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directional microphone technology - Phonak

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Peter Stelmacovich<br />

FM Classroom and February SF 2013 Product Manager


2<br />

• What are the options for improving Signal to Noise Ratio<br />

• Noise Reduction Algorithms?<br />

• Directional Microphone Technology<br />

• Remote Mic + ComPilot<br />

• Fixed gain FM (Digital and FM)<br />

• Adaptive Gain FM<br />

• Pros and Cons of each approach<br />

• Selecting Ideal Candidates<br />

FM Classroom February 2013


SNR in typical Listening situations<br />

• One-on-One<br />

• Television<br />

• Small groups<br />

• Place of Worship<br />

• Car<br />

• Concert/movie<br />

• Restaurant<br />

• Large group<br />

+10 dB<br />

+5 dB<br />

+3 dB<br />

0 dB<br />

0 dB<br />

+3 dB<br />

-5 dB<br />

-10 dB<br />

FM Classroom February 2013


FM Classroom February 2013


FM Classroom February 2013


1) Directional hearing instruments<br />

2) Active noise reduction in hearing instruments<br />

3) Multiple programs<br />

4) Wireless transmission of the desired acoustic signal<br />

to the hearing instrument<br />

Almost always: binaural use of any technique shows better<br />

results than monaural use<br />

FM Classroom February 2013


Pediatric_A_GB<br />

without dNC<br />

with dNC medium<br />

Time<br />

• Optimized algorithm for channel<br />

dependent noise detection and<br />

supression<br />

• 3 levels to control the degree of<br />

reduction - light, moderate or strong to<br />

addresses individual needs<br />

• Improves comfort and “ease of<br />

listening” in noisy surroundings<br />

• Helps concentration - crucial for<br />

learning<br />

FM Classroom February 2013


• No documented empirical evidence<br />

demonstrating improved speech<br />

understanding in noise from hearing aid<br />

circuitry alone (Killion, 1997; Bentler, 2004;<br />

Ricketts 2004))<br />

• Useful for Comfort but does not improve<br />

signal to noise ratio. Works well when used<br />

in combination with <strong>directional</strong> <strong>microphone</strong>s<br />

(Plyler, 2007; Mueller et al 2006)<br />

FM Classroom February 2013


• Improvements in SNR for <strong>directional</strong> <strong>microphone</strong> <strong>technology</strong> over<br />

omni <strong>directional</strong> <strong>microphone</strong>s has been well documented.<br />

• Kochkin (Market Trak) use of <strong>directional</strong> <strong>microphone</strong> <strong>technology</strong> leads<br />

to increased performance and greater end user satisfaction.<br />

• Improved speech understanding (Valente et al, 1995; Gravel et al, 1999;<br />

Kuk et al, 1999; Preves et al, 1999; Pumford et al 2000; Rickets et al, 2000,<br />

2005; Cord, M, Surr, R, Walden, B, Olson, L., 2002; Bentler et al, 2006)<br />

• Documented range of improvement: 3-8 dB (Hawkins &Yacullo, 1984;<br />

Valente et al 1995; Gravel et al, 1999; Ricketts & Dhar, 1999; Pumford et al,<br />

2000, Valente et al, 2000).<br />

FM Classroom February 2013


• Sound waves coming from in front<br />

are enhanced<br />

• Sound waves coming from the side<br />

or behind are reduced<br />

• Improved speech understanding in<br />

noise regardless of the direction of<br />

noise<br />

• Studies show substantial benefit for<br />

adults in noisy environments<br />

(Condie et al 2002, Gravel, Hanin<br />

et al 2004.)<br />

FM Classroom February 2013


FM Classroom February 2013


Directional Microphones<br />

FM Classroom February 2013


13<br />

-35°<br />

0°<br />

35°<br />

- 60°<br />

60°<br />

-90°<br />

wider beam<br />

narrower beam<br />

90°<br />

-120°<br />

120°<br />

-150°<br />

180°<br />

150°<br />

FM Classroom February 2013


14<br />

Less wind noise<br />

Wind noise detection<br />

Wind noise detection<br />

Streaming<br />

The signal is filtered and<br />

mixed by the receiving<br />

hearing instrument<br />

FM Classroom February 2013


• Directional <strong>microphone</strong>s have proven benefits (3-5 dB improvement in SNR)<br />

• BUT, <strong>microphone</strong> location is still at the ear level<br />

• Higher SNR‟s can be obtained by moving the <strong>microphone</strong> closer to the signal<br />

of interest


FM Classroom February 2013


• By moving a <strong>microphone</strong> from<br />

the ear level to a much closer<br />

proximity to the talker‟s<br />

mouth, we can achieve higher<br />

signal-to-noise ratios<br />

• <strong>Phonak</strong>‟s solution involves the<br />

use of the Remote<br />

Microphone in conjunction<br />

with either a ComPilot or an<br />

iCom (backwards<br />

compatibility)


1. Improved SNR compared to ear level Directional Microphones<br />

2. Ease of Use. Simple and intuitive<br />

3. Convenient. ComPilot + Remote Mic gives client many solutions with just<br />

2 devices<br />

4. Cost. Very affordable solution, much less than FM


19<br />

• Wireless, omni<strong>directional</strong> <strong>microphone</strong><br />

• Voice transmission directly to the HIs via ComPilot<br />

• Streaming up to 20 meters (60 ft)<br />

• Up to 8h streaming time<br />

• No audible delay<br />

• Lightweight<br />

FM Classroom February 2013


• One-on-One conversations in noisy places<br />

• Listening to a speaker who is more than 2 meters away<br />

• Listening to a speaker who often changes position<br />

• When you cannot face the speaker (ie. in a car)<br />

FM Classroom February 2013


• Wear it at the correct location<br />

– Clipped to a shirt<br />

• Max 20 meters (66 ft) is the official number<br />

• 20 cm from speaker‟s mouth in noise<br />

– Can be placed on a table in quiet situations<br />

FM Classroom February 2013


Feature <strong>Phonak</strong> Dynamic FM Bluetooth Microphones<br />

Range 15m indoors. Up to 50 meters outdoors 15m (best case). Comfortable range is 8m<br />

SNR Up to 24 dB 12 dB<br />

Mic Selection Omni, Zoom, SuperZoom Omni only<br />

Connectivity<br />

Multiple receivers (ear level as well as<br />

inductive neck loop). Compatible with all<br />

brands of HI and CI. Audio input of all<br />

transmitters . Bluetooth on SmartLink+<br />

Sends only to one receiver (body-worn<br />

streamer)<br />

Operating Time 10-12 hours<br />

5 hours<br />

Applications Single speaker, report style, conference Single speaker only


• To achieve an improvement in SNR up from a Bluetooth Microphone system<br />

would be to use a fixed gain wireless system<br />

• Examples include:<br />

– <strong>Phonak</strong>‟s 2 nd Generation systems such as Campus, SmartLink SX,<br />

ZoomLink, EasyLink (silver casing)<br />

– Oticon Amigo<br />

– Comfort Audio Digisystem<br />

• These are all examples of fixed gain systems and achieve similar results<br />

• Most incorporate <strong>directional</strong> <strong>microphone</strong>s on the transmitters and therefore<br />

can achieve higher SNR‟s than Bluetooth <strong>microphone</strong>s<br />

• Additional benefits include greater operating ranges and longer battery life<br />

• However, cost is significantly higher


• 48 adults, 2 sites<br />

• Presbycusis<br />

• Transmitter 3 inches from<br />

loudspeaker<br />

• Correlated HINT noise<br />

from 4 other loudspeakers<br />

• SuperZoom setting on<br />

HandyMic, Claro HI‟s.<br />

•<br />

Source: Valente 2002<br />

FM Classroom February 2013


• Dynamic FM is different than fixed gain systems in that<br />

it adjusts the FM gain depending on the environmental<br />

noise level<br />

• Additional gain is added if the background noise level<br />

increases<br />

• Ambient noise levels are measured by the FM<br />

transmitter during speech pauses<br />

• If the ambient noise level rises to over 57 dB SPL, a<br />

command is sent from the transmitter to the Dynamic<br />

FM receivers to increase the FM Advantage<br />

• Examples: inspiro, SmartLink+, ZoomLink+,<br />

EasyLink+ and any 3 rd generation <strong>Phonak</strong> receiver (eg<br />

MLxi, ML9i to ML16i)


• The blue bar symbolizes the HI signal level<br />

• The FM level is usually louder<br />

• The difference is the SNR<br />

• Dynamic FM increases the FM level in noisy situations<br />

• Compression will reduce both the HI and the FM signal<br />

• The increased SNR is not affected by the compression in the<br />

hearing instrument<br />

SNR<br />

FM<br />

HI<br />

HI output<br />

signal levels<br />

FM Classroom February 2013


• Ambient noise levels are estimated by the FM transmitter during speech<br />

pauses<br />

• If the ambient noise level rises to over 57 dB SPL, a command is sent from<br />

the transmitter to the Dynamic FM receivers to increase the FM Advantage<br />

• This command is a digital code, sent with the FM signal at a different<br />

inaudible audio frequency<br />

• If the noise level drops again, the FM Advantage is smoothed (reduced)<br />

appropriately.<br />

FM Classroom February 2013


Dynamic FM gives 50%<br />

better word recognition than<br />

traditional FM in 73 dB(A)<br />

ambient noise!<br />

Reference: Benefits of Adaptive FM Systems on Speech Recognition in Noise for Listeners Who Use<br />

Hearing Aids. Linda Thibodeau. American Journal 36 of Audiology • Vol. 19 • 36–45 • June 2010<br />

FM Classroom February 2013


FM Classroom February 2013


• Candidacy:<br />

– Audiogram approach<br />

– LiSN-S/LiSN-S PGA<br />

– COSI<br />

• Factors to consider:<br />

– Dexterity<br />

– Technologically „Savy‟?<br />

– Ease of use<br />

– Listening situations<br />

– Cost<br />

FM Classroom February 2013


1. Children with hearing loss that attend special (deaf) schools<br />

2. Children with hearing loss that attend regular schools<br />

3. Adult hearing instrument users<br />

4. Children and adults with cochlear implants<br />

5. Children and adults with unilateral hearing loss<br />

6. Children and adults with auditory processing disorder<br />

7. Non native learners (ESL)<br />

8. Adults with multiple sclerosis<br />

9. Children with Autism spectrum disorder<br />

FM Classroom February 2013


• LiSN-S means Listening in Spatialized Noise – Sentences Under<br />

headphones a virtual 3D space is created with target sentences coming from<br />

the front and distracting sentences are coming from the left and the right.<br />

• It is like having a free field test under headphones with real life like conditions<br />

• The patient‟s task is to repeat sentences.<br />

• The distracting sentences are spoken by different voices than the target<br />

sentences, the condition is also called „Different voices ± 90º‟.<br />

• The professional enters the number of correct words.<br />

• LiSN-S is an adaptive test, the presentation level of the target sentences is<br />

adjusted automatically based on how many words were correct in the last<br />

sentence<br />

• The test ends automatically within 5 minutes.<br />

• LiSN-S has some unique features which will help fitters to justify their<br />

recommendations and which will convince patients of their hearing status and<br />

the required intervention<br />

FM Classroom February 2013


• LiSN-S PGA is a brand new diagnostic test that measures speech<br />

understanding in noise in patients with a hearing loss.<br />

• PGA means Prescribed Gain Amplifier the stimuli are amplified according<br />

to the pure tone audiogram according to the NAL RP rule.<br />

• If there is a conductive component in the hearing loss, bone conduction<br />

thresholds are taken into account.<br />

• LiSN-S accurately measures a patients ability to understand speech in noise<br />

as if they were wearing hearing instruments (amplification), and by comparing<br />

a patient‟s performance on LiSN-S PGA with normative data stored in the<br />

software, LiSN-S PGA predicts accurately the patient‟s performance in noisy<br />

situations compared to normal hearing listeners of the same age, and if the<br />

predicted performance is not good, LiSN-S PGA gives clear, individual,<br />

<strong>technology</strong> recommendations how to improve speech understanding in noise.<br />

• So based on the responses by the patient to the sentences, the patient gets<br />

an evidence based recommendation.<br />

FM Classroom February 2013


• Who should be tested with LiSN-S PGA?<br />

LiSN-S PGA has norms for age 6 to 60. Patients above 60 years old will be<br />

compared to the norms for 60 years old. The test is available in Australian<br />

English for Australia, New Zealand and UK and North American English for<br />

USA and Canada.<br />

FM Classroom February 2013


Run the test<br />

Professional clicks „start‟ button<br />

competing sentences are played back.<br />

Professional clicks „next‟ button.<br />

Patient hears a beep and then<br />

the target sentence.<br />

Patient repeats the sentence.<br />

Professional enters the number of correctly<br />

repeated words<br />

FM Classroom February 2013


• LiSN-S PGA is an adaptive test, which ends automatically.<br />

FM Classroom February 2013


LiSN-S PGA‟s results mention clearly loss in signal-to-noise ratio (dB)<br />

The value (Loss in SNR) has been<br />

calculated by comparison with normative<br />

data for the average person of the same<br />

age with normal hearing.<br />

A cross (x) is displayed in the bar<br />

diagram indicating the individual<br />

score of the patient.<br />

Next to the x the <strong>technology</strong><br />

recommendations are listed, in clear<br />

wordings for both the professional<br />

and the patient<br />

FM Classroom February 2013


X<br />

With amplification the patient‟s loss of speech understanding in<br />

noise is very mild, and the patient should be able to understand<br />

speech almost as well as people with normal hearing.<br />

FM Classroom February 2013


X<br />

Even with amplification, the patient will require speech to have a SNR<br />

significantly better than people with normal hearing in order to understand<br />

the speech. In many situations (where there is a close target talker or a<br />

close dominant noise source) advanced <strong>directional</strong> <strong>microphone</strong><br />

<strong>technology</strong> will enable the patient to understand speech in noise almost<br />

as well as people with normal hearing.<br />

FM Classroom February 2013


X<br />

Even with amplification, the patient will require speech to have a SNR<br />

significantly better than people with normal hearing in order to understand<br />

the speech. Bluetooth RemoteMic <strong>technology</strong> or fixed gain FM will<br />

enable the patient to understand speech in noise almost as well as people<br />

with normal hearing.<br />

Lower Yellow or Upper Red<br />

FM Classroom February 2013


X<br />

FM Classroom February 2013<br />

Even with hearing aids incorporating advanced <strong>directional</strong> <strong>microphone</strong><br />

<strong>technology</strong> the patient will require speech to have a SNR significantly better<br />

than people with normal hearing in order to understand the speech. In<br />

adverse listening conditions the patient is likely to be able to understand<br />

speech only with the aid of Dynamic FM <strong>technology</strong> coupled to the<br />

patient‟s hearing aids.


Peter Stelmacovich<br />

FM Classroom and February SF 2013 Product Manager

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