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CENTRA Active: A new receiver-in-canal solution designed to ...

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I<br />

Introduction<br />

II<br />

A style and<br />

substance<br />

<strong>solution</strong><br />

2<br />

Introduction<br />

One major advancement <strong>in</strong> hear<strong>in</strong>g <strong>in</strong>strument technology<br />

over the years has been observed <strong>in</strong> the <strong>in</strong>troduction<br />

of <strong>new</strong> algorithms <strong>in</strong> the digital signal<br />

process<strong>in</strong>g. Notable examples of this from Siemens<br />

are e2e wireless technology (Powers & Bur<strong>to</strong>n<br />

2005), SoundSmooth<strong>in</strong>g (Keidser et al. 2007,<br />

Chalupper & Powers 2007) and the Learn<strong>in</strong>g Volume<br />

Control (“DataLearn<strong>in</strong>g”) (Dillon et al. 2006, Chalupper<br />

& Powers 2006). Research has shown that these<br />

advancements enhance patient benefit.<br />

In addition <strong>to</strong> <strong>in</strong>novations <strong>in</strong> signal process<strong>in</strong>g, there<br />

is a need for advancements that will <strong>in</strong>crease patient<br />

acceptance of hear<strong>in</strong>g <strong>in</strong>struments. Consumer surveys<br />

(Kochk<strong>in</strong> 2002), <strong>in</strong>dicate that many hear<strong>in</strong>g aid<br />

users desire hear<strong>in</strong>g <strong>in</strong>struments which are discrete,<br />

easy <strong>to</strong> use, comfortable <strong>to</strong> wear and provide overall<br />

listen<strong>in</strong>g comfort. It is therefore important, that advancements<br />

<strong>in</strong> signal process<strong>in</strong>g be comb<strong>in</strong>ed with<br />

other <strong>in</strong>novations – for example <strong>in</strong> style and ease of<br />

use – <strong>to</strong> accommodate the other desired attributes<br />

of hear<strong>in</strong>g <strong>in</strong>struments and ultimately lead <strong>to</strong> <strong>in</strong>creased<br />

use and benefit.<br />

A style and substance <strong>solution</strong><br />

A <strong>new</strong> hear<strong>in</strong>g <strong>in</strong>strument from Siemens, <strong>CENTRA</strong><br />

<strong>Active</strong>, comb<strong>in</strong>es the advanced and cl<strong>in</strong>ically proven<br />

signal process<strong>in</strong>g strategies of the <strong>CENTRA</strong> hear<strong>in</strong>g<br />

<strong>in</strong>strument family with <strong>new</strong> design and handl<strong>in</strong>g<br />

features <strong>to</strong> enhance cosmetics, usability and patient<br />

wear<strong>in</strong>g comfort. <strong>CENTRA</strong> <strong>Active</strong> <strong>in</strong>cludes the follow<strong>in</strong>g<br />

digital signal process<strong>in</strong>g features from the successful<br />

<strong>CENTRA</strong> product family:<br />

• SoundSmooth<strong>in</strong>g<br />

• Learn<strong>in</strong>g Volume Control (“DataLearn<strong>in</strong>g”)<br />

• e2e wireless<br />

• Au<strong>to</strong>matic, multichannel adaptive directional<br />

microphone<br />

• Speech and noise management with Wiener Filter<br />

and modulation-based digital noise reduction<br />

• Adaptive high-speed feedback cancellation system<br />

• Data logg<strong>in</strong>g<br />

• ePocket option<br />

• 16-channel compression system<br />

<strong>CENTRA</strong> <strong>Active</strong> also employs other <strong>new</strong> unique features<br />

<strong>designed</strong> <strong>to</strong> enhance user acceptance. In recent<br />

years, the beh<strong>in</strong>d-the-ear (BTE) open <strong>canal</strong> (OC)<br />

hear<strong>in</strong>g <strong>in</strong>strument has enjoyed <strong>in</strong>creased popularity.<br />

As reviewed by Mueller (Mueller 2006), there<br />

are many advantages <strong>to</strong> OC fitt<strong>in</strong>gs, and patient surveys<br />

have shown that these <strong>in</strong>struments provide improved<br />

benefit and satisfaction (G<strong>new</strong>ikow and Moss<br />

2006; Taylor 2006). One advantage of the OC fitt<strong>in</strong>g<br />

is <strong>in</strong> regard <strong>to</strong> cosmetics – an important concern for<br />

most consumers. With <strong>receiver</strong>-<strong>in</strong>-<strong>canal</strong> BTEs, the<br />

BTE itself can be relatively small s<strong>in</strong>ce the <strong>receiver</strong>,<br />

one of the largest components, is placed outside the<br />

<strong>in</strong>strument’s hous<strong>in</strong>g <strong>in</strong><strong>to</strong> the ear <strong>canal</strong>. This of<br />

course makes the hear<strong>in</strong>g <strong>in</strong>strument less visible and<br />

more cosmetically appeal<strong>in</strong>g. The th<strong>in</strong> wire used <strong>to</strong><br />

transfer the signal <strong>to</strong> the <strong>receiver</strong> <strong>in</strong> the ear <strong>canal</strong> is<br />

also th<strong>in</strong>ner and less conspicuous than typical earmold<br />

tub<strong>in</strong>g.<br />

When <strong>receiver</strong>s are placed <strong>in</strong> the ear <strong>canal</strong>, as <strong>in</strong> cus<strong>to</strong>m<br />

<strong>in</strong>struments and the RIC design, it is critical that<br />

an effective and efficient wax protection device is<br />

used (Branda & Chalupper 2007). Such a device,<br />

referred <strong>to</strong> as “C-Guard,” is a standard feature for all<br />

<strong>CENTRA</strong> <strong>Active</strong> products. C-Guard is one of the three<br />

unique components of <strong>CENTRA</strong> <strong>Active</strong>’s AquaProtect<br />

(Siemens 2007) feature. In comb<strong>in</strong>ation with a<br />

unique GORE exchangeable microphone cover and<br />

nanocoat<strong>in</strong>g, AquaProtect shields <strong>CENTRA</strong> <strong>Active</strong><br />

from perspiration, water and dirt. This provides additional<br />

wear<strong>in</strong>g comfort and reliability when used<br />

outside, or for participat<strong>in</strong>g <strong>in</strong> sports or other activities<br />

where there is a high moisture level surround<strong>in</strong>g<br />

the hear<strong>in</strong>g <strong>in</strong>strument.<br />

<strong>CENTRA</strong> <strong>Active</strong> also <strong>in</strong>cludes a rechargeable feature.<br />

<strong>CENTRA</strong> <strong>Active</strong>’s charger option provides additional<br />

handl<strong>in</strong>g comfort and ease of use as there is no need<br />

<strong>to</strong> change batteries.<br />

These <strong>in</strong>novations unite the style and substance required<br />

for a modern hear<strong>in</strong>g <strong>in</strong>strument that meets<br />

the requirements for <strong>to</strong>day’s active wearers.<br />

<strong>CENTRA</strong> <strong>Active</strong> comb<strong>in</strong>es the cl<strong>in</strong>ically proven signal<br />

process<strong>in</strong>g strategies of <strong>CENTRA</strong> with <strong>new</strong> design<br />

and handl<strong>in</strong>g features.

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