12 best in-the-ear hearing aids in 2022

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12 best in-the-ear hearing aids in 2022

Many peo­ple expe­ri­ence hear­ing loss, which affects their qual­i­ty of life and abil­i­ty to work. In-the-ear hear­ing aids can solve the prob­lem, but are they shown to every­one and what degrees of hear­ing loss can they elim­i­nate?
12 best in-the-ear hearing aids in 2022

Mod­ern hear­ing aids can solve the prob­lems of many peo­ple who are not suit­able for hear­ing aids (elim­i­na­tion of hear­ing prob­lems through surgery or the instal­la­tion of cochlear implants — implant­ed hear­ing aids). One of the devices that attract the atten­tion of hear­ing impaired peo­ple are in-the-ear hear­ing aids. They are com­pact, almost invis­i­ble dur­ing use and have a small weight and size. How­ev­er, these hear­ing aids have their own spe­cif­ic fea­tures, so they are not suit­able for all cat­e­gories of hear­ing impaired peo­ple.

In-the-ear devices are pro­duced by dif­fer­ent man­u­fac­tur­ers. It is a com­plex elec­tron­ic device with unique fea­ture sets. But since the auri­cles and audi­to­ry canals are dif­fer­ent in size and shape for all peo­ple, the case where the elec­tron­ic “stuff­ing” is placed is made indi­vid­u­al­ly, accord­ing to a cast of the ear in the lab­o­ra­to­ry of the audi­ol­o­gy cen­ter. In pro­duc­tion, safe, hypoal­ler­genic and high-qual­i­ty mate­ri­als are used.

The devices run on bat­ter­ies that require reg­u­lar replace­ment. The type of bat­tery is indi­cat­ed in the instruc­tions for the hear­ing aid. The most com­mon bat­tery types are #10 (yel­low), #13 (orange), #312 (brown), or #675 (blue).

Top 12 best in-the-ear hearing aids of 2022

There are four sub­types of in-the-ear hear­ing aids:

    Deep intracanal;
    intracanal;
    ducted
    Type “Conha”

Best CIC hearing aids (deep in canal hearing aids)

They have an inter­na­tion­al name — CIC (Com­plete­ly-In-Canal). These hear­ing aids are the small­est in size, they are locat­ed deep inside the audi­to­ry canal of a hard of hear­ing per­son on one or both sides, so they are almost invis­i­ble from the out­side. Due to the mod­est size of the device, its func­tion­al­i­ty is lim­it­ed. Most devices usu­al­ly have only one pro­gram (set by the doc­tor) and there is no sig­nal vol­ume con­trol. This hear­ing aid has a low pow­er, can only com­pen­sate for hear­ing loss in the range of 1–2 degrees.

1. Widex Unique 100 CIC‑M

Widex Unique 100 CIC‑M.

This device has an aver­age pow­er and com­pen­sates for hear­ing up to 2–3 degrees of hear­ing loss. The hear­ing aid is locat­ed inside the audi­to­ry canal, which makes it almost invis­i­ble to oth­ers. The case is made indi­vid­u­al­ly using 3D mod­el­ing, a cast of the patien­t’s ear is pre­lim­i­nar­i­ly tak­en. This allows you to use the device with max­i­mum effi­cien­cy and com­fort. The dimen­sions of the device vary depend­ing on the char­ac­ter­is­tics of the human audi­to­ry canal. To pro­tect the device from sul­fur and mois­ture ingress, spe­cial Nano Care fil­ters are used.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels four
Num­ber of pro­grams 3
Micro­phone omni­di­rec­tion­al
Func­tions noise reduc­tion, feed­back sup­pres­sion capa­bil­i­ty
Bat­tery type 10, ener­gy sav­ing

Pros and cons

Ultra-small size and stealth, good sound qual­i­ty, pro­tec­tive fil­ter sys­tem.
Dif­fi­cul­ties in indi­vid­ual selec­tion, high price.
Hear­ing aids for adults

Sud­den hear­ing loss is a real dan­ger

2. Signia Intuis 3 CIC+PBS

Sig­nia Intu­is 3 CIC+PBS. Pho­to: Sig­nia

This hear­ing aid is man­u­fac­tured by the well-known Siemens com­pa­ny, it is suit­able for mild to mod­er­ate hear­ing loss (1–2 degrees). The case for the device is made indi­vid­u­al­ly, this allows you to make it as com­fort­able as pos­si­ble, to ensure quick get­ting used to it. It is pos­si­ble to con­trol the device from a smart­phone. The device is avail­able in sev­er­al col­ors, equipped with remote con­trol through appli­ca­tions — it’s either touch­Con­trol or miniPock­et.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels four
Num­ber of pro­grams one
Micro­phone omni­di­rec­tion­al
Func­tions noise reduc­tion, feed­back sup­pres­sion capa­bil­i­ty
Bat­tery type 10
Pros and cons
Ultra-small size and stealth, good sound qual­i­ty, the abil­i­ty to con­trol from a smart­phone.
Dif­fi­cul­ties in indi­vid­ual selec­tion, fre­quent bat­tery replace­ment, high price.

3 Phonak Virto B30-10

Phonak Vir­to B30-10.

The device is an intra-ear type relat­ed to the econ­o­my class. It has bio­met­ric cal­i­bra­tion tech­nol­o­gy. Allows you to com­pen­sate for hear­ing loss up to severe (1–3 degree of hear­ing loss). It is of high qual­i­ty and enables effec­tive com­mu­ni­ca­tion through the use of mod­ern tech­nolo­gies — an algo­rithm for rec­og­niz­ing the sur­round­ing acoustic envi­ron­ment, a pro­gram to com­bat tin­ni­tus, and set­tings accord­ing to user pref­er­ences. The case is made accord­ing to indi­vid­ual casts of the user’s audi­to­ry canal.

Main characteristics:
Mod­el CIC class
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels eight
Num­ber of pro­grams 3
Micro­phone two, omni­di­rec­tion­al
Func­tions noise can­cel­la­tion, feed­back sup­pres­sion capa­bil­i­ty, wire­less ser­vices
Bat­tery type 10
Pros and cons
Ultra-small and dis­creet, sound qual­i­ty, good noise reduc­tion, smart­phone con­trol.
Dif­fi­cul­ties in indi­vid­ual selec­tion, the need for fre­quent bat­tery replace­ment.

The best ITC hearing aids (in-the-canal hearing aids)

These devices are also called minichan­nel or have the inter­na­tion­al name ITC or CS. Com­pared to the pre­vi­ous type, this device is large and takes up a suf­fi­cient vol­ume of the ear canal. There­fore, the func­tion­al­i­ty of such devices is some­what greater than that of CIC. Most devices have sev­er­al pro­grams for lis­ten­ing, there are but­tons for switch­ing them. How­ev­er, these devices are almost invis­i­ble in the patien­t’s ear. The device has low pow­er, so it com­pen­sates for hear­ing loss with­in 1–2 degrees.

1. Aurica Pixel 440P ITC

Auri­ca Pix­el 440P ITC. Pho­to: Auri­ca

This is a smart device that includes all the new tech­nolo­gies in audi­ol­o­gy. The device is minia­ture, insert­ed into the ear canal, adjusts to its fea­tures. He is able to under­stand and ade­quate­ly assess the sur­round­ing audi­to­ry envi­ron­ment, helps in enhanc­ing soft speech and cor­rect­ing loud, harsh sounds. Due to fine adjust­ments, the device itself choos­es the opti­mal oper­at­ing mode. Suit­able for mild to mod­er­ate hear­ing loss (grades 1–2).

Main characteristics:
Mod­el CIC class
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels four
Num­ber of pro­grams four
Vol­ume con­trol Yes
Pro­gram switch but­ton Yes
Func­tions noise reduc­tion, feed­back sup­pres­sion capa­bil­i­ty
Bat­tery type 312

Pros and cons

Small size and invis­i­bil­i­ty, good sound qual­i­ty, auto­mat­ic pro­gram switch­ing.
The fragili­ty of the case, the need for fre­quent replace­ment of bat­ter­ies.

2. Widex DREAM D30-XP

Widex DREAM D30-XP.

This type of hear­ing aid is based on TrueIn­put tech­nol­o­gy, which pro­vides high qual­i­ty incom­ing sig­nals. The device has a wide range of 113 dB, accu­rate­ly repro­duces all the sounds of the envi­ron­ment that enter the device. This allows the patient to obtain com­plete wear­ing com­fort. Sounds repro­duced using True Input tech­nol­o­gy are clear, bright and trans­mit­ted with­out dis­tor­tion. There­fore, the sound sit­u­a­tion is clear­ly eval­u­at­ed even in very noisy envi­ron­ments.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels four
Vol­ume con­trol No
Pro­gram switch but­ton No
Func­tions noise reduc­tion, feed­back sup­pres­sion capa­bil­i­ty
Bat­tery type 312
Pros and cons
Small size and stealth, high sound qual­i­ty, three chan­nels.
The com­plex­i­ty of the set­tings, there is no vol­ume con­trol and pro­gram switch­ing, fre­quent bat­tery replace­ment is required.

3 Phonak Virto B30-312

Phonak Vir­to B30-312.

Dig­i­tal hear­ing aid for in-ear wear with bio­met­ric cal­i­bra­tion. Helps to com­pen­sate for hear­ing of mild and mod­er­ate sever­i­ty (grade 1–2) and pro­vides the patient with ample oppor­tu­ni­ties for com­mu­ni­ca­tion. It is per­formed on an indi­vid­ual cast of the ear, max­i­mal­ly adapt­ed to the anato­my and func­tion­al needs of a hear­ing-impaired per­son.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels eight
Vol­ume con­trol No
Pro­gram switch but­ton No
Func­tions noise can­cel­la­tion, feed­back sup­pres­sion capa­bil­i­ty, wire­less ser­vices
Bat­tery type 312
Pros and cons
Small size and invis­i­bil­i­ty, high sound qual­i­ty, wire­less ser­vices (blue­tooth, FM sys­tem, con­nec­tion to a smart­phone).
The com­plex­i­ty of the set­tings, there is no vol­ume con­trol and pro­gram switch­ing, fre­quent bat­tery replace­ment is required.

Best ITE Hearing Aids (Channel Hearing Aids)

Duct hear­ing aids have the inter­na­tion­al name ITE or CT. The body of the appa­ra­tus is locat­ed in the area of ​​the begin­ning of the audi­to­ry canal up to the tra­gus. With a small body size, it has a fair­ly wide func­tion­al­i­ty. There is a vol­ume con­trol and a pro­gram selec­tion but­ton. This type of hear­ing aid can com­pen­sate for grade 1 to grade 3 hear­ing loss.

1. BERNAFON NEVARA 1ITE

BERNAFON NEVARA 1ITE. Pho­to: BERNAFON

The hear­ing aid of the in-the-ear type is pro­duced in an indi­vid­ual hous­ing (accord­ing to the impres­sion of the patien­t’s ear) and can com­pen­sate for hear­ing loss up to mod­er­ate sever­i­ty (grade 1–2). The mod­el is equipped with a unique Audio Effi­cien­cy tech­nol­o­gy that allows you to com­bine pow­er with effi­cien­cy to get high-qual­i­ty sound in dif­fer­ent sit­u­a­tions. The device elim­i­nates unwant­ed whis­tles and annoy­ing con­stant nois­es, mak­ing it com­fort­able to use.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of pro­grams 7+4 cus­tomiz­able
Pro­gram switch but­ton Yes
Vol­ume con­trol Yes
Pro­tec­tion against dust and dirt Yes
Func­tions noise can­cel­la­tion, feed­back sup­pres­sion capa­bil­i­ty, wire­less ser­vices
Bat­tery type 312
Pros and cons
Com­fort­able to wear, high sound qual­i­ty, elim­i­na­tion of whis­tles and noise.
The need for fre­quent bat­tery replace­ment

2. Widex Dream 30 XP

A small in-the-ear hear­ing aid is made indi­vid­u­al­ly, accord­ing to the char­ac­ter­is­tics of the patient, based on a cast of the auri­cle using 3D mod­el­ing. The device uses the TRUE ISP plat­form, True-Input tech­nol­o­gy is used for sound pro­cess­ing. To opti­mize bat­tery con­sump­tion, the Pow­er­Saver sys­tem is used for eco­nom­i­cal ener­gy con­sump­tion. Also, the device uses the WidexLink sys­tem for wire­less com­mu­ni­ca­tion, has a fixed direc­tion­al­i­ty of the sens­ing micro­phones.

Widex Dream 30 XP.
Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels 3
Num­ber of pro­grams No
Pro­gram switch but­ton Yes
Vol­ume con­trol No
Pro­tec­tion against dust and dirt Yes
Func­tions noise can­cel­la­tion, feed­back sup­pres­sion capa­bil­i­ty, wire­less ser­vices
Bat­tery type 312
Pros and cons
Com­fort­able to wear, high sound qual­i­ty, soft­ware elim­i­na­tion of whis­tles and noise.
No pro­grams, no vol­ume switch­ing, fre­quent bat­tery changes required.

3. Phonak Cassia ITE UZ P

Phonak Cas­sia ITE UZ P. Pho­to: Phonak

The hear­ing aid is minia­ture, almost invis­i­ble when worn, it can be equipped with dif­fer­ent types of receivers depend­ing on the lev­el of hear­ing loss. It can solve hear­ing prob­lems in mild, mod­er­ate and severe forms (from 1 to 3 degrees), the mod­el of the device is pre­pared by a spe­cial­ist (gain strength and pow­er of the device). The hous­ing is made accord­ing to an indi­vid­ual impres­sion of the ear for max­i­mum patient com­fort.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels 6
Num­ber of pro­grams 5
Pro­gram switch but­ton Yes
Vol­ume con­trol No
Pro­tec­tion against dust and dirt Yes
Func­tions noise can­cel­la­tion, feed­back sup­pres­sion capa­bil­i­ty, wire­less ser­vices
Bat­tery type 312
Pros and cons
Com­fort­able to wear, high sound qual­i­ty, soft­ware elim­i­na­tion of whis­tles and noise.
No vol­ume con­trol, fre­quent bat­tery replace­ment required.
Hear­ing aids for chil­dren

Good hear­ing is the key to full devel­op­ment

The best IT type hearing aids (“Konha”)

Type “Con­ha” or IT — the most notice­able of all devices in this group. “Con­cha” is trans­lat­ed from Latin as a shell. That is, these are devices that are insert­ed into the auri­cle itself. They almost com­plete­ly close it, have almost equal capa­bil­i­ties with a group of behind-the-ear devices, and are suit­able for the most severe degrees of hear­ing loss.

1. INTUIS IT TM + PBS + VC ®

Hearing aid Siemens Intuis IT
Hear­ing aid Siemens Intu­is IT.

A dig­i­tal device, an in-the-ear hear­ing aid of the “con­ha” type, belong­ing to the mid­dle price cat­e­go­ry. Helps to com­pen­sate for mild, mod­er­ate and severe forms of hear­ing loss (1–3 degrees). It is made accord­ing to indi­vid­ual sizes after tak­ing an impres­sion of the ear, it can work on two types of bat­ter­ies — 13 or 312. The design is equipped with a dou­ble micro­phone, a pro­gram switch but­ton is also placed on the case and there is a sep­a­rate vol­ume con­trol.

border collie, animal, canine
puppy, 6 week old puppy, red merle puppy
dog, puppy, dachshund
ai generated, man, creature
ai generated, man, ears
Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels four
Num­ber of pro­grams four
Pro­gram switch but­ton Yes
Vol­ume con­trol Yes
Pro­tec­tion against dust and dirt No
Func­tions noise reduc­tion, feed­back sup­pres­sion capa­bil­i­ty
Bat­tery type 13 or 312
Pros and cons
Com­fort­able to wear, high sound qual­i­ty, elim­i­na­tion of whis­tles and noise.
No pro­tec­tion against con­t­a­m­i­na­tion, fre­quent bat­tery replace­ment required

2. Phonak Virto Q50 13

Phonak Vir­to Q50 13. Pho­to: Phonak

The in-the-ear device of the “con­ha” type, cre­at­ed on the basis of the Phonak Quest plat­form, belongs to the “Stan­dard” func­tion­al class. Pow­ered by dig­i­tal tech­nol­o­gy with wire­less func­tions, has a max­i­mum gain of 40 to 70 dB, which solves mild to mod­er­ate hear­ing prob­lems (grade 1–2), uses bat­tery type 13.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels 12
Num­ber of pro­grams 3
Pro­gram switch but­ton No
Vol­ume con­trol No
Pro­tec­tion against dust and dirt Yes
Func­tions noise can­cel­la­tion, feed­back sup­pres­sion capa­bil­i­ty, wire­less ser­vices
Bat­tery type 13 or 312
Pros and cons
Com­fort­able to wear, high sound qual­i­ty, soft­ware elim­i­na­tion of whis­tles and noise.
No pro­gram switch­ing, no vol­ume con­trol, fre­quent bat­tery changes required.

3. Siemens Motion 101 IT+TM+VC+PBS®

Siemens Motion 101 IT+TM+VC+PBS(R)
Siemens Motion 101 IT+TM+VC+PBS®.

This is a dig­i­tal hear­ing aid of the “con­ha” type, which is small in size and runs on 13 bat­ter­ies. The device helps to com­pen­sate for mild, mod­er­ate and severe hear­ing loss (1 — 3 degrees). The case has a vol­ume con­trol, is equipped with a but­ton for switch­ing pro­grams and a dual micro­phone.

Main characteristics:
Sound pro­cess­ing type dig­i­tal
Num­ber of chan­nels 6
Num­ber of pro­grams 3
Pro­gram switch but­ton Yes
Vol­ume con­trol Yes
Pro­tec­tion against dust and dirt Yes
Func­tions noise reduc­tion, feed­back sup­pres­sion capa­bil­i­ty
Bat­tery type 13
Pros and cons
Com­fort­able to wear, sound qual­i­ty, soft­ware elim­i­na­tion of whis­tles and noise.
Fragili­ty of the device, fre­quent replace­ment of bat­ter­ies is nec­es­sary.

How to choose an in-the-ear hearing aid

The process of select­ing a hear­ing aid is dif­fer­ent from choos­ing any device, even for med­ical pur­pos­es. And the point here is that it is not enough to know the char­ac­ter­is­tics of each device, such devices should always be select­ed by a doc­tor. For exam­ple, in the pres­ence of a very nar­row ear canal or anatom­i­cal defects, in-the-ear devices may sim­ply not be suit­able.

Pros and cons of in-the-ear types of hearing aids

When using in-the-ear devices for hear­ing cor­rec­tion, there are both undoubt­ed advan­tages and cer­tain dis­ad­van­tages. They need to be care­ful­ly weighed before pur­chas­ing these types of devices, since their cost is quite high.

Among the main advan­tages are:

    The transmission of sound from the reproducing system to the eardrum takes place with the least loss, since everything is located nearby, therefore, less power is needed for good sound.
    Devices are practically invisible to others.
    They are comfortable to wear if they are sized strictly by the doctor.
    Due to the narrow walls of the ear canal, an additional amplification of the signal occurs, so they are more effective than behind-the-ear models.
    The sound is more natural than other types of hearing aids.

How­ev­er, these mod­els of hear­ing aids have sig­nif­i­cant dis­ad­van­tages. These include:

    Inability to correct severe hearing loss (grade 3–4).
    The devices are quite difficult to maintain and operate.
    If contaminated with earwax, the device may fail.
    Very tiny batteries are used, which require fairly frequent replacement.
    The ear canal is less ventilated due to the tight insertion of the device.
    If there are diseases of the outer ear, the device will have to be abandoned.

Popular questions and answers

We asked otorhi­no­laryn­gol­o­gist, audi­ol­o­gist Alexan­dra Ger­shevskaya to answer our ques­tions about the intri­ca­cies of choos­ing intra-ear hear­ing aids.

What fea­tures of the in-the-ear hear­ing aid should I pay atten­tion to first of all?
If we com­pare an in-the-ear device and a behind-the-ear device sim­i­lar in class and elec­tron­ics, the behind-the-ear device still has small func­tion­al advan­tages, because a direc­tion­al micro­phone sys­tem works in the behind-the-ear device, and it is quite dif­fi­cult to imple­ment this in the in-ear device, where the micro­phone is not direc­tion­al. But here the func­tion of the auri­cle is pre­served, which pro­vides ante­ri­or-pos­te­ri­or local­iza­tion, which is impor­tant for the per­cep­tion of sounds. You need to pay atten­tion to the size. Now there is a vir­tu­al sim­u­la­tion func­tion that has the abil­i­ty to show the patient in advance how the hear­ing aid will sit, because if there are anatom­i­cal nar­row­ings, increased tor­tu­os­i­ty of the exter­nal audi­to­ry canal, then it is not always pos­si­ble to place the device deep behind the tra­gus, as most patients want the device to remain as unno­ticed as pos­si­ble. But the mod­el­ing option, in which every­thing can be revealed in detail, viewed, helps to make a deci­sion.
What are in-the-ear hear­ing aids for?
In-the-ear devices have his­tor­i­cal­ly appeared with one goal — to pro­vide high-qual­i­ty sound ampli­fi­ca­tion and at the same time remain invis­i­ble to oth­ers. There­fore, anatom­i­cal­ly favor­able for this type of pros­thet­ics are wide and not very tor­tu­ous audi­to­ry canals. With the advent of micro-ears, open pros­the­sis devices, devices with a remote receiv­er, intra-ear devices began to lose their posi­tions a lit­tle. How­ev­er, dur­ing the pan­dem­ic, one detail was dis­cov­ered: peo­ple began to lose behind-the-ear devices, repeat­ed­ly remov­ing and putting on masks. It has become incon­ve­nient for peo­ple to wear devices behind the ear along with a mask and glass­es, so the demand for in-the-ear devices has now increased.
At what degree of hear­ing loss should an intra-ear device be used?
The in-the-ear device can be used for any degree of hear­ing loss. Man­u­fac­tur­ers have learned to install pow­er­ful receivers and build them into small cas­es.
What are the con­traindi­ca­tions for the use of an intra-ear device?
First, inflam­ma­to­ry process­es: chron­ic oti­tis media and chron­ic oti­tis exter­na. These inflam­ma­to­ry dis­eases are incom­pat­i­ble with intra-ear devices. If the patient suf­fers from these dis­eases, then when such an appa­ra­tus appears in the ear, the chron­ic process aggra­vates, and the appear­ance of con­stant flu­id, damp­ness in the ears ren­ders the intra-ear appa­ra­tus unus­able, and there­fore it must be fre­quent­ly repaired. Also con­traindi­ca­tion is con­gen­i­tal or acquired nar­row­ing of the exter­nal audi­to­ry canal to the lev­el of steno­sis. And with the usu­al anato­my of the ear, these devices are used very wide­ly.

By Yraa

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