Hearing Aids & Solutions for severe to profound hearing loss

A FULL SYSTEM APPROACH

An Ecosystem Approach To Better Hearing

Severe, severe to profound and profound hearing loss are difficult hearing losses to treat. The problem is that there is little residual hearing left in which to compress and fit a more normal range of hearing into. Super power hearing aids are a niche market and often slips the focus of hearing aid brands when developing new platforms. However there are two hearing aid brands that have consistently focused on development of ever better hearing aid and accessory solutions in the last couple of years. Both Resound and Phonak have consistently introduced new products to deliver better hearing to this slightly underserved market.

As I have said, the best approach to get the best ability to hear with these types of hearing loss is an ecosystem approach, good hearing aids bolstered in different situations by accessories designed for those situations. Nearly all of the hearing aid brands have designed wireless accessories that offer just that to people who need it. 

The Streamer Connundrum

Many wireless accessories on the market use some sort of intermediary streamer device that hangs around the neck to bounce signals to the hearing aid (Resound being the only one that doesn't for most things). For some reason many people find this irritating, I haven't a clue why. Having something hanging around your neck is worth it for the quality of audio. Especially when it comes to remote microphones which will do wonders for speech understanding in difficult sound environments. 

Phonak Systems, Indirect Streaming

For instance, Phonak has two seperate systems, the Roger portfolio which is an FM based system and their wireless accessories which work with all of their hearing aids. Both of these systems are based on an intermediary device which bounces the signal to the hearing aids. This is something I will explain later. Both of these systems give you access to streaming audio from several sources including mobile phones, audio and TV systems and remote microphones. 

Resound Systems, Direct Streaming

Resound are by now famous for their Made For iPhone hearing aid lines. Their Super Power offering is also an MFI device and therefore offers direct connection to all Apple mobile products for audio streaming. Resound also have a full line wireless accessory portfolio which works with all of their hearing aids and offers direct streaming to their hearing aids. That means there is no intermediary device to be worn or used. With the exception of a connection to an Android mobile phone or other Bluetooth enabled phone.

Enzo 3d with accessories

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A Solution For Severe To Profound Hearing Loss From Phonak

Naida Belong Hearing Aids

Phonak has a long history in and is renowned for hearing device solutions for severe to profound hearing loss. I would go as far as to say that the Naida range has become a Dynasty. They have just launched their latest addition to that range. Let's meet the Naida Belong range .

Best Solutions For Profound Hearing Loss

So as I said, Phonak launched the latest addition to their now famous Naida range in February 2018. I think the Naida had been accepted almost universally as one of the best solutions for profound hearing loss. However, with the introduction of the Enzo from Resound and the Super from Widex there is more choice than ever.

Belong Platform Based

The new Naida is based on the Belong chipset and finally brings all of the benefits of that platform to people with severe and profound hearing loss. The Belong platform has been exceptionally well received and it offers real benefits over the Venture platform before it. The new Naida B range is available in four levels of technology which include the B90, B70, B50 and B30, however, it seems that not all of the hearing aid types will be available at every level. Let's take a look

Naida Belong Range

The hearing aids

Naida B RNaida B R RIC

This is the first ever rechargeable Naida hearing aid, the device is a receiver in canal hearing aid which can be used with three power levels of receivers. The device has a programme button and is powered by a Lithium-Ion rechargeable cell, it will suit people with a hearing loss up to severe. However, the rechargeable hearing aid will only be available in the B50, B70 and B90 technology levels.

The Naida RIC (Receiver in Canal) offers a lot of power in a small package, it will deliver outstanding benefits for people with mild to severe hearing losses delivering power with discretion. The device comes with three possible receiver options, the XS, the XP and the new X UP (for Ultra Power).

Using the new X UP receiver, the hearing aid will cover a hearing loss down to a flat 100 dB. This means that even people with a severe to profound hearing loss can avail of a very discreet solution without compromise in power or functionality.

If this might be an attractive option for you, you need to be aware that there is some extra clean and care steps with a RIC device. As a RIC device, you will need to ensure that you take care of the receiver and follow a daily drying routine to ensure that it does not fail from wax ingression or moisture build up.  

Naida B SPNaida B SP

The Naida B SP (Super Power) is a traditional Superpower BTE hearing powered by a size 13 battery that will suit people with a severe to profound hearing loss. The hearing aid has both a programme button and a volume control and will be available in the B90, B70, B50 and B30 levels of technology.

The new Naida B SP can be fitted with a power slim tube and tip which offers real discretion. The power slim tube can be fitted with either acrylic or silicon custom tips. The device can also be fitted with a standard thick tube and mould configuration.

The power output on the Belong SP is the same as the Naida V and it matches the power output of the older Naida Quest UP. This means that more people with severe to profound hearing loss can now avail of a more discreet option.

While the SP runs on a size thirteen battery the power management system that Phonak uses ensures that the battery drain is controlled. The device is a little bigger than the RIC but it is still a very small Super Power hearing aid. 

 

Naida B UPNaida B UP

The Naida B UP (Ultra Power) is a traditional Ultra power BTE hearing powered by a size 675 battery (huge battery, lots of power, big smiles)  that will suit people with a profound hearing loss. The hearing aid has both a  programme  button and a volume control and will be available in the B90, B70, B50 and B30 levels of technology. 

The power and size of the new Naida B UP is in line with the Venture UP, giving it even more performance for even the most profound hearing loss. The B UP can also be fitted with a power slim tube and custom tip which means it can be a pretty discreet option.

This is definitely one of the smallest 675 traditional type hearing aid solutions for profound hearing loss. It will give people with profound hearing loss a more discreet solution.

Naida Belong Features

Adaptive Phonak Digital Contrast

The hearing aids have all of the latest features from the Belong range but offer a new proprietary fitting formula called Adaptive Phonak Digital Contrast. Phonak say that the new formula offers real benefits to some people who have real difficulty with hearing speech sounds. In essence, the formula should really contrast the consonant sounds from the vowel sounds in speech to allow better understanding.

Sound Recover 2

This is the latest version of Phonak's sound Recover strategy which was pretty successful when introduced in the Venture chipset. Sound Recover 2 allows access to the nuances of sound that many people with severe to profound hearing loss may not be able to hear. It delivers more speech information without causing distortion.

Water resistant

The range is rated to IP68, which means it will survive immersion in one metre of water for sixty minutes without damage. Phonak are circumspect about calling it water resistant, but another manufacturer calls this level waterproof. One way or the other this range will quite happily get in the shower and the pool with you without having to worry about it failing.

AutoSense

As part of the Belong platform the new Naida range benefits from Autosense and all of its features. This allows it to deliver the best possible experience in a range of sound environments.

A Solution For Severe To Profound Hearing Loss From Resound

Resound Enzo 3DResound Enzo 3D Hearing Aids

Resound have just launched their latest hearing device for people with severe to profound hearing loss. They are updated Enzo Made For iPhone (MFI) hearing aids with their new 3D platform which brings all of the benefits of that new system to this market. Those benefits include better spatial awareness and much better speech understanding in noise. With Made for iPhone® technology, you can stream phone calls, music and more from your iPhone, iPad® or iPod touch® directly to your hearing aids. If you have an Android or any Bluetooth-enabled phone, you can still stream calls, music and more with a discreet ReSound Phone Clip+ wireless accessory. 

Connect directly to Apple products with the Enzo 3D

Vibrant and crystal clear sound

Like the LiNX 3D range from ReSound, Enzo 3D hearing aids come with the superior sound quality of Surround Sound by ReSound. They work together, continuously exchanging data about your sound environment for optimized performance. The hearing aids are available in three levels of technology, the top of the range 9, the 7 and the 5. 

Enzo 3D Prices

We would expect the range to be sold at prices from £1200.00 to £2200.00 in the UK depending on the Practice and location. We would expect the range to be sold at prices from €1400.00 to €3000.00 in Ireland. We would expect the range to be sold at prices from $1400.00 to $3200.00 in the USA. Just to be clear, we don't set prices here and they differ from Practice to Practice across the World so our expectations aren't binding, they are just a guess and some research. Always remember, we all like to shop around, but always be clear about what is being delivered. You will need care and support, make sure you will get it. You will also need your hearing aid validated or verified to get the best experience, paying a little more to ensure your experience is good, is not wasted money. That's our price rant for the day over, let's talk about the devices. 

Two Models, Huge Power

The Enzo 3D BTE 88 and the BTE 98 side by side

There are two hearing aid models in the range both of which are Behind The Ear hearing aids and both of which are extremely powerful. The BTE 88 is the smaller of the two and takes a size 13 battery. The BTE 98 is larger but takes the 675 battery that many people with this hearing loss are used to.

The 98 is also more powerful than the 88, although not by much. However, Resound say that the 98 will get twelve days of use on the 675 battery, that's fantastic battery life for a smart hearing aid.

Resound

Enzo 3D ET-88

Resound Enzo 3D 88 ReSound ENZO 3D ET-88 is the smaller of the two hearing aids but it is a complete super power hearing solution. It provides high levels of amplification without feedback. It offers exceptional clarity and sound quality, and balances improved hearing in noise with preserved access to environmental sounds.

The Smart Range C platform in ReSound ENZO 3D supports their 5th generation of 2.4 GHz wireless technology. This allows ear-to-ear communication along with direct connection to the ReSound Smart 3D™ app, and lets the hearing aids connect wirelessly to iPhone, iPad, iPod touch, and select Android phone models via Bluetooth 4.0.

It also includes the industry-first ReSound Assist, which offers you finetuning and hearing aid update opportunities remotely via secure cloud technology. ReSound ENZO 3D HP BTE hearing aids are iSolateTM nanotech coated for optimum durability and meet the IP58 classification for ingress protection.

Enzo 3D ET-88 Prices

We would expect the ET-88 to be sold at prices from £1200.00 to £2200.00 in the UK depending on the Practice and location. We would expect the range to be sold at prices from €1400.00 to €3000.00 in Ireland. We would expect the range to be sold at prices from $1400.00 to $3200.00 in the USA.

Resound

Enzo 3D ET-98

Resound Enzo 3D 98ReSound ENZO 3D ET-98 is the larger of the two hearing aids but it does offer a more traditional 675 battery super power hearing solution. It provides high levels of amplification without feedback. It offers exceptional clarity and sound quality, and balances improved hearing in noise with preserved access to environmental sounds.

The Smart Range C platform in ReSound ENZO 3D supports their 5th generation of 2.4 GHz wireless technology. This allows ear-to-ear communication along with direct connection to the ReSound Smart 3D™ app, and lets the hearing aids connect wirelessly to iPhone, iPad, iPod touch, and select Android phone models via Bluetooth 4.0.

It also includes the industry-first ReSound Assist, which offers you finetuning and hearing aid update opportunities remotely via secure cloud technology. ReSound ENZO 3D HP BTE hearing aids are iSolateTM nanotech coated for optimum durability and meet the IP58 classification for ingress protection.

Enzo 3D ET-98 Prices

We would expect the ET-98 to be sold at prices from £1200.00 to £2200.00 in the UK depending on the Practice and location. We would expect the range to be sold at prices from €1400.00 to €3000.00 in Ireland. We would expect the range to be sold at prices from $1400.00 to $3200.00 in the USA. $

The Features That Matter

Binaural Directionality III

This first appeared with the introduction of the LiNX 3D range, it is Resound's latest directionality strategy and is a further upgrade to what they have been doing. It involves continuous information exchange between the hearing aids which allows the optimal directionality in the hearing aids for the situation you are in.

What That Means

It simply allows you to focus on the sounds that are important to you, however, it also allows you to be aware of your surroundings. Some thing that is important so that your natural ability to hear in noise is activated.

Spatial Sense

This combines and preserves natural cues so that the brain has the optimal information for localisation of sound and spatial awareness.

What That Means

Put simply, your ability to localise sounds is hugely important, because it is one of the major elements in your ability to listen to the sound you want while ignoring the sound you don't. These devices deliver amazing spatial awareness. 

Binaural Environmental Optimizer II

This feature allows the hearing aid s to work together to analyse the listening environment you are in. It then automatically adjusts the features and amplification to deliver the best experience for you. 

What That Means

Knowing what the sound situation around you accurately is really important, so this feature identifies the situation with high accuracy and then manages the feature set of the hearing aids to deliver the very best hearing for you. This feature and its accuracy is imperative for the function of the aids. Resound are quoting really high accuracy and our experience concurs. 

Noise Tracker II

This is a unique noise reduction system that works on the basis of spectral subtraction. It reduces unwanted noise without affecting the speech signal. 

What That Means

The really important bit here is that it seems to do what they are saying. It is excellent on any noise that is steady state (which means recurring similarlily) like engine noise, background hum of any kind. Steve has seen some excellent benefits in noisy situations in particular in his car. 

Sound Shaper

High frequency sounds that are not audible due to high frequency losses or cochlear dead regions are compressed in the frequency spectrum. A proportional relationship between input and output frequencies is maintained to minimize distortion.

What That Means

Sometimes and quite often in severe to profound hearing loss, a person no longer has the ability to hear high frequency sounds. Those sounds are exceptionally important for speech clarity. This feature works to improve the audibility of speech cues that would otherwise have been lost by bringing them onto an area where the person still has the abilty to hear. It does this while maintaining the best sound quality possible.

DFS Ultra II With Music Mode

A high precision feedback system that allows the cancellation of feedback with extreme accuracy. The Music mode is a slower acting system which allows better handling of music.

What That Means

Feedback is probably one of the most annoying things for users. The feedback system allows the amplification that you need without causing that damned irritating whistling. Having a system which also has a music mode means that your appreciation of music will be better. Sometimes music can sound like feedback, a music mode allows the system a little more time to make sure it isn't and do nothing. That means less distortion for you. 

Flexible Amplification Strategies

For better personalization to your patients’ needs, ReSound ENZO 3D also offers compression modes as alternatives to WDRC that decrease the amount of applied compression – Semi-linear and Linear

What That Means

People with severe to profound hearing loss have a lot of experience with hearing aids. Many are used to a particular sound profile and find it difficult to get used to anything else. This feature makes the fitting of the hearing aids more flexible allowing a good dispenser to give you a good approximation of the sound you are used to. 

Resound Assist

Resound Assist iconResound Assist is the really big news for both Providers and Users. Resound Assist will allow your provider to adjust your hearing aids remotely. That means if you want adjustments on the go, they can be provided without you having to attend the clinic. The system is really easy to use and is quite intuitive. This might not be for everyone, but this feature will be a god send for the people who love it. It will allow them complete freedom over their experience, over their customer experience. 

Find out more about the Resound Assist Service here

The App, Resound Smart 3D

Speech enhancer iconThe accompanying app also allows you personalise your hearing experience in a deeper way. It has been re-designed to be more intuitive and easier to use and it offers real control. When more clarity is needed, patients can increase speech focus, reduce noise and even reduce wind noise. Again, this might not be for everyone, but for those who want it, it will enrich their experience. This has to be seen as an excellent thing.

Resound

Resound Wireless Hearing Aid Accessories

Resound wireless hearing aid accessories 2017

As I have said, the approach for this type of hearing loss should be an ecosystem approach. In the case of profound hearing loss the hearing aids are very rarely enough to hear speech well in the more complex sound environments. That's why wireless hearing aid accessories can really help. Let's take a quick look at the devices available from Resound. 

Resound

Resound Micro MicReSound Micro Mic

The Micro Mic is a small and discrete remote microphone device that connects directly to the Resound Enzo 3D hearing aids. It will make it easier for you to keep up with the conversation in noisy environments.

Your companion simply wears the device clipped to their clothes and their voice is streamed directly to your ears. It works at a range of up to 80 feet in clear line of sight.

The device is a quite simple and discrete solution but its big brother the Multi Mic is probably the one you should think about. Its functionality eclipses the Micro Mic

Resound

Resound Multi MicReSound Multi Mic

This is a slightly larger but more functional remote microphone that Includes the benefits of the Micro Mic,however,  it can also be used as a table microphone. The dynamic microphones in the device will help you get better speech understanding in situations like meetings, cafes and restaurants. 

The device is multi functional and will also allow you to connect with loop and FM systems*. You can also use the mini-jack input to stream audio to your hearing aids. *FM receiver is required for FM transmission, but the device has a telecoil receiver on board. 

Resound

ReSound Unite Phone Clip+

ReSound Phone Clip+

The phone clip+ is a true god send for people with severe to profound hearing loss. It can be clipped discreetly onto clothing and will allow you to make clear mobile phone calls, mute background noise while talking, and stream music, podcasts or any other audio from any Bluetooth-enabled phone.

The Phone Clip+ gives complete freedom to talk on your mobile phone, listen to your music or audiobooks and all with complete ease, no hassle involved.

Our UK readers can buy the Resound Phone Clip + here.

  • £299.00,

Resound

ReSound Unite TV Streamer v2

ReSound TV Streamer 2

The TV Streamer allows you to watch TV comfortably with the sound streamed directly to their hearing aids. So while your family is free to set their own volume, you can adjust the volume using your hearing aids or the accompanying app on your phone to listen at a level that works best for you. Our UK Readers can buy the Resound TV Streamer 2 here

  • £249.00,

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A Solution For Severe To Profound Hearing Loss From Phonak

Naida Hearing Aids

Phonak has a long history in, and is renowned for hearing device solutions for severe to profound hearing loss. They launched their latest addition to that range in 2016. Let's meet the Naida Venture range .

Best Solutions For Profound Hearing Loss

So as I said, Phonak launched the latest addition to their now famous Naida range in the UK and Ireland in 2016. I think the Naida has been accepted almost universally as one of the best solution for profound hearing loss. Although there are many contenders for the throne including the Enzo from Resound and the Super from Widex.

Venture Platform Based

The new Naida is based on the Venture chipset and finally brings all of the benefits of that platform to people with severe and profound hearing loss. The Venture platform has been exceptionally well received and even long term Phonak users are blown away by the improvements that it has brought with it. The new Naida V range is available in four levels of technology which include the V90, V70, V50 and V30. A little bit of history here, the original Naida was first launched in 2007 and it quickly became the go to hearing aid for treating people with severe to profound hearing loss. I remember when it was first launched and the response to it when I first fitted it. 

The new range brings new styles with much smaller and more powerful devices than were available in the older Naida Quest range. It also introduces some great updated features with a new SoundRecover strategy to deliver as much speech information as possible without causing distortion.

The hearing aids

Naida V RIC

Naida V RICThe Naida V RIC (Receiver in Canal) offers amazing power in a small package, it will deliver outstanding benefits for people with mild to severe hearing losses delivering power with discretion. The device which is a new form factor with a size 13 battery comes with three possible receiver options, the XS, the XP and the new X UP (for Ultra Power). The X UP option is a newly designed receiver which offers more output than the previous one. In essence the option will cover a more severe hearing loss. 

With the introduction of a newly designed X UP receiver, the hearing aid will cover a hearing loss down to a flat 100 dB. This means that even people with a severe to profound hearing loss can avail of a very discreet solution without compromise in power or functionality. If this might be an attractive option for you, you need to be aware that there is some extra clean and care steps with a RIC device. As a RIC device, you will need to ensure that you take care of the receiver and follow a daily drying routine to ensure taht it does not fail from wax ingression or moisture build up.  

 

Naida V SP

Naida V SPThe new Naida V SP is 25% thinner than its predecessor, it is also a much smaller hearing aid. It runs on a size thirteen battery and can be fit with a power slim tube and tip which offers real discretion. The power slim tube can be fit with either acrylic or silicon custom tips. The device can also be fitted with a standard thick tube and mould configuration. The power slim tube has been re-designed by Phonak and it now sits lower on the top of the ear and hugs the face in a better way. This means that it is slightly more discreet than the last generation tubes. 

The power output on the new SP has been increased and it now matches the power output of the older Naida Quest UP. This means that more people with severe to profound hearing loss can now avail of a more discreet option. The SP runs on a size thirteen battery which accounts for that smaller size, but the power management system that Phonak uses ensures that the battery drain is controlled. The device is a little bigger than the RIC but it is still a very small hearing aid. All in all it is a very discreet option which delivers a lot of power, something that many people with profound hearing loss really want.

 

Naida V UP

Naida V UPThe new Naida V UP is again thinner and smaller than its predecessor with a new form factor. The power output on the hearing aid has been increased giving it even more performance for even the most profound hearing loss. It is powered by a 675 battery and can also be fitted with a power slim tube and custom tip. This is definitely one of the smallest 675 traditional type hearing aid solution for profound hearing loss. It will give people with profound hearing loss a more discreet solution.

Naida Features

Sound Recover 2

With a new version of Phonak's sound Recover strategy the Naida offers more high frequency cues than ever before. This allows access to the nuances of sound that you may not be able to hear. It delivers more speech information without causing distortion.

Water resistant

The range is rated to IP68, which means it will survive immersion in one metre of water for sixty minutes without damage. Phonak are circumspect about calling it water resistant, but another manufacturer calls this level waterproof. One way or the other this range will quite happily get in the shower and the pool with you without having to worry about it failing. 

More robust

The casing is made with a new glass fiber reinforced material, the Naída V is now 60% more robust than its predecessor which together with its resistance to water should really give you confidence it won't fail you. Phonak know that this is important for people with profound hearing loss because without there hearing aids they are in a bind. 

AutoSense

As part of the Venture platform the new Naida range benefits from Autosense and all of its features. This allows it to deliver the best possible experience in a range of sound environments.

A Solution For Severe To Profound Hearing Loss From Phonak

Roger Wireless Hearing Aid Accessories

Roger is the name of advanced dynamic wireless accessories from Phonak designed to deliver optimal hearing in noise experiences for people with difficult heraing losses. Roger provides outstanding performance in noise and over distance by wirelessly transmitting a speaker’s voice directly to the listener. It offers excellent signal-to-noise ratio and guarantees access to new levels of speech understanding for people with complex hearing loss. 

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