Smartphones And The Next Generation Of Hearing Aids

August 18, 2026 by Tom Nardi 29 Comments

If you don’t actually need one, you’d be forgiven for thinking a hearing aid just makes everything louder for the wearer. Especially since there are plenty of shady products out there which will do exactly that for just four easy payments of $29.99. But the reality is considerably more complex, as a proper hearing aid needs to be capable of selectively enhancing certain frequencies while squashing down others.

The technical challenges involved in pulling that off in a device small enough to fit inside the human ear and run off of a tiny battery are considerable — and while there’s undoubtedly been some degree of artificial price inflation going on over the years, there’s a reason proper hearing aids have been so much more expensive than their “As Seen on TV” counterparts. These same challenges are also why DIY and open source hardware hearing aids have struggled to gain much traction.

But over the last few years the situation has changed. In 2022 the United States Food and Drug Administration (FDA) established the framework by which hearing aids could be sold over the counter (OTC). Although they’re generally less capable than their prescription counterparts and not suitable for individuals with profound hearing loss, the wide commercial availability of OTC hearing aids has kicked off a competition between manufacturers to deliver more affordable devices.

That competition entered a new phase earlier this month when the FDA granted approval for Samsung’s Galaxy Earbuds to fall under the same category. This follows a similar decision made about Apple’s AirPods back in 2024. The two biggest players in the smartphone market being able to offer their earbuds as OTC hearing aids represents a unique value proposition. Not only are they priced for mass market consumption, but many individuals who would be interested in purchasing an OTC hearing aid will already own them and need only to enable the feature with a software update.

Given how different the situation is today than even just five years ago it’s worth asking just what qualifies as a over-the-counter hearing aid, and how the shifting definition of these devices can inform the community’s efforts to develop open hardware solutions.

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Tech In Plain Sight: Hearing Aids

March 26, 2025 by Al Williams 39 Comments

You might think you don’t need a hearing aid, and you might be right. But in general, hearing loss eventually comes to all of us. In fact, you progressively lose hearing every year, which is why kids can have high-pitched ringtones their parents can’t hear.

You’d think hearing aids would be pretty simple, right? After all, we know how to pick up sounds, amplify them, and play them back. But there’s a lot more to it. Hearing aids need to be small, comfortable, have great battery life, and cram a microphone and speaker into a small area. That also can lead to problems with feedback, which can be very uncomfortable for the user. In addition, they need to handle very soft and loud sounds and accommodate devices like telephones.

Although early hearing aids just made sound louder and, possibly, blocked unwanted sound, modern devices will try to increase volume only in certain bands where the user has hearing loss. They may also employ sophisticated methods to block or reduce noise. Continue reading “Tech In Plain Sight: Hearing Aids” →

Bypassing Airpods Hearing Aid Georestriction With A Faraday Cage

November 15, 2024 by Maya Posch 55 Comments

When Apple recently announced the hearing aid feature on their new AirPods Pro 2, it got the attention of quite a few people. Among these were [Rithwik Jayasimha] and friends, with [Rithwik] getting a pair together with his dad for use by his hard-of-hearing grandmother. That’s when he found out that this feature is effectively limited to the US and a small number of other countries due them being ‘regulated health features’, per Apple. With India not being on the approved countries list and with no interest in official approval legalities, [Rithwik] set to work to devise a way to bypass this restriction.

As noted in the blog post, the primary reason for using AirPods here instead of official hearing aids is due to the cost of the latter, which makes them a steal for anyone who is dealing with mild to moderate hearing loss. Following the official Hearing Aid feature setup instructions requires that your location is detected as being in an approved country. If it is, the Health App (on iOS 18.1) will popup a ‘Get Started’ screen. The challenge was thus to make the iOS device believe that it was actually in the FDA-blessed US and not India.

Merely spoofing the location and locale didn’t work, so the next step was to put the iOS device into a Faraday cage along with an ESP32 that broadcast California-based WiFi SSIDs. Once the thus treated iPad rebooted into the US, it could be used to enable the hearing aid feature. Next [Rithwik] and friends created a more streamlined setup and procedure to make it possible for others to replicate this feat.

As also noted in the blog post, the Hearing Aid feature is essentially a specially tuned Transparency mode preset, which is why using AirPods for this feature has been a thing for a while, but with this preset it’s much better tuned for cases of hearing loss.

Apple May Break Into The Hearing Aid Industry

September 17, 2024 by Jenny List 33 Comments

When the entry of a tech giant such as Apple into a market represents its liberation from exploitation, that market must be really broken, yet the reported FDA approval of the hearing aid feature in the latest AirPod earbuds seems to represent just that. The digital hearing aid business is notorious for its sharp sales practices and eye-watering prices, so for all Apple’s own notoriety the news might actually represent a leap forward for consumers in that sector. We have to ask though, if Apple of all people are now the Good Guys, where has the world of electronics gone so badly wrong?

Your grandparents decades ago would have had a simple analogue hearing aid if they had one, usually a small transistor circuit and perhaps with some kind of analogue filtering. Digital aids with DSP algorithms to pick out speech arrived some time in the 1990s, and from there evolved a market in which their high prices increasingly didn’t match the cost of the technology or software involved. At least in the UK, they were sold aggressively to older people as less cumbersome or better than the National Health Service aids, and if you had an older person in the family it was routine to see pages and pages of targeted junk mail offering dubious financial schemes to pay for them.

The question then, given that a modern hearing aid has a relatively cheap microcontroller and DSP at its heart, why has the open source community not risen to the challenge? The answer is that they have, though the Tympan seems an over-expensive trinket for what it is and the LoCHAid and Open Speech Platform seem to have sunk without trace. Can we do better?

Header: Gregory Varnum, CC BY-SA 4.0 .

Open Source Ear Monitoring Platform Listens To Your Ears

October 17, 2023 by Richard Baguley 17 Comments

All sorts of exciting things happen in your ears, and now there is a good open source way to monitor them. Open Earable is a new project from a group of researchers and companies that monitors and records what is going on in your ear.

The project is designed as an easy-to-build, cheap way for audiologists and others to capture data about what is happening inside and around the ear. It’s a clip-on device that looks like a small hearing aid but has a six-degree Inertial Measurement Unit (IMU) and several other sensors to measure things around your ear and inside the ear canal. A pressure and temperature sensor measures the air pressure and temperature just inside the ear canal, and a small speaker can squirt sound right in there.

A button on the outside allows the user to control the device, and it can play back or record sound to the internal SD card memory. These are all controlled by an Arduino that includes Bluetooth Low Energy. The existing design only allows you to play a stored WAV file, not streaming audio. That’s a solvable problem, though, so it could also be turned into a set of hacker headphones.

Joking aside, this looks like an exciting research project and a useful tool for researchers. The GitHub repository for version 1.3 of the project lays it all out, including a full BoM and code, and the STL files for the case and PCB designs are in the Resources section of the site.

[Updated 18/10/2023 to correct IMU to Measurement, not Management. Intertial management needs a different set of devices]

It Costs WHAT?! A Sounding Into Hearing Aids

February 1, 2021 by Bob Baddeley 153 Comments

We are accustomed to medical devices being expensive, but sometimes the costs seem to far exceed reasonable expectations. At its most simplistic, a hearing aid should just be a battery, microphone, amplifier, and speaker, all wrapped in an enclosure, right? These kinds of parts can be had for a few dimes, so why do modern hearing aids cost thousands of dollars, and why can’t they seem to go down in price?

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Hearing Aid Reads Your Mind

March 13, 2020 by Al Williams 16 Comments

If you’ve ever seen an experienced radio operator pull a signal out of the noise, or talked to someone in a crowded noisy restaurant, you know the human brain is excellent at focusing on a particular sound. This is sometimes called the cocktail party effect and if you wear a hearing aid, this doesn’t work as well because the device amplifies everything the same. A German company, Fraunhofer, aims to change that. They’ve demonstrated a hearing aid that uses EEG sensors to determine what you are trying to hear. Then it uses that information to configure beamforming microphone arrays to focus in on the sound you want to hear.

In addition to electronically focusing sound, the device stimulates your brain using transcranial electrostimulation. A low-level electrical signal tied to the audio input directly stimulates the auditory cortex of your brain and reportedly improves intelligibility.

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