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Phonak Virto R Infinio Hearing Aids or Phonak Virto Paradise P90 312 (Custom ITE) and other questions?

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In reply to @Raudrive

I am thinking that if I could get ear molds that could be places closer to my ear drum I would have much better results. My ear molds now barely get my receivers in my canals, no where close to my ear drums.

In reply to @Raudrive

Thank you for all good information. I am going to my audiologist to morrow to return my two defective Oticon Intent hearing aids. May have her tweak my current Oticon Real 1

Although, I am a little leery about any and all adjustments since my Oticon Intent experience. The sound quality on the Intents was so off and so distorted —I thought the audiologist really missed the mark on the . Turns out both aids were defective and possibly the part in the right aid.

I’m glad to see the Phonak Virto R fits my hearing range. I will ask if the audiologist thinks an SP is right for me during tomorrows visit although I will not be purchasing any hearing aid until after January 2026 when insurance kicks in for a part of it.

Edited

In reply to @Raudrive

@Raudrive said:

1500 to 2000 is your worst area of loss. The SP should fit that loss.

Curious what your audiologist says.

IIRC, @cvkemp was theoretically eligible for Oticon 85 receiver, but for some reasons he finally get 105 and has 110% target gains in his middle frequencies. This probably should play a role.

On the other hand, deeper receiver can give a “free gain”. However it’s only +6 for every halving of residual ear canal volume, not so much compared to 105 vs 85 receiver difference…

Depend on particular fitting. What I see in my particular case (I will provide screenshots later) is, after firmware update (P receiver):

  1. A bit poorer maximum output (1 ) from ~1000 to 3200 Hz) - rather unsignificant.
  1. 3200 Hz - no difference.
  2. From 4000 Hz - 5 dB higher maximum receiver output
  3. From 6650 - 7 dB higher.
  4. From 7294 - 8 dB higher (47 dB vs. 39 dB before upgrade)
  5. From 8000 - 9 dB higher (44 dB vs 35 dB as above)
  6. From 9190 - 10 dB higher (38 dB vs. 28 dB as above)
  7. From 9624 - 11 dB higher (41 dB vs. 30 dB as above)
  8. From 9926 - 11 dB higher (45 dB vs. 34 dB as above).

So, there is a bit flatter frequency response.
For me, improvement in basics is potential HUGE improvement probably even more important than Spheric program upgrade. If I remember correctly, @Um_bongo posted about the differences between Oticon and Phonak high-frequency responses once. He explained why Oticon had better gain in that region despite they and Phonak probably take receivers from one manufacturer - Knowles.

@Neville, I think it could be useful info for you.

@user490 said:

Is there a 6dB gain regardless of input level? That could be very meaningful?

6 dBs could be quite meaningful, especially for people who didn’t reach to target gains previously.

@Neville said:

Or did the update change your prescribed gain?

I didn’t notice. If it was, it is very difficult to catch.

@Neville said:

Sorry, but these are your maximum gain levels going up?

I mean after upgrade I have more headroom, especially above 3200 Hz. I tried with setting more gain in 5500-10000 Hz and “s” sound becomes more audible. The 4000 Hz I left it as it was, even though I can set a higher gain than before the upgrade.

I went to the audiology clinic for my appointment and my audiologist has recommended and I agreed to getting the Phonak Spheres and the Roger ON microphone. My audiologist said that the Spheres are the best technology for my hearing loss at this time.

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