mchas modernising children’s hearing aid services acoustic feedback reduction
TRANSCRIPT
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Acoustic Feedback Acoustic Feedback ReductionReduction
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
IntroductionIntroduction
Acoustic Feedback PrincipleAcoustic Feedback PrincipleAcoustic Feedback Reduction Acoustic Feedback Reduction
StrategiesStrategiesAccessing Acoustic Feedback TestsAccessing Acoustic Feedback TestsSummarySummary
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Acoustic Feedback Principle Acoustic Feedback Principle
Input signal
Feedback signal
Output signal
(In phase)
Input signal
Feedback signalFeedback problems
=
GN Resound
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Feedback occurs when: Feedback occurs when: – the ear mould is damaged or a poor fitthe ear mould is damaged or a poor fit– if the ear canal is occluded with waxif the ear canal is occluded with wax– when the hearing aid is turned up too when the hearing aid is turned up too
much.much.
Feedback reduction algorithms try to Feedback reduction algorithms try to ensure that the hearing aid is never ensure that the hearing aid is never turned up too much by:turned up too much by:– the clinicianthe clinician– the aid wearerthe aid wearer– automatically by the hearing aid itself.automatically by the hearing aid itself.
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Feedback Management Feedback Management StrategiesStrategies
Desired
Dillon 2001
0
10
20
30
40
Frequency (Hz)
Hea
rin
g a
id g
ain
(d
B)
8000400020001000500250125
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
0
10
20
30
40
Frequency (Hz)
He
ari
ng
aid
ga
in (
dB
)
8000400020001000500250125
Desired
Gain Reduction StrategiesGain Reduction Strategies
Volume decreased
Dillon 2001
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
0
10
20
30
40
Frequency (Hz)
He
ari
ng
aid
ga
in (
dB
)
8000400020001000500250125
Gain Reduction StrategiesGain Reduction Strategies
Dillon 2001
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Static Notch FiltersStatic Notch Filters– Fixed filters which limit the gain only Fixed filters which limit the gain only
around the frequencies where feedback around the frequencies where feedback oscillation is occurring.oscillation is occurring.
– Filters can only be changed by running a Filters can only be changed by running a new feedback check.new feedback check.
– Limitation: Feedback oscillation Limitation: Feedback oscillation frequency does not remain fixed over frequency does not remain fixed over timetime
Gain Reduction StrategiesGain Reduction Strategies
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Gain Reduction StrategiesGain Reduction Strategies
Active Notch FiltersActive Notch Filters-- Also called Roving NotchesAlso called Roving Notches-- HA actively monitors it’s own output HA actively monitors it’s own output for for feedback and creates a notch filter at feedback and creates a notch filter at the the frequency it detects feedback.frequency it detects feedback.-- Can implement two or three spikesCan implement two or three spikes-- More effective than static notches but More effective than static notches but are are limited and may be slow to adapt limited and may be slow to adapt (Hayes, (Hayes, 2003)2003)
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Feedback CancellationFeedback Cancellation
Most sophisticated strategy as there Most sophisticated strategy as there is no gain reduction. is no gain reduction.
HA detects signal leaking back to the HA detects signal leaking back to the microphone and automatically microphone and automatically cancels this signal by adding some cancels this signal by adding some equal but opposite signal.equal but opposite signal.
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
External leakage path
+
- Internal feedback
path
Feedback CancellationFeedback Cancellation
Dillon 2001
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Feedback CancellationFeedback Cancellation
Highly adaptiveHighly adaptiveCan control several feedback spikes Can control several feedback spikes
simultaneously without sacrificing simultaneously without sacrificing sound qualitysound quality
However, battery life, sampling time However, battery life, sampling time and processing power are key to its and processing power are key to its effectiveness effectiveness (Hayes, 2003)(Hayes, 2003)
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Feedback CancellationFeedback Cancellation
Feedback Feedback cancellation is also cancellation is also known as ‘search & known as ‘search & destroy’ and can destroy’ and can allow up to 10 dB of allow up to 10 dB of extra gain before extra gain before feedback.feedback.
Limitation: Some Limitation: Some musical tones (highly musical tones (highly periodic) and simple periodic) and simple test box signals may test box signals may also be suppressed.also be suppressed.
2
1
1. Max gain with DFS
2. Max gain without DFS
Taken from actual Danalogic 163D fitting with 2 mm vent
(GN Resound)
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Accessing Feedback TestsAccessing Feedback Tests
Active gain reduction strategiesActive gain reduction strategies– Phonak Supero the active notch filter is Phonak Supero the active notch filter is
deactivated during the fitting process and in deactivated during the fitting process and in the music program.the music program.
– In the Siemens Prisma 2M and DSP notch filters In the Siemens Prisma 2M and DSP notch filters are removed after 5 mins to see if feedback is are removed after 5 mins to see if feedback is still present.still present.
– Starkey Strata there is an automatic gain Starkey Strata there is an automatic gain reduction in the high channel.reduction in the high channel.
Feedback CancellationFeedback Cancellation– Danalogic 283D use this strategy. The ‘Digital Danalogic 283D use this strategy. The ‘Digital
Feedback Suppression’ (DFS) can be Feedback Suppression’ (DFS) can be deactivated in the software.deactivated in the software.
– Spirit II Direct and PowerSpirit II Direct and Power
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Accessing Feedback Tests.Accessing Feedback Tests.
All feedback tests can be accessed by All feedback tests can be accessed by clicking on a software icon or going into clicking on a software icon or going into one of the ‘pull down’ menus.one of the ‘pull down’ menus.
All tests require noise free All tests require noise free environments.environments.
There may be a number of different There may be a number of different options available. Instructions normally options available. Instructions normally accompany any procedure but if you accompany any procedure but if you have difficulties try reading the have difficulties try reading the instructions in the help menu.instructions in the help menu.
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
SPIRIT II DIRECT & POWER
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
DANALOGIC 283D
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
PRISMA 2M & DSP Optimize will insert static notch if necessary Adaptive sets up active notch filter(s) If feedback occurs aid checks for presence after 30 secs and 5 minutes. Notch(es) will be removed if feedback signal no longer present. Can implement one notch per channel (up to 4)
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
STRATA A312
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Phonak Aero & SuperoPhonak Aero & Supero
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NHS DSP Hearing Aid FB NHS DSP Hearing Aid FB StrategiesStrategies
Hearing AidHearing Aid Limits gain Limits gain in channels in channels
Static Static Notch Notch FilterFilter
Adaptive Adaptive Notch Notch FilterFilter
Phase Phase CancellationCancellation
Phonak Aero 211 Phonak Aero 211 & 311 AZ& 311 AZ
Phonak SuperoPhonak Supero Oticon Spirit II Oticon Spirit II Direct & PowerDirect & Power
Siemens Prisma Siemens Prisma 2M & DSP2M & DSP
Starkey Strata Starkey Strata A312A312
** Active high Active high channel gain channel gain
reductionreduction
Danalogic 283DDanalogic 283D
MCHASMCHASModernising Children’s Hearing Aid ServicesModernising Children’s Hearing Aid Services
Thank-youThank-youQuestions?Questions?