How Hearing Aid Technology Has Evolved in Society, and Why — Part III

Hearing Health & Technology Matters
May 24, 2016

Editor’s Note: Today’s post continues a discussion on the evolution of hearing aid technology by Abigail Farmer and Bruno Sarda. 

The First Electric Hearing Aids


Electrified hearing devices appeared around 1900, following the inventions some twenty years earlier of carbon microphones by Thomas Edison and the telephone by Alexander Graham Bell. Electrical hearing aids were actually the primary technology platform for the miniaturization of components and compact assembly before World War II. After the war, hearing aids became the first consumer market for printed circuits, transistors, and integrated circuits. Due to stigma surrounding hearing loss, hearing impaired individuals wanted small or even invisible devices.1 But deaf and hard of hearing people, as well as those who loved them, were not just early adopters of new hearing aid technologies, they were also often the inventors, retailers, and manufacturers of miniaturized electronics.2

The first electric hearing aid, called the Akouphone, was developed by Miller Reese Hutchison in 1898. His interest in this topic stemmed from having seen a childhood friend lose his hearing from scarlet fever. As a result, in addition to his training as an electrical engineer, Hutchison also took classes at the Medical College of Alabama to study the anatomy of the human ear.3 The Akouphone used a carbon transmitter and electrical current to amplify audio signals. A key downside was that it was not portable, as its users were tetheredto a bulky tabletop machine.4

eh1-236x300The vacuum tube, appearing at the start of the 20th century, was a technological breakthrough for hearing aids that would dominate the hearing aid market until the transistor displaced it. The vacuum tube itself was developed through a set of incremental scientific and technology innovations derived from Edison’s studying the flow of electrons and led to John Ambrose Fleming’s first vacuum tube (1904) that “looked at dots and dashes of Morse Code” for Italian inventor Marconi, and Dr. Lee DeForest’s invention of the triode, a three element vacuum tube in 1906, also called the ‘Grid Audion’.5

The triode was the key to amplification in general, and for hearing aids specifically. DeForest placed a grid between the filament and plate, which allowed for control of electron flow by varying the grid voltage. This controlling feature is called amplification.6


There was actually quite a controversy as to who between Flemming and DeForest was the inventor of the vacuum tube. Although Fleming is credited with the science of it, DeForest turned it into technology by enabling the control of signals through the tube.7


The Vacuum Tube Era


More than fifteen years after the introduction of Fleming’s original vacuum tube, the first vacuum-tube hearing aid was patented by Naval engineer Earl Hanson in 1920. It was called the Vactuphone‑still a bulky table-top hearing aid‑and used a telephone transmitter to turn speech into electrical signals.8 Hanson was a radio engineer, first for the Bureau of Steamships and later for the US Navy. Hanson’s interest in this civilian application was motivated by the fact that his mother was deaf.9

The cost for a new Vactuphone in 1921, produced by Western Electric, was $135, clearly out of reach for most of the population at that time.10 Interestingly, it was marketed as a device that enhanced hearing rather than restored it, as demonstrated by this advertisement in the Globe:


A ‘tabletop’ vactuphone hearing aid circa 1921. Image courtesy olympicyear1920

“Listen to distortionless speech and hear sounds that even normal and healthy ears have not heard since the world began.”11 These claims were not lost on the government: in 1924, the US Secret Service requested, and was granted, approval to use the Vactuphone for its operations.12

AT&T launched its own hearing aid development program in 1922. H. Fletcher, the director of speech and hearing studies at AT&T, was personally connected to this topic. His own father was deaf, and he served for many years as the President of the New York League for the Hard of Hearing.13 


Soon after, AT&T’s subsidiary Western Electric began manufacturing vacuum-tube hearing aids. Their first commercial device weighed 220 pounds and sold for $5,000. Within a year, Western Electric had reduced the size of the device down to 35 pounds and it could be transported in a suitcase since it now included batteries.14


This was derived from work Western Electric had done for the US Army in WWI to develop “trench sets” of smaller vacuum tubes. These devices were now becoming portable, like Acousticon’s Model 56, one of the first portable hearing aid units, which was introduced in the mid-1920s but was still quite heavy.15 By the end of 1924, Western Electric had achieved a seven-pound Audiphone portable device.16 Most of the hearing aid R&D activity during the 1920’s focused on carbon microphone and vacuum improvements in order to address internal noise and frequency responses, as evidenced by patent activity such as those obtained by Tillyer and Kranz in 1923 and 1928.17

These technological advances were complemented by increasing activism by the hard of hearing in the 1920’s and 1930’s, including many who had not previously considered wearing hearing aids. By the late 1920’s, hearing aid sales in the US exceeded 100,000 annually.18

Stay tuned for Part 4: The Transistor (Modern) Era



  1. Telephone Interview with Wayne Staab, Editor-in-Chief, Hearing Health and Technology Matters (Apr. 26, 2016).
  2. Mara Mills, Hearing Aids and the History of Electronics Miniaturization, IEEE Annals Hist. Computing April-June (2011).
  3. Donna R. Causey,Biography: Dr. Miller Reese Hutchison (Feb. 18, 2015),
  4. Hearing Aids: The Past, the Present, and the Future, supra note 14.
  5. Robert Traynor, The Road to the Vacuum Tube Hearing Aid,” Hearing Health & Tech. Matters, (Jul. 21, 2015), July 2015.
  6. Wayne Staab, Hearing Aid Technology Evolution, Hearing Health & Tech. Matters, (April 15, 2014)
  7. Traynor, supra note 19.
  8. Mills, supra note 16.
  9. E.C. Hanson, ‘‘The Vactuphone,’’ VoltaRev., July 1921.
  10. Traynor, supra note 19.
  11. Irvin Gerling & Matthew Taylor, Quest for Quality and Consumer Appeal Shaped History of Hearing Aid, 50 Hearing J., Nov. 1997, at 39, 42.
  12. Id.
  13. Mills, supra note 16.
  14. Id.
  15. Wayne Staab, Hearing Aid Technology Evolution, supra note 20.
  16. Id.
  17. Robert Sandlin, Textbook of Hearing Aid Amplification 12 (2000).
  18. ‘‘Material Given to Some Western Electric Employees in 1933,’’ p. 3, Western Electric File, Berger Archive.

*title image courtesy blog.eogn

farmerAbigail Farmer graduated summa cum laude with B.A.s in French and Spanish from Texas A&M University. Before starting law school, she interned with the U.S. Commercial Service in Paris, France. Abigail served as Executive Note and Comment Editor for the Arizona State Law Journal from 2014–2015 and as the Hong Kong team editor for the Wilhem C. Vis International Commercial Arbitration Moot from 2015–2016. She also co-authored an article on bitcoins and estate planning, which won the Mary Moers Wenig Student Writing Competition and was published in the ACTEC Law Journal; she and her co-author presented the article at the Arizona State Bar Convention. Abigail is graduating summa cum laude with a J.D. from the Sandra Day O’Connor College of Law and with an M.B.A. from the W.P. Carey School of Business. After graduation, Abigail will join Shell’s legal department in Houston, Texas

sardaBruno Sarda is a leading practitioner in the field of corporate sustainability at Dell, where he’s worked since 2005. In his role as Director of Social Responsibility, he leads the company’s strategy on social aspects of sustainability, including human rights and labor practices, working with internal and external stakeholders. He also manages Dell’s groundbreaking partnership with Phoenix-based TGen (Translational Genomics Research Institute) to accelerate adoption of precision medicine in addressing childhood cancer. In addition, Sarda is an adjunct faculty member and Senior Sustainability Scholar at Arizona State University, where he teaches and helped design and launch the Executive Master’s for Sustainability Leadership working with the Rob and Melani Walton Sustainability Solutions Initiatives at ASU.

  1. The hearing aid technology has surely come a long way since it’s inception. The hearing aid has become smaller and cheaper with the advancements in its technology. Now, there are even apps for smartphones that can replace the hearing aid completely.

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