Wayne's World

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Sep. 05, 2017

The First CROS Hearing Aids?

Wayne Staab
In 1965, Harford and Barry were credited for the first accessible published description of across-head fitting1.  It was called the CROS (Contralateral Routing of Offside Signals).  Harford and Barry did acknowledge, however, that Wullstein and Wigand had published results on an almost identical across-head arrangement three years earlier2.  The Wullstein and Wigand work has seldom been quoted in related literature
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Aug. 29, 2017

Auriculostomy Hearing Aid – Surgical Procedure

Wayne Staab
This post is a continuation of an attempt to archive some historical events related to hearing aids – that of the auriculostomy.  As reported in a previous post, the auriculostomy may have been the first surgical involvement in the fitting of an electrical hearing aid.   It provided an alternate approach to the application of corrective amplification involving ear-level hearing aids
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Aug. 22, 2017

Auriculostomy – First Surgical Hearing Aid Approach

Wayne Staab
This post provides an historical archive to the application of hearing aids.  The auriculostomy may have been the first surgical hearing aid involvement in the fitting of amplification in that it provided an alternate approach to the application of corrective amplification involving ear-level hearing aids1.  This was in 1975.  It was an invention of Charles Strzalkowski, an innovative and creative
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Aug. 15, 2017

Ignore Listening in Quiet Hearing Aid Setting?

Wayne Staab
Hearing-impaired individuals, and especially older adults, find it difficult to perceive speech, especially in noise conditions.  Many turn to hearing aids to help resolve this difficulty. However, when they receive their programmed devices, the primary setting is for listening in quiet.   To help resolve this problem, most hearing aids today are programmed for different environmental listening conditions. It is
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Aug. 08, 2017

Categorization of PSAPs?

Wayne Staab
This post is a continuation of two previous posts relating to a proposed PSAP “Standard” (OTC Hearing Aid Standard, and PSAP Standard Review).  This post relates to a section of the proposed “Standard” relating to the “categorization of PSAPs” (personal sound amplification products).1     Categorization – Criteria for Standardization It is not clear what the purpose is for categories
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Aug. 01, 2017

PSAP Standard Review

Wayne Staab
Legislation recently passed in the U.S. House of Representatives1 and expected to be passed soon in the U.S. Senate2, requires the FDA to establish an OTC (over-the-counter) hearing aid category for adults with perceived mild-to-moderate hearing impairment, within three years. This category is estimated to overlap the hearing levels of approximately 60-80% of all hearing aids sold in the U.S. market
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Jul. 25, 2017

OTC Hearing Aid Standard

Wayne Staab
Both PCAST1 (President’s Council of Advisors on Science and Technology) and NAS2 (National Academies of Sciences) have recommended that OTC (over-the-counter) hearing aid sales be permitted for mild-to-moderate hearing losses. Additionally, the SB 9 Over-the-Counter Hearing Aid Act of 2016 introduced by Senators Warren and Grassley calls for the same.  These recommendations resulted from the identification of problems with the
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Jul. 18, 2017

Hearing Aid OTC Sales and Self-Fitting

Wayne Staab
On July 12th, 2017 the U.S. House of Representatives passed the FDA Reauthorization Act of 2017, which includes the Over-the-Counter Hearing Aid Act, and allows for hearing aid OTC sales.1    The Act creates a new class of over-the-counter hearing aids and allows non-prescription hearing devices to be marketed to treat mild-to-moderate hearing loss.  This bill is incorporated into the
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Jul. 11, 2017

Tablet Audiometry for Remote Region Access

Wayne Staab
by Matthew Bromwich, M.D.* Outreach work comes with many challenges, not the least of which is transportation of medical equipment. As an ENT surgeon, I travel with a portable audiometer. Typically, this device is a donated, tabletop, wired suitcase device with a handle. We have traveled to remote communities up north and to our outreach work in east Africa using
Featured image for “OTC Self-Fitting of Hearing Aids – Part II”
Jul. 05, 2017

OTC Self-Fitting of Hearing Aids – Part II

Wayne Staab
Until recently, hearing aids supposedly weren’t able to be purchased over-the-counter (OTC). Instead, consumers had to have a professional evaluate their hearing loss, set the hearing aid’s performance, and teach proper use.  However, recent OTC sales of hearing aid legislation has opened the door to focus on OTC self-fitting of hearing aids.   Why is Self-Fitting of Hearing Aids an