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    Bluetooth Wireless TechnologyBluetooth Wireless Technology

    for Communication Accessfor Communication Access

    Ingrid McBride,Ingrid McBride,Au.DAu.D., CCC-A., CCC-A

    Clinical Associate ProfessorClinical Associate ProfessorArizona State UniversityArizona State University

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    THE GOAL: COMMUNICATIONTHE GOAL: COMMUNICATION

    ACCESSIBILITYACCESSIBILITY Even with the arsenal of HA/CIEven with the arsenal of HA/CI

    technology available today, many peopletechnology available today, many people

    need alternative technologies toneed alternative technologies tosupplement the hearing aid or CIsupplement the hearing aid or CI

    Consider problems of noise &Consider problems of noise &

    reverberationreverberation Consider distance from sound sourceConsider distance from sound source

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    Assistive Listening DevicesAssistive Listening Devices

    Goal:Goal:

    Improve SNR picking up the signalImprove SNR picking up the signal

    directly from or close to the sound sourcedirectly from or close to the sound source

    Increases the loudness of specific sounds onlyIncreases the loudness of specific sounds only

    Minimizes background noiseMinimizes background noise

    Eliminates distance between the speaker and theEliminates distance between the speaker and thelistenerlistener

    Eliminates reverberation (echo)Eliminates reverberation (echo)

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    TYPE OFTYPE OFALDsALDs

    Principle ofPrinciple ofremote microphone placementremote microph

    one placement

    oror direct connectiondirect connectionto the sound source isto the sound source is

    common to all typescommon to all types Difference between types is theDifference between types is the means ofmeans of

    signal transmissionsign

    al transmission

    HardwiredHardwired

    WirelessWireless

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    Signal-to-noise ratio advantageSignal-to-noise ratio advantage

    SpeechSpeechSpeechSpeech SpeechSpeech SpeechSpeech

    SPEECHSPEECHNOISENOISENOISENOISENOISENOISE

    SpeechSpeech SpeechSpeech SpeechSpeech

    NOISENOISE

    NOISE

    SPEECHSPEECH

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    Wireless TechnologyWireless Technology

    FMFM

    InfraredInfrared

    Induction LoopInduction Loop

    Primary advantages

    Primary advantages

    Remote microphone placement or DAI connectionRemote microphone placement or DAI connectiontransmits signals directly from the source to HA/CItransmits signals directly from the source to HA/CI

    Overcomes noise, distance, reverberationOvercomes noise, distance, reverberation

    Increased signal-to-noise ratioIncreased signal-to-noise ratioup to 20 dBup to 20 dB

    NONOcords/wires between transmitter & receivercords/wires between transmitter & receiver

    BUTBUTstill have cords between device and transmitterstill have cords between device and transmitter

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    BackgroundBackground

    YETYET..there is..there isminimal use ofminimal use ofALDsALDs

    in the adultin the adultpopulationpopulation

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    Possible Reasons WhyPossible Reasons Why

    Ease of Use of DevicesEase of Use of Devices ((Jerger et al, 1996Jerger et al, 1996))

    Cost of devicesCost of devices ((FabryFabry et al, 2007)et al, 2007)

    Lack ofLack ofconsiderable counseling,considerable counseling,instruction and coachinginstruction and coachingre: FM usere: FM use((BoothroydBoothroyd, 2003), 2003)

    Cosmetics and intrusivenessCosmetics and intrusiveness ((FabryFabry et al, 2007)et al, 2007)

    Lack of clear cut criteria for determiningLack of clear cut criteria for determiningdevice candidacydevice candidacy ((FabryFabry et al, 2007)et al, 2007)

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    MarkeTrakMarkeTrakVI ResultsVI Results ((KochkinKochkin, 2002), 2002)

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    User SatisfactionUser Satisfaction

    KochkinKochkin (2005) reported that hearing aid users rate the(2005) reported that hearing aid users rate theuse of mobile phones in conjunction with their hearinguse of mobile phones in conjunction with their hearingaids as one of the top 3 most troubling situations theyaids as one of the top 3 most troubling situations they

    face, with only 59% of all users reporting acceptableface, with only 59% of all users reporting acceptableconditions in this scenario.conditions in this scenario. FeedbackFeedback NoiseNoise InterferenceInterference Lack of clarity and loudnessLack of clarity and loudness

    ANSI C63.19 - standard for hearing instrument/cellANSI C63.19 - standard for hearing instrument/cellphone compatibilityphone compatibility Ratings predict compatibility of a given hearing aid/cell phoneRatings predict compatibility of a given hearing aid/cell phone

    combinationcombination

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    Installed base of BT devicesInstalled base of BT devices

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    What is Bluetooth?What is Bluetooth? Radio-based technology that permits short-rangeRadio-based technology that permits short-range

    wireless mobilitywireless mobilitydigital FMdigital FM Allows devices to communicate and transfer informationAllows devices to communicate and transfer information

    wirelessly through personal area networkswirelessly through personal area networks

    Cable Replacement Technology: Replaces cablesCable Replacement Technology: Replaces cables

    connecting portable and/or fixed electronic devicesconnecting portable and/or fixed electronic devices AdvantagesAdvantages

    RobustnessRobustness

    Low powerLow power

    Low costLow cost SecuritySecurity

    PortabilityPortability

    Multiple users can be in the same room using BTMultiple users can be in the same room using BT

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    FM vs. Bluetooth Frequency BandsFM vs. Bluetooth Frequency Bands

    Globally operates on theGlobally operates on the unlicensed,unlicensed,Industrial Scientific Medical (ISM), lowIndustrial Scientific Medical (ISM), lowpowerpower microwave band amicrowave band at 2.400 GHt 2.400 GHz -z -

    2.48 GHz.2.48 GHz.

    Dedicated FM

    216-217 MHz

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    Bluetooth ConnectivityBluetooth Connectivity Allows wirelessAllows wireless

    connectivity andconnectivity anddata/audio exchangedata/audio exchangebetween multiplebetween multipleBluetooth-enabledBluetooth-enableddevicesdevices

    Cell phonesCell phones

    TelephonesTelephones

    MP3 playersMP3 players

    PDAsPDAs

    Lap topLap topcomputers/PCscomputers/PCs

    PrintersPrinters

    GPS receiversGPS receivers

    Digital camerasDigital cameras

    CarsCars BT adapters for non-BT adapters for non-

    BT devicesBT devices

    Video game consolesVideo game consoles

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    Why is it called Bluetooth?Why is it called Bluetooth?

    Named after the 10th Century Danish VikingNamed after the 10th Century Danish Vikingking,king, HaraldHarald Bltand known for his unificationBltand known for his unificationof warring tribes from Denmark includingof warring tribes from Denmark includingSkneSkne (present day Sweden)(present day Sweden)

    Bltand translated into English becomeBltand translated into English becomeBluetoothBluetooth

    Selected by Bluetooth developers originally asSelected by Bluetooth developers originally asa code name for the project but it stuck as thea code name for the project but it stuck as the

    official nameofficial name Like its namesake, Bluetooth is intended toLike its namesake, Bluetooth is intended to

    unify tunify the many electronic devices marketed byhe many electronic devices marketed bythe telecommunication and computingthe telecommunication and computing

    industriesindustries

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    BluetoothBluetoothWireless TechnologyWireless Technology

    BluetoothBluetoothtechnology can betechnology can be uniuni-directional or-directional orbi-directional and does not require line-of-sightbi-directional and does not require line-of-sightpositioning of connected devicespositioning of connected devices BluetoothBluetoothwireless technology is able to penetratewireless technology is able to penetrate

    solid objectssolid objects

    Point-to-point technologyPoint-to-point technology Communication between devices is directCommunication between devices is direct

    Use limited to paired devicesUse limited to paired devices

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    Bluetooth RelationshipsBluetooth Relationships

    A Bluetooth-enabled device can connect toA Bluetooth-enabled device can connect toother Bluetooth-enabled devices in proximityother Bluetooth-enabled devices in proximity

    BT symbol verifies device is BT-enabledBT symbol verifies device is BT-enabled

    Any time a BT link is formed, it is within theAny time a BT link is formed, it is within thecontext of acontext of a Personal Area NetworkPersonal Area Network(PAN) or(PAN) orPiconetPiconet.. Short range, ad hoc networkShort range, ad hoc network

    PiconetsPiconets are established dynamically andare established dynamically andautomatically as BT-enabled devices enter andautomatically as BT-enabled devices enter andleave radio proximityleave radio proximity

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    Bluetooth RelationshipsBluetooth Relationships

    A Piconet consists of Master and SlaveA Piconet consists of Master and Slavedevicesdevices One device functions as the master; devicesOne device functions as the master; devices

    connected to it function as slaves.connected to it function as slaves. Master sets up and controls theMaster sets up and controls the

    communication between the twocommunication between the two

    All traffic must pass through the masterAll traffic must pass through the master Slave receives incoming signals and sendsSlave receives incoming signals and sends

    responses back to the masterresponses back to the master

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    The Bluetooth network topologyThe Bluetooth network topology PiconetPiconet

    ad hoc network groupad hoc network groupof up to 8 devicesof up to 8 devices

    Data can beData can betransferred betweentransferred between

    the master and onethe master and oneother deviceother device

    Devices can switchDevices can switchroles and the slaveroles and the slave

    can become thecan become themastermaster

    ScatternetScatternet

    2 or more2 or more piconetspiconets

    connected togetherconnected together

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    Bluetooth BasicsBluetooth Basics

    Uses radio frequency technology calledUses radio frequency technology calledFrequency Hopping Spread SpectrumFrequency Hopping Spread Spectrum(FHSS)(FHSS)

    The signalThe signalhopshopsamong various frequenciesamong various frequencieswithin the band; combats interference and fadingwithin the band; combats interference and fading

    Reduces interference between wirelessReduces interference between wirelesstechnologies sharing the 2.4 GHz spectrumtechnologies sharing the 2.4 GHz spectrum

    Ensures that large numbers of devices canEnsures that large numbers of devices cancoexist in a small area without the need forcoexist in a small area without the need for

    manual selection of frequency channelsmanual selection of frequency channels A physical radio channel is shared by a groupA physical radio channel is shared by a group

    of devices that are synchronized to a commonof devices that are synchronized to a commonclock and frequency hopping patternclock and frequency hopping pattern

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    Adaptive Frequency Hopping

    0 1 2 78

    2.400 GHz 2.485 GHz

    Signal hops among 79 frequencies at 1 MHz intervals toSignal hops among 79 frequencies at 1 MHz intervals to

    give a high degree of interference immunitygive a high degree of interference immunity Within the spectrum, AFH takes advantage of theWithin the spectrum, AFH takes advantage of the

    available frequencyavailable frequency Detects other devices in the spectrum and avoids thoseDetects other devices in the spectrum and avoids those

    frequenciesfrequencies AFH allows for more efficient transmissionAFH allows for more efficient transmission

    Operating frequency bands:

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    Bluetooth CompatibilityBluetooth Compatibility

    Devices you want to pair must beDevices you want to pair must becompatiblecompatible

    Bluetooth Core SpecificationBluetooth Core Specification howhow

    the technology works (protocolthe technology works (protocolarchitecture)architecture)

    Bluetooth Application ProfilesBluetooth Application Profiles totouse Bluetooth technology, a device mustuse Bluetooth technology, a device mustbe able to interpret certain Bluetoothbe able to interpret certain Bluetoothprotocols or rules; the profiles defineprotocols or rules; the profiles definethe possible applicationsthe possible applications

    PasskeysPasskeys supportedsupported

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    Bluetooth Core SpecificationsBluetooth Core Specifications Developed and licensed by the Bluetooth SpecialDeveloped and licensed by the Bluetooth Special

    Interest Group (SIG)Interest Group (SIG) Early versions 1.0 and 1.0BEarly versions 1.0 and 1.0B

    Had many problemsHad many problems

    Bluetooth v1.1Bluetooth v1.1

    Bluetooth v1.2Bluetooth v1.2

    Backward-compatibleBackward-compatible

    Faster connection and discoveryFaster connection and discovery

    Adaptive frequency-hopping spread spectrum for lessAdaptive frequency-hopping spread spectrum for lessRF interferenceRF interference

    Higher transmission speeds-up to 721Higher transmission speeds-up to 721 kbits/skbits/s

    Extended Synchronous Connections (Extended Synchronous Connections (eSCOeSCO) for) forimproved voice quality of audio linksimproved voice quality of audio links

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    Bluetooth SpecificationsBluetooth Specifications

    Bluetooth v2.0Bluetooth v2.0 Fully backward-compatible with 1.1Fully backward-compatible with 1.1

    Introduced EDR-Enhanced Data Rate for 3Introduced EDR-Enhanced Data Rate for 3times faster data transfer (2.1times faster data transfer (2.1 Mbit/sMbit/s))

    Reduced complexity of multipleReduced complexity of multiplesimultaneous connections due to additionalsimultaneous connections due to additional

    bandwidthbandwidth Lower power consumption through aLower power consumption through a

    reduced duty cyclereduced duty cycle

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    Bluetooth SpecificationsBluetooth Specifications

    Bluetooth v2.1 + EDRBluetooth v2.1 + EDRmost recent Julymost recent July 0707 Fully backward-compatible with 1.1Fully backward-compatible with 1.1 Increased strength of securityIncreased strength of security Simpler pairing of devicesSimpler pairing of devices Extended inquiry responseExtended inquiry responsemore info duringmore info during

    discovery to allow better filtering of devices beforediscovery to allow better filtering of devices beforeconnection.connection.

    Near Field Communication (NFC) cooperationNear Field Communication (NFC) cooperation IfIfyou have this, just by bringing 2 devices close toyou have this, just by bringing 2 devices close toeach other (a few centimeters), you create aeach other (a few centimeters), you create aconnectionconnection e.g. bringing a mobile phone to ae.g. bringing a mobile phone to acamera, uploads the photos from the phone to thecamera, uploads the photos from the phone to thecamera.camera.

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    Bluetooth Application ProfilesBluetooth Application Profiles

    Device used must support the appropriate BluetoothDevice used must support the appropriate Bluetoothprofile of the Bluetooth receiverprofile of the Bluetooth receiver Profiles indicate the range of applications of a deviceProfiles indicate the range of applications of a device At least 33 different profiles existAt least 33 different profiles exist

    HFP Hands-free ProfileHFP Hands-free Profile

    HSP Headset Profile (most common)HSP Headset Profile (most common) Provides support for BT headsets to be used with cellProvides support for BT headsets to be used with cell

    phonesphones Phone must support HFP or Headset HSP profilePhone must support HFP or Headset HSP profile

    A2DP Advanced Audio Distribution ProfileA2DP Advanced Audio Distribution Profile High-end audio profile with broader bandwidth andHigh-end audio profile with broader bandwidth and

    stereo capabilitiesstereo capabilities Defines how high quality audio (stereo or mono) canDefines how high quality audio (stereo or mono) can

    be streamedbe streamed

    Required to listen to music from an MP3 playerRequired to listen to music from an MP3 player

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    Bluetooth CommunicationBluetooth Communication

    To work, devices mustTo work, devices must find each otherfind each otherbefore communicationbefore communicationbetween thembetween themoccursoccurs

    Terminology is non-standardized; also knownTerminology is non-standardized; also knownas: marrying, shaking, connecting, seeking,as: marrying, shaking, connecting, seeking,bonding, identifying, linking and acceptingbonding, identifying, linking and accepting

    During a connection between BT devices, anDuring a connection between BT devices, an

    exchange of unique BT identity (global ID)exchange of unique BT identity (global ID)takes placetakes place

    Device name (48-bit address)Device name (48-bit address)

    Device classDevice class

    List of services or profilesList of services or profiles

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    Bluetooth PairingBluetooth Pairing Getting two Bluetooth devices to communicate is aGetting two Bluetooth devices to communicate is a

    three-step procedure:three-step procedure:

    DiscoveryDiscovery process enables devices to find each otherprocess enables devices to find each other

    PairingPairing is a one-time process that creates a private linkis a one-time process that creates a private link

    between two devices for secure communicationbetween two devices for secure communication Unites them with a password or passkeyUnites them with a password or passkey

    Creates a PANCreates a PAN

    ConnectingConnecting allows the paired devices to actuallyallows the paired devices to actually

    transfer informationtransfer information Connecting is done on a regular basisConnecting is done on a regular basis

    Master must be turned on firstMaster must be turned on first

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    Operating RangeOperating Range

    BluetoothBluetoothwireless technology can operatewireless technology can operateover a distance of 10 meters or 100 metersover a distance of 10 meters or 100 metersdepending on thedepending on the BluetoothBluetoothdevice class.device class.

    Class 3Class 3: ~1 meter or 3 feet: ~1 meter or 3 feet

    Max permitted power 1Max permitted power 1 mWmW Class 2Class 2: ~10 meters or 33 feet: ~10 meters or 33 feet

    Max permitted power 2.5Max permitted power 2.5 mWmW

    Most commonly found in mobile devices and rechargeableMost commonly found in mobile devices and rechargeabledevicesdevices

    Class 1Class 1: ~100 meters or 300 feet: ~100 meters or 300 feet Max permitted power 100Max permitted power 100 mWmW

    Used primarily in industrial use casesUsed primarily in industrial use cases

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    Bluetooth Interfaces withBluetooth Interfaces with HAsHAs

    Bluetooth requires no connection betweenBluetooth requires no connection betweenBluetooth-enabled devices and BluetoothBluetooth-enabled devices and Bluetoothtransceivertransceiver

    Bluetooth transceivers cannot yet be integratedBluetooth transceivers cannot yet be integrateddirectly into hearing aidsdirectly into hearing aids Power consumptionPower consumption Size of componentsSize of components

    Use in hearing aids requires a secondaryUse in hearing aids requires a secondaryperipheral device called aperipheral device called a Gateway deviceGatewaydevice

    Most devices use the BT relay in a bi-Most devices use the BT relay in a bi-directional modedirectional mode

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    Bluetooth Chips 2000 - 2006Bluetooth Chips 2000 - 2006

    Yantz and Preves, 2007

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    Bluetooth connectivity withBluetooth connectivity with

    Hearing AidsHearing Aidscurrent approachescurrent approachesBT to FM relay FM receiver DAI boot HA

    BT Receiver Inductor HA Telecoil

    BT Receiver DAI to HA

    BT to NFMI relay NFMI HA receiver

    Adapted from Yantz and Preves, 2007

    e.g. Phonak SmartLink

    e.g. Artone BT neckloop, MaxIT BT neckloop, Beetle H2-

    ST

    e.g. GNResound Azure BT accessory

    e.g. Oticon Streamer, Phonak iCom andSiemens Tek

    Wi l h l i B i i

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    Wireless technologies: Basic comparisonWireless technologies: Basic comparison

    HighHighLowLowLowLowMediumMediumInterferenceInterference

    susceptibilitysusceptibility

    10 ms (HSP)

    > 100 ms> 100 ms(A2DP)(A2DP)

    3.4 kHz (HDP)3.4 kHz (HDP)

    10 kHz (A2DP)10 kHz (A2DP)

    < 33< 33

    HighHigh

    2.4 GHz2.4 GHz

    Depends on groupDepends on group

    delay in HAdelay in HA

    < 2 ms< 2 msLatencyLatency

    (delay)(delay)

    Depends onDepends ontelecoiltelecoil responseresponse

    7.5 kHz7.5 kHzAudioAudiobandwidthbandwidth

    Several cmSeveral cm> 100-150> 100-150RangeRange

    LowLowHighHighPowerPowerconsumptionconsumption

    N/AN/A72-76 MHz72-76 MHz

    oror216216217217MHzMHz

    RadioRadio

    FrequencyFrequency

    Dedicated FM Bluetooth NMFI Telecoil

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    Bluetooth via InductionBluetooth via Induction

    Unlike traditional inductionUnlike traditional induction neckloopsneckloops andandsilhouettes, these devices require no connectionsilhouettes, these devices require no connectionbetween the phone and the headbetween the phone and the head

    Can be used withCan be used with telecoiltelecoil-equipped hearing aids-equipped hearing aidsor cochlear implantsor cochlear implants

    Advantages: lower cost, ease of useAdvantages: lower cost, ease of use Disadvantage:Disadvantage:

    Increased chance of picking up electromagneticIncreased chance of picking up electromagneticinterference in addition to radio frequencyinterference in addition to radio frequencyinterferenceinterference

    TelecoilTelecoil-response influences how person ultimately-response influences how person ultimatelyhearshears

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    Artone Bluetooth InductionArtone Bluetooth Induction

    NeckloopNeckloop Amplified inductive neckAmplified inductive neck

    loop and Bluetoothloop and Bluetoothtransceiver with built-intransceiver with built-inmicrophone andmicrophone andinterchangeable coloredinterchangeable coloredfaceplatesfaceplates

    Wireless connectivityWireless connectivitybetween HA/CI and cellbetween HA/CI and cellphone, computer orphone, computer or

    other Bluetooth-enabledother Bluetooth-enableddevicedevice

    Single multi-functionSingle multi-functionbutton to answer/endbutton to answer/endcallscalls

    Volume controlVolume control

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    Artone Bluetooth InductionArtone Bluetooth Induction

    NeckloopNeckloop SpecificationsSpecifications

    Bluetooth v2.0Bluetooth v2.0

    Supports Headset HSP and Hands-free HFPSupports Headset HSP and Hands-free HFP

    Passkey: 0000Passkey: 0000

    Rechargeable Lithium-ion batteryRechargeable Lithium-ion battery Talk time: up to 8 hoursTalk time: up to 8 hours

    Standby time: up to 240 hoursStandby time: up to 240 hours

    USB charger cable; car charger adapterUSB charger cable; car charger adapter Class 2 Operating rangeClass 2 Operating range

    Cost: $165.00Cost: $165.00

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    MaxIT Bluetooth InductionMaxIT Bluetooth Induction

    NeckloopNeckloop Amplified Inductive neckAmplified Inductive neckloop and Bluetoothloop and Bluetoothtransceiver with built-intransceiver with built-inmicrophone andmicrophone and

    interchangeable alkalineinterchangeable alkalineor re-chargeable Ni-MHor re-chargeable Ni-MHAAA batteryAAA battery

    Hands-free ConnectivityHands-free Connectivitywith Bluetooth-enabledwith Bluetooth-enabled

    cell phones andcell phones andcomputerscomputers

    Single multi-functionSingle multi-functionbutton to answer/endbutton to answer/endcallscalls

    Volume controlVolume control

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    MaxIT Bluetooth InductionMaxIT Bluetooth Induction

    NeckloopNeckloop SpecificationsSpecifications Compatible with Bluetooth v2.0 and v1.2Compatible with Bluetooth v2.0 and v1.2

    Supports HSP and HFP profilesSupports HSP and HFP profiles

    Passkey: 0000Passkey: 0000 Rechargeable Ni-MH batteryRechargeable Ni-MH battery

    Talk time: up to 15 hoursTalk time: up to 15 hours

    Standby time: up to 500 hoursStandby time: up to 500 hours

    USB charger cable; car charger adapterUSB charger cable; car charger adapter

    Can be used with Alkaline AAA batteriesCan be used with Alkaline AAA batteries

    Class 2 Operating rangeClass 2 Operating range

    Cost: $145-160.00Cost: $145-160.00

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    Beetle H-2ST Bluetooth SilhouetteBeetle H-2ST Bluetooth Silhouette

    and neckloopand neckloop Mini-Bluetooth lapel-clipMini-Bluetooth lapel-clip

    transceiver with volumetransceiver with volumecontrolscontrols

    Choice ofChoice ofinterchangeable single orinterchangeable single ordual inductiondual inductionsilhouettes or neckloopsilhouettes or neckloop

    Barrel-shaped, multi-Barrel-shaped, multi-function button with built-function button with built-in microphonein microphone

    Wireless connectivity toWireless connectivity toBluetooth-enable cellBluetooth-enable cellphones, computers, andphones, computers, andpersonal audio devicespersonal audio devicesthat use the stereo A2DPthat use the stereo A2DP

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    Beetle H-2ST Bluetooth SilhouetteBeetle H-2ST Bluetooth Silhouette

    and neckloopand neckloop SpecificationsSpecifications

    Compatible with v1.2Compatible with v1.2 Supports HSP, HFP and Advanced Audio DistributionSupports HSP, HFP and Advanced Audio Distribution

    (A2DP)(A2DP) Passkey: 0000Passkey: 0000 Rechargeable Lithium-ion batteryRechargeable Lithium-ion battery

    Talk time: up to 4 hoursTalk time: up to 4 hours Standby time: up to 70 hoursStandby time: up to 70 hours USB charger cableUSB charger cable

    Class 2 Operating rangeClass 2 Operating range Cost: $159.00Cost: $159.00

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    TelecoilTelecoil as the last linkas the last link

    Susceptible to EM interferenceSusceptible to EM interference TelecoilTelecoil orientationorientation

    For optimum reception, T-coil should point inFor optimum reception, T-coil should point in

    the direction of the magnetic fieldthe direction of the magnetic field Verification ofVerification ofTelecoilTelecoil response is essentialresponse is essential ProgrammableProgrammable telecoiltelecoil is preferredis preferred Should be programmed to provide desiredShould be programmed to provide desired

    responseresponse Verification ofVerification oftelecoiltelecoil response recommended!response recommended!

    Coupler or real ear measuresCoupler or real ear measures Input sourceInput source

    TelewandTelewand

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    TelecoilTelecoil responseresponse

    TelecoilTelecoil

    MicMicMicMic

    TelecoilTelecoil

    TelecoilTelecoil response when ptresponse when ptarrivedarrived

    TelecoilTelecoil response afterresponse afterprogrammingprogramming

    Bluetooth via DAIBluetooth via DAI

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    Bluetooth via DAIBluetooth via DAIGN Resound AzureGN Resound Azure

    BT wireless headset accessoryBT wireless headset accessory

    For use with Azure AZ 60For use with Azure AZ 60models onlymodels only

    Clips onto the bottom of theClips onto the bottom of thehearing aidhearing aid

    Stays off while connected untilStays off while connected untilphone ringsphone rings

    Answer call by pushing buttonAnswer call by pushing buttonon headset or on phoneon headset or on phone

    Hearing aid automaticallyHearing aid automaticallyturns off externalturns off external micmic andandturns on cell phoneturns on cell phone micmic

    AvailableAvailable ONLYONLYin Europe!in Europe!

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    GN Resound AzureGN Resound Azure

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    Bluetooth gatewayBluetooth gateway A Bluetooth gateway is a small body-worn BTA Bluetooth gateway is a small body-worn BT

    transceiver that can detect short-wave radio signalstransceiver that can detect short-wave radio signalsfrom Bluetooth-enabled devicesfrom Bluetooth-enabled devices

    Converts the signal into another format forConverts the signal into another format for

    retransmission to the hearing aidretransmission to the hearing aid All permit bi-directional transfer of audio communicationAll permit bi-directional transfer of audio communication

    Frequency Modulation (FM)Frequency Modulation (FM) PhonakPhonakSmartLinkSmartLink

    Requires FM receiver attached to hearing aidRequires FM receiver attached to hearing aid

    Digitally modulated near-field magnetic induction (NFMI)Digitally modulated near-field magnetic induction (NFMI) OticonOticonStreamerStreamer

    PhonakPhonakiComiCom

    SiemensSiemens TekTek

    Sends signal to NFMI equipped hearing aidsSends signal to NFMI equipped hearing aids

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    NFMINFMI

    Near-Field Magnetic CommunicationNear-Field Magnetic Communication Proprietary wireless technology developed, patentedProprietary wireless technology developed, patented

    and licensed by Aura Communications.and licensed by Aura Communications. NFMI communicates wirelessly by coupling a low power,NFMI communicates wirelessly by coupling a low power,

    non-propagating, quasi-static magnetic field betweennon-propagating, quasi-static magnetic field between

    devicesdevices Works on the principle of magnetic inductionWorks on the principle of magnetic induction

    A magnetic field is generated on a carrier frequency andA magnetic field is generated on a carrier frequency anddigitally modulateddigitally modulated

    Receiver circuitry in the HA demodulates this signalReceiver circuitry in the HA demodulates this signal

    Communication can be 2-way and the signal can be encoded forCommunication can be 2-way and the signal can be encoded forsecuritysecurity

    Creates a weak magnetic bubble of 4 to 6 feet inCreates a weak magnetic bubble of 4 to 6 feet indiameter in which it worksdiameter in which it works Ensures secure encoded communication and reducedEnsures secure encoded communication and reduced

    susceptibility to interferencesusceptibility to interference

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    NFMI advantagesNFMI advantages

    Magnetic communication is not blocked or reflected byMagnetic communication is not blocked or reflected byobjects, it is free from the interference, nulls and fadesobjects, it is free from the interference, nulls and fadesthat are frequently an issue with RF solutions.that are frequently an issue with RF solutions.

    Extremely small componentsExtremely small components The entire NFMI receiver is implemented in silicon on the HAThe entire NFMI receiver is implemented in silicon on the HAss

    integrated circuit and is small enough to fit inside custom HAsintegrated circuit and is small enough to fit inside custom HAs

    Lower Power consumption than BT: about 100Lower Power consumption than BT: about 100nanowattsnanowatts Increases power consumption by only 10%Increases power consumption by only 10%

    Range:Range: 1 meters1 meters

    Frequency: 10 to 15 MHz.Frequency: 10 to 15 MHz.

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    PhonakPhonakSmartLinkSmartLink BT-to-FM relayBT-to-FM relay 3 solutions in one device3 solutions in one device

    FM transmitter with 3FM transmitter with 3 micmicmodesmodes

    HA remote controlHA remote control Bluetooth transceiver forBluetooth transceiver for

    mobile phone usemobile phone use

    Uses 2 technologiesUses 2 technologies

    Not a direct BT signalNot a direct BT signal Converts BT to FM signalConverts BT to FM signal

    which is not securewhich is not secure

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    PhonakPhonakSmartLinkSmartLink SpecificationsSpecifications

    Bluetooth Core v1.1Bluetooth Core v1.1 Supports Bluetooth profilesSupports Bluetooth profiles

    HFP and HSPHFP and HSP

    Class 2 operating rangeClass 2 operating range For practical use with cell phones ONLYFor practical use with cell phones ONLY

    Quality poor for audioQuality poor for audio Uses protected code: 1234 and not universal codeUses protected code: 1234 and not universal code

    of 0000of 0000 Can be connected to only 1 BT device at a timeCan be connected to only 1 BT device at a time

    Have to disconnect 1Have to disconnect 1stst BT device in order to pairBT device in order to pairwith another BT-enabled devicewith another BT-enabled device

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    PhonakPhonakiComiCom

    Only works with PhonakOnly works with PhonakNaidaNaida andand ExeliaExelia BTEBTEhearing aids andhearing aids and ExeliaExeliaFS/HS/ITC custom aidsFS/HS/ITC custom aids DoesnDoesnt work witht work with

    petite custom aidspetite custom aids Neckloop serves asNeckloop serves as

    antennaantenna Uses Digital CodedUses Digital Coded

    Induction technology orInduction technology or

    NFMI to stream signal toNFMI to stream signal tohearing aidshearing aids EZBluetoothEZBluetooth permitspermits

    adjustable gain increaseadjustable gain increasefor the streamed signalfor the streamed signal

    and HAand HA micmic attenuationattenuation

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    PhonakPhonakiComiCom SpecificationsSpecifications

    Class 2-operating rangeClass 2-operating range

    Bluetooth v1.2Bluetooth v1.2

    Bluetooth profilesBluetooth profilessupportedsupported

    HSP, HFP, A2DP 1.0HSP, HFP, A2DP 1.0

    Passkey: 0000Passkey: 0000

    Max 8 simultaneous pairedMax 8 simultaneous paireddevicesdevices

    Rechargeable Lithium-ionRechargeable Lithium-ionbatterybattery

    5 hours BT streaming5 hours BT streaming

    Standby up to 30 hoursStandby up to 30 hours

    11 hours audio11 hours audiostreaming via cablestreaming via cable

    10 hours streaming via10 hours streaming viaFM systemFM system

    Oticon StreamerOticon Streamer

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    Oticon StreamerOticon Streamer Bluetooth interface forBluetooth interface for

    OticonOticon EpoqEpoq hearing aidshearing aids Neck worn StreamerNeck worn Streamer

    receives Bluetooth orreceives Bluetooth orDAI signals and transfersDAI signals and transfersit to aids using NFMIit to aids using NFMI

    NFMI technology used inNFMI technology used inOticonOticonss RISE platform isRISE platform iscalledcalled earStreamearStream Variant of NFMIVariant of NFMI 120,000 bits per120,000 bits per

    secondsecond

    Also functions as aAlso functions as aremote control forremote control forvolume and programvolume and programadjustmentadjustment

    Max 8 paired BT devicesMax 8 paired BT devicesat one timeat one time

    Oti StOti St

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    Oticon StreamerOticon Streamer Bluetooth complianceBluetooth compliance

    Version 2.0Version 2.0 Supports all relevantSupports all relevant

    Bluetooth profilesBluetooth profiles

    Advanced AudioAdvanced AudioDistribution ProfileDistribution Profile(A2DP)(A2DP)

    Headset Profile HSPHeadset Profile HSP

    Hands Free ProfileHands Free ProfileHFPHFP

    Passkey: 0000Passkey: 0000 Bluetooth Range: 10Bluetooth Range: 10

    meters (class 2)meters (class 2)

    EarStreamEarStream range: .5range: .5

    metersmeters

    Bluetooth

    device &

    Streamer

    NFMI to HAs

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    SiemensSiemens TekTek

    TekTekConnectConnectcommunicates wirelesslycommunicates wirelesslywith Siemens HA usingwith Siemens HA usingNFMI/NFMI/e2e wirelesse2e wireless Doubles as a remoteDoubles as a remote

    controlcontrol 2.5 mm stereo input plug2.5 mm stereo input plug

    for hardwired connectionfor hardwired connectionto audio devicesto audio devices

    Works only with SiemensWorks only with SiemensPure 700 & 500 BTE RICPure 700 & 500 BTE RICand CIC, Explorer 500 Pand CIC, Explorer 500 PBTEBTE

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    SiemensSiemens TekTekConnectConnect BT connectivity with cellBT connectivity with cellphones and other devicesphones and other devices

    Bi-directionalBi-directional Answer/end call onAnswer/end call on TekTek

    ConnectConnect

    Bluetooth complianceBluetooth compliance Version 2.0Version 2.0

    Bluetooth profiles supportedBluetooth profiles supported HSP, HFP, A2DP 1.0HSP, HFP, A2DP 1.0

    Passkey: 0000Passkey: 0000 TekTekConnect needs to beConnect needs to be

    within 1 meter or 3 feet fromwithin 1 meter or 3 feet fromthethe HAsHAs for NFMI transmissionfor NFMI transmission Recommend that it is wornRecommend that it is worn

    around the neck with thearound the neck with thelanyardlanyard

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    SiemensSiemens TekTek

    TekTekTransmitter adapterTransmitter adapterpre-paired withpre-paired with TekTekConnectConnect

    Eliminates need forEliminates need forpairing; easier to usepairing; easier to use

    Claims reducedClaims reducedtransmission delay ~ 65 mstransmission delay ~ 65 ms

    Claims less echo, betterClaims less echo, betteraudio/video synchaudio/video synch

    Use with TV, video, stereo,Use with TV, video, stereo,etcetc

    2.5 mm stereo connector2.5 mm stereo connector

    EachEach TekTektransmittertransmitteronly works with oneonly works with one TekTekConnectConnect

    MultipleMultiple TekTektransmitterstransmittersrequires multiplerequires multiple TekTekConnect unitsConnect units

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    SiemensSiemens TekTek Separate programmable programs for use withSeparate programmable programs for use with

    TekTekConnect &Connect &TekTektransmittertransmitter With the exception of Program #1 (universal) canWith the exception of Program #1 (universal) can

    select inputselect input TekTekTransmitterTransmitter TekTekConnect BT signalConnect BT signal Select BT +Select BT + MicMic or BT onlyor BT only SelectSelect TekTekTxTx ++ MicMic oror TekTekTxTx onlyonly Level ofLevel ofTxTx/BT versus/BT versus micmic adjustableadjustable

    Signal PrioritizationSignal Prioritization Cell phone highest priorityCell phone highest priority Direct connected device 2Direct connected device 2ndnd highest priorityhighest priority TekTekTransmitterTransmitterlowest prioritylowest priority

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    Bluetooth-enabled DevicesBluetooth-enabled Devicesand Adaptersand Adapters

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    Bluetooth-enabled landline phoneBluetooth-enabled landline phone AT&T EP5632AT&T EP5632

    5.8 GHz Bluetooth5.8 GHz BluetoothCordless telephoneCordless telephone

    Pair up to 8 BluetoothPair up to 8 Bluetoothdevices; max 2 paireddevices; max 2 paired

    devices connected at onedevices connected at onetimetime

    Built-in answeringBuilt-in answeringmachinemachine

    Very easy to pair/connectVery easy to pair/connect Permits entry of passkeyPermits entry of passkey

    Compatible withCompatible with OticonOticon EpoqEpoq

    PhonakPhonakiComiCom

    SiemensSiemens TekTekConnectConnect Phonak SmartLink

    Also works withAlso works with

    Artone BTArtone BT neckloopneckloop;;MaxITMaxIT BTBT neckloopneckloop

    Cost: $99.95Cost: $99.95

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    Connection to Non Bluetooth-Connection to Non Bluetooth-Enabled DevicesEnabled Devices

    BT Adapters are available forBT Adapters are available for

    Non-BT cell phonesNon-BT cell phones

    Landline phonesLandline phones ComputersComputers

    StereosStereos

    iPod/MP3 playersiPod/MP3 players TVsTVs

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    Kensington Bluetooth USB dongleKensington Bluetooth USB dongle

    Plug-in USB device forPlug-in USB device forlaptop or PClaptop or PC

    Permits cable freePermits cable freeconnections betweenconnections between

    computer and othercomputer and otherBluetooth devicesBluetooth devices Stream audio fromStream audio from

    PC/laptopPC/laptop Watch DVDWatch DVD

    Listen toListen to iTunesiTunes Works with:Works with:

    EpoqEpoq StreamerStreamer PhonakPhonakiComiCom

    SiemensSiemens TekTekConnectConnect

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    Kensington Bluetooth USB dongleKensington Bluetooth USB dongle

    Specifications:Specifications:

    USB 2.0USB 2.0

    Bluetooth v.2.0 compliant with EDRBluetooth v.2.0 compliant with EDR Class 2 operating rangeClass 2 operating range

    Support Win XP, Vista and Mac OSXSupport Win XP, Vista and Mac OSX

    Computer software permits entry of anyComputer software permits entry of anypasskeypasskey

    Cost: $21.99 at Best BuyCost: $21.99 at Best Buy

    S 8 d d

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    Sony TMR BT8iP BT iPod AdapterSony TMR BT8iP BT iPod Adapter Wireless BT transmitterWireless BT transmitter

    for streaming highfor streaming highquality stereo musicquality stereo musicfromfrom iPodiPod

    Connects to bottom ofConnects to bottom of

    iPodiPod iPodiPod classicclassic iPod miniiPod mini iPodiPod NanoNano

    iPodiPod TouchTouch Compatible withCompatible with

    Oticon StreamerOticon Streamer PhonakPhonakiComiCom SiemensSiemens TekTekConnectConnect

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    Sony TMR BT8iP BTSony TMR BT8iP BT iPodiPod AdapterAdapter

    Specifications:Specifications:

    Bluetooth v2.0 + EDRBluetooth v2.0 + EDR

    Profiles: A2DP, AVRCPProfiles: A2DP, AVRCP

    Class 2Class 2operating rangeoperating range

    Transmitter power supplied fromTransmitter power supplied from iPodiPod

    Supported passkeys: 0000, 1234, 8888Supported passkeys: 0000, 1234, 8888

    Cost: $76.99 at Best BuyCost: $76.99 at Best Buy

    ARTONE TVBARTONE TVB

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    ARTONE TVBARTONE TVB Wireless communicationWireless communication

    accessory that connectsaccessory that connectsto audio sourcesto audio sources

    iPodiPod

    TVTV

    radioradio Works with OticonWorks with Oticon

    Epoch,Epoch, PhonakPhonakiComiCom,,SiemensSiemens TekTekConnectConnect

    Class 2-operating rangeClass 2-operating range10 meters or 33 ft10 meters or 33 ft

    Rechargeable batteryRechargeable battery

    $99.00$99.00

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    Jabra A7010 Bluetooth HubJabra A7010 Bluetooth Hub

    Connectivity hubConnectivity hub Bluetooth enabler forBluetooth enabler for

    landline phoneslandline phones Not cordlessNot cordless

    Works with mostWorks with moststandard corded deskstandard corded deskphones both analog andphones both analog anddigital PBX and IPdigital PBX and IP

    Compatible withCompatible with OticonOticon EpoqEpoq Artone BTArtone BT NeckloopNeckloop MaxITMaxIT BTBT NeckloopNeckloop

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    Jabra A7010 Bluetooth HubJabra A7010 Bluetooth Hub

    Specifications:Specifications: Bluetooth 2.0 specsBluetooth 2.0 specs

    Class 2: operatingClass 2: operatingrange 10 meters or 33range 10 meters or 33ftft

    Sound enhancements:Sound enhancements:Digital soundDigital soundenhancement via DSPenhancement via DSPtechnology andtechnology and eSCOeSCOBluetooth Audio LinkBluetooth Audio Link

    Cost: $80.00Cost: $80.00

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    Hybrid SolutionsHybrid Solutions

    Mixture of technologiesMixture of technologies

    Hardwired and wirelessHardwired and wireless

    Hardwired Connection to Landline PhoneHardwired Connection to Landline Phone

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    Hardwired Connection to Landline PhoneHardwired Connection to Landline Phone

    Link landline phone toLink landline phone togateway device usinggateway device using

    Radio Shack Mini-Radio Shack Mini-Recorder ControlRecorder Control

    #43-1237#43-1237

    Connects toConnects to micmic/aux/aux

    input on transmitterinput on transmitter Mono-stereo adapterMono-stereo adapter

    neededneeded

    Permits wireless,Permits wireless,

    binaural reception ofbinaural reception ofphone signal via gatewayphone signal via gatewaydevice in each hearing aiddevice in each hearing aid Requires that user speakRequires that user speak

    into handset or headsetinto handset or headsetmicmic

    Works withWorks with

    PhonakPhonakSmartLinkSmartLink

    PhonakPhonakiComiCom

    SiemensSiemens TekTekConnectConnect

    Does NOT work withDoes NOT work withOticonOticon EpoqEpoq

    Cost: $18.00Cost: $18.00

    SmartLinkSmartLink Audio Input LimitationAudio Input Limitation

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    SmartLinkSmartLinkAudio Input LimitationAudio Input Limitation Adapter has direct audioAdapter has direct audio

    3.5 mm input with auto3.5 mm input with autodetectiondetection If auto FM is usedIf auto FM is used

    Highly dependent on levelHighly dependent on levelof input signalof input signal

    If input signal drops inIf input signal drops ingain or pauses, transmittergain or pauses, transmitterreverts to FM inputreverts to FM input

    Use 2.5 mmUse 2.5 mm micmic inputinput

    instead if hardwiringinstead if hardwiringtransmitter to MP3transmitter to MP3player to other audioplayer to other audiodevicedevice

    Mic

    input

    Audioinput

    Ph kPh k iCiC

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    PhonakPhonakiComiCom

    3.5 mm audio jack3.5 mm audio jackpermits hardwiredpermits hardwiredconnection to audioconnection to audiodevices and wirelessdevices and wirelessconnection via NFMI toconnection via NFMI to

    hearing aidshearing aids Universal DAI plug forUniversal DAI plug for

    PhonakPhonakmicroMLXsmicroMLXs FMFMreceiverreceiver

    EZAudioEZAudio control permitscontrol permitsadjustable gain increaseadjustable gain increasefor the streamed signalfor the streamed signaland HAand HA micmic attenuationattenuation

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    Oticon StreamerOticon Streamer

    Streamer has 2.5Streamer has 2.5mm audio input jackmm audio input jackfor hardwire interfacefor hardwire interfacewith other audiowith other audiosourcessources

    E.g.E.g. SennheiserSennheiser 820s820s

    FM systemFM system

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    BT SummaryBT Summary

    Variety of Bluetooth options currently existVariety of Bluetooth options currently exist

    Elimination of wires is a key advantageElimination of wires is a key advantage

    BT options exist that are cheaper than FM or IRBT options exist that are cheaper than FM or IR

    LikeLikeALDsALDs, counseling, demonstration, education, counseling, demonstration, educationnecessary for adoption and successful use ofnecessary for adoption and successful use oftechnologytechnology

    Compatibility of BT devices can be complex andCompatibility of BT devices can be complex andrequires knowledge on the part of the userrequires knowledge on the part of the user

    Pairing and connection of devices can also bePairing and connection of devices can also bechallenging for some userschallenging for some users

    BT SBT Summary

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    BT SummaryBT Summary

    Operating range much shorter than FMOperating range much shorter than FM Poor application to large area applicationsPoor application to large area applications

    Church, classroom, conference hallChurch, classroom, conference hall

    Communication between devices must be directCommunication between devices must be direct Point-to-point technologyPoint-to-point technology

    Pairing is required and not extended to other devicesPairing is required and not extended to other devicesoutside that pairingoutside that pairing

    Not currently an alternative to group FM/IR systemsNot currently an alternative to group FM/IR systems

    Point-to-multi-point devices Bluetooth profile hasPoint-to-multi-point devices Bluetooth profile hasbeen developed which may be used in futurebeen developed which may be used in futureapplicationsapplications

    Refe en esReferences

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    ReferencesReferences

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