Ask Slashdot: Hearing Aids That Directly Connect To Smart Phones?
mtcups writes "I am a musician/IT guy whose hearing has suffered from VERY LOUD guitar players, (yes I do use earplugs now, but too late), and am faced with the outrageously priced hearing aids $4.5K+/pair and was appalled at their lack of integration with smart phones. It seems obvious to me that I should be able to control the hearing aids via a smart phone interface so I can shape the profile for different environments, and also control features like 'hearing loops' and Bluetooth connections. I have done some research, but my guess is that the hearing aid companies want proprietary systems and don't want a smartphone interface since they would loose control and it would allow for competition for cheaper & better programs. I am not convinced that a combination of good ear-buds, good microphone(s), and a smartphone interface couldn't totally replace these overpriced solutions."
I use Siemens headsets which utilize a propriarety low energy radio signal to communicate with each other and a separate bluetooth gateway. I was told that Bluetooth drains too much energy from the small batteries so thay had to choose the gateway approach.
I also agree with you: te lack of being able to configure the audio characteristics yourself with a Smartphone is disturbing. Probably the market for tech enthusiasts that wear hearing aids is too small :-(
There are reasons why hearing aids are expensive, yada yada. Yet it does look like they're overinflated. Sounds like a great opportunity for a kickstarter project to me. If you can get to a point where you can develop a hearing at that does as well as existing ones at 1/8 of the price, I'm sure you can find more than 8 people that are willing to pay that 1/8 of the price for them.
When you enjoy your newfound wealth remember me!
Best,
Not a karma whore.
They like making you dependent on audiologists to set the things up. In turn, their products get sold at MSRP instead of deeply discounted online with DIY setup. That said, I understand the tuning process isn't trivial, and you wouldn't necessarily do a good job unless you're very dedicated to learning about it.
A lot of the hardware cost is due to making them tiny, power efficient enough to run a long time off of rather small batteries and still having enough DSP performance to really process the audio into something you can understand. That's a tough mix, but you're right - if you're willing to carry an outboard processor in your pocket and put up with poor battery life, you can probably cobble together something that works much cheaper. You would need earbuds with outward facing mics - almost like a bluetooth headset, except you want high sample rate bidirectional audio, which is a combination curiously lacking in the bluetooth spec.
Just some thoughts from someone who doesn't actually have hearing aids, but who's heard a little about 'em.
Searching the web produces some alternatives, and not all are that expensive.
So it may be a good idea to shop around - and also look at sites that aren't specific for the English-speaking, like some sites in Scandinavia where the hearing aids can be priced more reasonably.
The catch is that you should always tune the aid to suit your specific hearing condition.
If builders built buildings the way programmers wrote programs, then the first woodpecker would destroy civilization.
You want a standard for controlling, so that everyone can control their aid, but that also opens the door to those that want to control OTHERS aid, without their permission. Sometimes the standards have holes in design, other times the implementation can have bugs. Either way, it's a risk no medical company will take. They prefer a closed protocol, that can not go through external scrutiny (security by obscurity).
Another such example (in my line of work) is usage of ethernet in cars. While ethernet by itself would be ok, they also want internet in cars, which means there will be at least 1 device with both connections (internet and in-car ethernet) which will be vulnerable to external attacks (think about someone locking your brakes at 100mph, after disabling ABS+ESP). I even think they will try controller updating over internet which will be even worse.
Apple has already made iPhones compatible with hearing aids and appears to be looking to refine it with "made for iPhone" aids.
I'm deaf in one ear, but I get by in life without a hearing aid. I recently started using AfterShokz headphones for my running, and was pleasantly surprised that I could hear stereo sound again through these headphones. I also started using an Android app at work called AroundSound which stops your music when someone starts talking to you and replays the last thing that was said through your headphones. So by combining these two, it's allowed me to hear the beginning of conversations better, when normally I would have to ask someone to repeat what they said before I could turn around and actively listen. It's not an all day solution, but I find it's helped me a bit in my day-to-day work life.
So you are right that some good mics, earbuds, and a DSP could mostly replace hearing aids, with the right programming and calibration. The issue would be size. Those expensive hearing aids fit all that in or around your ear, and get pretty good battery life to boot.
So sure, I could design you something using off the shelf components, but it would be large. It takes some pretty advanced manufacturing to pack it all in to that tiny a package.
You are right that tunability would be a good feature. I'm not sure why they don't have it, may be a mixture of regulations (medical devices have pretty tight restrictions on them), anti-competitiveness, and just lack of adaptation.
So if you want to geek out and roll your own, go for it. Just realize it will end up being a bit bulky. In terms of software implementation it depends on what you want. Good hearing aids work like multi-band dynamics compressors/limiters. They bring up the frequencies you have problems hearing, but make sure to compress things so that loud frequencies don't cause more damage. If you are doing it on a device with a lot of power you might go multi-stage, do noise reduction, EQ, multi-band compression, and brick-wall limiting in that order. That would give you sound superior to any hearing aid out there, and require a fairly beefy processor (by mobile standards).
Why are you surprised that there's no Smartphone interface to your hearing aid? There are few people that know enough about audiology to make effective and safe adjustments to their hearing aid, and there's little incentive for the hearing aid companies to provide such an interface, or to collaborate on an industry wide standard. Besides, adding something like Bluetooth would really eat into the power budget of the hearing aid, greatly limiting battery life, while the Bluetooth chipset would take up room that could be better used for more DSP hardware or better microphones/speakers in the unit.
That said, here's a link with resources for finding PC programming software for your hearing aid. You may need to choose your hearing aid based on which manufacturers are willing to provide the software to end users:
http://www.amperordirect.com/pc/help-hearing-aid/z-hearing-aid-program-tools.html
At the last Chaos Communication Congress, Helga Velroyen discussed this and other topics around hearing aid evolution. You can find her talk at ftp://ftp.ccc.de/congress/2011/mp4-h264-HQ/28c3-4669-en-bionic_ears_h264.mp4 and a corresponding blog project at http://blog.hackandhear.com/ . While I do not have to rely on hearing aids and thus have not looked very deeply into her activities, I get the impression that she is one of the most knowledgeable persons regarding this topic in the European hacker scene.
I've had to turn my "good ear" to quiet people since my early 20s thanks to countless hours in bands so I can sympathize but there are a number of reasons why you don't see the kind of control your asking for. The most obvious is that most people who need these devices are not technically savvy and would either be turned off by the complicated process of adjusting their hearing aid(s) or would just ignore the feature. You're talking about something that is on the wish list of a very small percentage of a very small market. In 30 or 40 years, that will change as today's tech addicts age and expand the market so that there is enough demand to create the product. But, right now, the market is mostly people who are in their 70s and up. Try to imagine your grandma tweaking her hearing aid with her iphone.
Also, there is a lot that goes into setting up one of those high end hearing aids. I'm blind as a bat and, while I know a lot about vision correction, I know that there's no way I'd be able to grind lenses as well as a pro. It takes a lot of training and experience to do that kind of thing. Something that drives me nuts is those racks of "reading glasses" at the drug store. Sure they're cheap but spending the money for an eye exam and lenses that actually match the individual correction requirements for each eye is soooo much better. $5 vs. $200 is a no brainer for me. I want to see and I want to see well. (Actually, my glasses are closer to a grand because of my insane prescription but I'm pricing it at what a "drug store" buyer would be paying.) Your "earbuds and a microphone" concept is like drug store reading glasses. It's cheap and better than nothing but a far cry from what's possible.
FWIW, most cell phones do support hearing aids in that they'll provide audio to the hearing aid using various methods. Look at the specs of the phones to see which phones support what methods. They'll say "M4" "T3" "T4" etc. to indicate which hearing aid(s) they're compatible with.
"I am not convinced that a combination of good ear-buds, good microphone(s), and a smartphone interface couldn't totally replace these overpriced solutions."
Your only choice for this is probably iOS, since Android's latencies are still much much higher than is required for real time audio.
There's also the issue of actually getting a decent mic into the system without a custom preamp... and where would mount, say, an off-the-shelf lavalier? On your lapel? Permanently?
The same principle could be applied to autism or other conditions that cause sensory overload. Hyperacusis and sensory integration disorder cause irritation, physical pain and difficulty comprehending spoken words. An amplifier containing some form of equalisation and some form of compression and limiting can hugely improve the listening experience - I have experimented with a guitar amplifier, which is not very portable.
Combining isolating, noise-cancelling headphones with a filter / limiter would allow people with hyperacusis to experience sound without discomfort. A smart phone would make an infinitely adaptable device that is socially acceptable and useable in places like cinema theatres.
https://www.blameysaunders.com.au/hearing-aid-prices
You can program/tweak these yourself.
Gennum corporation made hearing aids for a long time, and decided five or six years ago that their technology could be transferred to making Bluetooth headsets. They had a product called nxZEN (great headsets for noisy environments), but searching for references shows that the company was bought by Samtech in March of this year, and I don't see any references to either nxZEN or hearing aids on the Samtech site.
Anyhow, the idea must have occurred to them at some point, but I can't find a reference. Especially now with the Bluetooth Low Energy, it shouldn't have any real impact on the hearing aid battery (for control, that is, using your hearing aid as a telephone headset would need a regular Bluetooth connection, which would start affecting battery life).
An interesting and informative blog. She points to America Hears as one of the very few vendors who sell a software interface to their hearing aids so users can self-tune.
"We receive as friendly that which agrees with, we resist with dislike that which opposes us" - Faraday
Just found one on
Aliexpress
The expensive part of the hearing aid, is not the earbud part, but the microphone part. A cell phone mic is not nearly good enough. Remember, the "good microphones(s)" you would use have to be small enough to fit on what is basically an earbud and sensitive enough to pick up environmental sounds but not too sensitive. Then you need dumb filters (a DSP would be better) to be able to make adjustments), a place to hold the battery and an amplifier.
Now fit it in something that will fit in your ear. There's a reason good hearing aids are so expensive. The best of the current crop are pretty impressive tech.
I don't know much about blue tooth, but can you make a bluetooth receiver small as an RFID that will fit inside an earbud?
I have no doubt that a committed hacker could put together a proper hearing aid out of a set of really high-end earphones, some stuff from Newark Electronics, a couple of microphones out of an iPhone and four dry-cell batteries and a football helmet and a wagon to pull it in.
Making something small enough to wear inside your ear unobtrusively is another story. It might cost you some money.
You are welcome on my lawn.
Siemens / Rexton (same company,more or less, use a remote bluetooth the FM translator. Like wise, bernafon. I think Resound uses a direct Bluetooth, but I'm not certain. I have Rextons. You major issue is accumulated lag time - I wanted to use the remote to take off the board for a direct feed into the aids, but, while it worked, the delay made it useless. If you are not syncing with real time audio, then you'll be fine. You should go to Costco to buy your aids- you'll get a pair plus remote for around $3k, and unlimited support. I hate to break it to you, but hearing aid companies, with the exception of Bernafon (Chronos 9) and Resound, do not know how to set aids for live music. The people that sell the aids don't either, and they do not have the gear to be able to test the aids in real world sound levels, especially with music. You will laugh when they play a clip of a symphony on a pair of tiny computer speakers and try to convince you that that is a test for "music". You will, as I have been doing for over 8 years now through 6 sets of aids, wind up programming the aids yourself. And here is a critical issue: Inout stage headroom. It is incredibly stupid, but hearing aid makers do not tell you how much sound the can take without overloading the input stage. Most of them seem to think that 95db input A/D is fine, but on stage can go past 100db quick. The trouble is, most makers do not use an input stage limiter, so what happens is the aids go into digital distortion, very ugly sounding. I am going to capitalize here: DO NOT BUY A PAIR OF AIDS UNTIL YOU GET VERBAL CONFIRMATION OF THE INPUT STAGE HEADROOM DIRECT FROM THE MAKER. Do not trust anyone until you know for sure, and I can tell you right now the info is not on any of the aid data sheets. I know - I have been through three pairs of aids with this problem, and have had the hearing aid makers' audiologists tell me the wrong thing - twice. They do not know, and they will say "Oh, no one ever asks this." If they say that, then you should not buy that aid. Resound has an Alera that will take 108 without distorting, and Bernafon may be your best bet - they have a music channel with Live music plus, designed by Marshall Chasen, that is a mimic of the old LP RIAA curve - rolls off top and bottom at input, then restores it at output. Neat. Google that name, and Google Mead Killien / K - amp. If you can hold off until mid Oct. there may be new models coming out. Aids are nothing more than a CPU and some programming, a microphone and a speaker, all put together by companies that focus on speech, but not fidelity. They tend to put in all these craptastic features that do nothing but inhibit fidelity. For instance, for music, you must turn off anti feedback, speech enhancers, multi microphone,s auto gain, etc. basically strip it down to an EQ, a bank of compressors and a multi band limiter, to get it to work. FInally make sure you get to see the adjustment software- this is the other weak link - as a musician, you will need as many EQ and compression bands as you can get, and you will need the fastest comp release times around. You will be amazed to find that most aids only give you two EQ band for half of the music spectrum - 500hz and 250hz - half of a piano. You will need at least one more at 125Hz and at least 8 compression bands. And you will need at least four bands of limiter called MPO in hearing aid parlance. If you want more info, email me direct.
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I wear an Oticon Chili SP9, which is a high power digital aid, programmable by the audiologist. There's a DAI (direct audio input) boot available, which I use with my low-end MP3 player. There's also a much more sophisticated set of devices called "Connectline" http://oticonusa.com/Oticon/Professionals/professional_products/ConnectLine.html based on a gadget that hangs around your neck or in your pocket. It adds Bluetooth connectivity (and limited control of the aid) from the gadget. It only works with certain Oticon aids using a protocol I haven't been able to decode.
The Connectline gadget seemed like a good idea at the time, and I willingly spent the (lot) of extra money, but I find I mostly use the wired DAI boot. The Bluetooth gadget is more of a pain than a help. The battery doesn't last very long (less than a workday) and has to be shut off to recharge, which it does via a mini-USB connector. And it only links to one or two Bluetooth devices at a time. Also, it interferes with the Bluetooth system in my car.