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$1 hearing aid could treat millions with hearing loss

sciencemag.org

41–50 of 200 posts

Re: $1 hearing aid could treat millions with hearing loss

#41
post #2

Ok I will bit, I want to build this and redistribute in Africa, I lack technical knowledge to do this, what is best approach?

Talk to someone in Africa who works with repairing mobile phones, laptops etc. They will have enough skills to assemble such a device. Recruit one of them or work with of them to make the devices in bulk.

Repair and bulk assembly are substantially different expertise. Almost no matter how cheap the local labor is, doing automated assembly with manual finishing is probably going to be way cheaper in China (especially since the supply chain for components is well established there).

Re: $1 hearing aid could treat millions with hearing loss

#42
post #18

I was told I could benefit from hearing aids, but was told they would cost $5K to $8K depending on which ones I wanted. I've decided for now that I'll put up with the issues associated with not having them for now. I was also told they blue tooth doesn't work very well if you have an android phone, so I'm hoping that there can be some real innovation and competition in this space to drive the prices down and also imp…

I don't have any first-hand experience to share, but my wife used to work at https://www.audicus.com/ which is a startup focused on exactly this problem, in case you're interested in further research.

Re: $1 hearing aid could treat millions with hearing loss

#44
post #37

Earlier quoted context omitted.

Hearing aids are tremendously constrained with regards to power and mechanics. There is no way you will be able to get an FPGA in a hearing aid. An FPGA runnning complex DSP algorithms will: 1. Get hot. I don't want a +60C FPGA in my ear. 2. Eat up the battery. The batteries are small and fiddly to replace for an 85 year old with bad eyes and arthritis in the fingers. They should last for at least a week before needi…

About the precious volume and heat - the technology still seems very unimpressive given we have wireless earbuds in stores. Mounting something behind the ear doesn't seem very extravagant these days and vendors only profit from this forced conservative approach because it smothers any potential competition that thinks it has to be this way.

Yes. Plenty of people prefer behind the ear devices because they are either rechargable, or brightly coloured. Young people in particular benefit from being able to chose an aid that's brightly coloured, and you see some YP modify their aids with skins or stickers.

Here's the colour range for one modern aid: https://www.fmhearingsystems.co.uk/PDF/FocusColours.jpg

Rechargable: https://www.phonak.com/uk/en/about-us/rechargeable-technolog...

Re: $1 hearing aid could treat millions with hearing loss

#46
As an aside, there's a lot of exciting regenerative work going on related to hearing at the moment. Sometime soon we may no longer need hearing aids. There are some neat drugs either in clinical trials or about to begin clinical trials that will re-grow hair cells and broken synapses in the cochlea (ex: FX-322, OTO-413, OTO-6XX).

Re: $1 hearing aid could treat millions with hearing loss

#47
A few notes here:

* This is intended to treat presbycusis, or old-age hearing loss, where the highest frequencies are lost first. It would not be effective for noise-induced hearing loss, where the frequencies around 4 KHz are lost first (the "s" and "f" sounds in speech). This matters in the low-income countries it's targeted for, because occupational health is not as strict and PPE is not as widely utilized, so people are more often exposed to damaging levels of noise at work.

* It does not handle loudness recruitment, a common effect of damage to the outer hairs in the cochlea which causes loudness perception to become non-linear. Someone with a moderate hearing loss would hear an 80 dB sound as just a few dB softer than someone with normal hearing, but a 40 dB sound as many dB softer than someone with normal hearing, and a 20 dB sound as not audible at all. So if you do what this hearing aid does and boost it all by 15 dB, the 20 dB sound becomes barely audible, the 40 dB sound is perceived as "about right", but the 80 dB sound is perceived as nearly 95 dB (really freaking loud). You have to have some non-linear compression in there to adjust for this, and not just overall -- it needs to be per frequency band (https://en.wikipedia.org/wiki/Bark_scale) to match the way the ear works.

* Another commenter mentioned that the "bandwidth to the brain" is not available. That's only true in the case of damage to the inner hairs of the cochlea. What's more common is damage to the outer hairs, which amplify the sounds, and that can be compensated for with a hearing aid.

What we really need is a common way to program a hearing aid, so we can have apples-to-apples competition. Right now, when you go to the audiologist, you get an audiogram, which tells you the minimum threshold of sound that you can perceive at each frequency band. But beyond that, there are proprietary adjustments for compression, noise reduction, profiles for different types of loss, and so forth. It's not like getting glasses, where your prescription fully defines the lens, and you can take it to any vendor and have them make it for you.

Edit: If you're really into this stuff from a technical perspective, http://refined-audiometrics.com/wordpress1/ is worth a read -- it's a project by an engineer who experienced a hearing loss later in life who has built a software system to make music sound right for him again, basically building a "super hearing aid" running on a desktop CPU to do more fine-grained processing than what is possible within the power budget and form factor of a regular hearing aid.

Re: $1 hearing aid could treat millions with hearing loss

#48

Earlier quoted context omitted.

Hearing aids are tremendously constrained with regards to power and mechanics. There is no way you will be able to get an FPGA in a hearing aid. An FPGA runnning complex DSP algorithms will: 1. Get hot. I don't want a +60C FPGA in my ear. 2. Eat up the battery. The batteries are small and fiddly to replace for an 85 year old with bad eyes and arthritis in the fingers. They should last for at least a week before needi…

is it possible to use the users phone for those calculations ? Think about a dumb hearing aid, with a microphone and bluetooth connection, which is able to connect to any compatible phone and phone does the processing.

Realtime audio is tricky without hardware acceleration.

Re: $1 hearing aid could treat millions with hearing loss

#49
post #7

Hearing aids (nor cochlear implants, for that matter) do not "restore hearing", except for light hearing loss. They are only like crutches (not even wheelchair). For example, to follow conversations or phone/skype with multiple people is very exhausting even with fancy device, because in most cases the "bandwidth" to the brain just isn't available. That said, the hearing aids vendor lock-in is really atrocious and ca…

It's because it's a medical device. The OTC Hearing Aid Act will change that so Bose (and I would guess Samsung and Apple in the future) can sell hearing aids directly to consumers. Bluetooth 5.2 LE Audio will solve the vendor lock-in. So the future looks bright for us with hearing loss. Edit: And with iOS 14 you can use AirPods Pro as hearings aids by adding an audiogram to the Apple Health app. Works really well.

There is a hearing aid app called Fennex that seems to be very highly rated. It works with any IPhone running iOS 11 or later (thus less expensive IPhones) and works with any Bluetooth earbuds, not necessarily the AirPods Pro (thus less expensive earbuds). I have never owned an IPhone, but this app seriously tempts me to buy one.

Re: $1 hearing aid could treat millions with hearing loss

#50
post #37

Earlier quoted context omitted.

Hearing aids are tremendously constrained with regards to power and mechanics. There is no way you will be able to get an FPGA in a hearing aid. An FPGA runnning complex DSP algorithms will: 1. Get hot. I don't want a +60C FPGA in my ear. 2. Eat up the battery. The batteries are small and fiddly to replace for an 85 year old with bad eyes and arthritis in the fingers. They should last for at least a week before needi…

About the precious volume and heat - the technology still seems very unimpressive given we have wireless earbuds in stores. Mounting something behind the ear doesn't seem very extravagant these days and vendors only profit from this forced conservative approach because it smothers any potential competition that thinks it has to be this way.

There are trade-offs.

Behind the ear is great when you still have reasonable hearing in a good chunk of the spectrum, so the dome from the BTE provides the boost that is additive to the natural signal.

Wireless earbuds' counterparts in the hearing aid world are called "in ear" or "in canal" or "completely in canal" or "hidden", and they provide some benefits, but do have a couple of drawbacks: they can often give the impression of a plugged ear because they keep the natural signal out (exacerbating tinnitus, which is common with hearing loss), and they can irritate the ear canal from all the friction (that part of our body is very sensitive). They can also prevent the natural outflow of cerumen (wax) and cause its accumulation.

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