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Using Your Gear To Hear

Tina Childress, MA, CCC-A

Hearing aids

www.activears.com/images/productTypes3.jpg

= microphone location

Cochlear implants

Ear level processors

Body worn processors

= microphone location

Making it easy for parents and school staff � LED indicators � Other accessories

System Sensor

Listening Check

Dial cover Microphone test earphones

Harmony

Auria FireFly

PSP

Making it easy for parents and school staff

� Monitoring options �  Listening accessories

Freedom LCD

Signal check wand MicroLink Freedom

adapter

Remote Assistant

Making it easy for parents and school staff

Tempo+ LED Signal check

Telemic



T-coil or Telecoil

� Can be a specific setting or program � Picks up a specific signal from: ◦  phone ◦  neckloop ◦  Large area induction loop

� Discuss mixing with your audiologist

ALERT SIGNALING DEVICES

Alert Signaling Devices

� Devices that tell you there’s a loud sound nearby

◦ Vibration

◦  Light (lamp or strobe light)

◦  LOUD audible alarm

Alarm clocks

�  Stationary

� Portable

Visual alerting systems �  Fire/smoke

� Carbon monoxide

� Weather radio

�  Baby monitor

� Doorbell

Being alert at home



Being alert on the road

� ADA Hotel Kit - Use it or lose it!

ASSISTIVE LISTENING DEVICES

FM system �  Signal is transmitted via FM (radio signal) waves to a

receiver used by the listener �  Where are they used? ◦  Theaters ◦  Classrooms

◦  Meeting spaces ◦  Places of worship

FM system

Advantages Disadvantages ◦  Pretty consistent signal

throughout area with less chance of “dead spots” ◦  Receivers are small or can

be worn under clothes ◦  Portable

◦  Possibility for channel interaction since signals can travel through walls ◦  Can sometimes be affected

by other types of electrical interference �  e.g., fluorescent lights,

computer monitors

Sound simulations (Linda Thibodeau – UT Dallas)

� http://www.utdallas.edu/~thib/EARRINGFINAL/EARRINGWEB_files/frame.htm

� HA only, HA+FM (lapel, boom, omni, directional), FM only

� CLASSROOM NOISE ◦ Download to your phone!

Transmitters Microphone styles



Receiver Styles

� Personal FM ◦ Direct audio input ◦ Neckloop receiver

�  Soundfield FM ◦ Toteable speaker ◦ Classroom speaker

� These styles are compatible with hearing aids and/or cochlear implants

Receivers Hearing Aid Cochlear Implant

Soundfield Toteable Classroom

Infrared Devices �  Signal is transmitted via infrared (light) waves to a receiver

used by the listener, relies on line of sight to get the signal �  Where are they used? ◦  Theaters ◦  Classrooms ◦  Meeting spaces

Infrared Devices

Advantages Disadvantages ◦  Signal can’t travel through

walls (e.g., theater or classroom) ◦  Less chance for

interference from another signal ◦  Portable

◦  Must be located within the “beam of light” to receive the signal and receiver must be pointed at LED transmitter ◦  Does not work well

outdoors

Infrared Devices

Receivers

Light Transmitter IR system



Induction Loop Systems �  Physical wire is laid down around the area to be amplified

�  Signal is transmitted via the electromagnetic field and received via the T-coil in your HA or CI

�  Where are they used? ◦  Large areas (e.g., churches, meeting rooms, airports) ◦  Transient areas (e.g., drive thrus, ticket windows) ◦  Individual areas (e.g., home, office, car) ◦  Classroom (not as common now)

Induction Loop Systems

Advantages Disadvantages �  No need for a “receiver” –

just switch to T-coil �  Inexpensive way to provide

group amplification �  Can loop large as well as

small areas �  Little chance of

interference from another transmitter

�  Prone to interference �  Individual can only access

the signal through the T-coil �  Must sit within loop, there

are “sweet spots” �  Large area systems not

very portable

Induction Loop Systems

Set up for room loop

Chair loop

Personal loop

Taxi

Ways to connect with accessories �  Acoustically ◦  Use the environmental microphone on

hearing aid or cochlear implant processor

�  T-coil ◦  Wired neckloop or induction earhooks ◦  Wireless (Bluetooth) neckloop or

induction earhooks

◦  Infrared receiver

�  Patch cable ◦  Plug directly into your cochlear implant

processor

�  Through FM system ◦  Transmitter is connected to the device and

then sent via FM signal to your hearing aid or cochlear implant

Hands-free access to phone or media player

Wired neckloop Wired induction earhook(s)

Bluetooth neckloop Bluetooth induction earhook(s)

TELECOMMUNICATIONS DEVICES



Telecommunication systems that are accessible to D/HH � E-mail � Texting � Visual voice-mail �  Instant Messaging

Cell phones �  The FCC require all cell phone makers and service

providers to make phones hearing aid compatible (HAC) for people using hearing aids and cochlear implants.

�  Devices that are HAC compliant have: ◦  Less static ◦  Less interference ◦  Better telecoil connections

�  HAC compliant device packages are marked with “M” or “T” ratings.

What are “M” and “T” ratings?

“M” rating “T” rating �  “M” rating refers to the

microphone mode.

�  Wireless devices rated M3 or M4 are likely to generate less interference.

�  M4 is the better/higher of the two ratings.

�  “T” rating refers to the telecoil mode.

�  Wireless devices rated T3 or T4 are likely to be more usable with a hearing device's telecoil ("T Switch" or "Telephone Switch")

�  T4 is the better/higher of the two ratings.

Look for M4/T4 to have the best chance of being interference free whether used with your hearing aids

or cochlear implants in microphone or t-coil mode.

Desired Cell Phone Features for individuals who are D/HH

�  Hearing Aid Compatible

�  Audio Jack for headsets/neckloops

�  Volume control �  Display and keypad

lighting control �  Vibrating alerts or

vibrating accessory

�  Adjustable fonts

•  Flashing screen •  Different ringer volume

and tones •  Bluetooth •  Text messaging •  Speaker phone •  Teletypewriter (TTY) •  Speech-to-text •  Video streaming

www.phonescoop.com/phones/finder.php

�  Used in place of standard phones �  Models have a variety of features including tone

adjustment, volume boost, loud ringer, visual signalers, memory buttons, capacity for multiple lines, and power adapters.

Amplified telephones



Transcribed voicemail �  Several services out there that will: ◦  Listen to your voicemail using voice-recognition software or live

captioners ◦  Transcribe your voicemail ◦  E-mail it to your computer or PDA

�  Check with your carrier to see which services are available

�  Prices range from around $0.35/message to unlimited messages for $40/month

�  www.google.com/googlevoice (FREE!) ◦  Request an invitation

Using a telephone with captioning

�  Speaker’s message is displayed ◦  On a special telephone with

captioning display

◦  On a computer screen if web-based

◦  On mobile telephone if using mobile app

Video Relay Service (VRS) �  A relay service that uses the Internet and video

equipment to allow deaf persons to make phone calls using American Sign Language (ASL) or English-based sign (with or without speechreading cues)

Ways to access VRS 1.  Desktop

2.  Portable

3.  Download program to personal computer

4.  Mobile

Voice Carry Over �  VCO is a feature from the relay service that allows a

person with hearing loss to use their own voice on the telephone, while receiving the other party’s communication

�  Works with text relay as well as video relay VISUAL SYSTEMS



Communication Access Realtime Translation (CART) �  Instant translation of the spoken word into English text using a

stenotype machine, notebook computer and realtime software

�  Text appears on a computer monitor or other display

�  Primarily used by people who are late-deafened, oral deaf, hard of hearing or have cochlear implants

�  Culturally deaf individuals may use in certain situations

�  Sometimes referred to as “realtime captioning”

�  Can be done live or via remote location

CART

C-Print and Typewell �  C-Print and similar speech-to-text accommodations

seek to provide a meaning-for-meaning transcript of spoken communication – it does not attempt to provide a verbatim transcription

�  Systems were designed to meet the needs of deaf and hard of hearing students in educational settings

�  Advantage: ◦  the text produced is more accessible for those with less

developed reading skills, and the transcript is not as cumbersome when used for study purposes

�  Disadvantage: ◦  if used to augment hearing, the difference in exact words

used may be confusing

C-Print

TypeWell Text Relay Service �  A service that enables people who use a TTY,

Internet connected computer, or text messaging to communicate with any conventional telephone through a relay operator.



Video Remote Interpreting (VRI) �  Uses video–conferencing equipment to provide sign language

interpreting services

�  Both the deaf and hearing person are in the same room

�  The interpreter is at a call center in another city

�  Especially useful for rural areas where there may be a lack of qualified interpreters

Described and Captioned Media Program �  Free-loan described and captioned educational

media is available to students who are deaf, blind, hard of hearing, visually impaired, or deaf-blind

�  Clearinghouse of information related to education, accessibility, deafness, blindness, and other related topics

�  www.dcmp.org

CAPTIONED MOVIES

Sony Glasses

CaptiView �  Need to get special device at the ticket counter �  Words are displayed on a personal LED display

Open Captioning �  Words are on the screen for everyone to see �  Includes dialogue as well as environmental sounds �  Often has limited showing times and limited selection �  Preferred by most deaf/hard of hearing people



Rear window captioning �  Need to get special device at the ticket counter �  More selection of movie times and shows �  Difficult to adjust

www.captionfish.com

�  Search engine for finding captioned movies in your area

� Clickable links to theater information, movie description and CAPTIONED movie trailers

�  Join email list or follow on social media sites for updates

Sample Captionfish screen

RESOURCES

ISD CI Support Page http://www.morgan.k12.il.us/isd/outreach_services_CISupport.html http://tinachildress.wordpress.com



The App List (http://bit.ly/x08uqQ)

•  Accessibility •  Advocacy •  Audiology •  Hearing Test •  Listening Therapy •  Personal Amplifier •  Sign Language •  Sound Level Meter •  Speech •  Telecommunication •  Resources (e.g., favorite

developers, blogs and websites)

www.delicious.com/hlpuears �  Scores of links related to hearing loss �  Searchable via tags – “AssistiveTechnology” for websites

and video tutorials

Tina Childress Illinois School for the Deaf

Sheri Cook Gallaudet University Regional Center - Midwest

Cheri Sinnott Illinois Service Resource Center

Assistive Technology Project

http://www.jalc.edu/gurc/assistive_technology_project/

Download - Using Your Gear To Hear - Ungerboeck Your Gear To Hear Tina Childress, MA, ... using mobile app ... Primarily used by people who are late-deafened,

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