All labs that produce IICs have technology levels that adjust for noisy environments to the best degree that today's technology allows. No IIC, or any other size hearing instrument will sound natural if a person has never worn hearing aids, until their mind has gone long enough hearing through them all day, everyday so that listening through the hearing devices becomes the new 'normal'. This leads to the next point - IICs have BY FAR the lowest satisfaction rates at every lab that produces them when compared to other sizes of custom hearing aids produced at the same lab. They come back far more often to be remade, or returned due to dissatisfaction. One manufacturers trainer related that practices love the responses that the advertising brings showing the tiny IICs, but after ongoing problems and returns they tended to discourage patients from choosing that style and instead go with a CIC they would have made as small as possible. Phonak and Starkey both have many successes and many failures as well. The percentages are much better than a few years ago, but still trail RIC and other custom styles in satisfaction levels. Our family and friends who ask us about IICs are surprised when we tell them this, because they see them advertised everywhere. In truth IICs comprise a far larger percentage of hearing aid advertising than any other custom style, but are manufactured in vastly smaller quantities than CICs. Finally, regarding "clear sound". An expert practitioner is required to get a perfect fit. Without that, clear sound is impossible. An IIC also typically requires a highly trained practitioner to get optimal tuning. If you are set on choosing this style, choose a practice that fits at least 50 pair per year and ask them about their success rate and what the reasons are that people don't succeed, or are less than 100% satisfied. Every product in this category has the potential to satisfy most hearing losses but not all practices have the expertise to bring the best out of them. Focusing on choosing the best practitioner and allowing them to recommend which labs offering they would recommend you try would be my advice.
Hello. All today's digital hearing aids provide some for of automatic adjustment within specific parameters set by a product's proprietory software. As for how any particular aid handles a noisy environment will depend upon several factors, not the least of which is "knowing" intuitively what you consider background noise and whether it is something you want or need to hear. Many hearing aids have capability of adjusting for varied levels of background noise, reverb and echo and multi-talking situations. Devices with more compression channels have been shown by research to acheive a better signal to noise ratio or an improvement for speech in noise, particularly for "ski-slope" or mild to severe high frequency loss above 1000Hz..No hearing aid will reduce all ambient noises, nor should it as this could be considered a safety issue for the wearer. No hearing aid feels "natural" but many well-done custom aids and many RIC's provide a great amount of comfort in wearing. Also, most wearers get used to the instrument(s) within a few days to a few weeks. As for clear sound, I assume you mean sound of speech with clarity. Most all of today's hearing aids use the best parts and technology available to provide a more clear and distinct sound. Research does show that some of the technology touted to improve clarity may be superfluous or of limited help. Your success also depends upon your brain's ability to focus on what it wants to hear, which degrades has loss progresses. One would need to see your MCL's, UCL's, SRT's and Discrimination scores in quiet and in speech to determine how much potential help aids will provide. Also, real ear should be used upon the fitting to verify a user's targets are being met in soft, normal and loud sounds. I hope this helps.
I have the best results using Phonak. The new Venture platform, using audiogram direct semi linear processing. I read other comments if you want an IIC then the specialist should perform a speech in noise test If you have a good speech in noise ability other products with directional microphones will not be any better in noise than an IIC because of the ear itself. It is important to use probe mics or audiogram direct with an IIC due to the closeness to the eardrum to verify frequency response
it's dependent on your hearing test if an iic is appropriate for you. Many manufacturers make an iic. Oticon, Starkey, resound, and Siemens. The maximum gain/power varies between the manufacturers and also the wireless control of the device may or may not be available. Focus on these when picking out an iic.
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