I am 62 and new to hearing aids. My test shows loss in mid-range freq. I have to turn the TV up and lose words in conversations, etc. I want the best hardware - small, light-weight. Which will work better for me Signia primax 7px or Oticon Opn?

Lisa Goldstein

Hearing Healthcare Provider in Tarzana

19 July 2016 - 3.63K Views

Siemens and Oticon are both excellent manufacturers, researching and developing the best in hearing aid technology. I have worked with both the Primax 7 and the new Oticon Opn with success. It's always nice to work with an audiologist that will let you try both instruments however, it also depends on your needs. If you want the latest in direct connection to your iphone that option is not available in the Siemens product. On the other hand, Siemens is the way to go if you want a rechargable device. If you have an audiologist that you are comfortable with and trust they will guide you through this process. Best wishes and success,

Upvote (2) Downvote Reply

Alexandra Tarvin, AuD

Doctor of Audiology in Easley

19 July 2016 - 3.65K Views

Both of these devices can be excellent. Which one is better for you would depend on a variety of factors that you would need to discuss with your audiologist. I have patients using both products and each is happy. I agree with Melanie that you may want to try both in the office and see which you prefer. They can both be lightweight and small but they have very different processing algorithms. I have had amazing feedback from my patients wearing the Oticon Opn as it is a revolutionary platform.
Upvote (2) Downvote Reply

Matthew Pearson

Audiologist in Greater London

22 December 2016 - 3.27K Views

Both manufacturers make good quality devices. At the moment the Opn (in the UK) is only available in the "1" spec ie top of the range. It may be that this is over prescribing.

Incidentally, I am a big fan of the Opn device but how I tend to prescribe hearing aids would be based on your lifestyle & QuickSin scores. (Complex lifestyle &/or poor score high spec aid more basic lifestyle & or better QuickSin score lower spec aid).

Regarding your lifestyle, trying to hear the TV more clearly with a hearing aid alone doesn't always give the maximum benefit. If you are the owner of one of the more modern flat screen TV's what you have gained in screen size & picture quality you have traded away in sound quality. Lots of modern TV's have speakers of a similar quality to those found in a laptop so a good way to maximise your ability to hear the TV would be to use a supplementary accessory to stream the sound from the TV. In addition to better sound quality & clarity you have the additional benefit of being able to move around ie to make a drink or visit the bathroom while still following the TV show. 

So the answer would be if you have a very low QuickSin score (ie you have good processing ability) you may want to choose a lower spec aid but supplement it with a TV streamer (so this may rule out the Opn until the 2 & 3 spec are released). I think of hearing aids as the foundation for hearing better but not always the complete answer. If you have a very poor score hearing aids alone may not restore all the words you are losing in conversations in complex environments, therefore a remote mic may also be necessary. Sometimes it is better to keep the same budget but try a package to meet your hearing needs.

I hope this helps.



Upvote (1) Downvote Reply

Kerby Ball

Hearing Healthcare Provider in Kansas City

20 July 2016 - 3.61K Views

The primax 7 is an excellent choice. The Oticon Opn is also an excellent option as they are both top flight solutions.

Generally speaking your loss can be easily addressed. However the greatest determinate of success is your speach discrimination scores.

This in combination with your other listening environments that you are needing addressed in addition to your budget will ultimately decide the right level of technology and product needs.

The ultimate goal is to get you hearing on a path that will be sustainable over your lifetime while preserving your current hearing and your ability to discriminate speech.

Upvote (1) Downvote Reply

Barbara H. Jenkins

Doctor of Audiology in Centennial

19 July 2016 - 3.63K Views

Why not try both and see which is better for you?  Find an audiologist who isn't owned by the company they work for and have them order both.  Try each for a week and you decide which is best for you.  There will probably be a charge but it would be money well spent.

Upvote (1) Downvote Reply

Beth Alberto, AuD

Doctor of Audiology in Summerville

19 July 2016 - 3.65K Views

Both systems are good, but more importantly, you should see a professional and listen to the aids yourself!  Find someone in your area that would provide a demonstration of both technologies.

Upvote (1) Downvote Reply

Brad Odom

Hearing Healthcare Provider in Cheraw

19 July 2016 - 3.65K Views

Both options are excellent choices.  You won't make a bad choice either way.  My preference is the Opn, but the only way to truly know, is to try them both.  I am certain the dispenser you are working with is willing to let you try them both before you decide.  I fimly believe there is not a single hearing aid that is right for everyone.  We all have different preferences.  Manufacturers process sound differently, which means you will likely notice an immediate sound quality difference between the two instruments.  Both are successful leading manufacturers but you will likely prefer one over the other.  Try before you buy!

Upvote (1) Downvote Reply

Melanie Herzfeld, AuD

Doctor of Audiology in Woodbury

19 July 2016 - 3.66K Views

I have found over the years that while I might be able to predict generally how many will choose which device, I am not always right...I prefer putting both aids on patients to see which one they prefer.  My patients have been pleased with this approach because no one knows their ears like they do!

Upvote (1) Downvote Reply


Justin B
Justin B 19 July 2016
You mentioned that you want the best hardware. But lets clarify that the hardware in both devices is roughly the same (Not to mention that neither manufacturer publishes hard technical specifications such as processor speed, memory amount, or memory speed, etc). This is why the size and configuration are approximately the same. Think about laptop computers. You can walk into Best Buy and see 20+ 15.6" laptop computers with a screen and a keyboard and a touchpad, that fold in half, with a bunch of different plugs on the sides. They all look very similar. But the prices range between $300 and $2000. Which one has the best hardware? Is that really the question to ask? I think the real question is, what do you want the device to do? Based on your comment, it sounds like you want the devices to make it easier to understand television and conversations. Both of these devices will help you achieve these simple goals. As far as how they will do the job, the real difference lies in the SOFTWARE in the devices, not the HARDWARE. This is reflected in the philosophies of the two companies. The Signia Primax devices emphasize the device' ability to try and shut out any noise that competes with the person talking. This can be very helpful in a very noisy room where sound is coming at you from all directions, such as a restaurant. In this scenario, you will hear the person across the table as long as you are looking directly at them (focusing the microphones of the hearing devices ON THEM). However, in a situation such as watching television, that ability to shut out everything but the television *might* be detrimental to you (depending on the details of your hearing loss, which I don't know) if someone tries to talk to you from 15 feet off to the side (down the hall) or behind you (in the kitchen). By contrast, the Oticon Opn devices specifically go out of their way to NOT eliminate surrounding noise completely. Opns utilize different software to emphasize and isolate the voice of the person speaking, while allowing you to remain peripherally aware of the sounds and speakers around you. This is much more like how our ears and brain worked before we ever needed hearing devices. So to go back to that television situation, even though you are listening and hearing that television well, Oticon's hope is that when your family member says something to you from 15 feet off to the side, you will still hear and understand more of what they are saying, AS WELL. But when you go to that noisy restaurant, they want that racket to be tolerable and not interfere with hearing the person across the table, but the racket should still be there, as it is for everybody else. Remember, before you needed hearing help (assuming there was such a time), if you went to a loud restaurant, there was nothing you could do to reduce the background noise other than leave or yell for everybody to shut up. The idea that you can "try" each device in succession is generally erroneous. The reason is because all the evidence, scientific, clinical, and anecdotal suggests that it takes anywhere from 30 days to 120 days for YOU to adjust to the new sound of the hearing devices you have chosen. And every time you go through that adjustment process, you have inherently changed how you perceive sound and speech. So you can put on a pair of Primax devices and spend a week thinking they work well (compared to nothing), then when you put on the Opns they will sound different (compared to Primax). Or vice versa. A short term trial does nothing to determine what the devices will sound like or how effective they will be in 6 months or a year or more (if you wear them full time, as you are supposed to). My suggestion, based on in-office speech-in-noise test results and aided-versus-unaided word recognition testing, would be the Oticon Opn. I have tested and fit people with all major brands and models of devices, and although there are some exceptions (of course), overall, the measured outcomes of these tests AND the feedback I have received from the end users has been overwhelmingly in favor of the Oticon devices. Good luck.
Chip W
Chip W 08 March 2017
Hello I'm 62 and in need of a hearing aid because my left ear sounds like it has water in it. I saw an ad on the internet about a reality show for people with hearing problems being used to promote the hearing aids and there usage.
Add a response

Related Questions

This Website Does Not Provide Medical Advice. All material on this Website is provided for informational purposes only. Inclusion of information on this site does not imply any medical advice, recommendation or warranty. Answers provided should not be considered a substitute for the advice of health professionals who are familiar with your specific medical history. Experts who provide advice via "Expert Answers" assume no liability for the accuracy or completeness of, nor any liability to update, the information provided. Expert answers and comments may be removed at any time, at the discretion of the moderators, without notice.