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OTC Hearing Aids and Personal Sound Amplifiers: FDA Update

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As hearing aid technology advances, more styles and features become available for consideration. To know more about it, read further.

Medically reviewed by

Dr. Satyabrata Panigrahi

Published At January 12, 2024
Reviewed AtJanuary 12, 2024

Introduction:

Emotional health, relationships, education, employment, and communication can all suffer from hearing loss. The FDA (Food and Drug Administration) regulates hearing aids to ensure that they offer a fair level of safety and efficacy. If the patient is thinking about getting hearing aids, this article will explain some common terms and technologies they might come across. It also includes information about the FDA's regulations for Over-the-counter (OTC) hearing aids, which are meant for adults 18 years of age and older who have mild to moderate perceived hearing loss.

What Are Over-The-Counter Hearing Aids?

A new class of hearing aids that customers can purchase without consulting a hearing health expert are called Over-the-counter (OTC) aids. Adults who are thought to have mild to moderate hearing loss are the target audience for these devices. OTC hearing aids, like prescription ones, amplify sounds to improve listening, communication, and full participation in daily activities for some persons who have hearing loss.

Prescription hearing aids, which are presently exclusively offered by audiologists, otolaryngologists (doctors of the ears, nose, and throat), and hearing aid specialists, are an alternative to Over-the-counter (OTC) devices. The FDA has created guidelines that OTC hearing aid makers must adhere to. Generally speaking, these federal laws:

  • Make sure that those with mild to moderate hearing loss can safely and effectively use over-the-counter equipment.

  • Establish guidelines for package labels to assist consumers in understanding Over-the-counter (OTC) hearing aids and potential users. The labels also contain other information, such as warning indications that suggest consultation from a doctor, and cautions that the patient should be aware of before purchasing or using the hearing aid.

Another type of amplifying equipment that the patient can buy without a prescription or visiting a medical practitioner is a Personal sound amplification product (PSAP). People without hearing loss should not use PSAPs. They improve the capacity to perceive specific sounds in particular contexts, like while observing birds. PSAPs are not governed by the FDA as medical devices, despite the FDA regulating over-the-counter hearing aids for adults with hearing loss.

For Whom Are OTC Hearing Aids Intended ?

Adults (18 years of age and above) who think they may have mild to moderate hearing loss but have not had a hearing test can get Over-the-counter (OTC) hearing aids. For instance, the patient may have mild to moderate hearing loss if

  • Sounds, including speech, seem muffled.

  • When the patient speaks on the phone, in a crowded place, in a noisy environment, or when they can not see who is speaking, they have problems hearing.

  • It is necessary to request that someone speak louder, more clearly, more slowly, or repeat what they have said.

  • The patient listens to music, watches TV (television) , or turns up the radio or TV level higher than most people do.

Patients can find out if they can improve their hearing with a prescription hearing aid or any other device by speaking with a hearing health practitioner. Certain ear issues require medical attention. Please visit a qualified doctor right away if the patient has any of the following symptoms:

  • The patient has experienced fluid, pus, or blood flowing out of the ear in the last six months.

  • Anger or unease in the ear.

  • An excessive amount of earwax in the past or a feeling that something is inside the ear canal.

  • Episodes of hearing loss accompanied by vertigo (extreme dizziness).

  • Hearing loss that occurs suddenly or that rapidly deteriorates.

  • Over the past six months, there has been a gradual worsening of hearing loss.

  • One ear solely experiences hearing loss or tinnitus (ringing), or each ear's hearing is significantly different from the other.

Why Is It Possible to Get Certain Hearing Aids Without a Prescription?

For tens of millions of adults in the US, hearing loss substantially lowers quality of life and raises health care expenses. Isolation can result from untreated hearing loss, which has also been linked to major illnesses like anxiety, sadness, low self-esteem, dementia, decreased mobility, and falls. However, barely one out of every four persons who could benefit from wearing hearing aids has done so. A public health priority is to increase the affordability and accessibility of hearing health care.

Prominent specialists in the fields of science, technology, and audiology have been collaborating with investigators, medical practitioners, and patients to identify secure and efficient approaches for enhancing adult accessibility to audiology services. They recommended modifying a few laws that, according to studies, prevented adults from receiving the necessary hearing aids. Additionally, they suggested that the FDA establish policies and requirements for OTC hearing aid quality.

What Are the Types of Hearing Aids?

  • Hearing Aids That Fit Behind the Ear (BTE): BTE aids are often the largest type. Most of the electronics are housed in a plastic case that rests behind the ear and is attached to an earmold that slides into the ear canal. People of all ages can utilize BTE hearing aids. Young children frequently choose this style since it may be modified as they get older.

  • RIC (Receiver-In-The-Canal): Although they sit behind the ear, RIC (mini receiver-in-the-ear, or mini RITE) hearing aids are usually more compact than BTEs. The RIC hearing aid is connected to a tube that fits within the ear canal and has a tiny wire with a dome-shaped tip at the end (earmolds are utilized in some circumstances). Compared to the BTE type, the RIC design is less noticeable and leaves more of the ear canal exposed.

  • ITE (In-The-Ear): Hearing aids that fit entirely into the outer ear, or the "bowl" of the ear, are known as in-the-ear (ITE) devices. A shell that fits each hearing aid is home to all of the circuitry.

  • Both Completely-In-The-Canal (CIC) and In-The-Canal (ITC) Aids: These are the tiniest hearing aids on the market right now. A tiny, specially-fit shell that slides partially or entirely into the ear canal houses the electronics. While some may find them more difficult to deal with, others may enjoy them since they are less obvious.

Conclusion:

The FDA created a new category of over-the-counter (OTC) hearing aids to increase their accessibility. This means that the patient can purchase an OTC device in person or online without visiting an audiologist or doctor for a fitting. The new FDA regulation, which carries out a congressional law, also seeks to boost competition by giving consumers better access to devices that satisfy their needs and are more affordable than what is now available.

Dr. Satyabrata Panigrahi
Dr. Satyabrata Panigrahi

Audiology

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