclear Hearing & Speech Clinic #320, Krishna Mall, Nr. Ayushman Hospital, Aashirwad Chowk, Sector 12, Dwarka , New Delhi -110075. Ph: +91-9871064242