The present disclosure relates to hearing aids. More specifically, the present disclosure relates to a system and method that provides consumers with tools to perform hearing aid fittings.
Hearing aids (HA) are typically customized for specific users by manufacturers and hearing care professionals (HCP). These customizations improve comfort and acoustic performance particular to a user's unique hearing impairment. The customizations include physical modifications to the device and configuration of electro-acoustic characteristics.
Personal sound amplification products (PSAP) are typically distributed directly to a consumer, without assistance of a hearing care professional. Customizations made available to the user are typically limited to basic adjustments, such as volume control, low resolution equalization, and program selection among pre-programmed generic fittings.
The distinction between hearing aids and personal sound amplification products is disappearing with new regulations, new modes of distribution, and new technological capabilities that bridge the gap between these former U.S. Food and Drug Administration (FDA) designations. For purposes of the present disclosure, personal sound amplification products are considered to be in the same class as hearing aids.
Remote control devices and smart-phone applications are currently available, which allow a user to make basic adjustments to the hearing aid device configuration, such as volume control, program selection, or basic equalization. Some applications also provide for remote communication between the user and a hearing care professional, where the hearing care professional can prepare and send a digital package of fitting information to the user's mobile device, which the user can then load into the hearing aid to change its electro-acoustic performance.
The traditional method of tuning hearing aid parameters to hearing loss of an individual uses a measurement of the individual's ability to detect tones at their hearing threshold (i.e., an audiogram). These measurements are traditionally made by an audiologist in a clinical setting. If a customer later finds they are not satisfied with their hearing aid parameters, their only recourse is to return to the audiologist's office for retuning.
Further limitations and disadvantages of conventional and traditional approaches will become apparent to one of skill in the art, through comparison of such systems with some aspects of the present disclosure as set forth in the remainder of the present application.
Certain embodiments of the present technology provide a system and method for providing consumers with tools to perform hearing aid fittings, substantially as shown in and/or described in connection with at least one of the figures.
These and other advantages, aspects and novel features of the present disclosure, as well as details of an illustrated embodiment thereof, will be more fully understood from the following description and drawings.
Embodiments of the present technology provide a system and method for providing consumers with tools to perform hearing aid fittings. Aspects of the present disclosure provide the technical effect of allowing a user to adjust hearing aid parameters in a guided fashion in their own environment. Various embodiments provide the technical effect of allowing users to measure their own otoacoustic emissions (OAEs). Certain embodiments provide the technical effect of combining OAE measurements with the knowledge of other users OAE measurements, audiograms, hearing speech in noise performance (e.g., QuickSIN), and hearing aid fitting parameters to suggest a preferred set of parameters for the current user. Aspects of the present disclosure provide the technical effect of predicting a hearing aid fitting of a user based solely on their OAE measurements using a database of measurements of settings of hearing aid users linked to OAE and audiogram measurements and hearing performance.
Research has shown there is good correlation between a person's audiogram and their OAE measurement. See e.g., Gorga et al., “From laboratory to clinic: A large scale study of distortion product otoacoustic emissions in ears with normal hearing and ears with hearing loss,” Ear and Hearing, 18, 440-455, 1997, which is incorporated herein by reference in its entirety. There is also accumulating evidence to show that OAEs are a better indicator of hearing speech in a noisy background (e.g. a noisy restaurant) than an audiogram. See e.g., Parker, “Identifying three otopathologies in humans,” Hearing Research, 398, 2020, which is incorporated by reference herein in its entirety. In addition, there exists a growing database of measurements of hearing aid users' settings linked to their OAE and audiogram measurements and their hearing performance.
Various embodiments provide an OAE measuring device used in conjunction with a computing device, such as a smart phone, PC, tablet, or the like, operable to receive the OAE measurement. The computing device is communicatively coupled to an extensive database of hearing measurements and hearing aid fittings, which is used to derive a useful hearing aid fitting based on the OAE measurement.
The foregoing summary, as well as the following detailed description of certain embodiments will be better understood when read in conjunction with the appended drawings. To the extent that the figures illustrate diagrams of the functional blocks of various embodiments, the functional blocks are not necessarily indicative of the division between hardware circuitry. Thus, for example, one or more of the functional blocks (e.g., processors or memories) may be implemented in a single piece of hardware (e.g., a general-purpose signal processor or a block of random access memory, hard disk, or the like) or multiple pieces of hardware. Similarly, the programs may be stand alone programs, may be incorporated as subroutines in an operating system, may be functions in an installed software package, and the like. It should be understood that the various embodiments are not limited to the arrangements and instrumentality shown in the drawings. It should also be understood that the embodiments may be combined, or that other embodiments may be utilized, and that structural, logical and electrical changes may be made without departing from the scope of the various embodiments. The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the present disclosure is defined by the appended claims and their equivalents.
As used herein, an element or step recited in the singular and preceded with the word “a” or “an” should be understood as not excluding plural of said elements or steps, unless such exclusion is explicitly stated. Furthermore, references to “an exemplary embodiment,” “various embodiments,” “certain embodiments,” “a representative embodiment,” and the like are not intended to be interpreted as excluding the existence of additional embodiments that also incorporate the recited features. Moreover, unless explicitly stated to the contrary, embodiments “comprising”, “including”, or “having” an element or a plurality of elements having a particular property may include additional elements not having that property.
Furthermore, the term processor or processing unit, as used herein, refers to any type of processing unit that can carry out the required calculations needed for the various embodiments, such as single or multi-core: CPU, Accelerated Processing Unit (APU), Graphic Processing Unit (GPU), DSP, FPGA, ASIC or a combination thereof.
Referring again to
The hearing aid 130 comprises one or more microphones, one or more receivers, memory, one or more processors, and communication connections. The one or more microphones are configured to receive sound exterior to an ear canal. The microphones convert the sound to electrical signals and provide the electrical signals to the one or more processors. The one or more processors modify the sound level by applying hearing aid parameters retrieved from memory and/or received from the computing device 110. The one or more processors pass the electrical signals having the modified sound level to the receiver. The receiver converts the electrical signals to sound, which is communicated from the receiver to a user's ear canal. The memory, one or more processors, and communication connections of the hearing aid 130 may share various characteristics with the memory, one or more processors, and communication connections as described below with respect to the computing device 110. The hearing aid 130 comprises a hearing aid interface 132 that comprises suitable logic, circuitry, interfaces, and/or code that is operable to transmit and receive information with the computing device 110. The hearing aid interface 132 may comprise a hearing aid docking station, a wired interface, and/or a wireless interface (e.g., transceiver), for example.
The computing device 110 may comprise, for example, a smart phone, a tablet computer, a personal computer, or any suitable electronic device capable of communication with the hearing aid 130, OAE measurement device 120, and hearing database 140 via wired or wireless connections, such as Bluetooth, BLE, short-range, long range, Wi-Fi, cellular, personal communication system (PCS), USB, or any suitable wired or wireless connection.
The computing device 110 may include a display, user input devices, a memory, one or more processors, one or more communication connections, and the like. The display may be any device capable of communicating visual information to a user. For example, a display may include a liquid crystal display, a light emitting diode display, and/or any suitable display. The display can be operable to display information from a software application, such as a consumer OAE application 112, or any suitable information. In various embodiments, the display may display information provided by the one or more processors, for example.
The user input device(s) may include a touchscreen, button(s), motion tracking, orientation detection, voice recognition, a mousing device, keyboard, camera, and/or any other device capable of receiving a user directive. In certain embodiments, one or more of the user input devices may be integrated into other components, such as the display, for example. As an example, user input device may include a touchscreen display.
The memory may be one or more computer-readable memories, for example, such as compact storage, flash memory, random access memory, read-only memory, electrically erasable and programmable read-only memory and/or any suitable memory. The memory may include databases, libraries, sets of information, or other storage accessed by and/or incorporated with the one or more processors, for example. The memory may be able to store data temporarily or permanently, for example. The memory may be capable of storing data generated by the one or more processors and/or instructions readable by the one or more processor, among other things. In various embodiments, the memory stores information related to a consumer OAE application 112 and a subset of the hearing database 114, for example.
The communication connection(s) allow communication between the computing device and other external systems, such as the hearing aid 130, the hearing database 140, and the OAE measurement device 120, for example. The communication connection(s) may include wired and/or wireless interfaces. The wireless interfaces may include transceivers, such as Bluetooth, short-range, long range, Wi-Fi, cellular, personal communication system (PCS), or any suitable transceiver.
The one or more processors may be one or more central processing units, microprocessors, microcontrollers, and/or the like. The one or more processors may be an integrated component, or may be distributed across various locations, for example. The one or more processors may be capable of executing a software application, receiving input information from a user input device and/or communication connection(s), and generating an output displayable by a display, among other things. The one or more processors may comprise suitable logic, circuitry, interfaces, or code configured to control the OAE measurement device 120, query and update the hearing database 140, identify hearing aid fitting parameters based on the OAE measurement, and upload the identified hearing aid fitting parameters to the user's hearing aid 130. In certain embodiments, the one or more processors may communicate via communication connection(s) with the OAE measurement device 120 to perform measurement control and obtain OAE measurements. In various embodiments, the one or more processors may communicate via communication connection(s) with the hearing database 140 to perform measurement queries and store obtained measurements, for example. In an exemplary embodiment, the one or more processors may communicate via communication connection(s) with the hearing aid 130 to upload the hearing aid fitting parameters. For example, the one or more processor may send hearing aid fitting parameters selected based on the OAE measurement and the hearing database queries to the hearing aid devices 130.
At step 512, if the probe 122 is sealed and the noise kept to a low level, the process proceeds to step 516 where the output levels of the test tones are calibrated by the OAE measurement device 120. At step 518, the OAE measurement device 120 performs the OAE test by emitting test tones via the ear probe 122 and measuring the OAE response. At step 520, the test is deemed successful if the background noise level is kept low and probe seal is maintained during the test. If the test is deemed unsuccessful at step 520, error flags indicating the reasons for the unsuccessful test are saved and/or transmitted to the computing device 110 at step 524. The process 500 than proceeds to step 526, where the process 500 returns to step 306 of
In various embodiments, machine-learning techniques may be employed to obtain the optimum hearing aid fitting from OAE data at step 704. For example, using supervised machine learning, the output measures of delta QuickSIN scores, customer satisfaction ratings, and/or user preferences could be used with the audiogram and OAE input data to train a neural network to predict the optimal hearing aid fitting. It has also been shown how to use unsupervised learning to find natural clusters of fittings from audiograms. See e.g., Belitz, et al., “A Machine Learning Based Clustering Protocol for Determining Hearing Aid Initial Configurations from Pure-Tone Audiograms. INTERSPEECH 2019, 2325-2329, 2019, which is incorporated by reference herein in its entirety. OAE data could be included in this clustering analysis to improve this technique. Note that in all of these techniques, the algorithm and predictions are dynamic as the data set increases with time, correspondingly increasing optimum hearing aid identification performance with time. Certain embodiments may be used in conjunction with interactive fine-tuning adjustment techniques, where an optimum prediction fitting, based on OAE and other objective measures, may be further personalized using an interactive fine-tuning adjustment system.
At step 706, the optimal fitting is retrieved by the computing device 110. The computing device 110 may present the retrieved fitting at a display system of the computing device 110 for user review. At step 708, the computing device 110 receives a user selection confirming application of the suggested fitting. At step 710, in response to the user selection, the fitting is uploaded by the computing device 110 to the hearing aid 130 via the hearing aid interface 132. At step 712, the process 700 returns to step 306 of
At step 808, a relationship between the OAE values and audiogram HLs is computed. For example, the relationship between the OAE values and audiogram HLs may be computed by applying a linear regression equation. In various embodiments, the computations may be provided at the hearing database 140 (i.e., a remote server) and/or on the user's computing device 110.
Aspects of the present disclosure provide a system 100 and method 300, 400, 500, 600, 700, 800, 1000 for providing consumers with tools to perform hearing aid fittings. The system 100 comprises a computing device 110, an otoacoustic emissions (OAE) measurement device 120, a hearing aid 130, and a hearing database 140. The hearing database 140 is configured to store hearing data for a plurality of customers. The OAE measurement device 120 is configured to perform an OAE test to generate OAE test results. The computing device 110 is communicatively coupled to the hearing database 140, the OAE measurement device 120, and the hearing aid 130. The computing device 110 is configured to receive the OAE test results from the OAE measurement device 120. The computing device 110 is configured to retrieve at least a subset of the hearing data from the hearing database 140. The computing device 110 is configured to process the OAE test results and the at least the subset of the hearing data to generate hearing aid fitting parameters. The computing device 110 is configured to upload the hearing aid fitting parameters to the hearing aid 130. The hearing aid 130 configured to apply the hearing aid fitting parameters to generate an acoustic output.
In an exemplary embodiment, the hearing data comprises customer OAE measurements, customer audiogram hearing losses (HLs), and customer hearing aid fitting parameters for the plurality of customers. In a representative embodiment, the computing device 110 is configured to process the OAE test results and the at least the subset of the hearing data by computing a relationship between the OAE test results and the customer audiogram HLs. In various embodiments, the computing device 110 is configured to apply a linear regression equation to compute the relationship between the OAE test results and the customer audiogram HLs. In certain embodiments, the OAE test results comprises an OAE signal-to-noise ratio (SNR). The linear regression equation is applied to compute the relationship between the OAE SNR and the customer audiogram HLs. In an exemplary embodiment, the hearing data further comprises customer quick speech-in-noise (QuickSIN) improvement and customer rating data. In a representative embodiment, the computing device 110 is configured to generate the hearing aid fitting parameters based at least in part on one or both of the customer QuickSIN improvement and the customer rating data. In various embodiments, the computing device 110 is configured to display the OAE test results. In certain embodiments, the computing device 110 is configured to display the hearing aid fitting parameters. In an exemplary embodiment, the computing device 110 is configured to prompt a user selection of the hearing aid fitting parameters. The computing device 110 is configured to upload the hearing aid fitting parameters to the hearing aid 130 in response to the user selection of the hearing aid fitting parameters.
Various embodiments provide a system 100 and method 300, 400, 500, 600, 700, 800, 1000 for providing consumers with tools to perform hearing aid fittings. The method 300, 400, 500, 600, 700, 800, 1000 comprises performing 310, 500, 518, 1010-1014, by an otoacoustic emissions (OAE) measurement device 120, an OAE test to generate OAE test results. The method 300, 400, 500, 600, 700, 800, 1000 comprises receiving 602-606, 7021016, 1026, by a computing device 110 communicatively coupled to the OAE measurement device 120, the OAE test results from the OAE measurement device 120. The method 300, 400, 500, 600, 700, 800, 1000 comprises retrieving 704, 806, by the computing device 120, at least a subset of hearing data from a hearing database 140 communicatively coupled to the computing device 110. The hearing database 140 comprises the hearing data 200 for a plurality of customers. The method 300, 400, 500, 600, 700, 800, 1000 comprises processing 704, 808, 810, by the computing device 110, the OAE test results and the at least the subset of the hearing data to generate hearing aid fitting parameters. The method 300, 400, 500, 600, 700, 800, 1000 comprises uploading 314, 710, by the computing device 110, the hearing aid fitting parameters to a hearing aid 130 communicatively coupled to the computing device 110. The method 300, 400, 500, 600, 700, 800, 1000 comprises applying, by the hearing aid 130, the hearing aid fitting parameters to generate an acoustic output.
In a representative embodiment, the method 300, 400, 500, 600, 700, 800, 1000 comprises dynamically updating 522, 1016 the hearing database 140 with the OAE test results. In various embodiments, the hearing data 200 comprises customer OAE measurements, customer audiogram hearing losses (HLs), and customer hearing aid fitting parameters for the plurality of customers. The processing 704, 808, 810 the OAE test results and the at least the subset of the hearing data comprises computing 808 a relationship 900 between the OAE test results and the customer audiogram HLs. In certain embodiments, the computing 808 the relationship 900 between the OAE test results and the customer audiogram HLs comprises applying a linear regression equation. In an exemplary embodiment, the OAE test results comprises an OAE signal-to-noise ratio (SNR). The applying the linear regression equation computes 808 the relationship 900 between the OAE SNR and the customer audiogram HLs. In a representative embodiment, the hearing data 200 comprises customer otoacoustic emissions (OAE) measurements, customer audiogram hearing losses (HLs), customer hearing aid fitting parameters, customer quick speech-in-noise (QuickSIN) improvement, and customer rating data. In various embodiments, the generating 704, 808, 810, by the computing device 110, the hearing aid fitting parameters is based at least in part on one or both of the customer QuickSIN improvement and the customer rating data. In certain embodiments, the method 300, 400, 500, 600, 700, 800, 1000 comprises displaying 608, by the computing device 110, the OAE test results. In an exemplary embodiment, the method 300, 400, 500, 600, 700, 800, 1000 comprises displaying 708, by the computing device 110, the hearing aid fitting parameters. In a representative embodiment, the method 300, 400, 500, 600, 700, 800, 1000 comprises prompting 708, by the computing device 110, a user selection of the hearing aid fitting parameters. The uploading 314, 710 the hearing aid fitting parameters to the hearing aid 130 is performed in response to the user selection of the hearing aid fitting parameters.
As utilized herein the term “circuitry” refers to physical electronic components (i.e. hardware) and any software and/or firmware (“code”) which may configure the hardware, be executed by the hardware, and or otherwise be associated with the hardware. As used herein, for example, a particular processor and memory may comprise a first “circuit” when executing a first one or more lines of code and may comprise a second “circuit” when executing a second one or more lines of code. As utilized herein, “and/or” means any one or more of the items in the list joined by “and/or”. As an example, “x and/or y” means any element of the three-element set {(x), (y), (x, y)}. As another example, “x, y, and/or z” means any element of the seven-element set {(x), (y), (z), (x, y), (x, z), (y, z), (x, y, z)}. As utilized herein, the term “exemplary” means serving as a non-limiting example, instance, or illustration. As utilized herein, the terms “e.g.,” and “for example” set off lists of one or more non-limiting examples, instances, or illustrations. As utilized herein, circuitry is “operable” and/or “configured” to perform a function whenever the circuitry comprises the necessary hardware and code (if any is necessary) to perform the function, regardless of whether performance of the function is disabled, or not enabled, by some user-configurable setting.
Other embodiments may provide a computer readable device and/or a non-transitory computer readable medium, and/or a machine readable device and/or a non-transitory machine readable medium, having stored thereon, a machine code and/or a computer program having at least one code section executable by a machine and/or a computer, thereby causing the machine and/or computer to perform the steps as described herein for providing consumers with tools to perform hearing aid fittings.
Accordingly, the present disclosure may be realized in hardware, software, or a combination of hardware and software. The present disclosure may be realized in a centralized fashion in at least one computer system, or in a distributed fashion where different elements are spread across several interconnected computer systems. Any kind of computer system or other apparatus adapted for carrying out the methods described herein is suited.
Various embodiments may also be embedded in a computer program product, which comprises all the features enabling the implementation of the methods described herein, and which when loaded in a computer system is able to carry out these methods. Computer program in the present context means any expression, in any language, code or notation, of a set of instructions intended to cause a system having an information processing capability to perform a particular function either directly or after either or both of the following: a) conversion to another language, code or notation; b) reproduction in a different material form.
While the present disclosure has been described with reference to certain embodiments, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the scope of the present disclosure. In addition, many modifications may be made to adapt a particular situation or material to the teachings of the present disclosure without departing from its scope. Therefore, it is intended that the present disclosure not be limited to the particular embodiment disclosed, but that the present disclosure will include all embodiments falling within the scope of the appended claims.
The present application claims priority under 35 U.S.C. § 119(e) to provisional application Ser. No. 63/252,819 filed on Oct. 6, 2021, entitled “SYSTEM AND METHOD FOR PERFORMING CONSUMER HEARING AID FITTINGS.” The above referenced provisional application is hereby incorporated herein by reference in its entirety. Gorga et al., “From laboratory to clinic: A large scale study of distortion product otoacoustic emissions in ears with normal hearing and ears with hearing loss,” Ear and Hearing, 18, 440-455, 1997, is incorporated by reference herein in its entirety. Parker, “Identifying three otopathologies in humans,” Hearing Research, 398, 2020, is incorporated by reference herein in its entirety. Belitz, et al., “A Machine Learning Based Clustering Protocol for Determining Hearing Aid Initial Configurations from Pure-Tone Audiograms,” INTERSPEECH 2019, 2325-2329, 2019, which is incorporated by reference herein in its entirety.
Number | Date | Country | |
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63252819 | Oct 2021 | US |