As the summer months arrive, so does the hot, humid weather. You may want to consider how this can affect the function of your Ponto™ processor.
Your processor is vulnerable to environmental changes like increased humidity in the air or condensation caused by moving between air-conditioned interiors and extreme heat outside. While the Ponto 5 family of processors have an IP rating of 57 when the battery is in the processor, it is still important to consider ways to minimize exposure or combat the effects of moisture.
Warning signs of moisture issues include the following:
Your processor’s sounds are distorted or staticky
Your processor works intermittently or cuts in and out
You see corrosion in the battery compartment or around the battery
You feel that your batteries are not lasting as long as they normally do
Can you help prevent moisture issues?
You can start by developing good processor cleaning and care habits. If the processor comes into contact with sweat, rain, or moisture, wipe it with a clean, dry cloth. The Ponto Care™ app, available for iPhone® and Android™ users, provides helpful information on the proper care and maintenance of your device. For example, avoid storing your processor in the bathroom where it could be affected by humidity from showers or baths.
How can I help reduce moisture that may be in my Ponto?
Drying systems are an easy and effective way to reduce moisture that may accumulate in your processor due to normal usage, rain, or living in areas with high humidity.
There are two main types of systems. The first is considered passive; this uses desiccant, much like the packs that you find in vitamin bottles. These are typically called, “jar dryers” and contain the desiccant beads that can be “recharged” by putting them in the oven or microwave. You simply put the processor in the jar without a battery and close the lid. Jar dryers are great for travel, camping or when you do not want to use electricity.
The second type is an active dehumidifier. This type also has a desiccant pack or puck but adds in a fan to circulate air. These “box dryer” systems can also have a UV-C light that acts as a germicide. Box dryers more aggressively reduce moisture from your Ponto processor. Again, you can put your processor in the dryer without a battery and turn the dryer on. The box dryer will typically run through a cycle that lasts between 6-8 hours. You can feel comfortable using these types of drying systems every night and as your storage case overnight.
Use your bone anchored hearing system all summer long
Wherever your adventures take you this summer, make sure your Ponto processor keeps up with you by following some simple care and maintenance steps. With a little care and common sense, you can continue enjoying the sounds you love regardless of the season.
About the author
Nicole Maxam, AuD CCC-A is part of the Auditory Technical Services team at Oticon Medical. She has been an audiologist for over 17 years and has experience with providing patients with hearing aids and implantable solutions.
Oticon Medical’s Ponto™ 5 family of bone anchored hearing systems (BAHS) includes OpenSound Navigator™, which handles multiple, dynamic speech and noise sources for you to instantly capture and easily follow the listening environment. This groundbreaking technology and ultra-fast processing analyzes sounds, balances surrounding sounds and removes excessive background noise in a split second. But what does that mean for you, the Ponto wearer? Here are three important ways in which OpenSound Navigator helps you focus on what’s important.
1. Keeps you connected to your sound environment
Conventional sound processors aim to improve speech understanding by removing sound, such as by using directionality to just focus on the speakers in front of you. While this may improve speech understanding, it can also leave you feeling cut off. Ponto 5 Mini and SuperPower devices take a different approach. The pioneering OpenSound Navigator technology lets you hear sounds from all around you and stay connected with your sound environment. This makes it easy to follow what’s going on. Ponto 5 uses OpenSound Navigator technology to open up the full soundscape, so you can hear sounds from all directions. New research confirms that this open soundscape gives the brain what it needs to create a better listening experience.
OpenSound Navigator balances surrounding sounds, so the background sounds are available, but not disturbing. In this way, no sounds are eliminated but individual sound sources are rebalanced to support the user in separating sounds, making it easier for you to switch attention when needed.
2. Provides access to all sounds, which is important for your brain
Good hearing helps your brain to stay fit throughout your life—and helps avoid many other health problems. 1,2,3 In short, hearing health contributes to brain health. That is why we continue to develop BrainHearing™ technology for our Ponto devices. Traditional sound processors improve speech intelligibility by removing sound – using technologies, such as directionality and speech prioritization. Moreover, with traditional sound processors, whenever there is a risk of feedback, gain is reduced. New research now shows that the brain needs access to all sounds from the full soundscape to help it make sense of what it hears.4,5
Hear the difference
With the BrainHearing technologies in Ponto 5 processors, such as OpenSound Navigator and OpenSound Optimizer™, users have access to more sound than ever before. This has resulted in outstanding results in improving speech understanding and reducing listening effort.
Better speech understanding
The unique open sound experience of OpenSound Navigator in Ponto 5 gives users access to 360° sound from all around them, which has been shown to improve speech understanding by more than 20%.*6
Less listening effort
The open sound experience also significantly reduces the listening effort needed to make sense of sound. Pupillometry tests carried out on the OpenSound Navigator showed overall pupil dilation was reduced by 36%.*6
How can you measure listening effort? Pupillometry tests measure the listener’s pupil size as an
indicator of brain activity. In listening tests, pupil dilation reflects the effort needed to understand: the bigger the pupil, the greater the effort. 6
*Increased speech understanding with OpenSound Navigator ON measured as a percentage relative to the baseline with OpenSound Navigator OFF.
1. Recognizes the difference between “Noise” and “Sound”
Kevin Hotaling is a Ponto user* and had this to share regarding his real-life experience with OpenSound Navigator:
“When I first wore a Ponto device with OpenSound Navigator after having used an older model for years, it was a truly awakening experience. After events in public venues and family gatherings where lots of sound was present, I noticed the system I was wearing put in a type of effort that I didn’t believe possible at the time. My device seemed to actively recognize the difference between “Noise” and “Sound.” It also seemed to be prioritizing and amplifying sounds that were important, such as a person’s voice with whom I was speaking, and dampening noises that were not as important, like the movement of dishes in a restaurant or background chatter. After a while, I also noticed I was paying far less attention to the fact that I was wearing a bone-anchored hearing system—and that’s a good thing! I was spending far less energy on trying to hear. The best type of hearing is the type you don’t have to think about, and I finally have that with OpenSound Navigator!”
Connect with other Ponto users
Hearing what others have to say about their experience and getting advice from those who have been in your shoes is invaluable! One easy way to get started is inside the Ponto Care™ app under Information. There are video and written testimonials by Ponto users that you can easily access to check out what others have to say about their Ponto experience. We can also connect you with an Oticon Medical Ponto Advocate. Simply contact Oticon Medical online or call 888-277-8014.
Another way to connect is by following our Oticon Medical Facebook Page. Here you can chat with Ponto users, as well as read interesting posts and short articles.
Try the open sound experience for yourself. Ask for a trial of Ponto 5 Mini or Ponto 5 SuperPower and congratulations from our team on beginning your journey toward better hearing health!
About the Author
Gail Leininger, Au.D., CCC-A is an audiologist who has worked with implantable technologies for over twenty years. She is an Auditory Technical Specialist for Oticon Medical.
* Financial Disclosure
Kevin Hotaling is an employee of Oticon Medical. He is a Ponto user of seven years, and has been a consumer advocate, speaker, and ambassador with Oticon Medical for just as long.
1 Amieva, H., et al. (2018). Death, depression, disability, and dementia associated with self-reported hearing problems: a 25-year study. The Journals of Gerontology: Series A, 73(10), 1383-1389
2 Lin, F. R., et al. (2011). Hearing loss and incident dementia. Archives of Neurology, 68(2), 214-220
3 Lin, F. R., et al. (2012). Hearing loss and falls among older adults in the United States. Archives of internal medicine, 172(4), 369-371
4 O'Sullivan, et al. (2019). Hierarchical Encoding of Attended Auditory Objects in Multi-talker Speech Perception. Neuron, 104(6), 1195-1209
5 Puvvada, K. C. et al. (2017). Cortical representations of speech in a multi-talker auditory scene. Journal of Neuroscience, 37(38), 9189-9196
6 Manuscript in preparation, Data on File - Clinical study BC102
Bianchi, F, Weile, J N et al. (2020). OpenSound Navigator™ for Ponto, Oticon Medical white paper 215170.
[Oticon Medical us website link https://www.oticonmedical.com/us/the-new/open-sound-navigator ]
Audiologist Laura Rhee’s Insights on Fitting Children with Ponto Systems
We had the wonderful pleasure of talking with lead pediatric audiologist, Dr. Laura Rhee from Providence Speech and Hearing Center and CHOC of California, about her experience fitting Oticon Medical Ponto Systems.
Why do you choose to work with Oticon Medical’s Ponto family of bone conduction devices?
Dr. Rhee: “I recommend Oticon Medical bone conduction devices over other manufacturers because your devices tend to have far less feedback issues. I make very few adjustments during the fitting due to the lack of feedback. This gives my patients more access to sound without the annoyance of feedback or reduction in speech understanding.”
What do you like about the Oticon Medical Ponto fittings?
Dr. Rhee: “I really like how easy the Ponto devices are to fit. Typically, I don’t have to make many adjustments to programming. At my clinic, we pre-program sound processors to make fittings go smoothly. We counsel families about daily use, how to clean and handle the sound processor and accessories during a demonstration or consultation appointment. Pre-programming the sound processors frees up time for us to spend counseling the families, improving our clinical efficiency, and providing valuable information to the family without being rushed.”
What are some challenges you or your patients face with Oticon Medical Ponto fittings?
Dr. Rhee: “The hardest part of a new fitting is the softband. It’s important to have it (the softband) tight enough to get a good fitting but this can become uncomfortable or may need to be adjusted throughout the day. Very young children will often grab and pull the band off throughout the day requiring parents or caregivers to replace and reposition often I tell parents it’s important to maintain a consistent wearing schedule each day because it will help children adapt to the softband and provide consistent access to sound, which is crucial for developing language”.
What advice do you give parents that are just starting this journey with their child?
Dr. Rhee: “Use the processor all waking hours to stimulate auditory connections within the brain. If you don’t use the auditory nerve or pathway, your brain will reuse those neural connections for other senses. Keep your brain working using the processor consistently to help reduce listening fatigue and foster speech development.”
Final thoughts on reducing feedback in bone conduction hearing devices
One of the key takeaways from our discussion was the importance of reducing feedback (aka ‘whistling’ or ‘whining’ noise) that occurs when amplified sound is reflected from the head, reaches the microphone, and is re-amplified. If feedback is not eliminated by an anti-feedback system, it becomes audible to the user and others around them. With Oticon Medical’s OpenSound Optimizer™ (OSO), you aren’t compromising gain or volume due to feedback. This is especially important when working with pediatric patients, who are often in a car seat, highchair, or lying on their backs during playtime. And Oticon Medical’s OpenSound Optimizer does just that—prevents feedback and provides stable gain so that users can get the most out of their devices without compromising speech understanding.
Helpful links for parents of Ponto wearers
Here are some links that may be helpful for parents who are in the process of getting their child an Oticon Medical bone anchored hearing system (BAHS) or families of children that are new to wearing a Ponto BAHS processor.
Dr. Rhee obtained her audiology degree from San Diego State University and University of California San Diego and has been at Providence since 2014. She works with a wide variety of pediatric patients (zero to 21), including children with craniofacial disorders. She has treated children with atresia, Treacher Collins and other syndromes related to hearing loss.
NICU nurse Christina shares her experience recovering from acoustic neuroma and finding the right treatment for her resulting single-sided deafness.
After my first medical mission trip to Guatemala in 2020, I came back to the states with a global pandemic starting and a constellation of symptoms that seemed to be getting worse that my doctor could not explain. It would not be until January of 2021 that I would learn a small brain tumor was responsible for my debilitating symptoms.
I was terrified and worried for my family. I am a single mom of two small children. My kids depend on me, and I am the sole income for my household. My job as a neonatal intensive care unit (NICU) nurse requires full use of all my senses and this tumor was going to take my hearing, balance, and possibly more. I was worried about what my life would look like, not to mention the possibility of losing my life to the tumor itself.
In May of 2021, I flew from Atlanta, Georgia to California to have surgery with the specialists at University of California San Diego to remove the vestibular schwannoma (acoustic neuroma) that was growing on my cranial nerve. My recovery was hard, and unfortunately, they were not able to save my hearing. I was now completely deaf in one ear. I was heartbroken. I couldn’t hear in loud places. I had a strange feeling that there was just a huge black hole next to my deaf side. The doctors call it a head shadow, but it was more like a black hole to me.
Challenges of finding the right single-sided deafness treatment
Once I had physically recovered from surgery, my doctor back home wanted me to get a hearing device to use, and get used to, before returning to my work as a nurse. I initially got a loaner BiCROS hearing aid to try out from the hospital. Slowly, the black hole disappeared, but I was still concerned. Having to don so much gear to protect us and our patients from the Covid-19 virus, I worried my hearing aids would get in the way. I have to take masks on and off and put on sterile attire to enter surgical suites and found I would often get my hearing aids caught in my hair or in the straps of masks. I also had to remove one to be able to use my stethoscope. I knew there had to be something better.
My work in the NICU involves caring for the most vulnerable of all patients. Some weigh only 600g! A mistake can be devastating. I need to be able to hear the orders from providers, the heartbeat and lung sounds of my patients, and communicate with parents efficiently.
One of the first things we do when we get to work is receive a report from another nurse, which can be very stressful because of all the normal noises around us and the sound of everyone else giving reports at the same time. I also attend high-risk deliveries and codes, which are highly stressful and do not allow for any mistakes to be made. Communication needs to be clear and precise. Meanwhile, I still had difficulty hearing at work with my BiCROS—the amount of noise from alarms, vents, oxygen tanks, etc. would get scrambled into what I was trying to hear.
I had heard about bone anchored devices but was hesitant to go into surgery again, so I worked with the BiCROS system for three months. After doing some research, I decided the bone anchored hearing system (BAHS) would be a better choice for me and had heard many good things about the new Oticon Medical Ponto™ device, the Ponto 5 Mini. It was the newest device available, and its small size led me to believe it would work better for my needs. I also really liked the idea of putting it on in the morning and just not having to think about it for the rest of the day.
I scheduled my abutment placement. I did have concerns about my sensitive skin and having a reaction, but the Oticon Medical representatives were wonderful and answered all my questions and concerns. The placement itself was super easy, and I recovered really quickly. I even ran my first half-marathon two weeks after the placement of my abutment!
A new world of sound with Ponto 5 Mini
Getting my processor was amazing. I could hear so much more and clearer, but sound was strange at first—it was tinny, and difficult to sort out sounds. I thought maybe I had made a mistake and I got really down. Sometimes I would just turn my device off, but I had read somewhere that you need to constantly wear your device so that your brain can integrate the new sounds. So I used the theory of practice makes perfect and just continued to provide opportunities for my brain to sort out the sounds I was hearing.
I like the fact that with Bluetooth® compatibility, I can just connect to my devices and not have to juggle with a hearing aid and earbuds. They also are making stethoscopes that can connect directly via Bluetooth to my Ponto. I actually am able to listen better to my patients than my hearing counterparts at times.
I have to put surgical caps on to enter surgical suites, and the small size helps make this process a lot easier. I use the OpenSound Navigator™ feature a lot in the loud NICU especially when I am working the night shift. When I get tired, it is harder to sort out sounds, and this really helps during those times.
My hair nicely covers the processor so no one can see it. It’s not that I necessarily want to hide it, I just don’t want to give anyone any reason to question my abilities. On the other hand, if I want to share, I am able to, and sometimes showing a patient that you have a disability like they do and showing it as a super-power or special ability gives them an opportunity to see themselves in a different light.
I was really surprised how little I have to worry about feedback thanks to the OpenSound Optimizer.™ I was told that it would be a big issue, especially while wearing hats, but as long as the hat or surgical cap is loose-fitting, I really don’t have any problems.
It took almost two months, but I remember one day actually forgetting that I had my Ponto 5 Mini on and that I was deaf on one side. Something had clicked. Earlier, I had told the organizer of the medical mission trips that I would not be able to go this year because I was not sure I could help anyone due to my hearing loss. After that day though, I called him up and said, “Sign me up, I’m ready.” I have now completed my second medical mission trip to Guatemala personally helping hundreds of patients—none of whom had a clue that I once struggled with hearing.
I am the cool bionic mom to my kids! They are 10 and 12 and like to talk to their mom at the same time especially when they are excited about something. My Ponto 5 Mini helps me sort out their voices and hear what they are saying even when they talk over each other.
I want someone deciding whether to get a Ponto bone anchored hearing system to know that it takes time to adjust to your device. It’s not a magic button. Like anything, it takes practice and patience. The brain is amazing, and we are fortunate to have this technology. Just don’t give up!
This video was taken eight months post-craniotomy and two months post-BAHS implantation. My 10-year-old wanted to rock climb for his birthday, so of course I had to show them all up. I don’t wear the safety connection device, mostly because I don’t want to draw attention to myself. In the beginning of the video you can see where the rope hit the Ponto and it fell (not sure how high that is) a long, long way down. You can hear my kid’s Dad saying, “Something fell off” and my mom saying, “It’s her processor.”
Thank God there were pads underneath! I got down and clipped my processor back on and it works fine. Also, I’m an old lady so don’t judge my climbing skills (hey, I went higher than all the 10-year-olds!)
“Where words fail, music speaks.” — Hans Christian Anderson
Think of a favorite memory that involves music.
Perhaps it was when you attended an outdoor concert on a beautiful summer day with family and friends. Or that moment when you blasted your favorite song on the car radio with the windows down. What is it about hearing a certain song that can transport you back to a happy day in your life? Undoubtedly, music touches our hearts and minds in a way that few things can.
If you are someone with a hearing loss, music may sound different to you than it used to. Certain notes might sound flat. The lyrics of a song might be more difficult to identify. You might long to hear certain instruments in the orchestra again. Losing a connection to music is another hidden challenge presented by hearing loss presents.
In today’s world, hearing device users are fortunate to have access to technology that can make listening to music more enjoyable. If you use a Ponto™ device, let’s look at a few ways that your hearing care professional can optimize your processor to help make music sound better to you.
Ask your audiologist to make you a music program
Music is very different than speech. Music contains volume and pitch changes that don’t occur in conversational speech. A challenge for bone anchored hearing aid users is that, while their devices are designed to emphasize speech, those same pitch and volume enhancements needed to understand speech can interfere with music enjoyment.
A music program is designed to allow the hearing device to accept a wider range of frequencies and lessen noise reduction. In the Ponto 5 Mini, your clinician has access to a preset music program with settings that are guided by the latest research into listening to music through hearing devices. You can access your music program using the Oticon ON™ app paired to your smartphone by selecting it when listening to music. If you are a Ponto 3 SuperPower patient, your audiologist can create a music program that can be accessed with your Oticon Medical Streamer. If you haven’t tested a music program yet, ask your audiologist to create one for you at your next visit and listen to the difference.
Use your wireless accessories to stream music directly to your Ponto family device
Ponto hearing device users are fortunate to have access to a wealth of accessories that can help them enjoy music. Let’s talk about how you might use these wireless accessories.
The ConnectClip™ is a multi-function accessory that is compatible with our Ponto 4 and Ponto 5 Mini devices. The ConnectClip is easily paired to your Ponto and a smartphone. You can use it to stream music from your favorite Spotify™ or Apple® Music playlist directly to your device. The music volume can be adjusted right on the ConnectClip for a hands-free listening experience.
The EduMic™ is widely known as a wireless accessory with educational benefits for pediatric patients. It is a one-to-many device that is capable of so much, including accepting a streaming signal from an FM transmitter in educational settings. But did you know that you can also use EduMic in “jack mode” to listen to music? If you want to enjoy music from a laptop or a wireless speaker that has a jack cable plug-in, you can plug in your EduMic and stream the audio directly to a Ponto 4 or Ponto 5 Mini. The EduMic is shipped with the 3.5 mm jack cable required, so no need to shop for anything extra. As an added bonus, the EduMic is currently offered as one of the free accessory options for patients placing a new Ponto 5 Mini order.
The Oticon Medical Streamer
For our Ponto 3 SuperPower patients, you can use your connected Oticon Medical Streamer to link to a music system, either wirelessly using Bluetooth®, or a 3.5 mm jack cable if you prefer to plug in. Worn around the patient’s neck, the Oticon Medical Streamer also offers patients an entirely hands-free music listening experience in either mode.
Take note of assistive devices available to hearing device users
Many theaters and concert halls have a telecoil loop system that allows audio to be transmitted to a hearing device using the telecoil. A loop system uses electromagnetic energy to transmit the audio from the venue to its patrons with hearing loss. Our Ponto 3 SuperPower patients can access their telecoil with the use of the Oticon Medical Streamer. The telecoil in the streamer picks up the electromagnetic energy that is transmitted from the loop system in the room, allowing the user to access the audio from the stage directly in their device. Simply pressing the “AUX” button on the lower right side of the streamer for two seconds will activate the telecoil feature. If you are a Ponto 5 Mini patient using the EduMic, you can use its telecoil mode to stream the telecoil signal from a theater or music venue. The next time you are seeing a concert or a play in a live theater, be sure to ask whether it is “looped”.
Enjoy music with your Ponto bone anchored hearing system
Thanks to the advanced technology in Oticon Medical devices and wireless accessories, bone anchored hearing device users have more options than ever when it comes to music enjoyment. Be sure to visit your audiologist to learn more about how you can take advantage of the options available to you.
About the author
Courtney Smith, M.A., CCC/A, is the Clinical Trainer for Oticon Medical. She in in her 19th year of practicing audiology. She has practiced in private practice and university hospital settings in Las Vegas, NV. She completed her training at the University of Iowa in 2003.
Are you thinking of upgrading your current processor? Do you want to learn more about Ponto 5 Mini? Now is your chance!
We are excited to share this upcoming informational opportunity with you!
We cordially invite you to join us for an exciting Ponto 5 Mini™ informational webinar on Wednesday, March 23, 2022. This one-hour webinar, co-hosted by Oticon Medical Clinical Audiologist Carissa Moeggenberg, MA, CCC-A and Ponto 5 Mini Product Manager Michael Piskosz, MS, will introduce you to the features and benefits of our latest process, the Ponto 5 Mini, and discuss how this new technology could benefit you, our valued bone anchored hearing system wearers. We will also review how to initiate the insurance verification process for an upgrade, and what you should expect during this process, plus you’ll hear from one of our Ponto 5 Mini wearers directly about their experiences wearing the device so far.
For your convenience, we are offering this webinar at two different times:
12pm Eastern Standard Time
7pm Eastern Standard Time
To register for your preferred time, please use this Ponto 5 Mini informational webinar registration link. We hope to see you at one of the sessions, and encourage you to share this opportunity with anyone in your family, friends, or community network who might benefit from our latest bone anchored hearing technology!
Hearing loss can have a significant impact on your quality of life. For some people it can impact social interactions, work environment, and even activities that you used to find to be relaxing and enjoyable. The purpose of this blog post is to help you to understand that you are not alone in this journey. Depending on the type and degree of hearing loss you experience, bone anchored hearing systems along with aural rehabilitation, may help you to reduce your listening effort.
Learning to listen
Did you know that we listen with our brains rather than our ears? If you are someone experiencing hearing loss, your brain may not be getting the auditory stimulation it needs to be able to understand and comprehend speech information. Therefore, the first step in learning to listen is to make sure your brain is getting access to the sound it needs. The best way to ensure this is to work with your hearing healthcare professional to determine the type and degree of hearing loss you have and how to best treat it.
Sometimes we need more
Of course, many different factors influence outcomes with your hearing devices. One of those factors could be that your brain needs to re-learn how to listen and understand. Just like your hip might need rehabilitation if you hurt it, your brain may need some listening rehabilitation to reduce listening fatigue and improve overall understanding. We call this aural rehabilitation. You may also hear it referred to as “AR”.
What is aural rehabilitation?
Aural rehabilitation allows individuals experiencing hearing loss to learn how to use their technology and other resources to improve speech understanding, listening effort, and overall communication. According to Arthur Boothroyd, there are four components of aural rehabilitation:
Sensory management: Treatment of the hearing loss.
Instruction: Learning how to use your devices to best serve you in many different listening environments.
Perceptual training: Learning how to listen and process sound through targeted therapy either provided in-person or via virtual platform.
Counseling: Understanding realistic expectations.
The goal of aural rehabilitation is to improve quality of life by teaching the listener (you) how to reduce listening effort. By reducing listening effort, you can experience improved listening stamina and even improvements in understanding when listening in different environments.
What are some benefits to doing aural rehabilitation?
Let’s face it, we are all busy. We have errands to run, kids to pick up, grandkids to play with, and Netflix® to binge! So, why put in the effort? Aural rehabilitation has been proven to improve listening outcomes from a reduction in the perception of hearing difficulties to an improvement in quality-of-life. Aural rehab can really help you to get the most out of your hearing technology.
When is the best time to start aural rehabilitation?
While research indicates that aural rehabilitation provides the most benefit within the first three months post device fit (Dornhoffer et al, 2021), some form of aural rehabilitation can be beneficial to all individuals with hearing loss at any point during their hearing healthcare journey. The best time to start is now!
There are many ways in which you can pursue the different forms of aural rehabilitation. In addition to in-person therapy sessions, AR includes the use of any assistive technologies or accessories, support from friends and family, as well as training tools to help you to feel more confident no matter the listening environment. Some of these training methods include in-person therapy sessions, online training materials provided by various manufacturers, and even different phone applications that can support your hearing and listening journey. The best way for you to have an experience tailored to your needs is to discuss these therapy options with your hearing healthcare professional, so that they can determine the best ways to ensure that you have the resources you need to be successful.
About the author
Alicia Wooten, Au.D. CCC-A is a Senior Auditory Technical Specialist at Oticon Medical. She specializes in implantable hearing devices and has a strong passion for aural rehabilitation and its impact on patient outcomes.
 Boothroyd, A. (2007). Adult Aural Rehabilitation: What Is It and Does It Work? Trends in Amplification, 11(2), 63-71. https://doi.org/10.1177/1084713807301073
 Dornhoffer, J. R., Reddy, P., Ma, C., Schvartz-Leyzac, K. C., Dubno, J. R., & McRackan, T. R. (2021). Use of Auditory Training and Its Influence on Early Cochlear Implant Outcomes in Adults. Otology & Neurotology, 43(2), e165–e173. https://doi.org/10.1097/mao.0000000000003417
When you see the acronym IFTTT, don’t be alarmed or intimidated. It stands for If This Then That. It is a great way to connect your apps and notifications in one spot, which is why Oticon Medical has joined the revolution and incorporated it into our Ponto™ bone anchored hearing systems, starting with the Ponto 4 and now the Ponto 5 Mini. This expanding internet-based cloud service enables you to link together a range of products and solutions that otherwise have nothing to do with each other.
Currently, there are between 400 and 500 products and services that have a channel on IFTTT. It is free to the user while companies pay to be part of the ecosystem. “Applets” are the key to making the connections happen and have been created to provide little pieces of automated instructions that both user and company can create. Not to worry—the app is designed to walk you through connecting your devices to the Oticon ON™ app and allows you to customize your Ponto notifications to your liking.
Why are we talking about IFTTT?
The IFTTT protocol allows notifications to be sent to your Ponto 4 or Ponto 5 Mini processor. However, there are some requirements. The first one we already mentioned—you need to have a Ponto 4 or Ponto 5 Mini processor that directly connects to the Oticon ON app with an internet connection. This of course requires you to have a smartphone with the Oticon ON app, which can be found in the Apple App Store® or Google Play™ Store. When you are connected with an Apple iPhone® 5 or newer model, the notification will be sent directly to your Ponto processor. This is considered the Play text to speech process in the applets. If you would like to connect with your Android™ device, you would need a ConnectClip™ in order for the notifications to be sent to your Ponto processor.
How to get started?
Once you have those connections established to the ON app, you will need to set up an IFTTT account. This can easily be done by downloading the app and following the prompts. You can use an email account or your AppleID® account to start. Again, the best part is that it is free!
What do you do once you have established the account?
An applet can be chosen on the app or created for an If This…Then That connection. This will allow you to receive notification from different internet-enabled devices. For instance, if you have a video doorbell, the process will work as follows:
Someone rings the internet-connected doorbell
A message to IFTTT is triggered via the internet
IFTTT sends a message to your Oticon ON app on the smartphone
The ON App triggers the voice message picked by the Ponto 4 or 5 Mini (in this case, “someone is at the front door”)
To set this up, you would begin by creating the “If This,” which would be your video doorbell. You may choose a trigger, such as motion or a new ring of the doorbell detected. Once selected, you would then select a “Then That,” which in this case would probably be the Oticon ON app’s Play text to speech (note: works with the direct streaming to iPhone, but Android users can also take advantage of this feature when using the ConnectClip.). Once finished, the notification would go directly to your Ponto 4 or 5 Mini processor.
Another great way to utilize this technology would be when the Oticon ON app detects your battery is low. This is especially helpful for parents of young wearers, because the app could have a preset instruction to ping the IFTTT network when your child has a low battery. The IFTTT network could then look at the created instruction or applet and automatically send you, a teacher, or a babysitter a text message wherever you or they might be.
What can IFTTT connect?
There are hundreds of app and smart devices for which you can create IFTTT applets—the possibilities are endless. For instance, having an internet-connected sound processor means being able to turn on a kitchen appliance when turning on your device (coffee, anyone?) in the morning or your house lights based on GPS information.
How will my information be used?
This process runs through your Oticon ON app; therefore, all the data is yours. IFTTT does not store or use your information. You will be asked to log into your internet-enabled device when creating the applets in IFTTT. However, there is no storage of data, because it is simply a messaging device connecting the system together.
Families are gathering. Holidays plans are made. You are heading out on a road trip to see the grandkids. The house is bustling with the sounds of the holidays. Children are laughing, and the dinner conversations are lively. It’s time to join with your family around a festive holiday table to celebrate the season and the start of a new year.
For people with hearing loss, these joyous moments can also bring a host of challenges. A noisy dinner conversation can leave a person with hearing loss feeling tired from the effort they have to spend to understand the message. The dinner table is noisy and voices sound muffled from a distance. Important conversations are missed. These challenges can cause isolation and exhaustion for someone with hearing loss.
Oticon Medical has focused on these challenging situations to present patients with device programming and accessory options that improve communication and quality of life. Our accessories, paired with good communication practices, can positively impact interactions with users of our product portfolio. Here are some communication strategies that we can all practice throughout the holidays that will help make communication easier and the season more enjoyable for people with hearing loss.
How to talk to someone with hearing loss
Face the person. Ensure that the person with hearing loss can see everyone’s face. The visual cues will help the person understand the words they didn’t catch.
Minimize background noise. Turn off the TV and reduce the volume of surrounding music or television to make communication easier.
Make sure the room is well-lit. A well-lit environment can make it easier for the person with hearing loss to see facial expressions, body language, and gestures from across a room.
Get their attention first. Get an individual’s attention by saying their name first or gently tapping their arm, and then convey your message to increase the chance that it will be heard and understood.
Speak slowly and clearly. Annunciate your words and take your time.
Rephrase, don’t repeat. If something isn’t heard the first time, try rephrasing it. Instead of repeating the same sentence louder, try saying it a different way.
Don’t speak from another room. Minimizing distance will maximize the chance that your message will be heard and understood.
Speak at a normal volume. Shouting during conservation can distort the signal for the person with hearing loss and so, rather than making it easier for a hard of hearing person to understand you, it often has the opposite effect.
Useful tools for communication success
Oticon Medical’s BrainHearing™ philosophy reminds us that we hear with our brains, not just our ears. Our Ponto™ devices are equipped with special noise reduction options that operate with this philosophy in mind. The Ponto family is compatible with a variety of accessories that have streaming capabilities to help people with hearing loss communicate successfully in difficult listening environments. Let’s look at a few scenarios where Ponto users can use these tools to make communication easier in challenging situations during the holidays.
A Ponto 5 Mini user and his wife have loaded up the RV for a holiday road trip to see their grandkids. For these two people, a conversation in the car is challenging because of road noise and the lack of visual cues as they face the road. The Ponto user can use the ConnectClip to give themselves a big advantage in this situation and allow for an enjoyable road trip full of conversation. The Ponto user’s wife can clip the ConnectClip that is paired to her husband’s Ponto 5 Mini to her lapel about 6 inches from her mouth. She presses and holds the multi-function button for a few seconds until the lights turn purple and green. This action sends her voice on a wireless journey direct to her husband’s Ponto 5 Mini, allowing for effortless conversation between the two, reducing background noise, and minimizing the effects of distance on their ability to communicate.
Watching a movie
Oticon Medical’s TV Adapter 3.0 is compatible with the entire Ponto product family. You can pair a TV Adapter to your Ponto 3 SuperPower using your Oticon Medical Streamer or to Ponto 4 or 5 Mini directly. This allows you to stream audio directly from your television to your device. You can use your streamer or the Oticon ON™ app to control the volume of the television while your family continues to listen at a level that’s comfortable for them.
Adjustments from afar
You are having difficulty hearing in noise on your holiday vacation, but it isn’t convenient for you to visit your audiologist for programming in person. What can you do? Ponto 5 Mini users can now use RemoteCare to arrange a quick telehealth appointment with their audiologist. During a scheduled RemoteCare visit, an audiologist can log into a private portal which allows them to make the adjustments that their patient needs. The program changes are uploaded to the patient’s device using Oticon’s RemoteCare app and the new settings can be used by the Ponto 5 Mini user right away. This groundbreaking technology opens a new frontier for Ponto patients.
Oticon Medical has developed OpenSound Navigator™ as a method of noise reduction for those energetic conversations around your holiday dinner table. In this situation, you want to hear the conversation, regardless of its direction. OpenSound Navigator will seamlessly adjust to your environment and reduces the effort it takes to hear. Talk to your audiologist about creating a program in your Ponto 4 or 5 Mini device that utilizes OpenSound Navigator and hear the difference at the holiday dinner table this year. Additionally, you can hand a paired ConnectClip to a relative across the table and their voice can be streamed directly from up to 65 feet away.
Oticon Medical is here to support you while you are on the go this holiday season. For product support, videos on how to pair accessories, or in-depth information about the different solutions available to you, visit Wireless Connectivity.
Should you need help from an Oticon Medical audiologist during the holiday season, please contact our Auditory Technical Services support team during the hours of 8 AM and 8 PM, Eastern time at 888-277-8014 or by email at [email protected]
Oticon Medical wishes you and your family a happy and healthy holiday season!
About the Author
Courtney Smith, M.A., CCC-A, is the Clinical Trainer at Oticon Medical, having just joined the team in October of 2021. She practiced audiology in both medical and private practice settings in Las Vegas, NV. She has experience working with hearing aids, cochlear implants, and bone anchored solutions for adults and pediatrics. She completed her training at the University of Iowa in 2003.
As the holiday season begins, so does the opportunity for travel. If you are traveling this season, here are a few things to consider if you have a Ponto™ bone anchored hearing system (BAHS).
Airport and TSA security
It is important to advise the TSA agent prior to going through the security or x-ray process that you have an implantable device. At this time, you may consider handing or showing them your MRI Safety Security card. If you don’t have a card or can’t find it, you can download the MRI Safety Card from our website. Cards are available there in different languages, along with other helpful informational materials. We recommend printing or saving the card to your phone prior to travel.
As you prepare for your trip, another great resource to check out is Oticon Medical’s Tips and Tricks section of the website. In this section you will find information and advice on everyday activities with your Ponto system.
Additional Ponto device and abutment safety considerations
The abutment is made from titanium and safe to go through the metal detector or x-ray machine. Since titanium is weakly magnetic, the security system’s alarm will most likely not go off. However, it is still a good idea and important to let the TSA agent know ahead of time about your Ponto and implant in the event that additional screening is necessary after your initial pass through the x-ray process.
As for your Ponto processor, since it does contain a magnet, this may set off an alarm. We always recommend that when exposed to medical-strength x-ray you remove your processor to prevent damage. However, TSA screenings have low dose x-ray exposure and are safe to move through. So, if you forget to take it off there is no harm, but you may set off the alarm as the Ponto processor contains metal.
If you choose to take off your Ponto processor, simply put it in a case with the battery door open and in a TSA container for the belt screening, as you do your other carry-on items. This is safe for the processor and will not cause damage.
Items to bring on a trip with your Ponto processor
When traveling with your Ponto, you want to make sure you have packed all your equipment and extra supplies. It is a good idea to bring extra batteries, your wireless accessories, and the appropriate cables for charging them. Consider charging your accessories the night or day before you leave to ensure you can use them while traveling.
It is also important to pack your Ponto Care Kit for cleaning the abutment. Daily care of the abutment site will help guarantee you can use your Ponto BAHS throughout your travels. Abutment cleaning is especially important if you are swimming. Remember, your Ponto processor is not waterproof! If you need a new dry aid kit or Ponto Care Kit, don’t worry; simply register with Oticon Medical Friends to order from the Online Store and have supplies sent directly to your home.
You can also have Ponto-related information at your fingertips by downloading the Oticon Medical Ponto Care™ App to your smartphone, so you can travel with ease and peace of mind. Remember to also store your audiologist’s or clinic’s office information in your phone or have it written in your care kit in case you have questions. You can also contact Oticon Medical Auditory Technical Services for any questions regarding your Ponto sound processor. We are available Monday – Friday, 8 AM to 8 PM Eastern Time.
Finally, if you are traveling somewhere very warm or cold, you should remember not to leave your Ponto sound processor, wireless accessories, or batteries out in extreme weather elements. For example, if you leave your Ponto sound processor on the car dashboard in extreme heat, it could damage the device. Also, if the batteries are left in extremely cold temperatures, they might freeze and have a shorter lifespan.
Oticon Medical wishes you and your loved ones a safe, happy, and healthy holiday season!
Here’s a quick checklist of the items we discussed. Enjoy your travels, wherever they may take you!