Tag Archive: PSAP

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.


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.