Brochure about hearing loss, possible impacts and solutions, 7 MB

Brochure about hearing loss, possible impacts and solutions, 7 MB
www.siemens.com/hearing
Hear better and live life to the fullest.
About hearing loss, the possible impacts, and solutions that can help.
Information
and solutions.
Life is intricate, showering us with
experiences. Sight, taste, touch, smell,
and hearing: Our senses are woven
together like a net that helps us capture
the details. But what happens if one
of the fibers wears or breaks? Can the
net be mended?
If you or a loved one suffer from a
hearing impairment, you may find
the answers you’re looking for in this
brochure. The following chapters
focus on hearing loss – explaining
how hearing works, the possible
impacts of conditions like a hearing
impairment or tinnitus, the special
needs that children with hearing
impairments have – and also offer
concrete solutions.
Table of
contents.
Hearing
impairments
and the possible
impacts
What you need
to know about
hearing
Features and
benefits
Hearing
instruments –
Product Range
Hearing makes sense of life
Hearing loss restrictions
First signs of hearing loss
Facts about hearing loss
Friends and relatives
Assess your hearing
Professional hearing test
Hearing instruments can help
4 – 5
6 – 7
8 – 9
10 – 11
12 – 13
14 – 15
16 – 17
18 – 19
What you need to know
About the ear
Types of hearing instruments
Better hearing in every situation
Important factors
Assess your needs
Siemens expertise
20 – 21
22 – 23
24 – 25
26 – 27
28 – 29
30 – 31
32 – 33
Your new hearing instrument
Learning to hear again
Practical tips
Positive effects
Maintenance and use
Information for family and friends
Your Hearing Care Professional
70 – 71
72 – 73
74 – 75
76 – 77
78 – 79
80 – 81
82 – 83
Prepared for any hearing situation
Start the day right
Carpe diem
Making the most of midday
Out and about
Afternoon adventures
All’s well that ends well Help
34 – 35
36 – 37
38 – 39
40 – 41
42 – 43
44 – 45
46 – 47
48 – 49
Getting the better of tinnitus
Addressing tinnitus
Tinnitus – terms and forms Tinnitus – causes and diagnosis
Focus on tinnitus
Tinnitus management
Modern technical solutions
Practical tips
84 – 85
86 – 87
88 – 89
90 – 91
92 – 93
94 – 95
96 – 97
98 – 99
Solutions for individuals
Overview
Insio
Ace
Pure/Pure Carat
Siemens Life/Motion
Aquaris/Nitro
Orion/Sirion
Intuis/Lotus
Accessories for every eventuality
50 – 51
52 – 53
54 – 55
56 – 57
58 – 59
60 – 61
62 – 63
64 – 65
66 – 67
68 – 69
Hearing loss in childhood The importance of good hearing Hearing loss in children
Hearing instruments for...
... babies and toddlers ... schoolchildren
... teenagers
Range overview
Tips and service
100 – 101
102 – 103
104 – 105
106 – 107
108 – 109
110 – 111
112 – 113
114 – 115
Getting to
know your new
hearing
instrument
Getting the
better of tinnitus
Hearing loss
in childhood –
a guide for
parents
Hearing –
makes sense
of life.
A grandchild’s first words, the rustle of leaves in the wind,
the clinking of glasses at the table or whispered secrets from
a best friend: These are the moments we hold dear. It’s these
sensory experiences that enrich our lives.
Hearing enables us to understand our fellow human beings
and to interact with the world around us. These are all things
that can be taken away by hearing loss.
4
Information
for hearing
impaired people
Hearing loss restricts
the way we live.
Deteriorating hearing makes it increasingly difficult for us to converse with
other people. We mishear things with greater frequency and have to keep
asking people to repeat things. Outsiders can often react with miscomprehension.
All this eats away at our self-confidence and can have a negative impact on our
general well-being and our quality of life as a whole.
Hearing loss is not something to be taken lightly. It is important to do
something about it, sooner rather than later – to maximize the enjoyment
of life.
Possible impacts of hearing loss:
Sources:
(1) Arthur Wingfield et al., Brandeis University, Waltham,
Current Directions in Psychological Science, Vol. 14, No. 2
(2) P
sychological Profile and Social Behaviour of Working
Adults with Mild or Moderate Hearing Loss,
Acta Otorhinolaryngol Ital., April 2008
(3) E
ar and Hearing 2009, 30, 302 – 312,
Lippincott Williams & Wilkins
6
• Decreased attention
• Diminished understanding of speech
• Trouble communicating with others
• Diminished memory(1)
• Less willing to embrace the unknown
• Declining job performance(2)
• Lack of acknowledgement by others
• Irritability, stress, depression(3)
• Withdrawal from social life, isolation(3)
Information
for hearing
impaired people
How to recognize the first signs of hearing loss.
Hearing loss generally develops slowly
over many years; the effects become
apparent only gradually. This makes it
difficult for those affected to recognize
that they are actually suffering from a
hearing impairment. Relatives, friends
or colleagues are often the first to
realize that something is wrong.
However, there are clear signs that your hearing is not
entirely as it should be. Perhaps you find it difficult to
understand the phone conversation clearly? Does your
family complain about the volume when you are listening
to the radio or television? Do you find it difficult to follow a
conversation in a restaurant or when there is a lot of noise
in the street around you? Do you often feel exhausted
after family celebrations because listening is such an effort?
Do you hear better when you are able to look at the person
talking to you?
All these are typical signs of a hearing impairment. But
don’t worry; hearing loss is not something simply to be
endured. You can – and should – do something about it.
If you are uncertain whether you are suffering from hearing loss, just take the
quick test on page 15 of this brochure.
8
Information
for hearing
impaired people
Only 35 % of all people
with hearing loss are
over the age of 64.(1)
Only old people have
poor hearing? Not true!
More than 700 million
people around the
world have a hearing
impairment.(2)
It is not only older people who suffer from hearing loss.
Poor hearing is widespread across all age groups. Today,
young people increasingly have hearing impairments too –
excessively loud music listened to via headphones, at
concerts and discos is having a major impact. Construction
workers, ambulance drivers, DJs and factory workers:
These are all examples of professions where loud noise can
have a lasting and damaging impact.
Hearing loss can, of course, also be caused by medical,
genetic or simply unknown factors.
However, one thing is clear: You are not alone in suffering
from a hearing impairment. Today, one in six people have
some degree of hearing impairment.
Sources:
(1) Better Hearing Institute
(2) G
lobal Burden of Hearing Loss in the Year 2000, World Health Organization (WHO, 2003);
Deafness and Hearing Impairment, World Health Organization (WHO, 2006)
(3) Better Hearing Institute
(4) American Johns Hopkins University in Baltimore, Maryland
(5) hear-it.org
10
Only 5 – 10 % of all
cases of hearing loss
in adults can be
treated medically or
surgically.(3)
Facts about hearing
Worldwide 8.5 % of all
people between the
age of 20 and 30
suffer from hearing
loss.(4)
Many people with
hearing loss wait as
long as 10 years
before they do
something about it.(5)
Hearing loss also
affects friends and relatives.
Hearing loss is not only a problem for the
hearing impaired individual, but also for friends
and relatives. During conversations, they often
receive incorrect responses or even no response
at all. They feel ignored or that they are being
deliberately misunderstood. This has a negative
impact on the home environment and can lead
to a bad atmosphere and conflict.
Even though hearing impaired individuals might
not want to admit it, ignoring hearing loss and
not doing anything about it is not going to solve
anything. After all, poor hearing has far-reaching
consequences – both for the individual affected
and for the people around him/her.
Information for
friends and relatives
For example, the hearing impaired individual
might not hear phone calls or the door bell,
missing a chance to enjoy family or friends. Or
they might not be able to fulfill work requirements
because they did not understand the task
instructions, causing trouble in their job.(1)
What can you do if a family member or friend is
suffering from hearing loss? Encourage them to
do something about it and take a hearing test.
And remember the rules for communicating
with a hearing impaired individual.
Tips for communicating with a hearing impaired individual:
Source:
(1) P
sychological Profile and Social Behaviour of Working Adults with Mild or Moderate Hearing Loss, Acta Otorhinolaryngol Ital., April 2008
12
• Look for a quiet environment in
which to talk.
• Take care to ensure that your dialogue
partner is not distracted.
• Face the person to whom you are talking.
• Make it clear what you want to talk
about.
• Take care to speak clearly.
• Do not jump from one
topic to another.
How good is your
hearing?
Ten questions to assess your hearing:
YES
YES
NO
NO
Do the people around you seem to
mumble and not speak clearly?
Has anyone ever told you that they
often have to repeat things for you?
We are often unaware of how well or
poorly we hear on an everyday basis.
Is it hard for you to understand when someone
talks to you from behind or from the side?
If you want to know how good your
hearing is, simply answer the adjacent
questions. And in the next few days,
pay particular attention to the
everyday situations described.
Does it take a lot of effort for you to understand
someone if they talk quietly or whisper?
You can also test your hearing by
taking our online hearing test at
www.siemens.com/hearing or via
the smartphone app.
Is it difficult for you to follow conversations in loud
environments, for example, in restaurants?
Quick test
Do you have trouble hearing high-pitched tones like
music, birdsong, children’s voices, etc.?
Do you tend to go out less because it is hard
for you to follow other people’s conversations?
Has anyone ever asked you to turn down the
volume of your television or radio?
Do you have difficulties hearing someone
at the other end of the telephone?
Do you have trouble recognizing the direction from
which a car, for example, is approaching?
If you have ticked “YES” four or more times, we recommend you contact
a Hearing Care Professional or ENT doctor.
15
Only a professional hearing test can assess your hearing correctly.
Are you uncertain whether you have a hearing impairment? Do you want to
have your hearing tested by a professional, just to make sure? If you answer
“YES” to either of these questions, you should contact a Hearing Care
Professional or ENT doctor.
A hearing test examines your hearing – it is quick and painless and comes with
no obligation whatsoever. It determines whether you are suffering from
hearing loss and to what extent. It also carefully examines the ear to ascertain
the possible reason for the hearing impairment.
If there is a medical cause, the otolaryngologist will treat the hearing loss
accordingly. If hearing instruments are necessary, then you should contact
a Hearing Care Professional, who will offer you detailed advice and help you
choose the best hearing instruments for your individual needs.
After careful adjustment of the hearing instruments and a brief adaptation
period, you will enjoy all the sounds you’ve missed again.
16
Your Hearing
Care Professional
Hearing instruments
are unattractive?
Hearing instruments help
you hear well again.
Many people find it hard to come
to terms with the idea of wearing
hearing instruments. They put off the
decision and only do something about
it when the problems associated with
poor hearing simply become too much
for them.
However, the earlier you do something
about hearing loss, the better. Even
when hearing is just starting to
deteriorate, hearing instruments help
to maintain neural pathways in your
brain responsible for hearing all the
sounds around you. The longer you put
off hearing instruments, the harder
it will be for you to get used to them
when you do finally wear them, and
more importantly, the more you’ll miss
out in life.
After all, hearing is no different to any other part of
the human body: It requires exercise and stimulation.
Hearing stimulates and trains the brain. If this stimulus is
taken away, hearing not only gets progressively worse but
the understanding of speech will also start to deteriorate
at some point.
Hearing instruments
are large and
clumsy?
Facts and
misconceptions
Fact: Some hearing
instruments today are
so small and discreet
so that they go almost
unnoticed.
Last but not least, hearing instruments enhance quality
of life. Wearers can again hear the positive sounds of life:
The voice of a grandchild, birdsong, the rustling of leaves …
Hearing instruments
are delicate?
The technology of hearing instruments has advanced rapidly.
Today’s devices are capable of so much more than they
were just ten years ago. Ask your Hearing Care Professional
to show you the latest Siemens hearing instruments and
you’ll be surprised by their size, power, sophistication and
design.
You will find more information about hearing in general and about
hearing instruments in particular in the following chapter, “What you need
to know about hearing.”
18
Fact: Hearing
instruments are
available today in
countless
fashionable colors and
attractive designs.
Fact: Some hearing
instruments are not
only very robust but
also waterproof.
Hearing instruments
are complicated?
Fact: Modern hearing
instruments are
intelligent and
automatically adapt to
different hearing
situations.
What you
need to know
about hearing.
Good hearing is so important in our everyday lives, yet most people with
normal hearing don’t even think twice about what it means to be able to
hear well. Chatting with friends, listening to the sounds of nature, enjoying
music or hearing warning signals – they take it all for granted.
It is only when hearing starts to deteriorate noticeably that we realize just
how important good hearing is in our everyday lives. And how much we
miss out when we no longer hear well.
Our hearing plays an important role in how we relate to our surroundings.
It facilitates the forming of relationships, and opens up a wealth of sensory
experiences. It is also very complex and extremely sensitive.
So let’s give it the attention it deserves …
20
About hearing
The ear –
a miracle of nature.
What you need to
know about the ear
The ear is an amazing and incredibly skilled organ that performs the wonderful and highly complex
task of hearing. It can distinguish between 7,000 different pitches and enables the brain to locate
sound sources.
Outer ear
Middle ear
Pinna
Inner ear
Malleus
Incus
Auditory
nerve
Ear canal
Cochlea
Stapes
Tympanic
membrane
(eardrum)
22
How hearing works:
Outer ear: This part of the
ear picks up sound and
directs it to the eardrum via
the ear canal.
Middle ear: The sound
makes the eardrum vibrate
and is amplified by the
ossicles, three tiny bones
called the Malleus, Incus and
Stapes.
Inner ear: The cochlea
converts movements of
the ossicles into electrical
signals. The auditory nerve
transmits the signals to
the brain.
What does hearing loss mean?
No two cases of hearing loss are the same. However, most often people with
a hearing impairment are unable to distinguish soft tones and high-pitched
sounds and have difficulties hearing sounds such as whispers, children’s voices
or birdsong. The understanding of speech also suffers because, as the graphic
shows, many of the sounds important for understanding speech, are soft,
high-pitched sounds such as “s” or “th”. These are sounds that help us determine
the difference between “path” and “pass”. And, however paradoxical it may
sound, increasing the volume is of limited help. Most likely, people with a
hearing impairment need clarity, not volume.
Hearing impairments can occur in all parts of the ear; dysfunctions of the outer
or middle ear can generally be treated with medication or surgery. However, a
good 80% of all hearing impairments are caused by dysfunctions of or damage
to the inner ear. Today, modern hearing instruments can compensate for most
inner ear damage.
Possible causes of
hearing loss:
• Infections or
chronic illnesses
• Injuries
• Genetic factors
•M
edication that can
damage hearing
• Exposure to
ongoing or
extreme noise
• General wear
and tear
23
What are the different types
of hearing instruments?
Components of a hearing instrument:
Microphones
Pick up the sound.
Receiver
Transmits the sound.
As a rule, hearing instruments are categorized according to type. There are two basic types:
Behind-the-ear (BTE) and In-the-ear (ITE) instruments. The type that is right for you depends on your
hearing impairment and on the anatomy of your ear, as well as on your personal requirements with
regard to technology and design. Your Hearing Care Professional will be happy to advise you.
BTE instruments:
ITE instruments:
Behind-the-ear hearing instruments are
inconspicuous and comfortable as they do
what the name says: They sit behind the ear.
BTE hearing instruments are available in two
variants: With a tube that delivers the sound
from the hearing instruments into the ear, or
with an external receiver that sits directly in
the ear canal. BTE hearing instruments are
available in different performance levels and
in many individual colors and designs.
In-the-ear hearing instruments are worn directly
in the ear. They are custom-made based on the
anatomy of the wearer’s ear. They sit either in
the bowl of the ear or deep in the ear canal.
24
Hearing instruments –
types and designs
Mini-chip
Processes the sound
in accordance with
individual hearing
needs.
Battery
Powers the instrument.
Tube with earpiece
Delivers the amplified
sound to the ear.
25
When listening
to music
Better hearing –
in every situation.
When watching
television
Hearing instruments have come a long way in the past few years, and there is now a solution to
compensate for almost every type of hearing impairment. Modern hearing instruments are not just
small and inconspicuous, they are also extremely powerful and versatile. They can do much more
than simply make sounds louder. Intelligent technologies based on microprocessors help to
compensate for various forms of hearing impairments.
Type of hearing problem:
How technology can help:
You have trouble understanding
conversations in loud environments,
for example in restaurants or at parties.
In loud environments, speech is accentuated and
ambient noises are suppressed.
People around you seem to mumble.
High pitches that are important to understanding speech correctly
are amplified but low pitches which add volume are not.
You cannot clearly identify the direction
from which sounds come.
Innovative microphone technology in the hearing instruments
improves the localization of sounds and noises.
Music sounds very muffled and dull.
High pitches that the ear cannot detect are amplified and
accentuated so that music sounds clearer and more brilliant.
You can only understand television and
radio programs if the volume is high.
26
With suitable accessories, sounds can be transmitted directly
and wirelessly to the hearing instruments from devices such as
TVs, phones and mp3 players.
In restaurants
Improvements
experienced with
hearing instruments
today
When making
phone calls
At parties
When taking part in
sports and leisure
activities
Important factors
when choosing
hearing instruments.
Things to consider
There is no “one size fits all” answer to
hearing loss. Each solution is as unique
as the individual impacted.
When choosing hearing instruments,
many factors have to be taken into
account, particularly the degree of
hearing impairment and the individual
ear anatomy.
Anatomyy
of th
he ear
OPTIMUM
HEARING
INSTRUMENTS
Personal lifestyle
requirements
Degree
g
of
hearing loss
hearing
However, it’s not just restoring the
hearing loss that is important. Other
important considerations arise
from your own individual lifestyle
requirements. For example, do
you want particularly unobtrusive,
discreet instruments, or are you more
interested in an attractive design
or fully automatic control? It is also
essential to consider the situations
in which you want to achieve
improvements. Are you dependent
upon good hearing at meetings or
on the telephone? Do you go out a
lot – to the theater or restaurants –
or are you more the type to stay at
home? These are all things to consider
when choosing the type of hearing
instrument that is right for you.
Your Hearing Care Professional will
be happy to help you select and
configure all aspects of your hearing
instruments.
29
What do
you need?
In which of the following situations do you
wish you could hear better?
very
important
important
not
important
During a one-on-one conversation
in a quiet environment
When talking in restaurants
or at parties
Wearing hearing instruments can take
some getting used to, so it’s important
you feel that you’ve made the right
choice from the outset.
To help you decide on the right
hearing instruments, we have put
together ten questions that you should
ask yourself before visiting your
Hearing Care Professional.
Your wishes and
requirements
At meetings or conferences
When driving
When watching television,
listening to music or in the cinema
What is particularly important for you in hearing instruments?
very
important
important
not
important
Maximum discretion
Ease of use
Automatic control
Discreet remote control
Compatibility with modern
entertainment and communication
technology, such as a television,
PC, mobile phone
31
Siemens have been helping
the world to hear –
for more than 130 years.
Esha-Phonophor: 100 Years of Quality Innovation.
At the turn of the year 2013 to 2014, Siemens celebrated the 100th anniversary
of its Esha-Phonophor hearing instrument, the smallest and most powerful
instrument of its time and the foundation for a century of success in the
development of hearing aid technology. It all began with Werner von Siemens’
improvements to the sound quality in telephones, which later enabled the
company to integrate this technology into hearing instruments, eventually
miniaturizing it. This was also the beginning of the company’s focus on
customers’ individual needs as the Esha-Phonophor was offered in various
models and styles for different preferences – a story of success and satisfaction
that lasts until today.
2012
Siemens researchers
win the “Deutscher
Zukunftspreis”
(German Future
Award).
2011
Each Siemens hearing instrument incorporates more than 130 years
of experience and expertise. In 1878, Werner von Siemens developed
the Phonophor hearing instrument and became a pioneer for many
other innovations in the field of audiology. Today Siemens BestSoundTM
Technology sets new standards in hearing technology. We take a
holistic view and our instruments aim to do far more than simply
compensate for loss of hearing: Our goal is to enhance the quality of
life for hearing impaired individuals.
2010
Aquaris, Siemens
introduce the first
digital waterproof,
dustproof and shockresistant hearing
instrument.
Siemens expertise
BestSound Technology,
Siemens write a new
chapter in hearing
instrument technology.
2008
Tek, Siemens introduce a
revolutionary wireless enhancement
system giving wearers unprecedented
access to all favorite audio devices.
2004
2002
1997
1987
1966
1959
1913
1878
Werner von
Siemens develops a
telephone receiver
which also helps the
hearing impaired.
Esha-Phonophor,
Siemens begin
the serial
production of
hearing
instruments.
1949
Phonophor Alpha,
Siemens present
their pocket-size
hearing
instrument.
Auricullete 326,
Siemens launch
their first Behindthe-ear hearing
instrument.
Siretta 339,
Siemens present
their In-the-ear
hearing
instrument.
Telos, Siemens
launch the first
remote control in
the world of
hearing
technology.
Acuris, Siemens introduce the
first hearing instrument featuring
a wireless system, e2e wireless,
small enough to fit in CICs.
Triano, Siemens launch the
first hearing instrument with
three microphones.
Prisma, Siemens
present the first
digital hearing
instrument
featuring two
microphones.
You can find further information about our hearing instruments in the chapter
“Individual solutions“ or on the Internet at www.siemens.com/hearing.
33
Prepared for
any hearing
situation.
Every good hearing instrument offers certain basic features.
But optional features can improve hearing in individual
situations to fit your specific needs, making life easier.
Siemens offer many helpful features for better hearing,
improved sound comfort and individual preferences –
as illustrated in the everyday examples that follow.
34
Features and
benefits
Start the
day right.
For many of us, the day begins with
a conversation over breakfast; maybe
we make a quick phone call before
heading out for the day. Even in these
simple listening situations, hearing
instruments can ensure that we catch
every little nuance.
Directional microphones
A directional microphone focuses on sounds that
originate in front of you, reducing noises from other
directions, helping you to focus on your conversation
partner.
Feedback management
Feedback management describes the process of suppressing
feedback whistling within milliseconds. The latest feedback
cancellation system is now more effective than ever. So you
can forget about that irritating whistling sound once and
for all.
Telecoil
The Telecoil, also called T-coil, automatically detects the
magnetic signals from devices like landline phones and
inductive transmission systems, e.g. in theaters and
cinemas, and transmits them directly to your hearing
instruments.
36
Features
Directional microphones
Feedback management
Telecoil
Carpe diem.
Each day is full of interesting conversations in the most diverse environments.
Sometimes with many different dialog partners, like in a meeting. Other
times, you cannot turn to face the person you’re talking to, such as when you
are driving. The right features ensure that you never miss a thing.
Multi-channel adaptive microphone
The multi-channel adaptive microphone can follow and fade out multiple
moving sources of background noise – making sure you’re well-equipped
for meetings or gatherings.
Features
Multi-channel adaptive
microphone
Remote control option
SpeechFocus
Automatic adaptive
microphone
Remote control option
Discreetly switch settings or programs and adjust the volume by using a remote
control: The sleek, easy-to use easyPocket™, convenient miniTek™ Remote App or
the discreet ePen™ – which won the renowned “iF” and “reddot” design awards.
SpeechFocus
With SpeechFocus, you can hear speech well in the presence of background
noise, even when it comes from behind you or from the side. This is ideal
when you’re driving or cannot look at the person you are speaking to.
Automatic adaptive microphone
In noisy situations, the microphone switches to focus on speech in
front of you, reducing the intensity of noise around you. Adaptive
microphones can follow and reduce sources of noise as they move –
for example, if a truck drives by the window during a conversation
or conference – making it much easier to listen in noise.
39
Making the most of midday.
The sounds we experience every day enliven and enrich our lives, but
sometimes all these impressions can be overwhelming. The clatter of dishes
at a restaurant, the rustle of paper while at the doctor’s office, the person
crinkling a bag of chips when we watch a matinee: Wouldn’t it be ideal if we
could focus on only the sounds we want to hear? The right features can act
as a filter – so you can concentrate on what’s really important.
Speech and noise management
Speech and noise management supports the directional microphone
system and reduces the effort of speech understanding in noisy situations.
Furthermore, it also makes listening in noisy situations more comfortable
by dampening the general noise level.
Features
Speech and
noise management
SoundSmoothing
Directional speech
enhancement
Frequency compression
SoundSmoothing
SoundSmoothing™ reduces sudden jarring noises like the sounds
of clinking dishes, crinkling newspapers or heels on hard flooring.
Directional speech enhancement
Directional speech enhancement takes speech and noise management one
step further and offers additional sound attenuation, filtering out ambient
noise even more effectively.
Frequency compression
If your hearing loss is of a certain configuration, frequency compression
compresses and shifts high-pitched sounds that you would otherwise be
unable to hear to a lower range where residual hearing is better. This means
you can still take part in the conversation, even in noisy locations like
busy cafés.
41
Out and about.
Window shopping in town can be especially challenging when you’re constantly exposed to
changing situations and sounds coming from every direction. It’s good to know that you can rely
on your hearing instruments. And a short conversation on your cell phone or listening to your
favorite song is easy to do – even in the hustle and bustle.
Learning options
With this feature, hearing instruments can “learn” how you
like to hear in different situations within just a few short
weeks.The result: Intuitive hearing instruments that
automatically adjust themselves to suit your listening
preferences, eliminating the need for you to manually change
the volume after the learning period. Siemens offer learning
with various levels of sophistication depending on the
hearing instruments you choose.
Bluetooth compatibility
Bluetooth connections make an impromptu cell phone call
simple and easier to hear. With accessories like the Tek™,
miniTek or VoiceLink™, your hearing instruments can be
wirelessly connected to your cell phone or other external audio
and entertainment devices, receiving true stereo signals
directly into both hearing instruments.
TruEar
The TruEar™ feature simulates the function of the outer ear,
helping you to localize sound sources from the front and
back. This can improve your understanding in bustling
environments and it refines your orientation, keeping you
safe as you navigate busy streets with lots of traffic.
42
Features
Learning options
Bluetooth compatibility
TruEar
Afternoon adventures.
Longing for some fresh air? Whether you’re simply taking a stroll or intensely involved in
extreme sports, there are features that improve your orientation with refined directional
hearing and hearing instruments that are equipped to handle wind and water.
e2e wireless 2.0
e2e wireless™ 2.0 synchronizes left and right hearing
instruments, enabling better directional hearing. This is
ideal for better orientation, for example, when you cross
the street while jogging.
Water-/Dustproof (IP68-rated*)
If you’re looking for hearing instruments that can take
a beating, Aquaris™ is the waterproof, sweat- and
dust-resistant solution. It is the first truly waterproof
hearing instrument from Siemens with a fully protected
housing and is waterproof to a depth of one meter.
eWindScreen
eWindScreen™ helps you to hear better when you’re
outdoors by detecting and selectively reducing wind
noise – increasing comfort and making listening
comprehension a breeze.
44
*Ingress Protection Rating 68:
- IPX8 Ingress Protection Rating for complete and continuous immersion in water
-IP6X Ingress Protection Rating for full dust protection for uncompromising quality
and safety
Features
e2e wireless 2.0
Water-/Dustproof
eWindScreen
All’s well that ends well.
The right options make spending a quiet evening at home the ideal end
to a busy day – maybe while listening to music – because, with the right
feature, you can listen to your favorite songs to the fullest. And lying back
with a good book or magazine becomes a true luxury with with hearing
instruments that can reduce the annoying ringing of tinnitus.
Tinnitus noiser
If you are suffering from tinnitus, the optional tinnitus noiser function
can help you relax and read with full concentration by reducing the
effects of tinnitus.
Features
Tinnitus noiser
SoundBrilliance
Rechargeability
Extended bandwidth
SoundBrilliance
SoundBrilliance™ provides crystal clear sound at high frequencies
so that you can enjoy every note of your favorite song.
Rechargeability
Siemens Pure™ and Motion™ hearing instruments are rechargeable, so
there is no need to constantly change batteries. The eCharger accessory
is easy to use and sustainable.
Extended bandwidth
When your hearing loss is mild or moderate, the extra bandwidth
offered by the latest BestSound Technology allows you to hear
ultra-high frequencies better. So when your favorite opera diva
gives her best, you will be able to appreciate the performance.
47
Help from your
Hearing Care Professional.
You can use this checklist to prepare yourself for a
conversation with your Hearing Care Professional.
not
important important
If you’re wondering which features
are right for you, a conversation
with your Hearing Care Professional
can help. With their expertise, they
can offer you detailed advice and
help you choose the right solution
for your individual needs.
Directional microphones, page 36
To help you decide which features
are important to you, we have put
together a checklist. Simply check
the features that interest you.
Automatic adaptive microphones, page 39
Feedback management, page 36
Telecoil, page 36
Multi-channel adaptive microphone, page 39
Remote control option, page 39
SpeechFocus, page 39
Speech and noise management, page 41
SoundSmoothing, page 41
Directional speech enhancement, page 41
Frequency compression, page 41
Learning options, page 42
Bluetooth compatibility, page 42
TruEar, page 42
e2e wireless 2.0, page 44
Water-/Dustproof, page 44
eWindScreen, page 44
Tinnitus noiser, page 47
SoundBrilliance, page 47
Rechargeability, page 47
Extended bandwidth, page 47
48
Hearing Care
Professional
Checklist
Solutions for
individuals.
Siemens hearing
instruments.
No two people’s hearing needs or wishes are the same. Some wearers want
as discreet a solution as possible, whereas others attach great importance
to ease of use. The one thing they all have in common is the desire for
better hearing, so hearing instruments need to deliver both from a
technology perspective and in their design.
This chapter will introduce you to Siemens’ comprehensive range of hearing
instruments. Read on to find a solution that fits your individual needs.
50
Individual solutions
Optimum solutions for
individual demands.
Siemens stand for innovation in both hearing system technology and design.
Together with researchers of the University of Oldenburg, our experts won the
“Deutscher Zukunftspreis 2012” (German Future Award) for developing one of
the many innovations we use: The binaural hearing system. Included in almost
every model,this technology provides wearers with an accurate audio “image” of
their listening environment by coordinating left and right hearing instruments,
thus making it easier for our customers to navigate their world.
Thanks to our more than 130 years of experience in audiology, we understand exactly our customers’
needs and wishes. Therefore, we offer a wide range of models in three construction types, various
performance levels and equipment variants. Whatever you require in hearing instruments, we have the
right solution for you.
Ace
Pure
Pure Carat
Orion
Siemens Life
Motion
Aquaris
Nitro
Orion
Sirion
Insio
Nitro
Orion
Sirion
Intuis
Lotus
RIC
Receiver-in-canal
Intuis
Lotus
BTE
Behind-the-ear
ITE
In-the-ear
Suitable for mild to moderate hearing impairments
Suitable for mild to profound hearing impairments
52
Suitable for mild to moderately severe hearing impairments
Suitable for moderately severe to profound hearing impairments
53
Insio.
Style:
ITE
ITC
CIC
IIC
Live your individuality.
Feature: Tinnitus noiser
Hearing loss: Mild to
moderately severe
ITE
ITC
CIC
IIC
Actual size in cm
5
Insio™ is Siemens’ ultra-tiny, ultra-comfortable ITE solution. Equipped with
the latest version of BestSound Technology, it offers both a highly individualized
hearing experience and the new Optivent option, which achieves a perfect
balance between wearing comfort and feedback stability to produce a new
level of natural sound quality.
4
3
2
1
ePen and
easyPocket
Tek and
miniTek
0
Insio CIC
55
Ace.
Smaller. Simpler. Smarter.
Style:
RIC
Feature: Tinnitus noiser
Hearing loss: Mild to
moderately severe
Actual size in cm
5
Ace™ redefines discretion as Siemens’ smallest, virtually invisible RIC solution.
Offering a personalized tinnitus function, flexible fitting range for progressive
hearing losses, and inconspicuous reliable functionality, it is the ideal immediate
and long-term solution. Featuring the latest technology, Ace offers unprecedented
clarity.
4
3
2
1
Ace is available in many different colors.
0
57
Pure.
Style:
RIC
Feature: Tinnitus noiser
Pure Carat.
Consummate technology and design.
Style:
RIC
A true all-round talent.
Feature: Tinnitus noiser
Hearing loss: Mild to profound
Hearing loss: Mild to profound
Also suitable for children
and young adults
Actual size in cm
5
Actual size in cm
Pure offers exceptional hearing quality in miniature. As the earpiece sits
directly in the ear canal, the instruments are particularly inconspicuous. Fitted
with the latest hearing system technology, Pure automatically adapts to the
respective hearing situation, and has personalized tinnitus functions and wireless
connectivity for a customized hearing experience based on your needs.
4
3
5
Pure Carat™ is among the smallest hearing instruments from Siemens.
However, it‘s packed with extraordinary power and amazing possibilities. Meet
Pure Carat and discover the great versatility of this model. It also has special
tinnitus functions.
4
3
2
2
1
1
Pure is available in many different colors.
0
58
ePen and
easyPocket
Tek and
miniTek
eCharger
Pure Carat is available in many different colors.
ePen and
easyPocket
Tek and
miniTek
eCharger
0
59
Siemens Life.
Style:
BTE
Feature: Tinnitus noiser
Motion.
Hearing comfort meets elegance.
Superb sound meets outstanding comfort.
Hearing loss: Mild to
moderately severe
Style:
BTE
Feature: Tinnitus noiser
Hearing loss: Mild to profound
Also suitable for babies,
children and young adults
Motion P
Motion M
Motion PX
Motion SX
Actual size in cm
5
Actual size in cm
Siemens Life™ is the smallest conventional BTE instrument in our portfolio,
combining accomplished design with sophisticated Siemens hearing system
technology. Equipped with soft, flexible LifeTubes, it is suitable for all wearers
and a great discreet and simple solution for those looking for an ergonomic,
comfortable fit. It also has enhanced tinnitus functions.
4
3
5
This line of versatile BTEs offers numerous benefits and four different models,
making it an extremely flexible solution. Motion can fit any ear, any age group
and any hearing impairment, and is fully-featured, hassle-free and reliable. With
a high degree of wearing and handling comfort, it is an ideal solution for young
to senior wearers.
4
3
2
2
1
1
Siemens Life is available in many different colors and
patterns for your own personal style.
0
60
ePen and
easyPocket
Tek and
miniTek
Motion comes in a stunning choice of colors to
appeal to all ages.
ePen and
easyPocket
Tek and
miniTek
eCharger
0
Motion SX
61
Aquaris.
Style:
BTE
Feature: Tinnitus noiser
Nitro.
The waterproof hearing instrument.
Style:
BTE
ITE
ITC
CIC
Super power. Super connectivity.
Hearing loss: Mild to
moderately severe
Feature: Tinnitus noiser
Hearing loss: Moderately
severe to profound
Also suitable for children
and young adults
Nitro ITE
Nitro ITC
Nitro CIC
Nitro BTE
Actual size in cm
5
Actual size in cm
Aquaris is the most robust and truly waterproof, IP68-rated hearing instrument available.
Thanks to its special housing, it is suitable for continuous immersion in water and also
efficiently repels perspiration and dust. Aquaris offers maximum audio quality, allowing
wearers to pursue every aspect of life to the fullest. It also includes a personalized
tinnitus function. Aquaris was distinguished as one of 15 top technical products to
receive a “Boomer Tech Product of the Year 2012“ award.
4
3
5
Nitro™ is the super power solution for people with moderately severe to
profound hearing loss that supports the wearer in all areas of life. Above and
beyond this high level of amplification, Nitro offers the unique combination of
super power, wireless connectivity and a high degree of wearing comfort.
4
3
2
2
1
1
Aquaris is available in five different colors.
0
62
ePen and
easyPocket
Tek and
miniTek
Nitro is available in many different colors.
ePen and
easyPocket
Tek and
miniTek
0
63
Sirion.
Orion.
Style:
RIC
BTE
ITE
ITC
CIC
Great comfort meets superior connectivity.
Ready and robust for nearly any situation.
Hearing loss:
Mild to
moderately severe
Feature: Tinnitus noiser
Hearing loss: Mild to profound
Orion ITE
Orion ITC
Orion CIC
Orion S
Orion M
Orion P
Sirion ITE
Sirion ITC
Sirion CIC
Sirion S
Sirion M
Sirion P
Actual size in cm
5
Actual size in cm
With its broad variety of BTE and ITE models, Orion™ can fit every ear and every
listening situation. With its combination of dependable audiological performance
for improved speech understanding, wireless connectivity and a high level of
wearing comfort, Orion provides a fine listening experience for every ear.
4
Style:
BTE
ITE
ITC
CIC
5
Sirion™ is a trustworthy companion: Its BTE and ITE hearing instruments offer
improved speech understanding – even in challenging listening situations.
And its BTE models come with a solid casing that securely protects the latest
technology inside. Sirion is a reliable solution for every day and every ear.
4
3
3
2
2
1
1
Orion is available in many different colors.
0
Orion S
64
ePen and
easyPocket
Sirion is available in many different colors.
0
Sirion M
65
Intuis.
Style:
BTE
ITE
ITC
CIC
Lotus.
Easy on the ears.
Style:
BTE
ITE
ITC
CIC
The reliable solution.
Hearing loss:
Mild to profound
Hearing loss:
Mild to profound
Intuis CIC
Intuis Pro Dir
Intuis Pro S Dir
Intuis S Dir
Intuis Life
Lotus ITE
Lotus ITC
Lotus CIC
Lotus Pro 2 SP
Lotus Pro 2 M
Actual size in cm
5
Actual size in cm
Intuis™ makes hearing simple on three levels: It is straightforward, comfortable
and reliable. All of the BTE and custom models offer hassle-free handling,
easy-to-wear design and proven technology for a great hearing experience.
4
5
Lotus™ combines proven technology with ease of use and good audio
quality – at good value for money. The housing is robust and particularly
reliable in everyday use.
4
3
3
2
2
1
1
Intuis is available in many different colors.
0
Intuis Pro S Dir
66
Lotus is available in three different colors.
0
Lotus Pro 2 SP
67
Accessories
for every eventuality.
Accessories
Siemens offer a range of practical
accessories to supplement your
hearing instruments and ensure
greater comfort and discretion.
ePen and easyPocket
These remote controls for convenient and discreet
hearing instrument adjustments are ergonomic, easy to
use and have a stylish design.
Tek and miniTek
Tek and miniTek wirelessly connect
our hearing instruments to many
different devices. Sound from Bluetooth
phones, mp3 players, television and
other audio sources is streamed directly
to them.
68
miniTek Remote App
With the miniTek Remote App which
is available in the Google Play* Store,
Android* smartphone users can now
remotely control their miniTek for
added convenience.
*Google Play and Android are trademarks of Google Inc.
VoiceLink
The VoiceLinkTM companion microphone
wirelessly connects to miniTek and,
when given to a speaker, it directly
streams their voice to the hearing
instruments – offering additional
support for a wide range of difficult
listening situations.
eCharger
Powers and protects hearing
instruments. Instruments charge
and dry conveniently overnight.
Car adapter
The car adapter can be used to charge the Tek and miniTek.
Together with the eCharger, it can power and dehumidify
select rechargeable Siemens hearing instruments in the car.
69
Getting to know
your
new hearing
instruments.
Once you have chosen Siemens hearing instruments, they will be reliable
partners to accompany you through every day. However, like everything
new, it will take you a little while to become familiar with them and to
adjust.
Take your time! This chapter will help you make the most out of the
adjustment period. Even if you initially find it hard to get used to hearing
instruments, you will quickly come to appreciate the advantages and greater
quality of life they offer.
70
Your new hearing
instruments
Learning to hear
all over again.
Practical tips
The ticking of a clock, your car’s engine, a dripping tap:
Your hearing instruments will enable you to hear many
sounds again that you might not have been aware of for
a very long time.
Although this can initially seem strange, irritating or even
downright unpleasant, it is completely normal. Hearing
loss is generally a long, gradual process and the brain,
in turn, has to readjust to the many new sounds you are
experiencing. At first, you might perceive certain sounds
as being loud: The fridge sounds like a freight train or
flushing the toilet like a waterfall. Don’t worry; this
perception of sound is quite normal in the initial
adjustment phase. After a while, the brain will learn to
tune out the sounds you don‘t want to hear.
At the same time, you will rediscover many pleasant
sounds, such as the rushing of a stream, birdsong or the
rustling of autumn leaves. Lively discussions will become
a pleasure once again and you’ll be able to enjoy your
favorite music in full. A whole new world of sounds will
open up for you …
72
Practice makes
perfect ...
... even when using
hearing instruments.
Practical tips
Every wearer has a different experience of adjusting to
hearing instruments, however, a few useful tips will get
you off to the right start.
The most important thing is to have the right attitude.
Be patient with yourself and think positively. Make a
conscious effort to enjoy the various sounds and noises
that you can hear again. It helps to have realistic
expectations. Unlike a pair of glasses that provides an
immediate remedy, you have to relearn how to hear
correctly. The adjustment period can take anywhere from
a few days to several weeks.
Before long, you will be able to hear and understand
much more in many different situations. You will
progress quickly if you wear your hearing instruments all
of the time and follow these recommendations:
74
• Start to use your hearing instruments
first thing in the morning.
• Wear them all day until you go to
bed at night.
• Do not take them off, even if you
think you do not need them, for
example, when reading in quiet.
In this way, you will also hear the
doorbell or telephone ring, and also
learn how it is to hear with hearing
instruments in quiet.
Mon.
.
Tue.
Fri.
Wed.
Sat./Sun.
• Keep a hearing instrument diary in
which you write down your
positive and negative experiences.
• Listen carefully to the volume and
quality of noises in different
hearing situations.
• Tell your Hearing Care Professional
about your experiences at your next
appointment.
• Train your hearing by exposing
yourself to various hearing
situations.
• Especially after longer periods of
living with hearing loss, dedicated
hearing training is recommended –
with a Hearing Care Professional or
at home.
• For at-home training, use the
Siemens eARenaTM interactive audio
training on DVD.
Hear and experience
more and live
life to the fullest.
Positive effects
After the initial period with your new hearing instruments,
you will realize just how much your life has changed and
how much more you get out of it.
Being able to hear well again has many positive effects.
Studies show that the large majority of hearing instrument
wearers are very or extremely satisfied with their hearing
instruments. Experienced users report that their social
contacts, as well as their physical and mental well-being,
have improved markedly. They feel fitter and much more
ready to take on new things.(1)
Be open to your new hearing experiences. It will improve
your quality of life.
Source:
(1) Marke Trak VIII, Survey of Hearing System Users, conducted by Better
Hearing Institute, Washington 2011, www.hear-it.org
76
The right way to use
your hearing instruments.
Siemens hearing instruments are so robust that they will function reliably for
years. It is, however, important that you take care of your instruments and
observe a few basic rules that will soon become routine.
Maintenance
and use
Practical tips on maintenance and use:
Hearing instruments are highly sophisticated technical masterpieces.
For hygiene reasons and to maintain their functionality, clean your
hearing instruments daily.
Clean your Behind-the-ear or In-the-ear hearing instruments according to
the instructions, using only the recommended cleaning products. For
further information contact your Hearing Care Professional.
Dry your hearing instruments overnight.
Please use the recommended drying products.
Convenient:
Automatic battery
charging and drying
of the Siemens Pure
and Motion hearing
instruments in the
eCharger.
After longer periods of non-use, store your hearing instruments with
open battery compartment and batteries removed in an electrical drying
system in order to avoid the adverse effects of moisture.
Take your instruments to your Hearing Care Professional at regular
intervals for a more thorough professional cleaning.
Remember to have your replacement batteries on you at all times –
just in case the battery expires while you are out and about.
79
Family and friends can
make a difference to hearing success.
The right support makes everything easier! Family and the social environment
can help to make the adjustment period a success.
Encourage the user to wear the instruments on a regular basis.
You may notice your friend or relative participating more in the conversation, or
attending more social events since they have been wearing hearing instruments.
Tell them you‘ve noticed and give them frequent positive feedback. Even if your
friend or relative is wearing hearing instruments, remember the rules for
communicating with the hearing impaired mentioned on page 13.
L ast but not least: Remind him or her to go to the Hearing Care Professional for
fine tuning of the hearing instruments.
80
Information for
family and friends
Always there for you: Your Hearing Care Professional.
Whether service or follow-up visits, your Hearing Care
Professional is there for you and will ensure that your
hearing instruments are finely tuned and optimized for your
needs.
Your Hearing Care Professional also checks that the
instruments sit correctly and checks your progress with the
new hearing instruments. They will replace worn parts and,
if necessary, carry out any servicing and repairs.
For more information about how Siemens hearing
instruments can improve your quality of life, talk to a
Hearing Care Professional or visit our homepage:
www.siemens.com/hearing
82
Service and
follow-up visits
Getting
the better
of tinnitus.
Our world is alive with sound. Laughter, unforgettable
melodies, waves breaking on the shore – all these sounds
enrich our lives and are literally music to our ears, lifting our
mood. However, what happens when one sound suddenly
takes control?
84
About tinnitus
The prevalence of
tinnitus is correlated
with degree of hearing
loss; however, all levels
of hearing loss can
experience tinnitus.(1)
When suddenly tinnitus
calls the tune ...
Tinnitus is noise that originates from
within the ear rather than from the
outside environment. This may affect
one or both ears.
A tinnitus diagnosis catches many people unawares.
Unfortunately, some patients often learn from their doctors that
their complaint is incurable. This kind of information makes
patients feel isolated and bereft of support, convinced that
no-one can understand what they are going through. Above and
beyond that, in many cases tinnitus is accompanied by a hearing
impairment. Because tinnitus has many triggers, so far we have
no specific medication or patent cure for all types of tinnitus.
Despite that, even for chronic tinnitus, there are ways to find
relief and take control of the noise in your ears. This chapter
aims to help patients and their loved ones come to terms with a
tinnitus diagnosis, and to inform them of the individual
possibilities that are available to actively address the problem.
It is about learning how to live with tinnitus and how to control
it, instead of letting it control you.
Source:
(1) Kochkin, S., Tyler, R. and Born, J. MarkeTrak VIII: Prevalence of Tinnitus and Efficacy of Treatments, The Hearing Review, Vol. 18 (12), November 2011,
pp. 10-26 (2) Langguth B, Kleinjung T, Fischer G, Hajak P, Eichhammer P, Sand PG. Tinnitus severity, depression and the big five personality traits. Prog
Brain Res. 2007; 166:221-7. (3) Barnea G, Attias J, Gold S, Shahar A. Tinnitus with normal hearing sensitivity: Extended high-frequency audiometry and
auditory-nerve brain-stem-evoked responses. Audiology 1990; 29:36-45. (4) Crummer RW; Hassan GA. Jan, 2004. (5) Tyler, R. Tinnitus Handbook, 2000.
86
10 % to 15 % of the
population suffer
from chronic tinnitus,
i.e. more than six
months.(1)
About 20 % of patients
with tinnitus find the
symptoms difficult to
bear.(2)
Addressing tinnitus
Over 90 % of people
with tinnitus are also
affected by hearing
impairment.(3)
Tinnitus is a common
disorder with many
possible triggers.(4)
Tinnitus mechanisms
are often related to
spontaneous activity of
nerve fibers.(5)
Tinnitus comes
in many forms.
The term tinnitus comes from the Latin
verb “tinnire“, which means “to ring.”
The noise differs from one person to the
next in nature, pitch and volume.
Many describe the noise as a whistling,
hissing, roaring or ringing in the ear.
If this type of noise occurs only temporarily and soon
disappears again, for instance after a loud concert, it is called
acute tinnitus. For millions of people, though, the noises are
permanent, thus developing into chronic tinnitus. The large
majority of these individuals perceive the noises as a source of
only minor irritation or no irritation at all. Around one in five,
on the other hand, describes the experience as unpleasant to
unbearable. A significant number of people are so affected by
tinnitus that it impairs their quality of life.
Subjective and objective tinnitus:
Tinnitus can be classified into two categories: Subjective and objective.
•T
he more rarely encountered objective tinnitus is also perceptible to another person,
and can be directly measured by a Hearing Care Professional. Generally, it can be treated
medically.
•S
ubjective tinnitus, on the other hand, is only audible to the sufferer. The tinnitus is
internalized – with no direct external noise source. Although this type of tinnitus cannot
be measured, it is by no means a figment of the imagination. It is a very real affliction for
people strongly affected by tinnitus. However, there are ways of coping with this condition
and alleviating the impact of subjective tinnitus.
88
Tinnitus –
terms and forms
What sets tinnitus off,
and how can it be identified?
Tinnitus can occur within the auditory
system or externally. There are many
different factors that can set off
tinnitus, so each case requires an
individual solution.
The proper person to consult is
your ENT doctor, who may refer
you to further specialists if
necessary.
Tinnitus is an indication of problems in the sound-processing
system and can be linked to a range of very different disease
patterns. Most tinnitus sufferers are also hard of hearing.(1)
Aside from damage to the auditory system, tinnitus can also
be triggered by jaw joint dysfunction, e.g. teeth grinding,
and chronic neck muscle strain.
Stress is the single most commonly quoted trigger of
tinnitus. However, so far there is no scientific basis for
assuming a connection between stress and tinnitus.
But tinnitus can cause stress. Noises – even those in the
head – are perceived more acutely when the person is
tense than when in a relaxed state of mind.
Some medications – like, for instance, painkillers, or
medicines that treat rheumatism and malaria – can set off
tinnitus. Once medication is stopped, the noises usually
disappear again, too. Chemotherapy medication used for
treating cancer and, in rare cases, antibiotics, may however
irreparably damage the inner ear, resulting in permanent
tinnitus.
Source:
(1) Characteristics of Tinnitus and Etiology of Associated Hearing Loss: A Study of 123 Patients, International Tinnitus Journal, 2002.
90
Tinnitus –
triggers and
diagnosis
Tinnitus diagnosis
Tinnitus is very individually perceived by sufferers. So before proposing a certain
therapy, an exact diagnosis is essential. It must first be established whether the
case can be medically treated or not. To do this, your doctors may conduct ENT,
dental, orthodontic and orthopedic examinations.
A hearing test can reveal whether a hearing impairment is also involved. The pitch
and volume of the tinnitus can also be established by special diagnostic tests.
Recently developed imaging processes show that tinnitus is not exclusively
related to the ear, but that certain areas of the brain may also be involved in the
perception of tinnitus.(1)
Left half of the brain
Right half of the brain
Tinnitus is identifiable:
Brain scans indicate increased
metabolic activity in the
region of the left auditory
cortex in tinnitus patients.
Source:
(1) Jane L. Weissman, MD Barry E. Hirsch, MD: Imaging of Tinnitus. A Review From the Department of Radiology and Otolaryngology, Oregon
Health Sciences University, 3181 SW Sam Jackson Park Rd, Mail Code CR-135, Portland, OR 97201-3098 (J.L.W.), and the Department of
Otolaryngology, University of Pittsburgh Medical Center, Pa (B.E.H.). 2000
91
Keeping the symptom
under control.
FAQs – patients’ frequently asked questions
The extent to which tinnitus affects
a person’s life depends on various
factors: On the volume, frequency,
duration of the noise, and on the
person’s individual perception of it.
Tinnitus itself is not regarded as an
illness but as a symptom, similar to
pain. When treating an illness, we
try to cure the cause. When treating
symptoms, we try to provide relief.
It’s mainly a question of controlling
the noise in the ear. Even if tinnitus
isn’t an illness in itself, it can assume
the proportions of an illness. When
excessive, the strain caused by
tinnitus may cause sleeping problems,
fear and depression.
Do I have to worry about sudden hearing loss if I’m affected by tinnitus?
Why can’t you get used to tinnitus?
The pernicious thing about tinnitus is that you listen for it against
your will. When tinnitus occurs for the first time, it is quickly
perceived as a nuisance, the unusual noise draws attention to itself.
The ‘enemy in your ear’ is an apt description – because it is truly the
beginning of a vicious circle. Initially, you might try to rest and in
doing so, shun social contact. However, this withdrawal also means
that different auditory experiences, social contact and other forms
of distraction are reduced, with the result being that the tinnitus
attracts more of the person’s attention, and gradually takes over.
Or the noise might keep you awake at night, resulting in lack of
sleep and depression.
And this is the vicious circle that needs to be stopped. You have to
push tinnitus out of the limelight – and win back control over it.
Tinnitus
Isolation &
insomnia
Stress
Withdrawal &
depression
92
Focus on tinnitus
Although it may occur after sudden hearing loss, tinnitus doesn't cause it.
Can tinnitus cause deafness?
Tinnitus often accompanies impaired hearing, but does not cause it.
People who hear well otherwise can also suffer from tinnitus.
Do I have to assume that my tinnitus will get worse over time?
That depends on how you manage tinnitus. Although tinnitus has a
physical, e.g. neurophysiological, trigger, the extent to which you suffer
from it greatly depends on how your brain deals with the experience.
A person’s perception often depends on their frame of mind.
Is there a cure for tinnitus?
At the moment, research is still going on. Unfortunately, one single
treatment for everyone affected by tinnitus hasn’t been found yet.
Nevertheless, in some cases it is possible to treat a triggering stimulation
of tinnitus. If your tinnitus is, for example, an attendant symptom of an
ear infection, it might be helpful to take antibiotics in order to relieve
your tinnitus. Although a “one for all” treatment hasn’t been found yet,
there are many treatment strategies for tinnitus. One of the most
successful ones is “habituation”. It enables you to reach a relieved state
of mind in which you are not too responsive to your tinnitus, thus
avoiding negative emotional reactions to it.
93
Learning to cope
with tinnitus …
Tinnitus management
Even if no specific trigger is
determined, tinnitus can be treated.
There are many possibilities to help
patients find ways to cope with their
condition. This means changing
habits and attitudes so that tinnitus
no longer controls your everyday life.
The term tinnitus management covers
various ways of adopting a new
approach to tinnitus.
So-called cognitive-behavioral
tinnitus training, for instance, is very
promising. Your personal mindset and
feelings play a decisive role in this
method. Training sessions with varied
content promote self-help. Training
focuses on targeted information, an
analysis of the person’s behavior,
practical exercises and positive
experiences. Cognitive-behavioral
tinnitus training focuses on the
following aspects:
94
Learning more
Changing habits
Relearning hearing
• Gather detailed information about tinnitus from your
doctor, expert forums, and blogs
• Try joining a tinnitus support group to learn from
others and talk about your own experiences
• Observe how your emotions and stress affect your
tinnitus
• Learn what works for you: No one else experiences
tinnitus exactly the way you do, so you may find
relief in very individual ways
• Learning relaxation methods
• Practicing imaginary journeys to elicit
positive emotions
• Transforming negative thoughts and
attitudes into a helpful “I can beat
tinnitus” mindset
• Weaning off habits that encourage
tinnitus, e. g. withdrawing from your
circle of friends, avoiding activities
• Be prepared if tinnitus should come
to the forefront again, e. g. with
accustoming techniques
• Acoustic stimulation and training for
use of hearing instruments, noisers,
combined devices or other audio
sources to deflect attention away
from tinnitus
Pushing tinnitus
into the background ...
Modern technology can help subdue
tinnitus. The main principle is acoustic
stimulation. This means allowing your
brain to hear and, therefore, focus on
external sound rather than tinnitus.
Noisers
Noisers are for people without hearing
loss. They look like hearing instruments
but do not amplify the sounds in the
environment. They generate a soft
murmur that is mixed in with the
tinnitus to distract the patient from the
tinnitus. Noisers generally offer
considerable relief from tinnitus.
96
Siemens hearing instruments
with tinnitus function.
Modern technical
solutions
Hearing instruments
In most cases, wearing hearing instruments both improves
hearing and alleviates tinnitus. The reason being that if you
can hear better, you can also ignore tinnitus better. Hearing
instruments pick up ambient sound over a microphone and
amplify it before passing it onto the ear. This enables wearers
to better focus on the noises, sounds and tones around them.
The rustle of leaves in the forest, friendly conversation, or
beautiful music restore the emphasis on pleasant hearing
impressions and narrow the scope for tinnitus. In many cases,
users scarcely or don’t hear the tinnitus at all as soon as the
hearing instruments are switched on.
Insio
Ace
Pure
Orion
Siemens Life
Motion
Aquaris
Nitro BTE
Tinnitus combined devices
Some hearing instruments also feature a noiser function. What
is the benefit of this combination? As hearing instruments can
only amplify noises actually present around us, they are of little
use as tinnitus management tools in very quiet hearing
environments. This is when the noiser function can be helpful. In
these situations, the noiser can generate a soft noise to distract
the patient from the tinnitus. In modern hearing instruments, like
those from Siemens, various hearing programs can be selected at
the touch of a button: Purely hearing instrument function, purely
noiser function, or a combination of the two. Your Hearing Care
Professional will be happy to tell you more.
The tinnitus function in detail:
• Separate noiser signal generator
• Four pre-programmed noise types:
White noise, pink noise, speech noise and high tone noise
• Individual fine-tuning of noise program for up to 20 bands
• Three operating modes: Microphone signal only,
tinnitus noiser function only, mixed mode
Suitable for mild to moderate hearing impairments
Suitable for mild to profound hearing impairments
Suitable for mild to moderately severe hearing impairments
Suitable for moderately severe to profound hearing impairments
97
Tips for living with tinnitus.
Relearning how you hear
Listen consciously to the world around you. Enjoy your favorite music or
simply the sound of birds in the trees. Everything that provides your ears
with varied sound impressions deflects attention away from tinnitus.
Tips for recuperative sleep
The more active you are during the day, the easier it is to sleep at night.
If you know that certain foods or drinks make it hard to sleep, avoid
them in the evening. Neither alcohol nor sleeping pills guarantee restful
sleep – a warm bath before bed is a better option.
So take heart – you can beat tinnitus.
A positive attitude is very helpful.
Relaxation techniques, an active social life,
sports and hobbies can assist you in taking
control of your life – even with tinnitus.
On the following page, we’ve summarized
a few practical tips, recently developed by
Siemens together with ENT doctors,
psychologists and acousticians.
Practical tips
Get active, stay on the move
Relish life with family and friends, and organize your private life to
include plenty of activity and variety. Keep an open mind. Everything
that increases your personal sense of well-being and enjoyment of life
decreases tinnitus’ hold over it.
Avoid silence
Give yourself a break now and again. However, avoid complete silence,
which is an open invitation for tinnitus to take hold. Opt for enjoyable
sources of sound stimulus, an audio book or relaxing music.
Promote your physical fitness
People who participate in sports are healthier and this also applies to
people with tinnitus. Everything you enjoy doing and that tests your
physical fitness is good for you. Even if your tinnitus seems louder when
doing sports, it is no cause for concern.
Learn to relax effectively
Precisely because tinnitus causes tension, it is important to learn
relaxation methods and use them regularly. Some recommended relaxation
methods are Feldenkrais, yoga, tai chi, and qi gong.
99
Hearing loss
in childhood.
Every parent wants their children to grow up healthy
and happy – to discover the world with all their senses and
find their way through life successfully. The foundation for
acquiring speech and communication skills is laid within
the first few months and years of life and requires a
well-developed sense of hearing.
100
Hearing loss in
childhood – a guide
for parents
Listening and learning
to speak go hand in hand.
From a baby’s first gurgles to their first
“mama,” all the way up to high school
graduation: Their speech can only be
as good as their ability to hear. So it is
important that parents are alert for the
very first sign of a possible hearing
impairment.
If suspicions are confirmed, parents will have many
questions: Will my child learn to speak? Will they make
friends? How will they perform at school? Good hearing is
vital – not only for development, but also for
communication and social skills that children develop over
the years. It’s good to know that growing up with hearing
loss is much easier with today‘s technology and innovations.
Thanks to advanced diagnostic and therapy options,
children and their families can lead rich, fulfilling lives.
We would like to offer our support along the way, from
diagnosis of the hearing impairment to finding the right
hearing instruments.
Most important of all though, is that you are there for your
child. Be their advocate and their cheerleader. When they
are old enough, explain in understandable terms what
hearing loss is; and talk about what you can do about it as a
family. Confidently overcoming the supposed problem of
hearing loss can turn out to be a strengthening, positive
experience for your family and your child.
102
The importance of
good hearing – right
from the start
Good hearing
for a good start in life.
Two or three of every thousand babies
are born with a hearing impairment.
During childhood, hearing loss may
be caused by infection or accidents.
To treat it properly, the nature and
severity of the hearing loss must be
professionally diagnosed. While some
forms of hearing loss may be treated
medically or surgically, others require
amplification and therapy.
Some signs are obvious: Your baby doesn’t turn his head,
even at the sound of a loud noise. Or your child often
doesn’t respond when addressed, as if he or she hadn’t
noticed. When children can’t understand what others are
saying and are unable to communicate in an age-appropriate
manner, they often become sad, angry and frustrated, or
shy and withdrawn, or develop other behavioral problems.
So it is important to quickly rule out a hearing impairment
if you observe these behaviors. ENT doctors and pediatric
audiologists conduct accurate hearing examinations with
various test methods. No child is too young for a thorough
hearing test – in many cases, it only takes a few seconds
and is completely painless.
The earlier hearing loss is diagnosed and treated, the
better for the child’s development. Once a permanent
hearing impairment is diagnosed, children should receive
amplification, such as via hearing instruments – as soon
as possible. It is a proven fact (1) that if hearing loss is
established at an early stage, and the child begins to wear
hearing instruments, they can fully develop their linguistic
and social skills. And it’s worth thinking about: Wearing
hearing instruments will not isolate your child, but
untreated hearing loss will.
104
Information
about hearing loss
in children
Source:
(1) http://www.nidcd.nih.gov/health/hearing/pages/screened.aspx accessed 28.01.2012
Tips for parents of children with impaired hearing:
• Act quickly so your child doesn’t miss out on important stages of development.
• Starting in nursery school, allow your child to have a say in choosing their hearing
instruments – then they will accept wearing them more readily.
• Make sure that your child has two hearing instruments if hearing loss occurs in both ears –
even if one ear is affected to a much greater extent.
• Talk to other parents in the same situation – seek advice and encouragement.
You aren’t alone!
Growing, wondering,
discovering the world –
babies and toddlers.
The first years of life are when we
learn the most. Even if babies can’t
speak yet, they are constantly
collecting information through their
ears. They recognize familiar voices
of parents and close relatives. And,
long before they grasp the meaning
of words, they can discern whether
someone is talking to them lovingly,
sadly or sternly.
Because babies and toddlers cannot fully express
themselves yet, fitting very small children with hearing
instruments is one of the greatest challenges for
audiologists. Here, knowledge and experience are just as
important as advanced technology.
Special safety features for the very young:
• Small earhook: Ensures a secure and comfortable
hold, even when playing and romping around.
Although easy to attach, it is very difficult for
young children to loosen by themselves.
• Optional child-safe battery door lock: Eliminates
the risk of children swallowing batteries. The lock
can only be opened with a small screwdriver.
Motion P
Optional child-safe
battery door
• Programmable key lock to deactivate the
onboard controls.
Hearing instruments for small children must be adjustable
so that they can grow with the child and adapt to any
changes in hearing ability. Programmable hearing
instruments do this. They can be preset for various hearing
situations and can be flexibly configured.
106
Hearing instruments
for babies and
toddlers
Ready to learn –
pre-school and elementary
school children.
A lot is demanded of your child’s
hearing when they start school,
especially in noisy environments and
classrooms where it can be difficult
for children with impaired hearing to
concentrate on one voice. With
suitable hearing instruments, your
child can not only follow what is being
said, but can also actively contribute to
class work and develop their full
potential.
Practical hearing instrument features for kids:
• Audio shoe: Allows children to use an FM system
at home or school.
• FM system: Enhances hearing in noisy
environments, e.g. in classrooms. A microphone
worn by the speaker, e.g. the teacher, transmits
their voice directly to the receiver in the hearing
instruments over FM waves.
Motion M
Audio shoe
108
Once children go to school, sports and friends become more
important. So take your child’s activities into account when
choosing a hearing device. If your child loves water or being
outside, no matter the weather, then a waterproof device
is a good choice. Hearing instruments in their favorite color
or ones that can be decorated with stickers are usually high
on children’s wish lists.
Make sure that all teachers and caregivers are aware of your
child’s hearing needs. You should also show them how to
operate the hearing system and give the school a supply of
spare batteries.
Hearing instruments
for schoolchildren
Leaving the nest –
teenagers and young adults.
The teenage years are a time marked
by major changes. A teen’s interest in
the world grows, friends become more
important, as do all communication
channels – and music. For self-conscious
teenagers, appearances are crucial
and expectations concerning the
design of hearing instruments rise
accordingly.
Many teenagers confidently highlight their individuality
with their hearing instruments. Others prefer discreet
options with subdued colors. But none of them wants to
miss out on the high-end technology. The buzz phrase
here is wireless connectivity: Because it enables teens to
connect their hearing instruments to all the must-have
technical gadgets they find so important.
Features popular with teenagers:
• Wireless connectivity: Enables use of streaming
accessories so that Bluetooth-ready phones,
TVs, mp3 players and wireless microphones such
as VoiceLink can directly stream sound to the
hearing instruments.
• Apps: For discreet and easy hearing instrument
control per smartphone.
• Rechargeable battery: Guarantees particularly
long operation – and is more practical than having
to constantly change tiny batteries.
miniTek
Remote App
110
miniTek
Teenagers should choose their own hearing instruments.
It’s the best guarantee that they will enjoy wearing them
with confidence. As parents, you can gradually relinquish
responsibility for the hearing instruments to your teenager,
from daily care to regular trips to the Hearing Care
Professional for maintenance.
Hearing instruments
for teenagers
Siemens hearing instruments
for children and teenagers.
Wireless connectivity
Aquaris
• miniTek
• miniTek Remote App
• VoiceLink
• Ultra-robust housing
• Completely dust- and
waterproof
• Secure fit – even
during extreme
activities thanks to the
optional Sport Clip
Motion SX
Once children are on the go, they
forget everything around them.
And teenagers don’t want to
focus on their hearing
instruments all the time, either.
So it is crucial to have a good
hearing solution that satisfies
all the needs and requirements
of the wearer, but is otherwise
undemanding and easy to
maintain. This leaves them free to
focus on the world around them.
You can find the full range of Siemens hearing instruments and accessories
in the Product Range chapter – available from your Hearing Care
Professional or at www.hearing.siemens.com
112
• Ultra-flat housing
• Wireless connectivity
• Conveniently
rechargeable
Never before have there been so many well-engineered hearing
solutions as there are today, enabling people with hearing loss to
live life to the fullest. Siemens have been developing hearing
instruments for over 130 years – and in recent years has
accomplished outstanding technical achievements that help
children to hear better.
Children are not little adults. Their hearing abilities are still
developing. And their attention usually focuses on anything but
their hearing instruments. So hearing systems for children have
to meet specific needs: They should grow with the wearer, be
programmable and offer flexible configuration. They should
have a very secure fit, without being uncomfortable. They must
be exceptionally sturdy and resistant to moisture and dirt – and
be able to withstand all the rough and tumble of a boisterous
childhood. They should also be able to wow teenagers with their
design and the technology inside. And the housing should be
exchangeable – in case color preferences change. In a word,
modern hearing instruments must meet the needs and match the
lifestyles of children of all ages. Just like Siemens hearing instruments.
Range overview
for children and
teenagers
Motion M and P
Pure
Nitro
• Water- and
dirt-resistant
nanocoating
• Child-safe lock on
battery door
• Audio shoe for FM
systems
• Small, discreet
Receiver-in-canal
instrument
• Wireless connectivity
• Conveniently
rechargeable
• Maximal amplification
in all directionality
modes
• Wireless connectivity
for all models
• Superior feedback
cancelling technology
eCharger
• For rechargeable
hearing instruments
• Recharges and dries
hearing instruments
simultaneously
• Completely charges
instruments overnight
Do you still have questions?
Ask your Hearing Care
Professional.
A child’s hearing loss is an important subject for
parents – and remains so over the course of many
years. Lots of questions will crop up that we cannot
cover in this chapter. When this happens, contact
your Hearing Care Professional. They will be happy
to answer your questions – and help you choose
the right hearing instruments for your child.
The most important thing you can do as a parent
is to accept your child’s hearing impairment and
support them as they find their way. Then later,
as adults, they will be their own advocates in
handling their hearing loss and hearing instruments
confidently as a matter of course – while enjoying
their lives to the fullest.
FAQs – parents’ frequently asked questions:
What should I do if I suspect that my child’s hearing is impaired?
Don’t wait; make an appointment with an ENT specialist or pediatrics
advisory service right away. If there is no ENT specialist in your area,
contact your pediatrician or family doctor who can refer you to a
specialist as necessary.
Tips and service
How can I help my child get accustomed to wearing hearing instruments?
Start by having your child wear them for short periods, and extend them
gradually. Encourage your child, be very patient and loving – and make
wearing hearing instruments a part of your child’s daily routine, just like
brushing their teeth.
What do I do if my child doesn’t want to wear hearing instruments?
Check the condition of the devices every evening when your child takes
them off: Remove any moisture, dirt or earwax as instructed in the care
manual, and check the battery level.
What kind of care and maintenance do hearing instruments need?
Check the condition of the devices every evening when your child takes
them off: Remove any moisture, dirt or earwax as instructed in the care
manual, and check the battery level.
How often should the hearing instruments be checked?
The faster your child grows, the more often it should be checked by a Hearing
Care Professional: Every couple of weeks for babies and toddlers, every few
months for schoolchildren, and around once or twice a year for teenagers.
Contact your Hearing Care Professional immediately if you suspect any
problems with the hearing instruments.
115
The Bluetooth word mark and logos are owned by
the Bluetooth SIG, Inc. and any use of such marks
by Siemens Audiologische Technik is under license.
Other trademarks and trade names are those of
their respective owners.
The information in this document contains
general descriptions of the technical options
available, which do not always have to be
present in individual cases and are subject
to change without prior notice.
GORE and designs are trademarks of
W. L. Gore & Associates.
Global Siemens Headquarters
Siemens AG
Wittelsbacherplatz 2
80333 Muenchen
Germany
Global Siemens Healthcare Headquarters
Siemens AG
Healthcare Sector
Henkestrasse 127
91052 Erlangen
Germany
Phone: +49 9131 84-0
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Gebbertstrasse 125
DE-91058 Erlangen
Germany
Phone: +49 9131 308-0
Order No. A91SAT-02180-99C2-7600 | Printed in Germany | © 02.2014 Siemens AG
www.siemens.com/hearing
Legal Manufacturer
Siemens Audiologische Technik GmbH
Gebbertstrasse 125
DE-91058 Erlangen
Germany
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