1901: At this stage microphones are being made of carbon dust, but this does not perform well. Then comes a new development - the carbon ball - which increases the quality and reliability of electrical hearing aids.
 
1902: At this stage, the efficiency of the electrical carbon hearing aid is governed by the relationship between the size of the microphone and the earphone. The bigger the microphone compared to the earphone, the more amplification is achieved. Carbon instruments are produced with a "small-sized" microphone for mild hearing losses, a double-sized microphone for moderate hearing losses, and a quadruple-size microphone for severe hearing losses.
 
1921: The first vacuum tube hearing aid is patented and manufactured.
 
1933: The Bone Conductor is invented and used in hearing aids. It is used for all types of hearing losses, but is most effective in assisting people with middle ear diseases.
 
1934: The first vacuum tube hearing aid is designed by two manufacturing companies. This kind of device needs two batteries in order to operate, and is limited by the lifetime of the batteries, which is often only one day!! It consists of four elements: a microphone, earphone/receiver, amplifier and two batteries.
 
1945: The development of smaller batteries, and advances in vacuum tube technology result in the introduction of the first one piece vacuum tube hearing aid. This rapidly becomes the standard for the design of new hearing instruments.
 
1947: Up until now, hearing instruments are only worn on the body. They are heavy and expensive to use due to high battery consumption. But all this changes, when the transistor is invented. This proves to be a fantastic invention, even for hearing instruments. It is small, cheap and effective, and has a very low battery consumption compared to vacuum tube instruments.
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