BACKGROUND OF THE INVENTION
Field of the Invention
[0001] The present invention relates to a behind the ear hearing aid system, and more particularly,
the invention relates to a hearing aid system having an open ear canal hearing aid
eartip.
State of the Related Art
[0002] Present day hearing aids have been developed to correct the hearing of users having
various degrees of hearing impairments. Generally, hearing loss is not uniform over
the entire audio frequency range. For example, hearing loss for sounds at high audio
frequencies (above approximately 1,000 Hz) will be more pronounced for some people
with certain common hearing impairments, while hearing loss for sounds at lower frequencies
(below approximately 1,000 Hz) will be more pronounced for people having different
hearing impairments.
[0003] The largest population of people having hearing impairments include those having
mild hearing losses with normal or nearly normal hearing in the low frequency ranges
and hearing losses in the higher frequency ranges. The most problematic sounds for
people having such mild hearing losses are high frequency sounds at low amplitudes
(soft, high-pitched sounds).
[0004] The traditional approach for correcting hearing impairments has been to employ either
an electronic "in the ear" (ITE) hearing aid device inserted into the ear of the user
or a "behind the ear" (BTE) hearing aid device attached behind the ear. The ITE hearing
aid devices are custom made to fit within the ear and ear canal of the particular
user. The BTE hearing aid devices include a flexible plastic tube connecting a behind
the ear device to an ear mold placed within the ear. Both the ITE and BTE hearing
aid devices tend to block the ear canal so that little or no sound can reach the ear
in a natural, unaided manner.
[0005] Hearing aid systems which block the ear canal almost entirely cause a problem known
as the occlusion effect. The occlusion effect is caused by the increased transmission
of sound by bone conduction when the ear canal is blocked and ear conduction is impeded.
This occlusion effect results in sounds which are unnatural and uncomfortable for
the user. In particular, the user's voice sounds unnaturally higher than normal.
[0006] Some hearing aid systems have been made employing vents in the ear mold which reduce
the occlusion effect partially. These vents allow the user to hear some natural sounds
through a device positioned in the ear. Although vents provide some improvement in
decreasing the occlusion effect, distortion of the user's voice remains a problem.
[0007] In an effort to alleviate some of the aforementioned problems, some BTE hearing aids
have been designed with a flexible tube that extends into the ear canal and is held
in place within the ear canal by an ear mold that leaves the ear canal generally unobstructed.
Although the relatively open ear canal of these devices overcomes some of the occlusion
effect, these hearing aids suffer from a number of other significant problems. For
example, the BTE hearing aids employ a rigid plastic ear hook to secure the BTE device
on the ear. The ear hook connects a hearing aid casing positioned behind the ear to
a flexible plastic tubing which extends into the ear. The relatively large and rigid
ear hook and the connection between the ear hook and the flexible tubing are visible
and aesthetically unpleasing. The large size and visibility of the BTE hearing aid
components results in a cosmetically unattractive device.
[0008] A flexible tube is used which can be cut to an appropriate length for a particular
user. The ear mold which secures the end of the flexible hearing aid tube within the
ear canal has to be custom manufactured to fit the user's ear to sufficiently secure
the hearing aid tube in place in the ear canal and prevent the ear mold from falling
out of the ear, for example, when the user is jogging. The custom made ear mold adds
to the cost of the device and the time needed to fit the hearing aid.
[0009] There are some stock ear canal eartips available which are generally used during
a trial period when the hearing aid is being tested or while the ear mold is being
made. Some of these stock ear canal eartips are formed of hard materials, some are
formed of solid rubber, and some are formed of foam. In general, stock ear canal eartips
which are currently available have problems with holding the end of the flexible hearing
aid tube securely in place. When these stock ear canal eartips fit tight enough to
hold the tube in the ear they are usually uncomfortable.
[0010] Accordingly it would be desirable to address the above-described problems with a
BTE hearing aid which avoids the occlusion effect, can be used without an expensive
custom made ear mold, and provides an aesthetically pleasing and comfortable device.
SUMMARY OF THE INVENTION
[0011] The present invention relates to a hearing aid system having a hearing aid case positioned
behind the ear and a preformed tube conducting sound from the hearing aid case to
the ear canal. A combination of the preformed tube and an eartip holds the hearing
aid in place comfortably and securely without the need for a customized ear mold or
an ear hook.
[0012] In accordance with one aspect of the present invention, a method of manufacturing
a hearing aid tube for a hearing aid comprises the steps of: positioning a preformed
wire within the tube, heating the tube or exposing the tube to UV light, whereby the
tube accomodates to the shape of the performed wire, cooling the tube and removing
the preformed wire from the tube, whereby the tube retains the shape of the preformed
wire; wherein the retained shape of the tube has a first bend for extending over the
top of the ear of a user and a second bend extending from the outside of the ear into
an ear canal of the user.
[0013] A hearing aid system making use of a hearing aid tube manufactured by a method according
to the invention includes a hearing aid case, said tube having a preformed shape connected
to the hearing aid case, and an eartip. The hearing aid case is configured to be worn
behind the ear of a user and contains a microphone, a processor unit, and a speaker
for delivering amplified sounds to an output connector of the case. The tube has a
first end for attaching to the output connector of the case and a second end for attaching
to an eartip. The preformed shape of the tube includes a first bend extending from
the case over the top of the ear of the user and a second bend extending from an outside
of the ear into an ear canal of the user. The eartip is configured to fit within the
ear canal while allowing sounds outside and within the ear to pass through the ear
canal around the eartip.
[0014] According to an additional aspect of the present invention, a hearing aid tube for
connecting a case of a behind the ear hearing aid to an eartip has an inner diameter
of about 0.9 mm or less and an outer diameter of about 1.6 mm or less. The tube is
preferably formed of a material with a durometer of 65 to 85 Shore D.
[0015] In accordance with an example, a hearing aid case includes a case body configured
to be worn behind the ear of a user, a battery compartment within the case, and a
tube attachment end for connecting the case body to a hearing aid tube for delivering
amplified sounds from the case body to an ear canal of the user. The case body contains
a microphone, a processor unit, and a speaker. The tube attachment end includes an
end surface for abutting an end of the hearing aid tube, a nipple extending from the
end surface and configured to be received in the end of the hearing aid tube, the
nipple having a longitudinal axis, a side surface for abutting a side surface of the
hearing aid tube, and a key extending along the side surface in a direction substantially
parallel to the longitudinal axis of the nipple. The key is arranged to maintain a
proper orientation between the case body and the hearing aid tube when the hearing
aid tube is connected to the case body.
[0016] According to an example, a kit of parts for assembling hearing aids includes a plurality
of tubes, a plurality of eartips for connection to the ear canal end of the tubes
and configured to fit within the ear canal while allowing sound to pass through the
ear canal around the eartip, and a plurality of behind the ear hearing aid cases including
different sound processing components for connection to the tubes. The plurality of
tubes each have a preformed shape including a hook for extending from the hearing
aid case over a top of an ear of a user, a run extending from the top of the ear to
the ear canal, and an ear canal end extending into the ear canal of the user. The
plurality of tubes differ in a length of the run or a length of the ear canal end.
[0017] According to an example, a kit of parts for a behind the ear hearing aid includes
a hearing aid housing containing amplification components, an eartip configured to
fit within an ear canal of a user while allowing sound to pass through the ear canal
around the eartip, a hearing aid tube having a first end configured to be connected
to the hearing aid housing and a second end configured to be inserted into the eartip,
and an inserting tool for inserting the second end of the hearing aid tube into the
ear canal eartip. The inserting tool includes an elongated holder with an elongated
recess configured to received a portion of the hearing aid tube adjacent to the second
end.
[0018] According to an example, a hearing aid device includes an eartip adapted to be inserted
into a human ear canal and to engage an anatomical structure of the canal, and a tube
having a first end adapted to be connected to a source of sound and a second end adapted
to be connected to the eartip. The tube is shaped to have a portion which engages
the ear and a portion which extends into the ear canal. The tube has sufficiently
rigidity to position and hold the eartip in the ear canal when the tube is engaged
with the ear.
BRIEF DESCRIPTION OF THE DRAWING FIGURES
[0019] The invention will be described in greater detail with reference to the preferred
embodiments illustrated in the accompanying drawings, in which like elements bear
like reference numerals, and wherein:
FIG. 1 is an exploded perspective view of a behind the ear hearing aid for the right
ear;
FIG. 2 is a rear perspective view of the hearing aid of FIG. 1;
FIG. 3 is a side view of the hearing aid tube manufactured by a method according to
the present invention, and an eartip;
FIG. 4 is a front view of the hearing aid tube and eartip;
FIG. 5 is a side view of the hearing aid of FIG. 1, positioned on a user's right ear;
FIG. 6 is a side view of the hearing aid case;
FIG. 7 is an end view of the hearing aid tube connection for connecting to the hearing
aid case;
FIG. 8 is a side view of the hearing aid tube end connectors;
FIG. 9 is a top view of the hearing aid tube end connectors;
FIG. 9A is a side cross sectional view of alternative hearing aid tube end connectors;
FIG. 10 is a side view of a bud-shaped eartip;
FIG. 11 is a cross sectional view of the ear canal looking from the front of the head
at the right ear with the bud-shaped eartip securing the end of the tube in place;
FIG. 12 is a perspective view of a flower-shaped eartip;
FIG. 13 is an end view of the flower-shaped eartip;
FIG. 14 is a side cross sectional view of the flower-shaped eartip and the end connector
of the tube;
FIG. 15 is a cross sectional view of the ear canal looking down from above at the
left ear with the flower-shaped eartip securing the end of the tube in place;
FIG. 16 is a perspective view of the flower-shaped eartip with webbing;
FIG. 17 is a side view of the guppie-shaped eartip;
FIG. 18 is a top view of the guppie-shaped eartip;
FIG. 19 is a cross sectional view of the ear canal looking down from above at the
left ear with the guppie-shaped eartip securing the end of the tube in place;
FIG. 20 is a side view of a barb-shaped eartip;
FIG. 21 is a top view of the barb-shaped eartip;
FIG. 22 is an exploded view of the insertion tool, the hearing aid tube, and the flower-shaped
eartip;
FIG. 23 is a side view of a dome-shaped eartip;
FIG. 24 is a front view of the dome-shaped eartip;
FIG. 25 is an alternate side view of the dome-shaped eartip;
FIG. 26 is a cross sectional view of the dome-shaped eartip taken along line A-A of
FIGS. 24 and 25;
FIG. 27 is a back view of the dome-shaped eartip;
FIG. 28 is a side view of an alternative bud-shaped tip with a wax guard;
FIG. 29 is a front view of the bud-shaped tip of FIG. 28;
FIG. 30 is a side view of the setup for a tube bending test; and
FIG. 31 is a graph of the results of a tube bending test comparing a tube manufactured
by a method according to the present invention to a standard hearing aid tube.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0020] A hearing aid includes a hearing aid case 10 which is designed to be positioned behind
the ear of a user, a tube 12 for conducting sound from the case to the ear canal of
the user, and an eartip 14 for anchoring the end of the tube within the ear canal
of the user. The tube 12 is formed in a preformed shape of a material with sufficient
rigidity to support the hearing aid in a proper position on the user's ear. The eartip
14 may be one of several different designs shown in FIGS. 10-21 and 23 - 29 which
secures an end of the tube 12 in place in the ear canal in a comfortable manner without
the need for an expensive custom made ear mold.
[0021] The system is designed to be particularly useful for those users experiencing mild
to moderate hearing loss as an alternative to the known devices which may be uncomfortable,
very visible, and expensive. A combination of the light weight and small size of the
case 10, the rigidity and shape of the preformed tube 12, and the features of the
eartips 14 for anchoring the tube in the ear canal allow the system to be held in
place securely without the need for either an aesthetically unpleasing ear hook or
an expensive and large custom made ear mold.
[0022] The tube 12 has a first end 16 which is configured to be attached to the hearing
aid case 10 and a second end 18 which is configured to be inserted into the eartip
14. The tube 12 has a preformed shape which is shown in the views of FIGS. 1-5. The
tube 12 includes a hook portion 20 near the first end 16 which is designed to extend
from the case 10, located behind the ear, over the connecting point of the ear to
the head. The hook portion 20 of the tube is curved substantially in a plane as seen
in FIG. 4. From the hook portion 20, the tube continues to curve to a location where
the tube bends to enter the ear canal. Just before the tube bends to enter the ear
canal, a reverse bend 22 is provided which allows the tube to curve through the crus
of the helix and behind the tragus. A lower bend 24 of the tube 12 extends from the
outside of the ear into the ear canal. The lower bend 24 is located substantially
in a plane which is approximately perpendicular to the plane in which the ear hook
portion 20 lies.
[0023] A distance between a top of the hook portion 20 and a lowest part of the tube 12
where the tube bends to enter the ear canal is called the run and has a run length
L
R. A distance between the point where the tube bends to enter the ear canal and the
second end 18 of the tube is called a duck in length L
D. The appropriate run length L
R and duck in length L
D will vary somewhat between users. Accordingly, a tube 12 having the same general
curvature is preferably provided in different sizes by providing two or more different
run lengths L
R and two or more duck in lengths L
D to accommodate different users. In accordance with a preferred embodiment of the
invention, the run length L
R can be varied between about 3.0 and 3.45 cm and the duck in length L
D can be varied between about 1.4 and 1.7 cm.
[0024] The tube 12 is formed in the shape described above by any known preforming process,
such as, heat forming or UV light forming. The tube is preferably formed by fixing
a connector member 28 at the first end 16 of the tube and fixing a honey dipper member
30 at the second end 18 of the tube. The connector member 28 and the honey dipper
member 30 shown in FIGS. 7 - 9 are preferably overmolded onto the tube 12 by placing
the tube into a mold which forms these end connector members. Alternatively, the connector
member 28 and honey dipper member 30 may be molded first and then bonded to the tube
12. After the tube 12 is formed with the end members, a formed wire is positioned
within the tube, thus bending the tube to the desired shape. The tube 12 is heated
to shaped it in the preformed shape which is then retained by the tube upon cooling
and removal of the wire. As one example, PeBax tubing is formed at about 120°C.
[0025] One method of improving the memory characteristics of the hearing aid tube 12 manufactured
by a method according to the present invention is by electron beam radiation of the
tube after the tube has been formed in the desired shape and heated to retain the
shape. The cross linking established by the electron beam gives the tube a permanent
memory of the desired shape that is maintained even in the presence of heat or long
periods of deformation.
[0026] The tube 12 is formed with an outer diameter of about 1.0 to 1.6 mm, preferably about
1.2 mm and an inner diameter of about 0.5 to 0.9 mm, preferably about 0.7 mm. This
is substantially smaller than the flexible tubing used in known hearing aids which
has outer diameters of about 3.0 mm. The known tubing at about twice the size of the
tubing of the present invention is very visible. Although there is a trade-off between
inner tube diameter and sound level output of the tube, tubes having an inner diameter
of as small as about 0.5 mm have been found to provide sufficient sound level output
for hearing aids designed for mild and moderate hearing loss users.
[0027] The material of the tube 12 may be any material which can be formed in a preformed
shape and exhibits sufficient rigidity to hold the eartip 14 within the ear canal
and retains it's shape when positioned on the ear. Examples of tube materials include
FEP Teflon, Nylon, PEBAX, silicone, polyurethane, PTFE (polytetrafluoroethylene),
EVA (ethylvinylacetate), and the like. The material of the tube 12 has a shore hardness
of about 65 to 85 Shore D, preferably about 72 Shore D. The relative rigidity of the
tube 12 allows the tube to apply a torque to the eartip 14 to maintain the eartip
in a position in which the eartip is pressed against an anatomical feature within
the ear canal. This ability to apply a torque to the eartip 14 with the tube 12 provides
a substantial improvement over flexible tubing used in known BTE hearing aids in which
the ear mold must fix the end of the tube in the ear and the tube provides no retention
or support of the hearing aid device.
[0028] FIG. 30 is a schematic view of a test used to compare the flexibility of a tube manufactured
according to the present invention to a prior art tube. The tubing manufactured according
to the invention which was tested was a PEBAX tube having an inner diameter of 0.7
mm, an outer diameter of 1.2 mm, and a durometer of 72 Shore D. The prior art tubing
tested had an inner diameter of 1.9 mm, an outer diameter of 3.0 mm, and was formed
of PVC. A one inch (2.54 cm) piece of tube was tested for both the prior art and the
invention.
[0029] As shown in FIG. 31, the force required to bend a one inch (2.54 cm) piece of the
standard PVC flexible tubing 0.1 inch (2.54 mm) is lower than the force required to
bend the more rigid tubing of the present invention. Even though the improved tubing
is much thinner and hence, substantially more cosmetically attractive, it is also
substantially stiffer. As shown in FIG. 31, the force required to deflect the improved
tube is about 1.4 to 2.1 g which is two or three times higher than the force required
to deflect the standard hearing aid tubing.
[0030] The hearing aid case 10 as shown in FIGS. 5 and 6 is sized to fit behind the user's
ear. The case 10 has a curved lower end 34 and an attachment end 32 for connection
to the connector member 28 of the tube. The case has an overall length which is less
than about 2.5 cm, compared to standard BTE devices with overall lengths of about
3.05 to 4.3 cm. One example of a hearing aid case 10 has dimensions of approximately
2.16 cm x 0.81 cm x 0.61 cm. Typically, the hearing aid case 10 including electronics
and a battery has a weight of about 1.25 g compared to known BTE devices having weights
of about 2.7 to 4.4 g. The small size and light weight of the case 10 allows the case
to be held behind the ear by the small preformed tube 12 without the need for an inflexible
and aesthetically unattractive ear hook and the large custom eartips used in known
BTE systems. The case 10 includes a microphone 42 at the attachment end 32 and a battery
compartment door 52 at the lower end 34.
[0031] The attachment end 32 of the case 10 includes a nipple 36 through which sound is
conducted from a speaker inside the case into the tube 12. The nipple 36 includes
an annular retention ring 38 which allows the connector member 28 of the tube to snap
onto the nipple. The attachment end also includes a rectangular key member 40 which
corresponds with a keyway 46 in the connector member 28 to insure that a proper orientation
between the case 10 and the tube 12 is achieved when the tube is snapped onto the
case.
[0032] The case 10 encloses the electronic components including a microphone, a processor
unit, and a speaker for delivering amplified sounds to the tube 12. One example of
a system for amplification of sounds includes a compressor which adjusts the gain
as a function of an amplitude level detected, and is described in
U.S. Patent Application Serial No. 08/781,714 which was filed January 10, 1997. Multiple hearing aid cases may be provided with processors having different frequency
responses for use by users having different hearing losses. Further, the cases may
be provided in a plurality of colors for aesthetic or color coding purposes.
[0033] The connector member 28 and the honey dipper member 30 are illustrated in further
detail in FIGS. 7-9. The connector member 28 includes a bore 44 which is received
on the nipple 36 of the case 10. The bore 44 includes an internal recess which corresponds
to the retention ring 38 on the nipple providing the snap fit. The connector member
28 also includes a keyway 46 which is shaped to be received on the key 40 of the case
as the tube 10 is attached to the case to achieve a proper orientation of the tube.
[0034] The honey dipper member 30 is a cylindrical member having three annular ribs 48.
The ribs 48 each have an angled or tapered forward surface 50 which assists in inserting
the honey dipper member 30 into one of the eartips 14. The connector member 28 and
the honey dipper member 30 are preferably formed of a material which is flexible enough
to slide over the retention ring 38 but rigid enough to hold the tube securely once
in place. Materials having durometers of about 25 to 60 Shore D, preferably about
40 Shore D provide the desired flexibility.
[0035] FIG. 9A is a side cross sectional view of an alternative tube with a honey dipper
member 30a. The honey dipper member 30a includes an elongated sleeve 90 extending
over the second end 18 of the tube 12. The sleeve 90 has an enlarged cylindrical shoulder
92 spaced from the ribs 48 of the honey dipper member 30a. The sleeve 90 provides
the multiple functions of (1) stiffening the tube 12 to make installing the eartip
14 and inserting the tube into the ear canal easier; (2) providing a visual indication
of correct placement of the eartip 14 on the tube 12; (3) providing a surface to grasp
when installing the eartip; and (4) providing a surface to engage with the finger
to push the eartip into the ear canal.
[0036] The shoulder 92 has a first surface 94 which abuts the eartip 14 when the eartip
is fully installed on the tube 12. This visual and tactile indication of proper positioning
of the eartip 14 on the tube 12 guides the user in proper installation. Improper installation
of the eartip 14 may result in the eartip becoming separated from the tube 12 in the
ear canal.
[0037] The shoulder 92 also has a second surface 96, opposite the first surface 94, which
gives the user something to grasp when installing the eartip 14 and allows the user
to push the eartip and tube into the ear by engaging the second surface with the finger
tip or fingernail.
[0038] The sleeve 90 extends a distance of about 1.2 to 1.5 cm, preferably about 1.27 cm
along the tube 12. This distance is generally less than or equal to the duck in length
L
D of the tube. The sleeve 90 is preferably formed of the same or a similar material
and color as the tube 12 to maintain cosmetics. However, during use, the sleeve 90
will generally be hidden within the ear and the ear canal.
[0039] The eartips 14 for connection to the honey dipper member 30, 30a or the tube 12 are
described below with respect to FIGS. 10 - 21 and 23 - 29.
[0040] A bud-shaped hearing aid eartip 14a is illustrated in FIGS. 10 and 11. The bud-shaped
eartip 14a is a conically shaped member having a through bore for sound transmission
and an interior socket configured to allow the bud-shaped eartip to be received on
the honey dipper end 30 of the tube 12. As shown in FIG. 11, the bud-shaped eartip
14a functions by "hooking" up under the roof or superior surface of the ear canal.
The stiffness of the tube 12 holds the bud-shaped eartip 14a in this position. The
bud-shaped eartip 14a is particularly suited for users having an upward slanting ear
canal or a narrow section of the ear canal roof in which the bud-shaped eartip grabs
well. The bud-shaped eartip according to one possible implementation has an overall
length of about 6.3 mm and a diameter at a widest part of about 5.6 mm.
[0041] FIGS. 12-15 illustrate a flower-shaped eartip 14b including a central core 56 and
three flower petals 58 extending from the central core. Each of the petals 58 has
a substantially ellipsoidal shaped end 60. Most people have a first bend B in the
ear canal that allows one or more of the petals 58 to extend behind the bend and grab
the ear canal behind the bend to retain the flower-shaped eartip 14b in the ear canal.
As shown in FIG. 15, an anterior petal 58a applies a gentle force which keeps the
posterior blades 58b behind the first bend B. The flower-shaped eartip 14b may include
a plurality of grooves 54 extending radially outward from a through bore 62 at the
posterior end of the eartip. These grooves 54 provide more area for the sound to exit
the eartip but due to their narrow dimension prevent wax entrance. The grooves 54
also make it easier for wax to be removed from the through bore 62 if it does enter.
[0042] FIG. 14 is a cross sectional view of the flower-shaped eartip 14b illustrating the
through bore 62 and interior socket 64 for receiving the honey dipper member 30 of
the tube 12. The interior socket 64 is configured with internal circular grooves 66
to accommodate the ribs 48 of the honey dipper member 30.
[0043] Another variation of the flower eartip is the webbed flower eartip 14c of FIG. 16
in which the flower petals 58 are connected by a thin web 68 of eartip material. The
webbed flower eartip 14c will reduce the ambient sound passage through the ear canal
increasing occlusion. The increased occlusion provided by the webbed flower eartip
14c may be desirable for some users in order to increase the gain in the 1 to 2 kHz
frequency range or to reduce the occurrence of feedback oscillation. The webbed flower
eartip 14c will also provide added retention by the contact between the web 68 and
the ear canal surfaces. The webbed flower eartip 14c and flower-shaped eartip 14b
may have an overall length of about 6.8 mm and a length from a center of the core
to an end of a petal of about 5.4 mm.
[0044] A fourth eartip design is the guppie-shaped eartip 14d of FIGS. 17-19 which includes
a central body portion 72 and a tail 74. As seen in the top view of FIG. 18 the tail
74 is a rounded petal shaped member. The tail 74 hooks behind the tragus T of the
ear canal as shown in FIG. 19 to provide retention in the ear canal of a user. The
tail 74 has a soft spoon shaped surface which is pressed gently against the surface
under the tragus T. Again, the stiffness of the tube 12 keeps the guppie-shaped eartip
14d properly oriented and positioned within the ear canal.
[0045] A fifth eartip design shown in FIGS. 20 and 21 is the barb-shaped eartip 14e including
a central body portion 78 and a barb 80 extending from the central body portion. The
barb-shaped eartip 14e is somewhat less occluding than the guppie-shaped eartip 14d
and operates in substantially the same manner as the guppie-shaped eartip. The guppie
or barb-shaped eartips according to one possible implementation may have an overall
length of about 14.0 mm and a diameter at a widest part of about 5.6 mm. However,
the dimensions which have been described are merely examples of the eartip dimensions
which may be used.
[0046] A further eartip design shown in FIGS. 23 - 27 is a dome-shaped eartip 14f having
a bud-shaped core 100 and a skirt 102 starting about half way down the bud-shape and
extending from the core. The dome-shaped eartip 14f has an interior socket 104 for
receiving the honey dipper member 30, 30a and a through bore 106 for sound delivery.
A U-shaped groove 108a extends across the core 100 and intersects the through bore
106. The U-shaped groove 108a and a second groove 108b increase the cross sectional
area through which sound exits the eartip 14f and provide four vent holes 109 through
the eartip beneath the skirt 102. The vent holes 109 allow sound to pass through the
eartip. These vent holes may be omitted in an occluding version of the eartip.
[0047] The dome-shaped eartip 14f also includes a wax guard 110 in the form of an integral
bridge member which extends substantially perpendicular to the U-shaped groove 108a.
The wax guard 110 is an arch shaped member which serves as a barrier for direct entry
of wax into the through bore 106. Although the preferred design of the dome-shaped
eartip 14f includes the wax guard 110, the eartip may also be formed without a wax
guard, with a wax flap as shown in FIGS. 28 and 29, or with any of the wax guards
which are known in the art.
[0048] The dome-shaped eartip 14f may be provided in different sizes with varying size skirts
102. The eartip 14f functions similar to the guppie-shaped eartip 14d or flower-shaped
eartip 14b with the skirt 102 grabbing under the tragus or around the first bend in
the ear canal.
[0049] A final eartip design shown in FIGS. 28 and 29 is a bud-shaped eartip 14g having
a wax flap 112. The eartip 14g includes three grooves 114 forming a T-shape which
is centered on the sound delivery bore of the eartip. The wax flap 112 extends over
the sound delivery bore and prevents direct entry of wax into the bore which may cause
occlusion of the eartip. The flap 112 is flexible enough to be pushed down when inserting
the eartip 14g but will spring back up. Sound can exit around the flap 112 through
the grooves 114 of the eartip even when the flap is pushed down. The wax flap 112
or the wax guard 110 can be incorporated in any of the eartips 14 which have been
described above to improve operation of the hearing aid system by preventing wax blockage.
[0050] The plurality of different eartip shapes are provided because the shape of the ear
canal and sensitivity differs from one user to another. For example, some users seem
to be more sensitive to pressure in an area behind the first bend in the ear canal.
For these users the guppie-shaped eartip 14d may be most comfortable because it does
not contact this area. In addition, eartips may be provided in different sizes to
accommodate differences in the anatomy of users.
[0051] The eartips 14 are formed of a resilient material which is clear or darkly colored
to be less visible. The eartip material may be a soft elastomer, such as silicone
rubber or other soft plastic. The eartip material preferably has a durometer of about
30 Shore A. Alternatively, the eartips 14 may be formed of a foam material. In particular,
foam eartips may be used to provide a significant blockage of the ear canal for users
needing high gains where other eartips do not provide enough occlusion of the canal.
[0052] FIG. 22 illustrates the insertion of the honey dipper member 30 of the tube 12 into
the flower-shaped eartip 14b with the assistance of an insertion tool 84. Due to the
small size of both the tube 12 and the eartips 14, and the resilience of the eartips
it may be difficult for some people to manually insert the tube into the eartip when
assembling the hearing aid. The insertion tool 84 is an elongated rod having a longitudinal
slit 86 extending in a longitudinal direction along the rod from an end surface 88.
The slit 86 has a rounded bottom surface and is sized to accommodate a portion of
the tube 12 adjacent the honey dipper member 30. The insertion tool 84 assists in
inserting the tube 12 into the eartip 14 by placing a portion of the tube into the
longitudinal slit 86 of the rod until the end surface 88 of the tool abuts the honey
dipper portion 30. The tube 12 is stabilized by the insertion tool 84 by grasping
the tool and tube together during installation of the eartip 14.
[0053] The hearing aid system which has been described above provides significant advantages
in user comfort and aesthetics over known systems. A combination of the light weight
case 10, the relatively rigid and smaller shaped tube 12 and the comfortable eartip
14 provide a secure and comfortable fit. The small transparent preformed tube 12 is
substantially more discrete than the ear hook and tube combination used in the known
system.
[0054] While the invention has been described in detail with reference to the preferred
embodiments thereof, it will be apparent to one skilled in the art that various changes
and modifications can be made and equivalents employed, without departing from the
present invention.