Frequency Lowering is an algorithm that is used to improve audibility of high frequency sounds while preserving sound quality, thereby improving speech understanding. The algorithm replicates in real time inaudible, high frequency, speech information to a lower frequency region where it will be audible. Frequency Lowering is designed to benefit patients with steeply-sloping, moderate to severe, high frequency hearing loss. Frequency Lowering can be enabled/disabled per memory and is only available for select products.
For assistance with solving patient issues regarding Frequency Lowering (e.g., /s/ sounds, lisping, etc.), see Expert Assistant.
If the patient's audiogram meets the audiometric criteria for frequency lowering and Best Fit All Memories is applied during an adult fitting, Frequency Lowering is automatically enabled for all memories except Disabled, Music, Streaming, and Stream Boost. If the patient's audiogram doesn't meet the audiometric criteria, or if the patient is pediatric, Frequency Lowering is automatically disabled for all memories. However, Frequency Lowering can be enabled manually. If Frequency Lowering is enabled, a green/yellow shaded region displays on all fitting graphs except Tinnitus. The green shaded region represents the Source Region, which is the range where high frequency sounds are identified. The yellow shaded region represents the Target Region, which is the range the identified high frequency sounds are replicated.
If Frequency Lowering is enabled by default, the Source and Target Regions, Frequency Lowering Bandwidth, and Frequency Lowering Gain settings are set based on the patient's hearing loss. Frequency Lowering Bandwidth is a multi-parameter adjustment, affecting both the Source and Target Regions. Seven settings are available ranging from Minimum to Maximum. A more aggressive Frequency Lowering Bandwidth can be achieved by moving the control toward Maximum. Frequency Lowering Gain can be adjusted from -5 to 5 dB for Evolv AI, Livio Edge AI, Livio AI, Livio, Picasso, Halo iQ, Muse iQ, SoundLens Synergy iQ, Halo 2, Muse, and SoundLens Synergy products and 0 to 10 dB for all other products, in 1 dB increments.
Speech in Loud Noise and Frequency LoweringSpeech in Loud Noise and Frequency Lowering
Speech in Loud Noise and Frequency Lowering cannot be enabled at the same time. If one feature is already enabled and then the other feature is enabled, a message to select the desired feature displays.
Spatial Hearing and Frequency LoweringSpatial Hearing and Frequency Lowering
Spatial Hearing and Frequency Lowering cannot be enabled at the same time. If both Spatial Hearing and Frequency Lowering meet the audiometric criteria to automatically enable both features, Spatial Hearing will take precedence. However, if Spatial Hearing is enabled and then Frequency Lowering is enabled, Spatial Hearing is automatically disabled and vice versa.
Click on the Read Device Settings or Load a Previous Session radio button and then click Start.

| Note: Regardless of the graphical view currently selected, Real Ear Response output and High Frequency Speech Input always displays on the fitting graph while on this screen. |
| Tip: The bold green curve on the fitting graph represents the high frequency speech output. To display the high frequency speech input, which is represented in a thin green curve, click the checkbox Display High Frequency Speech Input. |
Click on the specific memory to adjust if applicable or click
to adjust all memories simultaneously.

Note: If
one-way memory linking is enabled ,
only gain and output adjustments made to *Normal
will be applied simultaneously to all one-way linked memories.
Custom memories
|
| Note: If adjusting Evolv AI, Livio Edge AI, Livio AI, Livio, Picasso, Halo iQ, Muse iQ, SoundLens Synergy iQ, Halo 2, Muse, or SoundLens Synergy products, this feature is not available for Music or tinnitus stimulus only enabled memories. |

| Note: If Off is selected, Frequency Lowering Bandwidth and Gain fields are disabled. |
Note: If
viewing binaurally, both hearing aids will be enabled
or disabled based on the selection. To enable or disable
the right or left hearing aid only, click or and then click On or Off. |

| Note: The Source (green) and Target (yellow) Regions expand or contract based on the setting selected. |
to increase or decrease the Frequency Lowering Gain
per ear side or click
or
to increase or decrease binaurally.