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Hearing Tech 3 > Final > Flashcards

Final Flashcards

1
Q

expected advantages of bilateral fittings include:

A

improved speech understanding in noise
improved sound quality
improved tinnitus suppression

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2
Q

when working with a patient with a moderate HL (60dB HL) in the RE and a severe HL (80dB HL) in the LE, what ear do you fit if doing a unilateral fitting?

A

RE

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3
Q

does the presence of tinnitus predict a positive effect for hearing aid candidacy?

A

yes, people with tinnitus find that HA diminish their problems

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4
Q

what direction should the HA directional microphones be directed to?

A

horizontal

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5
Q

what to do when a patient returns for follow-ups when in the problem solving and fine tuning phase of HA fitting?

A

observe the device as it is worn in the ear by the pt

have the pt remove the HA in your presence to conduct otoscopic examination of the outer ear

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6
Q

what is the ideal test environment in the sound suite that is needed to assess the outcomes for HA with directional mics?

A

multispeaker configuration (w significant spatial separation) that supports QuickSIN and/or HINT as testing instruments

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7
Q

what is a component in the outcome assessment process of HA fittings?

A

testing of unaided and aided speech understanding in noise

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8
Q

why is the audiology diagnostic battery used?

A

because diagnosis is a complex situation and no single test is sufficient.
similar to HA verification and validation - the probe microphone is the gold standard but a battery approach is still needed

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9
Q

what was an important finding in the marketrak viii study of the impact of the hhp on HA user success?

A

there was not a difference in outcomes between audiologists and hearing aid dispensers but that more steps in the protocol produced better satisfaction
in addition, poor satisfaction ratings with HA were associated with 4 or more patient visits to the practice

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10
Q

what do HA noise reduction algorithms work to reduce?

A

the within-channel gain when the SNR is negative and increase the within-channel gain when the SNR is positive

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11
Q

what does binaural processing for localization algorithm do?

A

overrides the independent right and left WDRC system and synchronizes the compressors.
objective is to maintain the interaural level difference (ILD) and improve localization

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12
Q

what does binaural processing for SNR enhancement algorithm do?

A

measures the SNR at each HA and decreases the amplification on the side with the poorer SNR

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13
Q

what is automatic directionality?

A

ability of the HA to sense the need for directional mic implementation and change from omni mode to directional mode

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14
Q

what is adaptive directionality?

A

ability of the HA to sense the need to minimize sounds from a particular direction and change from one directionality pattern into a more efficient directionality pattern

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15
Q

what do audiologists utilize assistive technologies for?

A

minimize background noise
reduce the effect of distance
override poor acoustics

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16
Q

what is the most effective way to improve SNR?

A

to move the microphone from the listener to the talker

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17
Q

what are two osseointegrated auditory implants that audiologists can be involved with?

A

Ponto from Oticon

Baha from Cochlear Americas

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18
Q

what type of loss are implantable ME hearing devices typically for?

A

SNHL

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19
Q

what are the three power levels in Baha and Ponto?

A

‘standard’ for BC thresholds up to 45dB HL
‘power’ for BC thresholds up to 55dB HL
‘super power’ for BC thresholds up to 65dB HL

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20
Q

what is the responsibility for audiologists and ENT’s for implantable amplification devices?

A

to insure that the pt meets the indications for use and does not have contraindications for use

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21
Q

oticon

velox platform

A

power & speed: battery consumption is lowered, 2 radios, 113 dB SPL upper limit input range, 24 bit block floating point processing, 3.3 mA battery consumption, 64 channels, 16 fitting channels, 50x faster, TwinLink, and 64 frequency band resolution

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22
Q

oticon

openSound navigator

A

give the patient access to the environment in addition to focusing in the person that they are speaking to but its not overpowering. with 2 microphones (one in omni, one in cardiod), it analyzes the information and finds the balance and removes noise in order to deliver rebalance and clean amplification

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23
Q

oticon

speechguard - adapt vs fast compression

A

give the pt the original signal without discomfort. with 2 guided level estimators, compare level estimates and if the moment to moment level changes are consistent with speech, then use slow time constants, if not then use fast time constants

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24
Q

oticon

spatial sound

A

trying to provide the gain and also give the patient the ability to locate where the sound is coming from

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25
Q

oticon

speech rescue lx

A

not removing, just moving the frequencies that aren’t audible to frequencies that are audible with composition. audibility to hear more speech details, copy and keep method - nothing is removed. no interference with frequencies below 1500Hz, it utilizes the naturally occurring available spaces in speech and delivers on their BrainHearing philosophy

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26
Q

oticon

twinlink (2.4GHz)

A

nearfield magnetic induction - built for audiology, 200% increase in capacity with low energy, richer and more accurate spatial awareness, supports the brain in orienting

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27
Q

oticon

miniRITE/OPN line

A

using z-power by switching the battery door and getting the rechargeable port

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28
Q

oticon

umatix lx

A

patients like to listen to things differently, this gives patients the option to adjust how they hear certain things - helps sets the setting for automatic control

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29
Q

oticon

benefit

A

ongoing research documenting BrainHearing benefit - at maximum dilation - giving extra 5dB access - gives the patient less effort even in the quieter situations. HL with a traditional approach, maximized clean audibility
with OpenSound Navigator, it goes up to -7dB SNR which is comparable to those with normal hearing sensitivity
in a comparison with a competitor, oticon opn had 30% better understanding, 20% less processing effort and allows remembering 20% more of the information that they’re hearing

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30
Q

oticon

unique selling proposition

A

Brainfirst approach. hearing care is a matter of health. it emphasizes that speech understanding is a cognitive process and spoken language understanding should be automatic and effortless.
there is an assumption that HL leads to social isolation which is predictive of premature cognitive decline

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31
Q

signia

nx fit

A

based on NAL-NL2

helps enhance and reduce noise

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32
Q

signia

soundscape processing - extended dynamic range

A

delivers clear sound without distortion for a natural experience with increased input level of 113dB and works automatically in all programs

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33
Q

signia

dual processing for own voice processing

A

delivers clear sound without distortion for a natural experience

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34
Q

signia

soundscape processing

A

the most advanced sound processing provides the best hearing and a natural experience with any situation

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35
Q

signia

3D

A

uses acoustic, motion and own voice detection to replicate the wearers natural hearing behavior with unique detection of acoustic environment, wearer’s movement and wearer’s own voice

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36
Q

signia

ultra HD eHe

A

continuous full bandwidth audio processing and data exchange between hearing aids enables unrivaled performance

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37
Q

signia

ultra HD eHe + Bluetooth

A

natural sounding voice and better than normal hearing and highest quality stereo streaming from smartphones and TV including calls, music

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38
Q

signia

twinphone

A

used for improved phone communication that allows the wearer to hear the phone conversation in both ears. transfer acoustic signal from phone ear to contralateral side. it increases the perceived loudness of the phone signal by 3dB, reducing listening effort

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39
Q

signia

soundscape processing - HD spatial

A

provides unrivaled spatial awareness in all environments

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40
Q

signia

motion charge & go nx

A

the most natural own voice with the convenience of wireless rechargeability in a robust BTE.
simply charge and go with inductive rechargeability integrated in the most robust BTE design

41
Q

signia

soundscape processing - feedback cancellation

A

extremely fast and artifact free providing a comfortable and natural experience - marks sound that has already been processed and does an output shift that does phase cancellation for each mic path on each ear for each channel

42
Q

signia

benefits

A

65% preferred signia on styletto on appearance alone
dual processing with 2 processing paths: one for own voice, and one for external sound where the program learns the wearer’s voice through calibration

43
Q

signia

unique selling proposition

A

signia’s use of hanimals for a natural sounding experience
signia nx connectivity, ultra hd e2e binaural link where a continuous full bandwidth audio processing and data exchange between the HA enables unrivaled performance

44
Q

phonak

marvel - sword 3.0

A

clear, rich sound. proprietary 2.4GHz radio chip. supports 5 languages, connects to bluetooth classic, bluetooth LE, roger, airstream, binaural voice stream technology

45
Q

phonak

binaural voicestream technology

A

full audio streaming between two ears with binaural synchronization - can connect to noahlink wireless, rogerdirect, bluetooth devices and TV connectors all at the same time

46
Q

phonak

new microphone inlets for reduced wind noise

A

2 side facing inlets protecting the microphone from turbulence. reduced wind and hair noise by up to 5dB compared to belong HA

47
Q

phonak

autosense OS 3.0

A

compression based on listening environment - reduced listening effort in noise
using a dedicated program for streaming so 2 additional categories that include speech and music.
everything is completely independent.
developed with artificial intelligence

48
Q

phonak

adaptive stereozoom

A

pts are subjectively more pleased with adaptive zoom when compared to others

49
Q

phonak

airstream technology

A

16 hours on one charge with continuous streaming

50
Q

phonak

bluetooth classic

A

11 hours on one charge with continuous streaming - phone will die before HA does

51
Q

phonak

audeo m

A

HA wont overcharge or overheat. get a full charge in 90 minutes. battery lasts for 6 years - it will last as long as HA will
connects to any telephone, not just apple

52
Q

phonak

powerPack

A

seven days of ability to charge when there’s no power

53
Q

phonak

phonak Trial

A

trial HA that can include any type of technology for the pt to try

54
Q

phonak

rogerdirect

A

receiver is embedded in the HA so it can pair up with any microphone

55
Q

phonak

benefits

A

80% gain level made people want marvel more than competitors
smoothing the frequencies from 3000 and on
with less brain activity - 19% less effort compared to the speech in noise program in the competitor

56
Q

phonak

unique selling proposition

A

love at first sound. with marvel, there is a clear, rich sound. exceptional sound quality from first fit. better speech understanding in noise, reduced listening effort in noise and top-rated streamed sound quality.

57
Q

widex

evoke

A

dual core chip technology with open flexible core and closed accelerated core.
108 dB input dynamic range, anything less than 5 dB cannot hear, anything greater than 113dB, HA cannot process sound

58
Q

widex

variable speech compressor

A

seamlessly adapts to dynamic situations per sound class with a slow compressor and a fast compressor working simultaneously (variable speech compressor is not switching back and forth, but two independent compressors working at the same time)

59
Q

widex

smarter automation - fluid sound technology

A

variable speed compressors in each sound class, double the fluid sound analyzer training and 20% more sound classes; allows clinicians to add an additional program bc the HA will make adjustments based on the programs that you choose

60
Q

widex

social sound class

A

bridge between party & quiet, provides best sound in smaller social gatherings

61
Q

widex

smartwind manager

A

when it hits front mic, its different when it hits back mic

62
Q

widex

real time inter-ear speech enhancer

A

allows HA user to get access to sounds behind the user

63
Q

widex

speech intelligibility in noise

A

85% correct achieved at 2dB lower SNR with VSC with significant improvement in speech intelligibility

64
Q

widex

soundsense learn

A

industry first real-time machine learning and cloud based network learning. app adjusts equalizer for patient

65
Q

widex

tonelink app

A

HF tone communication with soundsense adapt preference control learning, program change.
directional focus, preference control and mute HA

66
Q

widex

charge/rechargeability

A

312 battery

z-power for rechargeable (battery drain is very low) with longer life than competitor

67
Q

widex

music sound classes

A

accomodates different styles of music

68
Q

widex

benefits

A

listening with soundsense learn helps with individual preference in real-world environments that vary based on setting and intention
study showed 84% increased with listening comfort and sound quality with the programs they chose

69
Q

widex

unique selling proposition

A

intelligent today, smarter tomorrow - figuring out a way to make HAs smarter and working on its own without too much patient interaction

70
Q

resound

LiNX Quattro

A

input dynamic range is 116dB
bandwidth has been extended to 9.5kHz - providing audibility to higher frequencies - even with streaming
new radio improves sensitivity of ear-to-ear communication by 5dB of antenna signal strength

71
Q

resound

MEMs mic

A

no distortion of the sound entering HA - better stability for matching phase over time and better input dynamic range on noise floor as well as output limitations
first HA with full range MEMs mic

72
Q

resound

binaural directionality iii (w spatial sense)

A

3rd generation of providing spatial awareness instead of tunneling in on one person, using ear-to-ear to determine microphone polarity

73
Q

resound

impulse noise reduction - resound smart fit

A

some types of environmental transient sounds have rapid rise and fall of sound level that can be annoying for users - this prevents that by keeping gains at prescribed levels to maximize comfort and sound quality

74
Q

resound

noise tracker ii

A

per environment digital noise reduction applies varying degrees of noise reduction across different environments - brings noise down and perceives speech

75
Q

resound

environmental optimizer ii

A

7 situation specific automatic volume control: quiet, speech in quiet/loud, speech in noise can all be adjusted individually

76
Q

resound

GN wireless radio

A

more signal strength for increased communication strength - stronger connectivity with 2.4 GHz each

77
Q

resound

smart 3D app: mix-in streaming

A

active whenever the pt is streaming audio from an apple device or phone clip+ –> ability to change programs while streaming using top carousel menu.

78
Q

resound

rechargeable

A

lithium ion battery that is completely sealed
lowest battery drain after 4 years of use - battery declines only to 80% capacity.
3 hours of charge yield 30 hours of wear or 24 hours with 50% of streaming

79
Q

resound

extended bandwidth - influence on spatial perception

A

provides HF information for HA processing and improves the ability to localize sounds front/back

80
Q

resound

resound smart 3d app

A

offers more control over HA to the pt.

pts can request hearing care practitioner to assist through resound assist.

81
Q

resound

benefits

A

71% of users preferred linx quattro and tv streamer 2 when compared with top competitors
64% liked the sound quality of resound better

82
Q

resound

unique selling proposition

A

will be the first company to work directly with google on made for android HA

83
Q

starkey

thrive chip

A

3x processing power and 2x memory

84
Q

starkey

e-stat - acuity immersion

A

audibility then comfort
based off of NAL-NAL1
restore pinna effect - puts HF in directional mode to mimic pinna function
customs and BTEs with two mics
4-10kHz is where most localization cues are

85
Q

starkey

mems mic

A

silicone coating

no mic drifting, stays in place longer - better sound quality

86
Q

starkey

whistlefree feedback

A

never caps gain

tells where feedback will occur and by how much

87
Q

starkey

acuity lifescape analyzer - speech in noise/quiet, music compressor optimizer

A

fast acting noise management
apply gain reduction per channel between pauses of speech
slow acting compression and expansion
different compression algorithm for music

88
Q

starkey

MPO

A

highest MPO (outside widex)

89
Q

starkey

speech in noise

A

keeps envelope of speech intact and just reduced between syllables and words. per channel/band changes. affects 3 lowest channels. looking for turbulence in the microphones

90
Q

starkey

wind

A

up to 30dB wind reduction

91
Q

starkey

radio antennae - sensors

A

NFMI (e2e)(20cm)(binaural processing)

2.4GHz (bluetooth (35ft) (low energy consumption and fast data transfer

92
Q

starkey

fall detection

A

gyroscope (angular orientation) - mimics SCC and accelerometer (detects motion)
HA can send a signal if you fall with you conscious or not

93
Q

starkey

body brain tracking

A 
tracks steps (98%)
gives thrive score on app
94
Q

starkey

natural user interface tap control

A

double tap on ear and it will start and stop streaming

95
Q

starkey

language translation

A

thrive app: screen language translation from phone to HA

depends on internet connection

96
Q

starkey

streamers

A

tv streamer, remote mic stream and any device that streams to alexa

97
Q

starkey

rechargeable

A

not in this line but typically lithium ion battery with 30 hour life, cros has 15 hour life.
turbo charger 15 minutes yields 3 hours of use

98
Q

starkey

benefits

A

95% of pts are very close to e-stat within 3 dB

99
Q

starkey

unique selling proposition

A

healthable - first built into HA sensors

multipurpose device that tracks steps and somewhat of your overall health

Hearing Tech 3 (1 decks)

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