Power Domes HURT!

^^^^ WOW!!! This is great news! I hadn’t seen the thread you refer to above - so I will surf over there momentarily. But being impulsive … I’ve already ordered these mixed-size tips at Amazon.com. I will definitely be the guinea pig here and try them out as soon as they arrive.

From their shape, it looks like my size 85 receiver would sort of slide into a memory foam donut hole and just rest snug that way. I didn’t know my receivers had a wax guard on the very end. Geez, I need to get my reading glasses ON and take a closer look here. Cuz I’d actually snipped that irksome silicone nippy OFF my power dome the other day … and then worried I’d just gum up the receiver over time. So I put a new dome on, and for the past couple days have tried not to insert it quite so deeply in my canal. Even so, by day’s end: another red spot has appeared just waiting to erupt!

I do find that the double-dome Widex Power Dome size L is just not enough padding to keep my ear canals from feeling like a small 2x4 has been RAMMED in. By day’s end, I am actually fatigued with the nagging, low-level ache in my ear canals. How I wish receivers could be made of softer, more flexible material. The small round sore from that power dome is not a good sign for long-term use.

I can’t wait to get these Comply foam tips and try them out. Thanks SO much for letting me know about them.

Or, get a custom hard shell mold. Not only will it seal better, but I find them more comfortable than the domes.

With those numbers why are you screwing with domes?

If I recall correctly in an older post, the OP said she’s allergic to hard plastic molds (tried it twice both times with bad reactions to them?).

Well shit… Allergic to hard acrylic molds but not rubber/latex interesting.

Post #305 in this thread: http://www.hearingaidforums.com/showthread.php?19987-Oticon-launches-Opn-hearing-aids-and-Velox-platform&p=146036#post146036

That must really suck to be allergic to all hearing aid molds, and in particular to the very kind that would be best for that loss.

So? Guess she is shit of of luck… Earbug replacments?

I’m hoping that the Comply foam tips will work out for her. We shall see…

AUGH! So last night, I’m logging in to the forum, and my spastic fingers get my username all a$$-backwards with capitalization. I was LOCKED OUT (and pounding on the windows!) for hours, till I gave up and came back today. Now where was I …?

I am late to my own game here! And thanks for all the suggestions. YES, in fact, a hard plastic mold of the flesh-colored type could indeed work out for me! I seem to only be allergic to the pink-tinted or clear hypo-allergenic plastic molds.

However, having a hard mold would kind of negate why I’m trying wire + dome instead of the ITE style I’ve worn for 30 years. I’m finding that at age 61, I wake up with swollen ear canals (like swollen joints, or stiff, creaky other parts). So I’ll typically wait like 30-40 min before inserting my aids in the morning. Definitely not optimal!

It’s this condition that prompted me to check out the Oticon RIE with dome + wire. But YES, with my loss profile, seal is the real deal! I have still not found my 100% solution. So I also hope the Comply foam tips will provide flexibility for insertion right when I wake up AND comfort throughout the day.

Mon night I snipped the irritating loop off the tip of my Widex power domes and voila! By the end of Tuesday, the red mark where that ding-a-ling would poke into my ear cup was completely GONE, so I know that loop was an irritant - and not the best design.

I have to be honest and note that my old Agil Pro ITEs offer a better seal over the current flexible Widex power domes I’ve got on my receivers for now.

I hope to report back by week’s end with the success of Compy vs Widex power dome vs Agil Pro hard case ITE! Stay tuned… And if you don’t hear from me, i’ve undoubtedly WONKED up my log-in again. <:-(0)

If the domes are tight, take something like a cuticle scissors and make a cut in the dome. That will allow it to compress more without pressure while giving the dome it occlusiveness. It is a single cut from edge to center. Some use an added cut.

So you effectively turn it into a tulip-like dome then, right? So why not just go for a tulip dome instead in the first place?

I’m assuming that the OP needs a tight fit (hence the power dome), yet something soft enough to conform equally to the shape of the ear canal. I’m guessing that the OP’s ear canal is not round like the dome so the sore spot is where the dome gets flattened out with more pressure against the canal.

How would a slit in a power dome turn it into a tulip dome that has a completely different configuration?

As to your assumption, I guess it would be either right or wrong. I don’t have a clue as to that.

Yeah, I agree it’s not 100% like the tulip dome because the power dome has 2 dome layers while the tulip dome is just one layer. I’m just saying that if you cut 2 lines on a dome then it looks like having the same effect of the tulip dome. Not exactly 100% because with tulip dome one side overlaps and folds over the other side. But with a straight cut (or 2) on the power dome, there’d still be no overlap unless when squeezed into the ear canal it creates the overlap. But yeah, if you cut just one layer of the power dome (whichever layer that’s causing the sore spot, if you know which one), then the other layer can still give you a tight seal like before.

HO HO HO!!! I am beyond thrilled to report that the Comply memory foam tip is PERFECT! I’ve got the (M) one on my aids right now. It was super easy to just peel off the Widex power dome and gently push my receiver through the donut hole of the Comply foam tips. They are snug as a bug in a rug! No feedback, good quality sound and SUCH a comfortable fit.

It was the small, silicon LOOP on those old power domes that did the damage in my ear canal. That loop is like something a fishhook could attach to and pull on? But WHY put it on the inner tip of a power dome? It literally jammed like a twig into my ear cup and caused an open wound. Compare that design to the Comply memory foam tip: SMOOTH, foam that gives to the natural shape of the ear (each of us having a unique shape). No loop thingy on the end to dig into the ear even more. (Again, refer to the photo link, first post on this thread, which shows the Widex power dome.)

The Oticon Opn receiver is like a wooden matchstick in size and shape, only a bit thicker. So I found the Widex silicone dome never gave enough padding for the square edges on the receiver. This memory foam Comply tip is a GOD-SEND!!! Second only to this amazing board that has given me so many good tips, advice and answers. I even told my mother-in-law to check it out, as she has lots of questions about her aids (Costco) but no one to turn to in her senior facility for answers. God bless y’all here.

I’m guessing that little loop at the tip of the dome (my OPN closed dome has it, too, looks like all domes have it) is to give some structural integrity/rigidity to keep the opening at the tip of the dome from being squeezed closed if the ear canal is small enough to squeeze it in. I’m guessing a secondary benefit is to help keep some of the ear wax from creeping into the opening, but that’s probably not the primary reason they have it there.

I thought that if you had the dome centered in your ear canal then that tip is not supposed to come into contact and rub against anything. I still can’t seem to visualize how it could have rubbed your ear canal raw, unless the dome somehow gets twisted to a side, or maybe there’s a sharp bend in your ear canal shape right at where the tip is.

^^^^AH! You are no doubt right in the structural reason behind that loop! And maybe I do have a weird bend in my ear? It’s hard for me to tell except that when I hold a mirror & flashlight to see into that ear, I can see a “wall” before the canal that had the raw wound on it. Makes me also wonder if the power dome just wasn’t being inserted into the doorway of the canal properly. Feh.

Well, it’s been a few hours with my new Comply tips on, and they are wondrously comfortable - so perhaps I’ll never go back to the Widex domes. Again, it does make me wonder why more domes aren’t made from memory foam? These do not cause occlusion, there’s zero feedback, and the comfort is like no other aid from any other material I’ve ever worn. Fingers crossed I won’t sprout an allergic reaction to the foam!

Well, I am bummed! I had my SO COMFY Comply memory foam domes on today - and it was SO great to wake up and just put them right into my ear canal with no problems… But later today, I had to call for a PT app’t, and I simply could not understand what the receptionist was saying. So much so that I told her I’d call her right back! And I did. With my Agil Pro ITE aids in. I’ll be danged if the sound wasn’t about 25% louder and ALL speech crystal clear. So.

I may be at an impasse here. The comfort of the memory foam domes is great, but I can’t call these my “go-to” aids if I’m not able to hear very well on the phone. I think the problem could be that my aids are set up (frequency, gain, etc.,) for the Widex power domes. Maybe if I get in to see my aud-guy and show him the memory foam domes he can do something? But if not … or if he says that the wrong kind of dome could actually ruin the receiver (how, I dunno!), then it’s back to the painful Widex domes OR … Agil Pros. That would really be sour grapes for me.

I would love to know if anyone else has swapped in these SUPER comfy Comply memory foam domes for whatever they had on their receivers? If so, did you have the aids re-programmed, or are you lucky enough to have phone streaming and/or be able to discern speech A-OK with these foam domes?

Sigh. At least they work pretty good with the TV streamer. But again, the total volume is about 15-20% lower than streaming with the Widex domes for whatever reason. I wonder if the foam is somehow getting in the way of the receiver tip? Like maybe squishing over it to plug it up somehow? Oh to have a teensy little person sit inside my ear canal with a flashlight and report back to me.

Sorry to hear about your issue with hearing on the phone using the Comply foam tips. I’ve ordered me a set from Amazon after hearing your great testimonial here. They arrive tomorrow. I’ll try them out and report back as well and compare notes.

Regarding the 15-20% volume loss, I’m guessing that it may be because the memory foam is more porous than the silicon power dome, and that’s why some of the sound may escape. That’s probably what makes it more comfortable in the first place, because the air pockets inside the foam allows soft but conformity to whatever shape your ear canal is. But with air pockets comes porosity and therefore lets not just humidity but also sound escape. If it’s simply a volume loss across the board, you may want to try to simply increase your volume buttons a notch or two to see if that would make you happy again. If yes, it’s a very simple matter of asking the audi to increase the overall default volume next time you visit him to your liking.

There are settings in the OPN for the different types of domes to factor in the sound escaping (like in open domes or closed domes with single or double vent holes, etc). My audi fitted me with closed dome with double vent holes originally but it has some feedback issue so I switched to a closed dome with only a single vent and the audi didn’t bother changing the settings back to the original closed dome with single vent hole. But I can’t really tell any difference between those 2 settings anyway. I know there’s no built-in setting for foam tips but maybe your audi can try to use the setting for closed dome with vents and see if this helps boost up the volume and compensate for sound loss. I’m guessing that you either change the dome setting or adjust the default over all volume. But you can try manually adjust the volume yourself first to see if you’re happy with that fix before making it permanent through a program change.

Comply also makes another type of foam tip called “Isolation” tip (instead of “comfort” tips). This type is designed to block more noise out compared to the comfort tip. It has a little bit longer, bullet shape tapered design to create more contact area with the ear canal to block out noise compared to the comfort tip. You can see that the shape of the comfort tip promotes less contact area (only in the middle) compared to the isolation tip. If it helps block more sound from coming in, I assume it would also help block more sound from coming out as well. So this may be another option to try out, beside the volume adjustment or dome setting change. However, I saw a Youtube comparison between comfort and isolation tips and the user said that the isolation tip may have a higher tendency to get squished at the tip if your ear canal is not long enough to accommodate it. If squished at the tip then it can block the sound coming from the receiver tip. But if you feel that your ear canal is long enough and this wouldn’t be an issue then it may be worth a try.

Then there’s also a “sport” foam tip which is designed for wearers who exercise and/or sweat more inside their ear canals.

I’ve skimmed over this thread quickly so this might not be relevant anymore to your situation but you could perhaps snip the little loop off at the end of the power dome so that there is just a hole at the end of the dome rather than the big sticky-outy loop. This will then expose the wax guard (similar to the older Widex power domes) and after performing a quick check with one out the front of the clinic on one of my Widex receivers, does not seem to compromise the integrity of the dome itself (so should still stay on providing it is trimmed correctly. I find that loop annoying too, although more from the standpoint that it seems to trap wax rather than inhibit it and means that the dome has to be removed each time in order to change the wax guard! I

1 Like