Wireless and Noise Attenuating Headset for Automated Hearing Screening

用于自动听力筛查的无线降噪耳机

• 批准号: 8811928
• 负责人: ODILE H CLAVIER
• 金额: $ 42.92万
• 依托单位: CREARE, LLC
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-11-01 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8811928
• 关键词: Acoustics; Address; Adult; Algorithms; American; Attenuated; Audiology; Audiometry; Boxing; Calibration; Caring; Cellular Phone; Clinical Research; Communication impairment; Communities; Computer software; Developing Countries; Development; Devices; Ear; Elderly; Electronics; Ensure; Environment; Evaluation; Frequencies; Gold; Government; Health; Healthcare; Hearing; Hearing Aids; Hearing Tests; Hearing problem; Human Resources; Impairment; Improve Access; Institutes; Instruction; Internet; Location; Measurement; Measures; Monitor; Noise; Performance; Persons; Pharmacy facility; Phase; Population; Process; Public Health; Qualifying; Reporting; Research; Resources; Schools; Self Assessment; Self-Administered; Solutions; System; Tablets; Target Populations; Technology; Telephone; Test Result; Testing; Training; Voice; Wireless Technology; attenuation; cohort; commercialization; cost; deafness; design; hearing impairment; hearing screening; help-seeking behavior; human study; human subject; improved; innovation; innovative technologies; laptop; meetings; mobile application; otoacoustic emission; point of care; pressure; prototype; screening; sound; telehealth; usability

DESCRIPTION (provided by applicant): Hearing loss is a leading public health concern, with about 17% of American adults reporting some degree of impairment. Of those, fewer than 20% seek help for their condition for a variety of reasons. To address this issue, the National Institue of Deafness and Other Communication Disorders (NIDCD) is seeking solutions to improve hearing healthcare access and lower its cost (see RFA-DC-12-004). Solutions requested include enabling currently available commodities (telephone, Internet, and smartphones) to conduct surveillance of hearing loss, Internet screening systems, and automated audiometry to be used beyond traditional clinical and research environments. One key challenge to implementing these solutions is the need to generate calibrated tones and to ensure a low noise environment. Creare proposes to complete development of a hearing threshold screening device that performs automated audiometry and is controlled through a mobile platform. Our device is designed for use at point-of- care (POC) locations with very limited personnel and testing facility resources; it can also be used for self-assessment. Background noise attenuation is provided with innovative, integrated high quality noise attenuating ear cups. The resulting device will provide a solution to the problem of hearing healthcare access by allowing quality screening at POC locations, in community centers, pharmacies, and big box stores (which are now making low-cost hearing aids available). In addition, because it is designed for use with mobile platforms and is calibrated to applicable standards, the proposed device will enhance the development of quality audiology applications for use with smartphones, tablets, and the Internet. During Phase I, we demonstrated the feasibility of our innovation by building a benchtop prototype of the device and testing its performance using standard audiometry. We showed that thresholds measured with our prototype were equivalent to thresholds measured with a commercial audiometer on a pilot human study that included 16 subjects. During Phase II, we will refine the design of our device, build several integrated prototypes, and demonstrate their use and performance with several human subject studies in target locations and populations. The Phase II human study will have two objectives: (1) compare the test results and test/retest variability using the new device to what can be achieved with existing devices, and (2) compare the performance of our device in a representative noisy environment such as POC locations to its performance in a quiet sound booth. The Creare team is extremely well qualified to successfully develop and commercialize this hearing screening device for automated and remote applications. Our system is made possible by leveraging hardware and software that Creare has previously developed for hearing assessment in varied settings including remote assessment in developing countries, Otoacoustic Emission (OAE) measurement in noisy environments, and advanced hearing protection.

描述（由申请人提供）：听力损失是领先的公共卫生问题，约有17％的美国成年人报告了一定程度的损害。其中，由于各种原因，这些情况下，只有不到20％的人寻求帮助。为了解决这个问题，美国国家耳聋和其他沟通障碍（NIDCD）正在寻求改善听力医疗保健访问并降低其成本的解决方案（请参阅RFA-DC-12-004）。要求的解决方案包括启用当前可用的商品（电话，互联网和智能手机），以对听力损失，互联网筛查系统和自动化计量计量进行监视，以超越传统的临床和研究环境。实施这些解决方案的一个关键挑战是需要产生校准的音调并确保低噪声环境。 Creare建议完成执行自动听力测定法的听力阈值筛选设备的开发，并通过移动平台进行控制。我们的设备旨在在医疗点（POC）位置使用，人员和测试设施非常有限 资源;它也可以用于自我评估。背景噪音衰减提供了创新的，集成的高质量噪音衰减耳罩。最终的设备将通过允许在POC，社区中心，药房和大型商店的POC地点进行质量筛查（现在可以提供低成本的助听器可用）来解决听力医疗访问问题的解决方案。此外，由于它旨在与移动平台一起使用，并经过适用的标准进行校准，因此该设备将增强质量听力学应用程序的开发，以与智能手机，平板电脑和Internet一起使用。 在第一阶段，我们通过构建设备的台式原型并使用标准听力测定法测试其性能，证明了我们的创新可行性。我们表明，用我们的原型测量的阈值等同于用商业听力计测量的阈值，该阈值包括16名受试者的试验人类研究。在第二阶段，我们将完善设备的设计，构建几个集成的原型，并通过在目标位置和人群中的一些人类学科研究来证明它们的使用和表现。 II期人类研究将有两个目标：（1）使用新设备与现有设备可以实现的目标进行测试结果和测试/重新验证性，（2）比较在代表性的噪声环境（例如POC）（例如POC位置）与其在安静的声音摊位中的性能进行比较。 Creare团队非常有资格成功地开发和商业化此听证筛选设备，以用于自动化和远程应用程序。通过利用Creare先前开发的硬件和软件在各种环境中开发的硬件和软件，包括在噪声环境中的远程评估，耳声发射（OAE）测量以及先进的听力保护，使我们的系统成为可能。

项目成果

Going wireless and booth-less for hearing testing in industry.

• DOI: 10.1080/14992027.2016.1261189
• 发表时间: 2017
• 期刊: International journal of audiology
• 影响因子: 2.7
• 作者: Meinke DK;Norris JA;Flynn BP;Clavier OH
• 通讯作者: Clavier OH

Reference equivalent threshold sound pressure levels for the Wireless Automated Hearing Test System.

无线自动听力测试系统的参考等效阈值声压级。

• DOI: 10.1121/10.0012733
• 发表时间: 2022
• 期刊: The Journal of the Acoustical Society of America
• 作者: Clavier,OdileH;Norris,JamesA;HinckleyJr,DavidW;Martin,WilliamHal;Lee,ShiYuan;Soli,SigfridD;Brungart,DouglasS;Schurman,JaclynR;Larsen,Erik;Mehraei,Golbarg;Quigley,TeraM
• 通讯作者: Quigley,TeraM