Long time wearer hopes to keep ITE aids. Advice?

Thanks Paul. It's interesting. When we got the Infinios first thing, the audiologist -- again, new to me -- didn't like a feedback line on her computer as it was near the output line (or something) on one frequency. As I said, the left aid initially had feedback so bad I couldn't lift my arms. That was improved after resubmitting but not quite enough. In terms of real ear measurements, she wasn't able to do them. She tried. I think she normally can but again, my hunch is she typically deals with BTE aids and people getting their first or second pair of aids. I'm definitely not typical that way.

Or
4. OP hearing loss has deteriorated (OP said his Ms are 6 yrs old). OP has a new audiogram, the thresholds are probably higher and aids/molds cannot meet the required targets without feedback. This aligns with OP's AuD statement "Infinios ITE cannot handle OP's needed gain". Based on OP's story, #4 seems likely, especially when this was what his AuD said.

Are there ITEs that can handle hearing losses that are for "borderline" profound loss (left ear)?

Two things that might be useful:

1) Generally patients with mixed losses whose hearing loss is too big for hearing aids to support but whose sensorineural component is also too big for the osia do really well with cochlear implants. It feels like a weird decision because the inner ear still has so much function, but it's that good function that gives the good outcomes and at the end of the day if we can't actually get the sound in to it, that good function is a bit of an illusion.

2) One of the criteria for the virto Rs is "fit in the charger". If you need a bigger device than that, you can just remove the lid and/or charge it open, but your clinician really needs to go directly to the lab and tell them that the hearing aid needs to be big and deep and to please disregard the charger fit issue.

Oh and 3) you don't WANT a BTE, but the cost to *try* a BTE might just be the cost of the ear mould. If it really sounds a lot better to you, maybe you won't be so bummed about the form factor.

Certainly that's a possibility as well, and it would explain why/if the M devices are programmed quieter. I think doing those output verification measures on both devices would help make sure you're as close to comparing apples to apples as possible i.e. if both devices can be programmed to the new audiogram, but only the Infinio feeds back, then is there something with the Infinio platform?

As far as ITEs for severe/profound losses, most major manufacturers have speakers that can get there. However, a deep canal and essentially no venting would be needed regardless.