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NewSound TI-100 In-Ear White Noise Sleep Aid and Tinnitus Masker offers a new level of comfort and performance whether you are trying to sleep with a snoring partner or manage your tinnitus sounds during the day or night. As Featured in The New Yorker February, 2016.As a sleep aid, the TI-100 provides three levels of noise protection. First, the ultra-soft memory foam tips work like an ear plug to help block the noise that is keeping you awake, whether from a snoring spouse, outside traffic or noisy neighbors in the apartment next door. Second, the TI-100 produces a gentle masking sound that raises your threshold of hearing so you are not so easily jarred from sleep when a noise occurs in the night. Third, the masking sound produced by the TI-100 helps to drown out, or mask, the irritating noises you would hear without it. If you suffer from tinnitus, you already know that when you are listening to music or the sounds of your car or motorcycle, your tinnitus becomes far less prominent, and may disappear entirely.
Audiologists will fit you with a tinnitus masker and program the device to be maximally effective in suppressing your tinnitus, but they will do so at a cost that often exceeds $2,000. A breakthrough tinnitus treatment called TRT (Tinnitus Retraining Therapy) calls for using a tinnitus masker such as the TI-100 in a specific way to retrain your brain so that it stops producing your tinnitus sounds. Universal-fit, ultra small, ergonomically shaped earpieces with replaceable tips to fit nearly everyone in maximum comfort. Small enough that the device fits well down in the ear cavity so that the TI-100 is comfortable to lie on for most people, and nearly invisible for daily wear in public. Two kinds of replaceable tips included; ultra soft sound blocking memory foam and open ear soft silicone tips, both in two sizes to fit most adults. Volume trimmer adjustment on each device allows you to set the volume independently in each ear.
Powered by standard A10 hearing aid batteries (batteries included.) Estimated battery life is 60-90 hours of continuous use, depending on the volume setting. 30 day free replacement guarantee for defective units, and a full year $25 repair warranty.
The persistent ringing in the ears, that is the constant bane of those suffering from the noise that tinnitus produces have found that using some type of tinnitus masker is helping to block or counteract the ringing or buzzing sounds they live with constantly. Most of the maskers that are used have a soft white type of noise that gives your mind something else to listen to and they override the noise produced. There are certain events that contribute to the propensity of a person developing the condition; these include congenital hearing loss conditions, irritation of the ear canal or repetitive loud music played directly into the ear. Audio cassette discs or MP3 players are the most common form of media used for tinnitus maskers because they are light and portable which makes for easier use when sleeping. With the advent of computer software specifically designed for creating tinnitus masking, the range and quality of the sounds created make it possible to address a specific range of tinnitus. One other technique that is used by tinnitus sufferers is to have a pillow equipped with tiny speakers, that allow for the music or background noise to be more effective. It is estimated that those using the tinnitus maskers are able to help over ninety percent of the people being treated for the problem. The use of masking for tinnitus has been a primary method of treatment of patients with severe tinnitus since 1976. In 1976, a tinnitus clinic was inaugurated at Oregon Health Sciences University which has been in existence to the present time. During the course of history of the tinnitus clinic, most patients who are candidates for the masking program are referred by physicians and have already undergone a medical evaluation. The audiometric workup for the tinnitus patient does not differ greatly from the typical audiologic assessment performed for diagnostic purposes or for hearing aid evaluation. In addition to providing diagnostic information with regards to the type of hearing loss that the patient exhibits, the audiogram also aids in the selection of the appropriate masking device for a particular individual. The audiogram also may restrict the use of masking devices for patients who have severe hearing loss. In attempting to quantify the patient's tinnitus, an evaluation of pitch, loudness, masking effectiveness, residual inhibition, and an actual trial with masking devices helps determine whether the patient can benefit from a tinnitus masking program. The final measurement in the clinical evaluation of the tinnitus patient is to determine if the tinnitus can be inhibited by exposure to the masking sound. Once the clinician has completed the tinnitus evaluation, a decision is made as to whether the patient needs a masker, a hearing aid, or a tinnitus instrument.
Maskers are generally suggested for those patients who have normal, or near normal, hearing and do not need amplification. Hearing aids are recommended for those patients who have a hearing loss and meet certain criteria: (a) the tinnitus does not have any effect on their sleep habits, and (b) they have extended residual inhibition.
Over the past several years, of those patients who have merited a trial of masking, 60% have had recommendation for a tinnitus instrument.
The final step in the tinnitus masking program is the dispensing of the instruments when indicated. Since 1976 and the inception of the tinnitus masking program, there have been several studies evaluating the efficacy of this approach for patients.
From January 1, 1992 through December 31, 1995, 618 new patients were seen at our tinnitus clinic. All of the information regarding this series of patients was entered into the Tinnitus Data Registry at Oregon Hearing Research Center.
Of the 180 patients who were provided with instrument recommendations, exactly 100 patients purchased these devices. Table IV demonstrates the duration and time of day the patients tend to wear their instruments. The phenomenon of residual inhibition hopefully was thought to indicate those patients who would have most success with masking devices.
One last and important observation with regard to patients who were involved in the tinnitus program is that many of them view their masking devices as a source of comfort, knowing that if they need relief they can find it within the masking device.
In conclusion, it appears that reasonable success can be achieved with these new masking devices if care is taken in fitting them. Presented at the American Neurotology Society Meeting, Scientific Program, Tinnitus Panel, September 28, 1996, Washington, DC. Audiologists will tell you that the closer the masking sound matches the noise you are trying to avoid, the more effective will be the masking sound in preventing you from hearing the unwanted noise. Only you can hear your tinnitus sounds, which can manifest as ringing, roaring, swishing, crickets, cicada songs, and many other kinds of noise. By contrast, when you lie down for sleep and the house gets very quiet, your tinnitus comes roaring back to life, making sleep difficult and even impossible at times. The TI-100, with its four user-selectable sound profiles, may be just what you need to get relief from your tinnitus sounds, and the far lower price means you can try it for just a fraction of the investment otherwise required.
The maximum volume is limited to a safe level for all day or all night listening without danger of hearing damage. The sounds of tinnitus are perceived to be much louder when the surrounding area is calm and noise free, therefore the use of white noise type of recordings is most effective.

This is wonderful news for those who have their daily life interrupted by the constant noise that surrounds them all of the time. When you proceed to the checkout page, the Seller Discount will be automatically calculated.
Over 5,000 patients have been treated in the Tinnitus Clinic at Oregon Health Sciences University since that time. Initially, the patients have (1) a medical examination to rule out any medical problem that may cause or exacerbate their symptoms, (2) a routine audiometric evaluation to determine the type and degree of hearing impairment, and (3) a tinnitus evaluation.
Many patients have seen numerous physicians and continue to seek relief for their tinnitus.
The procedure includes pure tone testing, speech testing, tympanometry, and an uncomfortable loudness level measurement.
Three different types of devices are used to offer relief for tinnitus patients: (1) tinnitus maskers, (2) tinnitus instruments, and (3) hearing aids.
Most measurements of the loudness of tinnitus are based upon the patient's threshold for a particular sound and how much above the threshold one has to make the sound so that it equals the loudness of the patient's tinnitus.
Although considerable effort has been made to design maskers whose output does not exceed the level at which sound is potentially dangerous to the ear, the clinician must always be aware that patients with severe to profound hearing loss could lose some of their residual hearing if the masking level is too loud. These measurements can be made with a special tinnitus synthesizer (as in our case), or an audiometer. After determining pitch and loudness, masking is attempted with wide bands of noise in the same ear as the tinnitus. Upon removal of the masking noise, patients who exhibit tinnitus inhibition will report complete elimination or reduction of the tinnitus. This is based on the observation that results obtained with the synthesizer or audiometer do not adequately predict the patient's ability to be masked with ear level instruments.
Over the course of the years with the tinnitus clinic, there has been a progressive diminution in those patients who receive maskers alone. They have also been used for patients who have a sensitivity problem and cannot tolerate loud noise. As is true with hearing aids, tinnitus maskers and tinnitus instruments are dispensed on a trial basis. A total of 180 patients were given recommendations to be fitted with tinnitus maskers or tinnitus instruments and 83 were provided with masking tapes when they were seen at the clinic.
As would be expected, hearing aids are worn much of the day to improve understanding of conversational speech. Many times patients will report that just having the instrument available when they require it is a relief to them. Thirty-eight percent of patients seen in our clinic did not receive recommendation for any device. In our most recent follow-up, 55% of those patients who were specifically advised to purchase a hearing aid, masker or tinnitus instrument did so.
Thirty-six percent noted significant residual inhibition after using a device which was beneficial. Eighty-two percent of patients who received tinnitus instruments had significant relief of symptoms. Although the results obtained with the masking devices are not as positive as we had hoped in that only 30% of patients seen in our clinic benefitted from some type of masking instrumentation. This makes sense in that our ancestors needed to wake instantly to sounds in the night, lest they be eaten by a sabre tooth tiger while they slept! To help get a better match, the TI-100 provides four user-selectable sound profiles you can choose as needed by simply pushing a button on the device. By injecting a soothing masking sound into your ear, your tinnitus can be managed so that you can get to sleep more easily and sleep more soundly. We are in no way affiliated with the proponents of this approach, but we have been told by many how great the results from TRT can be. Ocean surf, waves and gently flowing water are some examples of the types of noise recorded for use.
The more effective sounds that are used by sufferers, the better they are able to cope with handling the noise they keep hearing.
That is why good protection and judgment of what kinds of noise to allow near your ears is very important. The paper discusses the results of management of new patients followed for one year from January 1, 1992 through December 31, 1995.
This level, which is based upon the patient's own threshold, is referred to as the sensation level.
The effectiveness of this noise to mask the tinnitus is determined by first establishing the threshold of the masking stimulus and then increasing the noise until the tinnitus is just masked.
This intriguing phenomenon has been coined "residual inhibition" and is generally measured by presenting the masking signal to the patient for one minute and then, following removal of the noise, observing the duration of tinnitus inhibition.
Therefore, the synthesizer is not necessarily a good measure of the masking ability of an ear level instrument.
There are a small number of patients who can control their tinnitus through the extension of residual inhibition. Generally, the return rate of tinnitus maskers and tinnitus instruments is greater than that for hearing aids. During the period from 1992 to the present, we have been recommending a new tunable tinnitus masker, or tinnitus instrument, manufactured by the Starkey Corporation. As is noted, over 38% of the patients had no recommendation for either tinnitus instruments, maskers, hearing aids, or masking tapes.
Of the 618 patients seen during this four-year period of time, 373 returned their questionnaires.
These masking tapes have proven to be very successful in offering relief to tinnitus patients who find their tinnitus bothersome only part of the time - especially at night. This table clearly indicates that the tinnitus instrument has been the unit of choice for most of our patients. The same is true of the tinnitus instrument, which includes both amplification and masking.
Considerably more residual inhibition is observed under ear phones than with wearable masking devices because the noise level generated under ear phones (10 dB above tinnitus threshold) is greater than that used for the ear level units. Table VII demonstrates the number of patients in our group who felt the maskers were helpful when the tinnitus was troublesome. These patients either had tinnitus of insufficient degree to require masking, could not be masked, or had medical problems which were felt to be contraindicative to the use of a masking device.
Although few felt the instruments effectively inhibited tinnitus all the time (6%), only 12% felt the instruments were totally ineffective (the majority of these used only the hearing aid). When combining the successful instrument users with those who benefited from masking tapes, the overall success of the program has been good.

Today, this normal response just makes your sleep more difficult, because every little sound in the night can wake you, ruining your sleep patterns and leaving you groggy and un-rested the next day. The TI-100 tinnitus masker injects a soothing masking sound into your ear(s.) This masking sound reduces the effects of tinnitus by distracting your mind from your tinnitus noises, letting you instead, clearly hear conversations, music, and all the other sounds you want to hear. The TI-100 lets you set the volume at any level you wish and unlike other tinnitus maskers which produce just one sound, the TI-100 lets you choose from four different sound profiles to get the one that is most effective in masking and suppressing your unique type of tinnitus. The difference between the background sounds and the decibel level of the sounds heard is what determines the effectiveness of the treatment.
The damaging effects of loud noises from work or play can adversely affect your hearing and be partially responsible for the development of tinnitus in many people over time. Of the 373 patients who could be accurately followed and evaluated for this period of time, 180 patients were recommended for tinnitus maskers or tinnitus instruments, and 83 were provided with masking tapes. Nonetheless, a thorough evaluation, preferably by an otolaryngologist, is an essential first step in evaluating and treating these patients. Although not all agree that this is a useful means for accurately determining the loudness of tinnitus, it has served us well in evaluating the severity of the patient's complaint.
This level is termed the "minimum masking level" and again is the difference between the threshold level for the noise and the amount of noise needed to mask the tinnitus. The trial period with wearable instruments adds about a half hour to the evaluation process but has resulted in a more effective method of determining if a masking program should be initiated. Maskers or tinnitus instruments can be in the ear or behind the ear and, more recently, can be individually tuned. These patients, upon removal of the masking stimulus, experience reduced tinnitus and thus may benefit from intermittent use of a masking device.
There is very little difference in cost between the tinnitus instrument and the hearing aid and so consequently when there is a possibility the patient may at some time use both the hearing aid and a masker, the tinnitus instrument is recommended.
Therefore, it is doubly important that the initial decision regarding the appropriate instrument be made carefully and thoughtfully. These devices have allowed clinicians and patients to make changes in the frequency response of the masking signal. Many patients indicate that their tinnitus is annoying only when they are in quiet environment or when the tinnitus is especially loud. Not only is the tinnitus instrument more effective in masking the tinnitus, but the masking noise presented is more acceptable as a substitute for the tinnitus than it is for the tinnitus masker. Some patients use only the hearing aid portion of their instrument during the day, but at night when they are in a quieter environment they will use the masking portion. Table VI reveals the number of patients who observe this phenomenon with the various instruments. By raising your threshold of hearing, the TI-100 will let you sleep through louder sounds than you can without it.
The results of this study, along with the overall success of the tinnitus program utilizing masking, are discussed. Tinnitus, like hearing loss, is a symptom and any possible medical or surgical treatment for the problem must be excluded prior to any recommendation. The reference sound might be a pure tone signal for those patients who complain of a ringing sound, a high-frequency band of noise for those who report a hissing-like sound, a low-frequency noise band for patients who hear a roaring sound, or a combination of several sounds. They produce a tunable band of noise which allows for the highfrequency cutoff to be varied. In this group of patients, there were either medical contraindications for use of these devices, other medical ailments which could account for the complaint, insufficient symptoms to merit masking, inability to be effectively masked, or inability to pay for a device. These patients do not need expensive wearable maskers but can use these tapes in conjunction with a cassette tape recorder when they are experiencing difficulty. Many of our patients who could not benefit from masking were successfully managed by other treatment modalities. By letting you choose from 4 different sound profiles, the TI-100 lets you choose a sound that is both comfortable and effective for your particular kind of tinnitus. Since many patients report having several sounds in their ears or localize their tinnitus in the head rather than the ear, our ability to match the pitch of the tinnitus is generally less accurate than for measuring loudness. The new tinnitus maskers (Model TM) are available either in the ear or in the canal with custom configuration and are recommended for patients with normal or near normal hearing. Hearing aids do reduce the level of tinnitus for some patients but do not offer sufficient relief for patients with severe symptoms. It is also interesting to note that some patients report an increase in their tinnitus when the instrument is removed. The sounds produced by the TI-100 carry no information so your mind quickly tunes out the masking sound, whichever profile you are using, leaving you with nothing to interrupt your deep and rejuvenating sleep.
Best of all, with the TI-100, you can treat your tinnitus without any of the negative side effects common with other treatment options.
A review of the most common medical problems which induce tinnitus has been presented in previous publications. To measure loudness, the best pitch match for the patient (previously determined) is used as the reference signal. The masker is also combined with two hearing aid variations (tinnitus instruments) for those patients who have both hearing loss and a tinnitus problem.
Patients who had medical recommendations generally were treated pharmacologically with medications, such as Xanax, Klonopin, Ativan, or Nortriptyline. These patients can generally mask their tinnitus quite effectively when the noise is present, but when they remove the device the noise may appear quite loud for a short period of time before returning to its original level. One model is a masker and linear hearing aid combination (Model TML) and the other is a masker and compression hearing aid combination (Model TMC).
However, most patients do not wear the masking apparatus more than three to four hours each day. Then the sound is increased until the patient indicates that it is equally loud to their tinnitus. The difference between the threshold and the loudness level is considered the tinnitus loudness. Clearly, for those who purchase the instrument, the tinnitus masker is an instrument deemed more effective in masking than were hearing aids. Unfortunately, the method that is used for making this measurement is controversial and does not always represent, or correlate to, the magnitude of the patient's complaint.
It's obvious that many patients cannot be completely masked or prefer to use the masking noise at a lower level that does not totally mask their tinnitus.
However, if patients can significantly mute their tinnitus to reasonable intensity level, they generally cope with their problem quite well.

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