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The Otofonix Elite was rated the best value and Highest scored Hearing Amplifier. Otofonix Elite uses the same technology found in some of the most expensive prescription hearing aids and amplifies sound in the speech frequencies of the human voice making soft sounds audible so you can begin to hear what you've been missing. Its ready to wear and comes with 4 Preset Program Configurations: Normal Setting – Regular Listening Noisy Setting – Reduce Background Noise (restaurant, windy day etc.) Treble Setting – Decreases High Frequency Sounds (whistling, squealing, feedback) Power Setting - Maximum Amplification of all frequencies Features: 100% Digital Circuitry, 4 Channel Amplifier, 12-Band Digital Sound Processing and Wide Dynamic Range Compression (WDRC) to make soft sounds audible again. Adaptive, Layered Noise Reduction to Reduce Background Noise. Acoustic Feedback Noise Cancellation Discreet, affordable and comfortable, the Otofonix Elite Digital Hearing Amplifier provides a better quality of life, for adults and seniors, because it is easy to use, and brings the sounds of your life, back to life. Rocker Switch to Easily Increase or Decrease Volume Levels and Programs with one finger. Designed for efficiency to ensure Long Battery Life What’s in the package: 1 Otofonix Elite Digital Hearing Amplifier assembled with Size 1 Sound Tube and Medium Open Ear Dome 1 Size 2 Sound Tube for larger fitting requirement (Size 0 and Size 4 Sound Tubes available upon request) Extra Size Open Ear Domes - Small and Large 1 Medium Closed Ear Dome 1 User Manual 7 Size 312 Hearing Aid Batteries 1 Cleaning Brush (for ear domes), 1 Cleaning Wire (for sound tubes)