<?xml version="1.0" encoding="iso-8859-1" standalone="no"?>
<!DOCTYPE GmsArticle SYSTEM "http://www.egms.de/dtd/2.0.34/GmsArticle.dtd">
<GmsArticle xmlns:xlink="http://www.w3.org/1999/xlink">
  <MetaData>
    <Identifier>zaud000020</Identifier>
    <IdentifierDoi>10.3205/zaud000020</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-zaud0000209</IdentifierUrn>
    <ArticleType>Technical Note</ArticleType>
    <TitleGroup>
      <Title language="en">Performance of research hearing aids: technical evaluation of the portable hearing laboratory</Title>
      <TitleTranslated language="de">Leistungsf&#228;higkeit von Forschungsh&#246;rger&#228;ten: technische Evaluation des Portable Hearing Laboratory</TitleTranslated>
    </TitleGroup>
    <CreatorList>
      <Creator>
        <PersonNames>
          <Lastname>Denk</Lastname>
          <LastnameHeading>Denk</LastnameHeading>
          <Firstname>Florian</Firstname>
          <Initials>F</Initials>
        </PersonNames>
        <Address>Deutsches H&#246;rger&#228;te Institut GmbH, Ansch&#252;tzstr. 1, 23562 L&#252;beck, Germany, Phone: &#43;49 451 305051 15<Affiliation>Deutsches H&#246;rger&#228;te Institut L&#252;beck GmbH, L&#252;beck, Germany</Affiliation></Address>
        <Email>f.denk&#64;dhi-online.de</Email>
        <Creatorrole corresponding="yes" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>J&#252;rgensen</Lastname>
          <LastnameHeading>J&#252;rgensen</LastnameHeading>
          <Firstname>Lukas</Firstname>
          <Initials>L</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Deutsches H&#246;rger&#228;te Institut L&#252;beck GmbH, L&#252;beck, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Simson</Lastname>
          <LastnameHeading>Simson</LastnameHeading>
          <Firstname>Meike</Firstname>
          <Initials>M</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Institut f&#252;r Akustik, Technische Hochschule L&#252;beck, L&#252;beck, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>J&#252;rgens</Lastname>
          <LastnameHeading>J&#252;rgens</LastnameHeading>
          <Firstname>Tim</Firstname>
          <Initials>T</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Institut f&#252;r Akustik, Technische Hochschule L&#252;beck, L&#252;beck, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Husstedt</Lastname>
          <LastnameHeading>Husstedt</LastnameHeading>
          <Firstname>Hendrik</Firstname>
          <Initials>H</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Deutsches H&#246;rger&#228;te Institut L&#252;beck GmbH, L&#252;beck, Germany</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
    </CreatorList>
    <PublisherList>
      <Publisher>
        <Corporation>
          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
      </Publisher>
    </PublisherList>
    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
      <Keyword language="en">coupler measurements</Keyword>
      <Keyword language="en">master hearing aid</Keyword>
      <Keyword language="en">open source</Keyword>
      <Keyword language="de">Kupplermessungen</Keyword>
      <Keyword language="de">Master H&#246;rger&#228;t</Keyword>
      <Keyword language="de">Open Source</Keyword>
    </SubjectGroup>
    <DatePublishedList>
      
    <DatePublished>20220325</DatePublished></DatePublishedList>
    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
    </License>
    <SourceGroup>
      <Journal>
        <ISSN>2628-9083</ISSN>
        <Volume>4</Volume>
        <JournalTitle>GMS Zeitschrift f&#252;r Audiologie - Audiological Acoustics</JournalTitle>
        <JournalTitleAbbr>GMS Z Audiol (Audiol Acoust)</JournalTitleAbbr>
      </Journal>
    </SourceGroup>
    <ArticleNo>02</ArticleNo>
  </MetaData>
  <OrigData>
    <Abstract language="de" linked="yes"><Pgraph>Um die Forschung an H&#246;rsystemen zu vereinfachen, wurden in den letzten Jahren verschiedene mobile Forschungsplattformen entwickelt und teilweise der &#214;ffentlichkeit zug&#228;nglich gemacht. In diesem Beitrag zeigen wir beispielhaft eine Evaluation der elektroakustischen Leistungsmerkmale des Portable Hearing Lab (PHL), einem tragbaren Forschungsh&#246;rger&#228;t, das aus einem Miniaturcomputer und damit verkabelten Hinter-dem-Ohr-Headsets mit Exh&#246;rern besteht. Um die Leistungsf&#228;higkeit zu beurteilen, wurden Standardmesswerte nach IEC 60118-0:2015 bestimmt und mit denen von aktuell erh&#228;ltlichen kommerziellen H&#246;rger&#228;ten verglichen. In allen Messwerten erreicht das PHL ein vergleichbares Niveau wie kommerzielle Ger&#228;te gleicher Bauart. Der maximale Ausgangspegel in einem 2 cm&#179;-Kuppler liegt bei bis zu 115 dB SPL, und Einsetzverst&#228;rkungen bis zu 50 dB k&#246;nnen &#252;ber einen breiten Frequenzbereich erreicht werden. Auch der Pegel des &#228;quivalenten Eigenrauschens und der harmonischen Verzerrungsprodukte liegen im Bereich kommerzieller Ger&#228;te. Weiterf&#252;hrende Merkmale wurden hier bewusst nicht untersucht, da die Softwareumgebung des PHL dem Nutzer gro&#223;e Freiheiten f&#252;r Anpassungen bietet, und diese daher sehr von der Einstellung und Anwendung abh&#228;ngen. Insgesamt ist das PHL eine geeignete Plattform zum Aufbau experimenteller H&#246;rger&#228;te, die sich sowohl f&#252;r den Einsatz im als auch au&#223;erhalb des Labors eignen.</Pgraph></Abstract>
    <Abstract language="en" linked="yes"><Pgraph>To accelerate hearing aid research, several mobile research platforms have recently been designed and some made publicly available. Here, we evaluate the electro-acoustic performance of the Portable Hearing Laboratory (PHL), a portable research hearing aid based on a miniature computer and wired Behind-The-Ear Receiver-In-Canal hearing aid headsets. To evaluate its performance capabilities, standard electro-acoustic performance metrics were determined according to IEC 60<TextGroup><PlainText>118-0</PlainText></TextGroup>:2015 and compared to those of current commercial hearing aids. In all performance metrics, the PHL is on a similar level as commercial devices of comparable style. The maximum output level in a <TextGroup><PlainText>2 cm&#179;</PlainText></TextGroup> coupler is up to 115 dB SPL, and insertion gain values around 50 dB can be achieved across a broad frequency range. Also, the equivalent input noise and total harmonic distortion are in the same range as in commercial devices. More advanced features were purposely not evaluated here, since these are intended to be adjusted freely in the variable software environment. In conclusion, the PHL is a suitable platform for setting up field-usable experimental hearing aids for research purposes.</Pgraph></Abstract>
    <TextBlock linked="yes" name="Introduction">
      <MainHeadline>Introduction</MainHeadline><Pgraph>Hearing aids have greatly evolved over the last decades, largely due to improvements in the area of digital signal processing. For commercial hearing aids, the principles and algorithms used in their features and how they interact are company secrets and therefore largely unknown to the users or independent researchers. While working with &#8220;black box&#8221; devices is no major issue for the users or dispensers of hearing aids, it is a significant problem for researchers who want to draw meaningful conclusions from studies using these devices. Further, laboratory experiments with oversimplified setups often do not reflect the real-life effect of hearing aids <TextLink reference="1"></TextLink>. Hearing aid research therefore needs devices that are usable in the field, fully controllable by any researcher, and provide the full processing chain of modern, non-linear and adaptive hearing aids. </Pgraph><Pgraph>To pursue this need, since 2015 the National Institute on Deafness and Other Communication Disorders (USA) has posed two requests for funding to develop portable signal processing tools that provide substantial computing power for real-time processing of the perceived acoustic environment. In response to this call, several groups have been developing platforms for hearing aid research that allow for free user programming and mobile use in the field <TextLink reference="2"></TextLink>, <TextLink reference="3"></TextLink>, <TextLink reference="4"></TextLink>, <TextLink reference="5"></TextLink>. One example for such research platforms is the Portable Hearing Lab (PHL) <TextLink reference="3"></TextLink>. The PHL consists of an extended portable miniature computer with audio interface, tailored Behind-The-Ear with Receiver-In-Canal (BTE-RIC) or In-The-Ear (ITE) hearing aid headsets, and a real-time operating system that includes the open Master Hearing Aid (openMHA), an open-source software framework for hearing aid signal processing <TextLink reference="6"></TextLink>, <TextLink reference="7"></TextLink>. The PHL thus offers a relatively simple possibility to set up a full hearing aid processing chain and run it in real time in portable hardware with an electro-acoustic front-end very comparable to commercial hearing aids.</Pgraph><Pgraph>In this work, we assess standard technical performance metrics of the PHL with its BTE headset according to IEC 60118-0:2015 (largely equivalent to ANSI S3.22:2014 <TextLink reference="8"></TextLink>), and compare it to current state-of-the-art hearing aids. With these tests we evaluate whether the basic electro-acoustic performance of the PHL is on a comparable level as that of commercial hearing aids. We purposely refrain from obtaining performance metrics that depend more severely on the signal processing chain, since with the PHL it is intended that the user can configure it very freely to their needs. </Pgraph></TextBlock>
    <TextBlock linked="yes" name="Methods">
      <MainHeadline>Methods</MainHeadline><Pgraph>Three samples of the PHL were examined (first version, from Beta phase 2020&#47;2021), each comprising one processor, a wired binaural BTE-RIC hearing aid headset, and a set of exchangeable M (medium power output, type Sonion RIC-E50D) and S (small power output, type Sonion RIC-4400) receivers. Measurements were only conducted for the right side of each unit. The latest firmware as of August 2021 (Mahalia 4.16-R2) that included a generic hearing aid configuration of the openMHA was used without modifications. All its algorithms were deactivated except for a five-band dynamic range compressor, into which an equal linear gain was programmed in each channel. Other than for commercial hearing aids, the Full-On-Gain (FOG) setting, i.e., the maximum gain allowed by the fitting software, is not specified for the PHL, but required for measurements according to standards. We defined the FOG by taking the nominal peak output values (included for calibration purposes) and subtracting 6<TextGroup><PlainText>5 dB</PlainText></TextGroup>, with the intention that the device would be able to reproduce a speech-like input signal with a crest factor of <TextGroup><PlainText>15 dB</PlainText></TextGroup> at 50 dB SPL without triggering peak limiting. This resulted in broadband gains of 51 dB with the M receiver, and 45 dB with the S receiver.</Pgraph><Pgraph>For reference, the typical (10&#37; to 90&#37; interquantile) range of measured values of commercial BTE-RIC hearing aids that have undergone type approval in our lab during the year 2020 are given. This includes most BTE-RIC hearing aids that entered the German hearing aid market in 2020 (125 with S receiver, and 130 with M receiver), making up a large coverage of the world market.</Pgraph><Pgraph>Standard electroacoustic performance metrics according to IEC 60118-0:2015 <TextLink reference="9"></TextLink> were measured using our test stand in an anechoic chamber. The test stand comprised a 2 cm&#179; coupler (Br&#252;el &#38; Kj&#230;r 4969, with 4192 microphone and 2669 preamplifier) to which the receiver unit of the PHL earpiece was coupled using airtight seal, and a pressure microphone (Br&#252;el &#38; Kj&#230;r 4192 with 2669 preamplifier) mounted 12&#177;2 mm above the center point between the hearing aid microphones. Frequency-dependent measurements of the levels in free field and in the coupler with different settings of the PHL were performed using sine tones with variable frequency between 100 and 10,000 Hz. Sound was presented from a loudspeaker positioned in 1 m distance from the device under test, all controlled by a Rohde &#38; Schwarz UPV Audio Analyzer. These responses were captured with the devices under test in FOG setting at 50 dB SPL input (FOG response curve) and 90 dB SPL input (OSPL90). From these measurements, a device-specific Reference Test Gain (RTG) was derived according to IEC 60118-0:2015 and programmed into the devices for measurement of the Equivalent Input Noise (EIN) and Total Harmonic Distortion (THD).</Pgraph><Pgraph> </Pgraph></TextBlock>
    <TextBlock linked="yes" name="Results">
      <MainHeadline>Results</MainHeadline><Pgraph>The top panel of Figure 1 <ImgLink imgNo="1" imgType="figure"/> shows the OSPL90 for each unit of the PHL, as well as the range of appropriate commercial devices. With the M receiver, the PHL reaches an OSPL90 of up to 115 dB SPL peak, and high-frequency average (HFA, across 1,000, 1,600 and 2,500 Hz) of 111.5 dB SPL on average across devices. With the S receiver, these values are lower, with a peak of up to 1<TextGroup><PlainText>12 dB</PlainText></TextGroup> SPL and an HFA value of 106.3 dB SPL. The OSPL90 for the PHL lies well within the range or at the top end of appropriate commercial devices with either receiver. Differences between devices reach up to 3 dB and most probably originate from the receivers, which we tested by further measurements where the drivers were exchanged between PHL devices. It can also be seen in Figure 2 <ImgLink imgNo="2" imgType="figure"/> that the differences between units are not consistent between receiver types.</Pgraph><Pgraph>The bottom panel of Figure 1 <ImgLink imgNo="1" imgType="figure"/> shows the estimated insertion gain values for frontal incidence, which were computed by subtracting the appropriate CORFIG values <TextLink reference="10"></TextLink> as given by Bentler &#38; Pavlovic <TextLink reference="11"></TextLink> from the coupler gains (level in coupler re. free field) with FOG setting. The Coupler Response for Flat Insertion Gain (CORFIG) includes corrections for difference in response in the 2 cm&#179; coupler versus the real ear, as well as effects of microphone location present in the real ear but not the test setup. The PHL with the M receiver achieves insertion gain values around 50 dB, except for a 10 dB dip in the frequency range between 3 and 7 kHz. These values and frequency dependencies are similar to those of commercial devices. The PHL with the S receiver reaches insertion gain values up to 50 dB at frequencies below 1 kHz, and frequency-dependent values between 37 and 50 dB at higher frequencies. Depending on the frequency, these gains are at the upper end or, especially for frequencies lower than 1 kHz, higher than seen in commercial devices.</Pgraph><Pgraph>The target maximum gain settings defined in the present study (shown as dashed lines in the lower panel of <TextGroup><PlainText>Figure 1 </PlainText></TextGroup><ImgLink imgNo="1" imgType="figure"/>) were largely met by the PHL within &#177;3 dB up to 3 kHz in case of the M receiver, but show consistent deviations of up to 5 dB with the S receiver. The estimated insertion gain values with the PHL do not differ more than 1 dB between devices up to 1 kHz, and 4 dB up to 8 kHz, which are smaller variations than for the OSPL90.</Pgraph><Pgraph>Table 1 <ImgLink imgNo="1" imgType="table"/> shows a summary of performance values, namely the HFA of the OSPL90 and the coupler gain in FOG setting. Please note that the FOG coupler gains differ from the estimated insertion gain values, and are provided here for reference purposes. Furthermore, the EIN with the M receiver is close to the average of commercial reference devices, while with the S receiver, it is approx. <TextGroup><PlainText>3 dB</PlainText></TextGroup> above the average but still within one standard deviation of commercial reference devices. It should be noted here that level expansion at low input levels was disabled in the PHL, but may have been active in the commercial devices. The THD is not routinely assessed with type approval of hearing aids in Germany and thus not available for the reference devices. However, the THD values of the PHL are well within the range acceptable for the appropriate receiver types and in the typical to low range of hearing aid datasheet values.</Pgraph></TextBlock>
    <TextBlock linked="yes" name="Discussion and Conclusion">
      <MainHeadline>Discussion and Conclusion</MainHeadline><Pgraph>The insertion gain values provided by the PHL were similar to those of commercial devices and correspond well to the programmed gain values with the M receiver, whereas some deviations to the programmed gains were observed with the S receivers. Although the insertion gain values estimated here are only a coarse estimation for an average ear <TextLink reference="10"></TextLink>, <TextLink reference="12"></TextLink>, our results demonstrate that as in regular hearing aid fitting, the programmed gain values of the PHL are not necessarily equal to the actual gains achieved in the real ear. Both systematic as well as random deviations from the programmed gain values are to be expected in real ears. The results seen here are well in line with previous measurements on one PHL unit in our lab using a test box setup as well as in KEMAR, where similar or larger deviations to programmed gains were noted in one commercial reference device <TextLink reference="13"></TextLink>. The PHL showed higher gains and output level, lower EIN, lower THDs and better match to programmed gain with the M receiver as compared to the S receiver. The differences in output performance between S and M receivers observed in the present study is consistent with the difference in sensitivity provided by the manufacturer. Therefore, if space in the ear canal allows, for most applications the PHL will probably reach better performance when the M receiver is used. </Pgraph><Pgraph>Finally, we conclude that the PHL provides a suitable basis for setting up a full research hearing aid whose basic electro-acoustic performance is equivalent to commercial devices. </Pgraph></TextBlock>
    <TextBlock linked="yes" name="Notes">
      <MainHeadline>Notes</MainHeadline><SubHeadline>Competing interests</SubHeadline><Pgraph>The authors declare that they have no competing interests.</Pgraph><SubHeadline>Acknowledgements</SubHeadline><Pgraph>We thank Chas Pavlovic for partly providing the PHL units used in this work. </Pgraph></TextBlock>
    <References linked="yes">
      <Reference refNo="1">
        <RefAuthor>Keidser G</RefAuthor>
        <RefAuthor>Naylor G</RefAuthor>
        <RefAuthor>Brungart DS</RefAuthor>
        <RefAuthor>Caduff A</RefAuthor>
        <RefAuthor>Campos J</RefAuthor>
        <RefAuthor>Carlile S</RefAuthor>
        <RefAuthor>Carpenter MG</RefAuthor>
        <RefAuthor>Grimm G</RefAuthor>
        <RefAuthor>Hohmann V</RefAuthor>
        <RefAuthor>Holube I</RefAuthor>
        <RefAuthor>Launer S</RefAuthor>
        <RefAuthor>Lunner T</RefAuthor>
        <RefAuthor>Mehra R</RefAuthor>
        <RefAuthor>Rapport F</RefAuthor>
        <RefAuthor>Slaney M</RefAuthor>
        <RefAuthor>Smeds K</RefAuthor>
        <RefTitle>The Quest for Ecological Validity in Hearing Science: What It Is, Why It Matters, and How to Advance It</RefTitle>
        <RefYear>2020</RefYear>
        <RefJournal>Ear Hear</RefJournal>
        <RefPage>5S-19S</RefPage>
        <RefTotal>Keidser G, Naylor G, Brungart DS, Caduff A, Campos J, Carlile S, Carpenter MG, Grimm G, Hohmann V, Holube I, Launer S, Lunner T, Mehra R, Rapport F, Slaney M, Smeds K. The Quest for Ecological Validity in Hearing Science: What It Is, Why It Matters, and How to Advance It. Ear Hear. 2020 Nov&#47;Dec;41 Suppl 1:5S-19S. DOI: 10.1097&#47;AUD.0000000000000944</RefTotal>
        <RefLink>https:&#47;&#47;doi.org&#47;10.1097&#47;AUD.0000000000000944</RefLink>
      </Reference>
      <Reference refNo="2">
        <RefAuthor>Ghosh R</RefAuthor>
        <RefAuthor>Chandra Shekar RC</RefAuthor>
        <RefAuthor>Hansen JHL</RefAuthor>
        <RefTitle>Portable Smart-Space Research Interface to Predetermine Environment Acoustics for Cochlear implant and Hearing aid users with CCi-MOBILE</RefTitle>
        <RefYear>2020</RefYear>
        <RefJournal>Annu Int Conf IEEE Eng Med Biol Soc</RefJournal>
        <RefPage>4221-4</RefPage>
        <RefTotal>Ghosh R, Chandra Shekar RC, Hansen JHL. Portable Smart-Space Research Interface to Predetermine Environment Acoustics for Cochlear implant and Hearing aid users with CCi-MOBILE. Annu Int Conf IEEE Eng Med Biol Soc. 2020 07;2020:4221-4. DOI: 10.1109&#47;EMBC44109.2020.9175825</RefTotal>
        <RefLink>https:&#47;&#47;doi.org&#47;10.1109&#47;EMBC44109.2020.9175825</RefLink>
      </Reference>
      <Reference refNo="3">
        <RefAuthor>Pavlovic C</RefAuthor>
        <RefAuthor>Kassayan R</RefAuthor>
        <RefAuthor>Prakash SR</RefAuthor>
        <RefAuthor>Kayser H</RefAuthor>
        <RefAuthor>Hohmann V</RefAuthor>
        <RefAuthor>Atamaniuk A</RefAuthor>
        <RefTitle>A High-Fidelity Portable Platform for Development of Novel Algorithms for Assistive Listening Wearables</RefTitle>
        <RefYear>2019</RefYear>
        <RefJournal>J Acoust Soc Am</RefJournal>
        <RefPage>2878</RefPage>
        <RefTotal>Pavlovic C, Kassayan R, Prakash SR, Kayser H, , Hohmann V, Atamaniuk A. A High-Fidelity Portable Platform for Development of Novel Algorithms for Assistive Listening Wearables. J Acoust Soc Am. 2019;146:2878. DOI: 10.1121&#47;1.5136986</RefTotal>
        <RefLink>https:&#47;&#47;doi.org&#47;10.1121&#47;1.5136986</RefLink>
      </Reference>
      <Reference refNo="4">
        <RefAuthor>Pisha L</RefAuthor>
        <RefAuthor>Warchall J</RefAuthor>
        <RefAuthor>Zubatiy T</RefAuthor>
        <RefAuthor>Hamilton S</RefAuthor>
        <RefAuthor>Lee CH</RefAuthor>
        <RefAuthor>Chockalingam G</RefAuthor>
        <RefAuthor>Mercier PP</RefAuthor>
        <RefAuthor>Gupta R</RefAuthor>
        <RefAuthor>Rao BD</RefAuthor>
        <RefAuthor>Garudadri H</RefAuthor>
        <RefTitle>A Wearable, Extensible, Open-Source Platform for Hearing Healthcare Research</RefTitle>
        <RefYear>2019</RefYear>
        <RefJournal>IEEE Access</RefJournal>
        <RefPage>162083-101</RefPage>
        <RefTotal>Pisha L, Warchall J, Zubatiy T, Hamilton S, Lee CH, Chockalingam G, Mercier PP, Gupta R, Rao BD, Garudadri H. A Wearable, Extensible, Open-Source Platform for Hearing Healthcare Research. IEEE Access. 2019;7:162083-101. DOI: 10.1109&#47;access.2019.2951145</RefTotal>
        <RefLink>https:&#47;&#47;doi.org&#47;10.1109&#47;access.2019.2951145</RefLink>
      </Reference>
      <Reference refNo="5">
        <RefAuthor>Tympan</RefAuthor>
        <RefTitle></RefTitle>
        <RefYear>2017</RefYear>
        <RefBookTitle>Tympan Open Source Hearing Aid</RefBookTitle>
        <RefPage></RefPage>
        <RefTotal>Tympan. Tympan Open Source Hearing Aid. 2017 &#91;cited 2021 Nov 30&#93;. Available from: https:&#47;&#47;shop.tympan.org&#47;</RefTotal>
        <RefLink>https:&#47;&#47;shop.tympan.org&#47;</RefLink>
      </Reference>
      <Reference refNo="6">
        <RefAuthor>Grimm G</RefAuthor>
        <RefAuthor>Herzke T</RefAuthor>
        <RefAuthor>Berg D</RefAuthor>
        <RefAuthor>Hohmann V</RefAuthor>
        <RefTitle>The Master Hearing Aid: A PC-Based Platform for Algorithm Development and Evaluation</RefTitle>
        <RefYear>2006</RefYear>
        <RefJournal>Acta Acust United Acust</RefJournal>
        <RefPage>618-28</RefPage>
        <RefTotal>Grimm G, Herzke T, Berg D, Hohmann V. The Master Hearing Aid: A PC-Based Platform for Algorithm Development and Evaluation. Acta Acust United Acust. 2006 Jul 1;92(4):618-28.</RefTotal>
      </Reference>
      <Reference refNo="7">
        <RefAuthor>Herzke T</RefAuthor>
        <RefAuthor>Kayser H</RefAuthor>
        <RefAuthor>Loshaj F</RefAuthor>
        <RefAuthor>Grimm G</RefAuthor>
        <RefAuthor>Hohmann V</RefAuthor>
        <RefTitle>Open signal processing software platform for hearing aid research (openMHA)</RefTitle>
        <RefYear>2017</RefYear>
        <RefBookTitle>Proceedings of the Linux Audio Conference 2017 May 18-21, 2017 Saint-Etienne, France</RefBookTitle>
        <RefPage>35-42</RefPage>
        <RefTotal>Herzke T, Kayser H, Loshaj F, Grimm G, Hohmann V. Open signal processing software platform for hearing aid research (openMHA). In: Proceedings of the Linux Audio Conference 2017 May 18-21, 2017 Saint-Etienne, France. 2017 May 18. p. 35-42.</RefTotal>
      </Reference>
      <Reference refNo="8">
        <RefAuthor>American National Standards Institute</RefAuthor>
        <RefAuthor> Acoustical Society of America</RefAuthor>
        <RefTitle></RefTitle>
        <RefYear>2014</RefYear>
        <RefBookTitle>ANSI S3.22:2014 &#8211; Specification of Hearing Aid Characteristics</RefBookTitle>
        <RefPage></RefPage>
        <RefTotal>American National Standards Institute; Acoustical Society of America. ANSI S3.22:2014 &#8211; Specification of Hearing Aid Characteristics. Melville, NY: ASA; 2014.</RefTotal>
      </Reference>
      <Reference refNo="9">
        <RefAuthor>International Electrotechnical Commission</RefAuthor>
        <RefTitle></RefTitle>
        <RefYear>2015</RefYear>
        <RefBookTitle>IEC 60118-0:2015. Electroacoustics &#8211; Hearing aids &#8211; Part 0: Measurement of the performance characteristics of hearing aids</RefBookTitle>
        <RefPage></RefPage>
        <RefTotal>International Electrotechnical Commission. IEC 60118-0:2015. Electroacoustics &#8211; Hearing aids &#8211; Part 0: Measurement of the performance characteristics of hearing aids. Geneva: IEC; 2015.</RefTotal>
      </Reference>
      <Reference refNo="10">
        <RefAuthor>Killion MC</RefAuthor>
        <RefAuthor>Revit LJ</RefAuthor>
        <RefTitle>CORFIG and GIFROC: Real ear to coupler and back</RefTitle>
        <RefYear>1993</RefYear>
        <RefBookTitle>Acoustical factors affecting hearing aid performance</RefBookTitle>
        <RefPage>65&#8211;85</RefPage>
        <RefTotal>Killion MC, Revit LJ. CORFIG and GIFROC: Real ear to coupler and back. In: Studebaker GA, Hochberg I, editors. Acoustical factors affecting hearing aid performance. Boston: Allyn and Bacon; 1993. pp. 65&#8211;85.</RefTotal>
      </Reference>
      <Reference refNo="11">
        <RefAuthor>Bentler RA</RefAuthor>
        <RefAuthor>Pavlovic CV</RefAuthor>
        <RefTitle>Transfer functions and correction factors used in hearing aid evaluation and research</RefTitle>
        <RefYear>1989</RefYear>
        <RefJournal>Ear Hear</RefJournal>
        <RefPage>58-63</RefPage>
        <RefTotal>Bentler RA, Pavlovic CV. Transfer functions and correction factors used in hearing aid evaluation and research. Ear Hear. 1989 Feb;10(1):58-63. DOI: 10.1097&#47;00003446-198902000-00010</RefTotal>
        <RefLink>https:&#47;&#47;doi.org&#47;10.1097&#47;00003446-198902000-00010</RefLink>
      </Reference>
      <Reference refNo="12">
        <RefAuthor>Denk F</RefAuthor>
        <RefAuthor>Ernst SMA</RefAuthor>
        <RefAuthor>Ewert SD</RefAuthor>
        <RefAuthor>Kollmeier B</RefAuthor>
        <RefTitle>Adapting Hearing Devices to the Individual Ear Acoustics: Database and Target Response Correction Functions for Various Device Styles</RefTitle>
        <RefYear>2018</RefYear>
        <RefJournal>Trends Hear</RefJournal>
        <RefPage>2331216518779313</RefPage>
        <RefTotal>Denk F, Ernst SMA, Ewert SD, Kollmeier B. Adapting Hearing Devices to the Individual Ear Acoustics: Database and Target Response Correction Functions for Various Device Styles. Trends Hear. 2018 Jan-Dec;22:2331216518779313. DOI: 10.1177&#47;2331216518779313</RefTotal>
        <RefLink>https:&#47;&#47;doi.org&#47;10.1177&#47;2331216518779313</RefLink>
      </Reference>
      <Reference refNo="13">
        <RefAuthor>J&#252;rgensen L</RefAuthor>
        <RefAuthor>Husstedt H</RefAuthor>
        <RefAuthor>Denk F</RefAuthor>
        <RefTitle>Comparison of an open-source hearing aid prototype with commercially available hearing aids</RefTitle>
        <RefYear></RefYear>
        <RefBookTitle>8th International Symposium on Auditory and Audiological Research ISAAR 2021 &#8220;The Auditory System Throughout Life &#8211; Models, Mechanisms, and Interventions&#8221;; 2021 Aug 23-27; Virtual Conference</RefBookTitle>
        <RefPage></RefPage>
        <RefTotal>J&#252;rgensen L, Husstedt H, Denk F. Comparison of an open-source hearing aid prototype with commercially available hearing aids. In: 8th International Symposium on Auditory and Audiological Research ISAAR 2021 &#8220;The Auditory System Throughout Life &#8211; Models, Mechanisms, and Interventions&#8221;; 2021 Aug 23-27; Virtual Conference.</RefTotal>
      </Reference>
    </References>
    <Media>
      <Tables>
        <Table format="png">
          <MediaNo>1</MediaNo>
          <MediaID>1</MediaID>
          <Caption><Pgraph><Mark1>Table 1: Standard performance metrics with the PHL and reference devices, average and standard deviations given for the 3 PHL units or all commercial reference devices.</Mark1></Pgraph></Caption>
        </Table>
        <NoOfTables>1</NoOfTables>
      </Tables>
      <Figures>
        <Figure format="png" height="447" width="430">
          <MediaNo>2</MediaNo>
          <MediaID>2</MediaID>
          <Caption><Pgraph><Mark1>Figure 2: PHL including the processor box and wired BTE-RIC headsets; a neckband is attached to the top of the processor box.</Mark1></Pgraph></Caption>
        </Figure>
        <Figure format="png" height="377" width="476">
          <MediaNo>1</MediaNo>
          <MediaID>1</MediaID>
          <Caption><Pgraph><Mark1>Figure 1: OSPL90 (top panel) and estimated insertion gain (bottom panel) for PHL (individual lines) and commercial reference devices (shaded areas denoting range between 10&#37; and 90&#37; percentile; each line style denotes one PHL unit, red lines indicate results with the M receiver, blue lines those with the S receiver. Horizontal dashed lines in the bottom panel denote the programmed gain values.</Mark1></Pgraph></Caption>
        </Figure>
        <NoOfPictures>2</NoOfPictures>
      </Figures>
      <InlineFigures>
        <NoOfPictures>0</NoOfPictures>
      </InlineFigures>
      <Attachments>
        <NoOfAttachments>0</NoOfAttachments>
      </Attachments>
    </Media>
  </OrigData>
</GmsArticle>