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Want better sleep? Bose® has you covered

Bose® noise-masking sleepbuds™

by David M Sykes, Vice Chair, The Quiet Coalition

This CNET review is a intriguing article about Bose’s quest to tap into the auditory health and better sleep market.

PSAPs, or personal sound amplification products, is a term brought to public attention in 2015 by the White House President’s Council of Advisors on Science and Technology followed by a report from the National Academy of Medicine last October. PSAPs are an emerging class of products that are also called hearables (think wireless earbuds with extra features) that we’ve been following for the past couple of years.

PSAPs are interesting because they represent a host of tech innovations and innovative young tech companies that promises to disrupt the traditional hearing-aid industry that has been dominated for decades by a hegemonic group of risk-averse manufacturers known as the “Big Six,” a market that is carefully regulated by the FDA. The result of decades of regulation and dominance by a handful of companies is that traditional hearing aids are both absurdly expensive, and also not particularly innovative. No surprise there.

But a couple of months ago, the emerging market for PSAPs blew wide open thanks to bi-partisan legislation (the Over-The-Counter Hearing Aid Act, co-sponsored by Senators Warren and Grassley) which exempts PSAPs from regulation. And that means three things:
1. Now you can buy PSAPs directly from the manufacturers or at CVS/Walgreens etc. (“over the counter”) without a prescription and you don’t have to pay an audiologist to fit them;
2. PSAPs cost a fraction of what a pair of traditional hearing aids costs (PSAPs may cost you $150 to $400, but compare that to $4,000 to $10,000 for conventional hearing aids); and
3. Two dozen hungry, young start-ups funded through crowd-sourcing or by venture capital professionals are charging into this market.

So If you, like me, like to watch a tech-race unfold, then get out your binoculars and join the crowd at this track because its an exciting race in a market that has been moribund and over-regulated for decades.

Watching this restless bunch of young PSAP startups and their colorful jockeys (I mean their CEOs), and eyeing them very carefully, are a small but high-powered group of suits you’ll recognize from consumer electronics: Apple, Sony, Phillips, Bose, et al. Why? Because these are the big guys who are already in the ear business–they sell earbuds and headphones, among other things and wireless hearables is a potentially important new market. The ear is their turf. So if they can grab a piece of the de-regulating market for wireless hearing-assistive devices that’s a great business opportunity, right? After all, 48 million Americans are hearing-impaired so this is potentially a big niche market, and who knows how many Americans are sleep-deprived?

But what about Bose?

Bose—an intensely private, even secretive consumer electronics company headquartered on top of a small mountain near Boston—is the first of these big consumer electronics players to make a move in the PSAP race. Bose’s founder, Amar Bose, died a couple of years ago, but he was a singular, legendary force in consumer electronics and seemed to be the fountain from whom all of the company’s products poured. With his death, ownership of the company was turned over to Amar Bose’s alma mater, MIT (yes, MIT controls the majority stake but has no say in management). But can the company still innovate now that it founder and chief idea-guy is gone?

One approach to innovation is through acquisition. So last year, Bose acquired the San Diego-based startup Hush and recently announced the release of a new Bose-branded product based on the work done by three engineer-entrepreneurs who founded Hush not too long ago. If you’ve been watching this emerging market, you probably noticed that only last week, the self-declared front-runner in PSAPs/hearables a product called “Here One” from the company Doppler Labs, ran out of juice and went out of business. Why? They burned through $50 million trying to win this horse race, but then ran out of money and couldn’t get Apple or Sony or any of the rest of the big guys to pony up and buy them out. Sometimes that happens to front-runners and it’s too bad, but it clears the way for others to emerge. And Bose wants to be one of the next group as these horses round the first corner.

Now Bose, in addition to being intensely secretive, has also always done things differently. And they’re certainly going after this emerging PSAP/hearables market from some intriguing angles. For instance, they recently have launched a crowdfuning campaign for their new Bose® noise-masking sleepbuds™. Another example is their newly announced Hearphones for people who need help understanding speech in noisy environments. Both of these products indicate that Bose is probing the now-deregulated “hearing health market”—a big departure from their traditional focus on consumer electronics. Perhaps they think 48 million Americans is a viable niche market where they can beat Apple, Sony, Phillips and the Big Six hearing aid companies by getting out of the gate faster. Who knows? Bose has succeeded by focusing on niches ignored by others and they’ve got their own retail stores, so keep your eyes on them.

It’s a race. And some of us are watching closely to see what happens. If you placed a bet on Here One and lost, then just swallow hard and keep your eyes on the race. It’s only just begun.

In addition to serving as vice chair of the The Quiet Coalition, David Sykes chairs several professional organizations in acoustical science: The Acoustics Research Council, American National Standards Institute Committee S12, Workgroup 44, The Rothschild Foundation Task Force on Acoustics, and the FGI Acoustics Working Group—a partner of the American Hospital Association. He is the lead author of “Sound & Vibration 2.0 (2012, Springer-Verlag), a contributor to the National Academy of Engineering report “Technology for a Quieter America,” and to the US-GSA guidance “Sound Matters”, and co-founded the Laboratory for Advanced Research in Acoustics (LARA) at Rensselaer Polytechnic Institute. He recently retired from the board of directors of the American Tinnitus Association. A graduate of the University of California/Berkeley with graduate degrees from Cornell University, he is a frequent organizer of and speaker at professional conferences in the U.S., Europe, Asia, and the Middle East.

The first one bites the dust

No longer with us

by Daniel Fink, MD, Chair, The Quiet Coalition

Some observers see great potential in a new category of electronic device called hearables, something a little less than a personal sound amplification device, or PSAP, and certainly less than a hearing aid, but designed to help adults understand conversation in noisy places.

Others of us–and I am in this latter category–don’t see much of a future for these products, which are unlikely to work well and unlikely to be attractive to consumers. After all, who wants to be the only one in the room wearing some silly-looking device?

There are several vendors trying to bring these to market but today we learned that the first one of these, Doppler Labs, bit the dust after burning through $51 million of venture capital.

Its product, Here One, only had a two-hour battery life.

One wishes the $51 million had been spent dealing with the root cause of the problem, making restaurants quieter. That’s what’s really needed to help people with hearing loss.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He serves on the board of the American Tinnitus Association, is the interim chair of Quiet Communities’s Health Advisory Council, and is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America.

Researchers confirm cheaper hearables work as well as hearing aids

by David M. Sykes, Vice Chair, The Quiet Coalition

Several Johns Hopkins researchers reported some research in the Journal of the American Medical Association that tested the notion that a cheap ($200-$400) unregulated “hearable” (also known as a personal sound amplification product or PSAP) may be a convenient and inexpensive alternative to a hearing aid.

The researchers tested a handful of the new hearable products just coming on the market and, sure enough, they perform as well as, or nearly as well as, expensive ($2000-$5000 per ear) hearing aids made by the “Big Six.” The Big Six are six companies that have controlled the hearing aid industry; their products are regulated in the U.S. by the Food and Drug Administration.

Recently legislation passed by Congress and signed into law just before the August recess, about which we have written earlier, requires the FDA to de-regulate, i.e. to take a hands-off approach to this new class of high-tech hearing devices. As a result, these new products can be sold over the counter, without a prescription.

Will you need to take them to an audiologist to get them fitted? Certainly you may choose to do so, and that may be the best option, particularly if you are concerned that improper use might endanger your hearing. But with a conventional hearing aid, patients were required to pay professional fees to an audiologist for fittings, etc., resulting in a bundled price that made the hearing aids unobtainable for many people who needed them. You can certainly expect to read articles claiming that these new devices pose a danger. Henceforth, it’s up to the consumer to decide—as he or she already does with regard to many other healthcare products, including over-the-counter drugs that formerly required a doctor’s prescription.

We say caveat emptor (buyer beware), but welcome these new products that cost 1/10th the price of conventional hearing aids. They are suitably priced to be able to meet the needs of 48 million Americans with noise-induced hearing loss, many of whom cannot afford the $4000 to $10,000 price tag for conventional hearing aids. Voters seem to want de-regulation—this is it!

In addition to serving as vice chair of the The Quiet Coalition, David Sykes chairs several professional organizations in acoustical science: The Acoustics Research Council, American National Standards Institute Committee S12, Workgroup 44, The Rothschild Foundation Task Force on Acoustics, and the FGI Acoustics Working Group—a partner of the American Hospital Association. He is the lead author of “Sound & Vibration 2.0 (2012, Springer-Verlag), a contributor to the National Academy of Engineering report “Technology for a Quieter America,” and to the US-GSA guidance “Sound Matters”, and co-founded the Laboratory for Advanced Research in Acoustics (LARA) at Rensselaer Polytechnic Institute. He recently retired from the board of directors of the American Tinnitus Association. A graduate of the University of California/Berkeley with graduate degrees from Cornell University, he is a frequent organizer of and speaker at professional conferences in the U.S., Europe, Asia, and the Middle East.

 

New federal law deregulates and disrupts hearing aid market

Photo of Here One wireless smart earbuds courtesy of Doppler Labs

by David M. Sykes, Vice Chair, The Quiet Coalition

Who says this Congress can’t get anything done? Last week huge news appeared for 48 million Americans with hearing disorders, but the media barely noticed::

A new bipartisan law, the “Over-the-Counter Hearing Aid Act of 2017,” will deregulate the hearing aid market, dramatically lowering costs for consumers and releasing a surge of new technologies that will be sold over the counter, without a prescription. Yes, there will be losers as well as winners, but that’s the nature of change….

The new law responds to two federally sponsored reports issued last year (under the Obama Administration). The first report came from the President’s Council of Advisers on Science and Technology. The second was from the National Academy of Medicine. Passed the day before Congress adjourned, the new law creates opportunities for new technology innovators, eliminates the need to get a prescription, and dramatically cuts the cost by allowing substitutes, called “hearables” and “PSAPs” (Personal Sound Amplification Products), to be sold “over the counter.” The goal? a more efficient market that meets the needs of consumers.

As Noah Kraft, co-founder and CEO of Doppler Labs said, “[t]his industry is going to be completely disrupted. The question is by who?”

We have reported about this on several occasions over the past year, but the market disruption is getting underway much sooner that we anticipated thanks to quick action in the House of Representatives and the Senate, action that has emboldened nearly two dozen new entrants to enter the market ahead of schedule.

Who gains? 48 million Americans with incurable noise-induced hearing loss and millions more who are at risk from noise exposure. Who loses? The Big Six  who have dominated the hearing aid market for decades along with approximately 14,000 audiologists, the medical specialists whose services were previously required by the FDA to dispense and “fit” hearing aids to patients. The new Warren-Grassley OTC Act stipulates that the FDA must create a new category for “over-the-counter” hearing assistive devices and let them be sold freely, without intervention.

It’s no secret that the current Congress and the White House crave deregulation. Is deregulation potentially dangerous? Sure, but this is one instance where consumers will clearly benefit. Until now, hearing aids could cost you between $2,500 and $5,000 per ear, so $5,000 to $10,000 total. No wonder so few people have hearing aids—they weren’t covered by insurance or Medicare/Medicaid, so who could afford them? But now prices will drop to 1/10th of that—about $300 to $350 a pair–so lack of insurance coverage is less of a barrier.

We say thanks to the laudable bi-partisan cooperation between Senator Elizabeth Warren (D-MA) and Iowa Senator Chuck Grassley (R-IA) for getting this done at a time when Washington seems mired in dysfunction.

What’s the downside of this deregulatory innovation? There are many unknowns, so caveat emptor (buyer beware) and stay tuned…. But for now, it’s “Hip Hip Hooray”—or should we say, “Hear Here”!

P.S.: Our chair, Daniel Fink, MD, cautions that the real solution to the epidemic of hearing disorders in America is NOT more affordable hearing aids, but rather, a badly needed and long-awaited public health effort to prevent hearing loss—and we wholeheartedly agree with him. Prevention can be encouraged by three means:

  1. Educating people about the dangers of prolonged exposure to noise above 70 dB (permanent hearing damage occurs at levels much lower than currently recognized);
  2. Resurrecting federal efforts to reduce noise (as is being done in Europe and Asia already, where noise is recognized as a public health hazard) from obvious sources like planes, trains, trucks, consumer appliances, construction and outdoor maintenance equipment, etc.; and
  3. Educating companies in industries like aircraft manufacturing, car and truck manufacturing, mining, construction, HVAC, and appliance manufacturing, etc. that noise is harmful to public health.

Prevention can be done: currently, the European Union regulates noise emissions from 50 classes of products. According to Dr. Fink, “a hearable or PSAP is a poor substitute for well-preserved normal hearing; it’s far better to avoid loud noise or to wear earplugs!”

In addition to serving as vice chair of the The Quiet Coalition, David Sykes chairs several professional organizations in acoustical science: The Acoustics Research Council, American National Standards Institute Committee S12, Workgroup 44, The Rothschild Foundation Task Force on Acoustics, and the FGI Acoustics Working Group—a partner of the American Hospital Association. He is the lead author of “Sound & Vibration 2.0 (2012, Springer-Verlag), a contributor to the National Academy of Engineering report “Technology for a Quieter America,” and to the US-GSA guidance “Sound Matters”, and co-founded the Laboratory for Advanced Research in Acoustics (LARA) at Rensselaer Polytechnic Institute. He recently retired from the board of directors of the American Tinnitus Association. A graduate of the University of California/Berkeley with graduate degrees from Cornell University, he is a frequent organizer of and speaker at professional conferences in the U.S., Europe, Asia, and the Middle East.

How research, technology, and finance are fueling the new world of hearables

Copyright 2016 www.hearable.world

By David Sykes, Vice Chair, The Quiet Coalition

“For the last 40 years, there’s been very little movement, if any at all on [hearing loss]… and there [are] fundamental regulatory forces in place here that are subject to inertia. …. Now, just literally within the last year, …we’ve seen more movement on this issue than essentially in the last 50 years of U.S. history.”

–Frank Lin, MD, PhD, Assistant Professor, Otolaryngology, Johns Hopkins Bloomberg School of Public Health (July 2016)

In the U.S. we grew accustomed to noise and noise-induced hearing loss being ignored. Nothing much happened for three and a half decades after 1981 when, for political reasons, noise and its effects became verboten—serious people wouldn’t talk about it and researchers couldn’t find money to explore it. But lately, what venture capitalists call a “convergence” has occurred—a confluence of research, technology development, and novel sources of financial support (i.e., crowdfunding). And this convergence is creating a surge of interest in this long-ignored subject.

What is going on? Why are some of us so excited about this? Where are we headed? How does this help (or hurt) people who are concerned with the need to control noise, peoples’ exposure to noise, and people who suffer from hearing disorders like tinnitus, hyperacusis, and misophonia? If you follow the writing of The Quiet Coalition’s chairman, Daniel Fink, MD, you may recall that he first wrote about this subject last May. In short, personal sound amplification products (PSAPs) are a positive, exciting step in the right direction. But they will not and cannot solve the larger problem of noise and noise-induced hearing loss in America.

First: What’s going on?

Did it start with research? In 2009, two researchers at Harvard’s Massachusetts Eye and Ear, Charles Liberman, PhD, and Sharon Kujawa, PhD, published a paper revealing that “synaptopathy”, i.e., permanent nerve damage to the nerves that connect the ears to the brain, actually happened at lower noise levels than previously assumed and in the neurological circuits that can’t be seen in an audiological exam (audiologists can only see the pinna, the external auditory canal and the tympanic membrane—after that all has been a big mystery).

As a result, something called “hidden hearing loss” suddenly caught the attention of the policy makers who funded the research. Abruptly, the idea that noise caused only “temporary” damage, i.e., that the ear could recover from what has for decades been called a “Temporary Threshold Shift,” appeared to be really wrong. Hearing damage to nerves is always permanent and, at least until cures are found, irreparable. This caused a shift toward neuroscience research and toward the search for potential cures in partnership with the drug industry.

Did it start with technology innovators? Sony’s phenomenally successful Walkman (launched in 1977, forty years ago) started it, but then Apple’s iPod caused an explosion in the use of “earbuds” for “personal listening.” These wired earbuds were incredibly popular but always troublesome to wear because of the wires, so R&D types began trying to figure out how to get rid of the wires. Then “wireless” arrived. Called “Bluetooth,” it was developed in Sweden (the name “Bluetooth” is a tribute to the ancient King Harald Bluetooth of Denmark who unified parts of Scandinavia). But even wireless earbuds were essentially “dumb” speakers. Eventually, other restless R&D types began exploring what else, with increasingly miniaturized circuit designs, those wireless earbuds could do for you if you thought about the ear as a “portal” for transmitting information to the brain. From that work was born the idea of the PSAP.

But how did an idea turn into a blossoming industry called “wearables” or “hearables” in which at least seventeen companies are now scrambling for your attention? The answer? Money.

Did it start with the idea of “crowdsourcing” money to develop next-generation, smart “earbuds”? Look closely at the chart above and you’ll see that many pioneering PSAP companies currently vying for your attention are financed by “crowdsourcing” campaigns (e.g., Kickstarter and others). Another funding approach now available to companies in this emerging sector is the new SEC-approved “equity crowdsourcing” venture-finance companies, which have only been able to operate since late 2016 in the USA (earlier elsewhere). In other words, now there are whole new ways to start and fund a tech company that do not rely on traditional venture capitalists—those people who traditionally funded lots of other tech companies, but who have had, until now, little interest in hearing technologies because the hearing technology market has been stuck in a rut for three and a half decades.

In truth, all three of these phenomena—research, technology innovation, and capital–occurred independently. But now they have converged and are beginning to affect—and disrupt—existing markets, such as the market for hearing aids.  Hearing aids are over-priced, limited production devices generally aimed at older people and manufactured by a group of six companies (“the cartel” or “The Big Six”) who dominate the industry and make 98% of the world’s hearing aids—in other words, this is a market ripe for disruption.

Now add a fourth catalyst: Regulatory change. Eleven months ago (June 2016), the National Academy of Medicine published a significant report about the emerging, disruptive technology of PSAPs and attempted to warn audiologists, hearing aid manufacturers, and others who have been comfortably ensconced in this stable, profitable but uninteresting market that things are about to change. Then, a few months later two U.S. Senators introduced a bi-partisan bill intended to accelerate transformation of this market. It’s called “The Over-The-Counter Hearing Aid Act,” and it was introduced by Senators Warren (D-MA) and Grassley (R-IA). This act specifically seeks to streamline the market for “hearables”/PSAPs by exempting them from FDA regulation and enabling them to be sold direct to consumers, i.e., “over the counter,” without medical intervention.

But wait, what does this story have to do with our interest in noise control, in ending harmful exposure to noise, in your and your family’s hearing health? Do these new PSAP devices provide some relief for people who already suffer from noise-induced hearing loss? Can they prevent further damage from exposure?

Answer: A big maybe.

Keep in mind that the first word in PSAP is “personal”—these devices only address your noise problem, they don’t solve the noise problem for anyone else. If you travel to work on a noisy subway system, it’s possible some of these PSAP devices may provide you with some relief in the form of an active noise cancellation feature. If you can’t understand conversation in a noisy restaurant, some of the PSAP devices may be able to help you screen out background cacophony and focus on the person who’s speaking to you. In short, PSAPs include a wide array of features that might interest you. They are marketed as wireless earbuds that allow you to optimize “the way you hear the world,” and not as hearing aids, because they cannot be advertised as “hearing aids”—the U.S. Food and Drug Administration prohibits that. Only a “hearing aid” from one of “The Big Six” can be sold as a “hearing aid”—and only those six companies worldwide make devices that are labeled that way.

So “Caveat Emptor” (buyer beware) if you’re interested in trying one of the new PSAPs! This is exciting stuff and they cost less than 1/10th the price of conventional hearing aids. Furthermore, at least two of these companies, Doppler Labs (HERE One) and Nuheara (IQbuds), already have products on the market, so you can actually try out a pair of wireless earbuds and see for yourself.

But do they address the larger social problem that noise has gotten out of hand in America? That we’re all besieged, victimized, permanently injured by too much noise? To this, the answer is definitely “no.” You and a few others might get some relief, but PSAPs are not a solution to the noise problem in America.

David Sykes chairs/co-chairs four national professional groups in acoustical science: The Acoustics Research Council, ANSI S12 WG44, The Rothschild Foundation Task Force on Acoustics, and the FGI Acoustics Working Group. He is also a board member of the American Tinnitus Association, co-founder of the Laboratory for Advanced Research in Acoustics (LARA) at Rensselaer Polytechnic Institute, lead author of “Sound & Vibration 2.0 (2012, Springer-Verlag), and a contributor to “Technology for a Quieter America” (2011, National Academy of Engineering). Mr. Sykes spent several decades in private equity, venture finance, and technology development and has a keen interest in how convergence and disruption affect traditional industries.

Originally posted at The Quiet Coalition.

Consumer Reports looks at affordable solutions to hearing loss:

No More Suffering in Silence? Julia Calderone, Consumer Reports, has written a thoughtful piece about hearing loss and the toll it takes on those who suffer from it.  Calderone states that hearing loss “has long been thought of as an inevitable part of getting older, more a nuisance than a life-altering medical condition—at least by those not experiencing it.”  But that opinion is changing, she asserts, as “the President’s Council of Advisors on Science and Technology (PCAST) and the National Academy of Sciences (NAS) have published reports calling untreated hearing loss a significant national health concern­, one that’s associated with other serious health problems, including depression and a decline in memory and concentration.”

Calderone not only treats hearing loss with the seriousness it deserves, she offers solutions to sufferers, particularly those who can’t afford to buy hearing aids, which “cost an average of $4,700 per pair in 2013.”  This is a very steep price, particularly since hearing aids are usually not covered by health insurance or Medicare.  To help with those who need hearing aids but can’t afford them, Calderone reviews a handful of hearing aid alternatives, namely personal sound amplification products (PSAPs), to see if they can fill the gap for those who need hearing aids but can’t afford to buy them.

Two PSAPs not covered in Calderone’s review are also worth considering: Doppler Labs HERE One and Nuheara’s IQbuds.  Neither company markets their PSAPs as a hearing aid or hearing aid substitute, but at around $300 a pair they offer personal amplification and soundscape management to people who might have no other options.

And a final thought about the sorry state of hearing health in the U.S.: For people who are suffering noise-induced hearing loss (NIHL), the personal and economic costs could have been avoided in the first place because NIHL is 100% preventable.

 

Cheaper and better hearing aids are coming:

Why isn’t there a Warby Parker for hearing aids?  Sean Captain, writing for Fast Company, looks at the current market for hearing aids, a market that is dominated by six companies charging anywhere from $4,500 and upward a pair–out of reach for most people who need them–and the new players who are shaking up this industry.  First, Captain introduces us to “Audra Renyi, a 34-year-old former investment banker who’s been a hearing care advocate since 2007, [who] is launching a company called Hearing Access World that aims to cut the price of hearing aids by 75%.”   He writes:

Renyi knows her market well as executive director of World Wide Hearing. The Montreal-based nonprofit provides testing and low-cost hearing aids in poor countries like Guatemala and Vietnam. She hopes to bring prices down globally by playing directly in the market with her new social venture.

Interestingly, there are other players interested in this market who aren’t from the nonprofit world, namely tech startups. These startups are avoiding the cost, in both time and legal fees, they would have to bear navigating the Food and Drug Administration for approval of a new hearing device by selling their products as consumer electronic components.  Captain reports that:

While hearing aid sales are minuscule, consumer electronics companies are selling hundreds of millions of audio devices, such as Bluetooth headsets, that do many of the same things. Mass-market CE components are going into devices called personal sound amplification products, or PSAPs, which have become unofficial budget hearing aids.

Captain looks at one startup offering a PSAP, Doppler Labs.  Doppler Labs started out with a Kickstarter campaign for their product Here Active Listening, a $249 set of AI-driven wireless earbuds.  The earbuds “recognize and filter ambient sounds, such as bringing down background noise in a subway or boosting voices during a conversation, [and a] smartphone app lets users pick filters and effects (like simulating the ambience of a concert hall), adjust volume, and tweak a five-band equalizer.”  Doppler Labs is coming out with a new product, HERE One, which is shipping in time for the 2016 holiday season.

Captain reviewed the then current model of HERE One and had some reservations, but he didn’t have the opportunity to review the latest iteration and the Doppler spokeswoman offered that he may have needed different sized tips to better fit his ear canals.  Long and short, PSAPs are in their infancy, but the future looks promising for them and us.  As Captain states:

As consumer electronics companies nudge into the hearing-aid space with PSAPs, and as hearing-aid companies nudge into the CE space, a new wearable tech category may be emerging. Called “hearables” by their boosters, the gadgets could encompass a range of over-the-counter, in-ear devices that allow people to hear better—either by making up for diagnosed hearing deficiency or tweaking how live music and voices sound.

In the end, people with hearing loss who have been denied access to hearing aids due to their prohibitive cost should very soon be able to purchase reasonably priced PSAPs that will give them some relief.  While it would be better, of course, for everyone with hearing loss to be properly fitted with hearing aids that are adjusted by audiologists, this cheaper alternative addresses a critical need now.  For those who feel isolated by hearing loss, PSAPs will be a godsend.

Click this link for the full article to read about the full range of products and services that are or will be available shortly.

What if we could control what we hear?

Nuheara, a tech startup, has developed “innovative augmented ‘Hearables’ (ear buds) that allow people to control their hearing experience with the help of a smartphone app.

Sounds like disruptive technology, no?  But Nuheara is not alone.  Doppler Labs had a very sucessful Kickstart campaign last month featuring their app controlled earbuds, raising 253% of their goal.

The interest in this technology shows that many people would like to control what they can (and cannot) hear.  Good.  But it’s unclear whether Nuheara’s Hearables or  Doppler Labs’ Here Active Listening System will limit the sound output delivered directly into users’ ears.  I routinely see people on the subway wearing earbuds where the residual sound leaking from their earbuds is so loud that I can hear what they are listening to.  If I can hear it, they must be destroying their hearing.  Not today, of course, but years from now when it will be too late to stop the damage.  The delayed damage, coupled with the knowledge that the EPA determined over 40 years ago that a 24-hour exposure level of 70 decibels as the level of environmental noise which will prevent any measurable hearing loss over a lifetime,  makes government’s and industry’s failure to limit decibel levels on headphones and earbuds insidious.

I look forward to the reviews of Hearables and Here Active LIstening System.  Having a relatively mild case of hyperacusis, a common trigger of discomfort for me is the competing layers of noise in restaurants.  If the earbuds work as advertised and actively suppress background noise, I may be able to enjoy the conversation at my table without the discomfort caused by the cacophony around me.  That would be nirvana.

Ultimately, I hope that the release of this technology helps to fuel a discussion about noise pollution, in general, as well as the effect of headphones and earbuds on ear health.

If you are interested in personal sound control, check out

Nuheara’s IQbuds

this Fast Company review of Nuheara’s IQbuds. Sean Captain reviews Nuheara’s IQbuds, another player in the personal sound control market. Captain states that he has good hearing, but finds stepping into a loud bar or restaurant disconcerting.  Says Captain, “[n]ot only does the noise frazzle my nerves, I get exhausted trying to discern voices from background clatter.”  Oh, we understand.

Enter Nuheara’s IQbuds, a new class of smart Bluetooth wireless earbuds priced at $299 a pair, that allows users to control their immediate soundscape. So, how do the IQbuds work?  Captain writes:

Equipped with built-in microphones, the IQbuds process ambient audio in real time before feeding it to your ears. That allows you to customize how you hear, such as muting background noise, boosting the voices of people you’re talking to, or layering streaming music with ambient sounds so that both come through clearly.

While Captain notes that the sound quality isn’t quite there yet, his test run of the IQbuds in a loud restaurant convinces him of their value.  Captain writes that “[n]o matter what Cannington (Nuheara’s co-founder) sounds like through the IQbuds, it’s so much better than straining to hear him without them.”

Click this link to read Captain’s review of Doppler Lab’s HERE One, a competing earbud manufactured by Nuheara’s “well-funded rival.”  Reading both reviews, it’s clear that there is room for improvement, but with each iteration HERE One and IQbuds have and should continue to get better, more intuitive, and easier to use.  It’s an exciting product for people who find it increasingly difficult to navigate noisy environments, and may offer some reasonable self-help to people with hearing loss who can’t afford hearing aids.