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The hearing aid is great, now what about my cell phone
The hearing aid is great, now what about my cell phone
The hearing aid is great, now what about my cell phone
The hearing aid is great, now what about my cell phone
Objectives
Objectives
Telecoils
Telecoils
Can I use the cell phone with my T button
Can I use the cell phone with my T button
What does the label hearing aid compatible mean
What does the label hearing aid compatible mean
Radio Frequency Energy (RFE)
Radio Frequency Energy (RFE)
How Do Cell Phones Work
How Do Cell Phones Work
How Do Cell Phones Work
How Do Cell Phones Work
How Do Cell Phones Work
How Do Cell Phones Work
Digital Cell Phone Interference Basics
Digital Cell Phone Interference Basics
Cell Phone/Hearing Aid Issue
Cell Phone/Hearing Aid Issue
FCC Mandate
FCC Mandate
What do the ratings mean
What do the ratings mean
More about the ratings
More about the ratings
Tips for Patients
Tips for Patients
Features to look for
Features to look for
FCC MANDATE
FCC MANDATE
PHONE SCOOP  phone finder
PHONE SCOOP phone finder
PHONE SCOOP  phone finder
PHONE SCOOP phone finder
Resources
Resources
Software Programming
Software Programming
Touchless / Easy Phone
Touchless / Easy Phone
Touchless / Easy Phone
Touchless / Easy Phone
Touchless / Easy Phone
Touchless / Easy Phone
Manual Phone Programs
Manual Phone Programs
Programming Tips
Programming Tips
What about hands-free
What about hands-free
What is Bluetooth
What is Bluetooth
Bluetooth
Bluetooth
Bluetooth Streamers
Bluetooth Streamers
Bluetooth Streamers
Bluetooth Streamers
Additional Bluetooth Devices
Additional Bluetooth Devices
Hands-free via Bluetooth
Hands-free via Bluetooth
Important Note
Important Note
Beetle H-2 or H-2ST
Beetle H-2 or H-2ST
Bluetooth Loopsets
Bluetooth Loopsets
Bluetooth headsets & Loopsets
Bluetooth headsets & Loopsets
Tecear Bluetooth Comparison Guide
Tecear Bluetooth Comparison Guide
Hands Free Options (non-Bluetooth)
Hands Free Options (non-Bluetooth)
Noizfree Mobile
Noizfree Mobile
T Link from TecEar
T Link from TecEar
HATIS
HATIS
HATIS
HATIS
HATIS
HATIS
Resources for these devices:
Resources for these devices:
References
References
What to do with old cell phone
What to do with old cell phone
THANK YOU
THANK YOU

: The hearing aid is great, now what about my cell phone. : Lynda Marsala. : The hearing aid is great, now what about my cell phone.ppt. zip-: 3247 .

The hearing aid is great, now what about my cell phone

The hearing aid is great, now what about my cell phone.ppt
1 The hearing aid is great, now what about my cell phone
2 The hearing aid is great, now what about my cell phone

The hearing aid is great, now what about my cell phone

Melissa Pacey Mahaffey, AuD Jana Wells Rentz, AuD

3 Objectives

Objectives

Telecoil overview How to select for hearing aid compatible cell phones FCC regulations & ratings How to program for cell phone use in iPFG Bluetooth options for cell phone use Other options to connect to cell phones Resources

4 Telecoils

Telecoils

5 Can I use the cell phone with my T button

Can I use the cell phone with my T button

The telecoil was created to bridge communication between the telephone receiver and hearing aid It does this by turning the magnetic energy emitted from the telephone into electrical energy The cell phone does not produce the same magnetic field

6 What does the label hearing aid compatible mean

What does the label hearing aid compatible mean

This does not always mean a telecoil should be used to gain access to cell phone communications This simply means there is reduced Radio Frequency Energy compared to the average allowable level in cell phone communications

7 Radio Frequency Energy (RFE)

Radio Frequency Energy (RFE)

Current generated for wireless broadcasting and communications There is an allowable amount regulated by the FCC, ANSI and EEI However, even the allowable amount can interfere with medical equipment This is why cell phones have been known to have a high incompatibility rate with hearing aids

8 How Do Cell Phones Work

How Do Cell Phones Work

When using a digital cell phone, the telephone conversation is transmitted over a wireless network using radio waves. Cell phones may be thought of as sophisticated walkie-talkies, that use a separate transmission frequency for talking and receiving signals, enabling simultaneous two-way conversation.

9 How Do Cell Phones Work

How Do Cell Phones Work

In typical applications, cell phone carriers chop the city up into cells across a city or region that are each around 10 square miles Each cell has a base station that consists of a tower and a small building containing the radio equipment

10 How Do Cell Phones Work

How Do Cell Phones Work

When moving in a car or on foot, communication between the base station and cell phone enable automatic switching from cell to cell via radio frequency (RF) transmissions RF emissions create electromagnetic fields around the cell phones which cause interference with other electronic devices.

11 Digital Cell Phone Interference Basics

Digital Cell Phone Interference Basics

In addition to the RF interference, cell phones generate other emissions referred to a magnetic interference This type of emission originates from the cell phone's electronics and is independent of the basic interference caused by the RF transmission Sources of this type of interference include: backlighting on the display or keypad the battery the circuit board

12 Cell Phone/Hearing Aid Issue

Cell Phone/Hearing Aid Issue

The increase in cell phone use in recent years creates new challenges for hearing aid compatibility, as more and more hearing aid users are going wireless When a cell phone is held up to a hearing aid, interference may be heard as a buzzing, pulsing, humming, or whining noise that can make speech recognition very difficult, regardless of whether the hearing aid is in microphone (M) or telecoil (T) mode

13 FCC Mandate

FCC Mandate

2005: each provider make available 4 handsets rated at least M3 2006: each provider make available 5 handsets rated M3 or T3 In addition, they had to make all of these available for testing IN-STORE! *Sprint/Nextel, Alltel, AT&T/Cingular, Verizon, T-Mobile

14 What do the ratings mean

What do the ratings mean

Acoustic (microphone) coupling: M3,M4 T-coil coupling: T3,T4 The higher the rating, the lower the interference, and better performance M1/T1: poor M2/T2: fair M3/T3: good M4/T4: excellent

15 More about the ratings

More about the ratings

Hearing aids are also rated in this manner To obtain the total rating value, add the hearing aid rating to the cell phone rating i.e. Phonak instruments are all rated T2/M2. If a patient purchased a phone with an M3 rating, the total rating value would be M5

16 Tips for Patients

Tips for Patients

Patients should look for cell phones rated M3/T3 or M4/T4 This does not guarantee that these phones will be interference-free with a particular hearing aid model, but will result in a combined ANSI 63.19 predictive rating of 5-6, indicating that the cell phone/hearing aid combination is suitable for normal use or excellent, respectively. Patients should be reminded that other phone options such as keyboard displays and backlighting can cause additional interference. Turn these off when possible!

17 Features to look for

Features to look for

Options that may help those with hearing impairment use cell phones: Vibrating ringer Choice of ring tones Volume control Visual displays to indicate call functions i.e. in use, no service, etc Text messaging, email, instant messaging T-coil compatibility TTY compatible Neckloop or Silhouette compatible 2.5 mm audio jack

Information courtesy of www.accesswireless.org

18 FCC MANDATE

FCC MANDATE

19 PHONE SCOOP  phone finder

PHONE SCOOP phone finder

20 PHONE SCOOP  phone finder

PHONE SCOOP phone finder

21 Resources

Resources

http://www.fcc.gov/cgb/consumerfacts/accessiblewireless.html www.phonescoop.com http://www.accesswireless.org/ Cell phone websites: Sprintsearch hearing aid compatible Alltelphones & accessories/disability access/speech & hearing Verizonstore AT&Tsearch hearing aid compatible T-mobilehearing aid phones

22 Software Programming

Software Programming

Touchless or Easy T-coil and microphone options How this works with land lines & cell phones Manually selectable phone programs Common programming tips to improve phone usage

23 Touchless / Easy Phone

Touchless / Easy Phone

Touchless T-coils are popular options and available from every major manufacturer The telephone program is automatically activated when the phone handset is placed in front of the hearing aid The reed-relay switch inside the aid detects the presence of magnetic energy leaking from the phone and activates the phone program

24 Touchless / Easy Phone

Touchless / Easy Phone

If there is not sufficient magnetic energy (as in cell phones) a magnet can be placed on the handset to activate this switch Some manufacturers (such as Phonak) allow the Easy or automatic phone program to be configured as a T-coil, microphone or combined M+T input The choice is based on the type of phone(s) used by the patient

25 Touchless / Easy Phone

Touchless / Easy Phone

If the patient is using an M rated cell phone, then an acoustic or microphone setting should be selected If the patients cell phone has a T rating, then a T-coil setting can be selected More often than not, patients use a variety of phones during the day and a combined M+T may be the best option Patients may also prefer to have M selected for one ear, and T for the other ear

26 Manual Phone Programs

Manual Phone Programs

Most manufacturers also allow the use of manual phone programs so that the patient can select the phone program These can be configured as either a microphone (acoustic), T-coil or combined M+T setting Again, the choice is based on the phone(s) the patient will be using if their cell phone has a T rating a T-coil may be used, otherwise a microphone setting is best In some cases, patients may wish to have a microphone setting in one ear and a T-coil in the other some manufacturers make this possible through programming

27 Programming Tips

Programming Tips

Whether using a T-coil or microphone setting, the following tips may improve patients phone experience: Increasing overall gain, or gain for loud sounds (G80), especially between 500 Hz and 3000 Hz Ensuring MPO is high enough insufficient headroom will make speech sound muffled Decreasing compression for more linear processing Increasing strength of noise cancellation if T-coil is buzzing i.e. set to moderate or strong

28 What about hands-free

What about hands-free

Many states now require hands-free cell phone use by law There are several ways for your patients to comply with these laws and use their hearing aids too The following options focus on using Bluetooth streamers or silhouette and neckloop products to link a patients hearing aids to their cell phone

29 What is Bluetooth

What is Bluetooth

Where did the name Bluetooth originate it is named after a Danish Viking and King, Harald Bl?tand (translated as Bluetooth in English), who lived in the latter part of the 10th century. Harald Bl?tand united and controlled Denmark and Norway (hence the inspiration on the name: uniting devices through Bluetooth). * Bluetooth enables devices to communicate wirelessly with each other when they are in range. * Bluetooth devices use a secure, globally unlicensed short-range radio communications system, so they do not have to be in line of sight of each other.* *Wikipedia.org

30 Bluetooth

Bluetooth

Hearing aid manufacturers are taking advantage of this technology more options coming out every year Bluetooth accessories - Phonak iCom, Oticon Streamer, Siemens Tek, Starkey ELI Bluetooth hands-free mics that utilize silhouette and neckloop connections FM transmitter with added Bluetooth function

31 Bluetooth Streamers

Bluetooth Streamers

Patient pairs Bluetooth streamer with cell phone Wireless connection to hearing aids Cell phone conversation is streamed to hearing instruments BINAURALLY through the Bluetooth device Streamer acts as hands-free microphone - their voice is streamed back to person on the other end of the phone Additionally can give patient access to most any Bluetooth device GPS, computer, etc

32 Bluetooth Streamers

Bluetooth Streamers

Starkey Eli plugs directly into HA via DAI and audio shoe Some streamers offer additional features such as: Music streaming via cable connect to MP3, iPod, etc Audio streaming via cable connect to DVD player, laptop, etc FM can plug in universal FM receiver such as MLxi currently this is exclusive to Phonaks iCom More bang for the buck if device can do more!

33 Additional Bluetooth Devices

Additional Bluetooth Devices

Phonak SmartLink FM Transmitter FM transmitter provides basic FM function Bluetooth device can pair to any Bluetooth cell phone also Phone conversation is streamed to hearing aids via FM receivers Device is also hands-free microphone back to listener on the other end of phone Many FM receiver options make this an option for most BTE users as well as patients using custom aids with a T-coil

34 Hands-free via Bluetooth

Hands-free via Bluetooth

Bluetooth silhouette headsets Beetle H2 or H2ST - Bluetooth connection to cell phone Silhouette and neckloop options H2ST is compatible with cell phones as well as other devices Bluetooth Loopsets connected to cell phone via Bluetooth connected to hearing aids via T-coil and neckloop also connect to computers, etc Artone amplified neckloop mild to moderate HL ClearSounds amplified neckloop mild to severe HL MaxIT amplified neckloop mild to moderate HL

35 Important Note

Important Note

It is important to remember that neckloops and silhouettes do NOT work with touchless / Easy phone programs The patient must use a manual T-coil program May be configured as T or T+M

36 Beetle H-2 or H-2ST

Beetle H-2 or H-2ST

H-2

Bluetooth headset for cell phone Compatible with Bluetooth computer Single silhouette only $108

H-2ST

Bluetooth stereo headset Wireless music and audio streaming in stereo Single or Twin options Silhouette or neckloop available $169 179

37 Bluetooth Loopsets

Bluetooth Loopsets

Artone - $169

MaxIT - $175

ClearSounds CLA7BT - $169

38 Bluetooth headsets & Loopsets

Bluetooth headsets & Loopsets

Many options available Vary by price, features and options Things to consider: Type of battery alkaline or rechargeable Talk time and stand-by time Ease of use Clarity / reception Warranty all list 1 year standard http://www.tecear.com/Bluetooth_Comparison_Guide.htm

39 Tecear Bluetooth Comparison Guide

Tecear Bluetooth Comparison Guide

40 Hands Free Options (non-Bluetooth)

Hands Free Options (non-Bluetooth)

Corded connection to cell phone connected to hearing aids through silhouette or neckloop and T-coil Tecear T Link NoiZfree Mobile HATIS several models including one for ITE users CLA7 powered neckloop

41 Noizfree Mobile

Noizfree Mobile

Wireless hands-free headset for hearing aids Silhouette product Set manually selectable memory to T or M+T Works just like any other hands free headset for your cell phone! Monaural or binaural $39-49

42 T Link from TecEar

T Link from TecEar

com

Hands-free corded headset Silhouette product Monaural or binaural options available For BTEs only, set to T or M+T www.tecear.com 2.5mm plug $49

Photos courtesy of Jana Rentz

43 HATIS

HATIS

Director Plugs into cell phone or landline phone Uses T-coil & silhouette connection to BTEs Boom microphone Can order monaural or binaural silhouette $200 - $300 www.hatis.com

44 HATIS

HATIS

Freedom Plugs into cell phone Uses T-coil & silhouette connection to BTEs In-line microphone Can order monaural or binaural silhouette $150 160 www.hatis.com

45 HATIS

HATIS

Producer For use with ITE hearing aids Utilizes T-coil in HA Plugs into cell phone or landlines Has volume control $190 www.hatis.com

46 Resources for these devices:

Resources for these devices:

www.oaktreeproducts.com www.tecear.com www.hatis.com www.atsrecourses.org www.elihearing.com www.phonak.com www.oticon.com http://hearing.siemens.com

47 References

References

Ross, M. Telecoils are about more than telephones. The Hearing Journal; May 2006; 59; 24-28. Marshall, B. Expanding roles for telecoils. The Hearing Journal; Sep.2002; 55; 40-41.

48 What to do with old cell phone

What to do with old cell phone

www.cellphonesforsoldiers.com Started in 2004 by a 12 and 13-year old brother and sister in Massachusetts Goal is to help soldiers serving overseas call home Take old cell phones (any model, no matter how old) and recycle them via ReCellular Money received from ReCellular for each phone donated is then used to buy prepaid calling cards for soldiers They work with all branches of the US military

49 THANK YOU

THANK YOU

The hearing aid is great, now what about my cell phone
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