Hearing aid history: from ear trumpets to AI

Last update on Oct, 01, 2025

Hearing aids may be common today, but few people know their long and fascinating history. These small devices have transformed millions of lives, evolving from simple horns to advanced AI-powered solutions. What began as bulky, limited tools has become life-changing technology that helps people with hearing loss fully participate in daily life.

Let’s explore how hearing aids developed through the centuries, the inventors who made key breakthroughs, and how Miracle-Ear has played a role in shaping the future of better hearing.

Older than you think

Despite the hearing aid’s technological background and its advanced modifications, it’s actually older than some would suspect. In fact, the history of the hearing aid can be traced all the way back to the 13th century.

Made from horns

Some of the first hearing aids were actually constructed of animal horns and looked like trumpets. These trumpet-like hearing aids worked as the thin tube side was placed directly in the ear and the wider side facing away from the ear.

The hearing aid isn’t exactly what people would think of as a fashion choice. But, living in the 1800’s, the hearing aid started to show up more in modern life and it was almost a priority to make them fit in with social attire. If people weren’t trying to conceal them, they were used as decorative accessories such as collars, head wear and were even fixed into hairstyles.

By the 1900’s, hearing aid history got an upgrade when we were able to amplify sound electronically. The reason behind this breakthrough is the hearing aid manufacturers’ decision to make use of carbon microphones and batteries.

The very first electric hearing aid was created by Miller Reese Hutchison and was referred to as the Akouphone. To make the hearing aid portable, Hutchinson used a carbon transmitter to amplify sound.

By the late 20th centurysmaller hearing aids were being developed. A key factor to the decrease of hearing aid size was the manufacturers’ idea to make transistors out of silicon. Take a look at how unobtrusive Miracle-Ear Discreet hearing aids have become!

Over the last few decades, hearing aids have made even more impressive breakthroughs. Learn about some of Miracle-Ear's most advanced hearing aid technology. We’re excited to see where this important technology goes in the next few decades!  While hearing aids have a fascinating history, tomorrow looks even more exciting.

The hearing aid isn’t exactly what people would think of as a fashion choice. But, living in the 1800’s, the hearing aid started to show up more in modern life and it was almost a priority to make them fit in with social attire. If people weren’t trying to conceal them, they were used as decorative accessories such as collars, head wear and were even fixed into hairstyles.

By the 1900’s, hearing aid history got an upgrade when we were able to amplify sound electronically. The reason behind this breakthrough is the hearing aid manufacturers’ decision to make use of carbon microphones and batteries.

The very first electric hearing aid was created by Miller Reese Hutchison and was referred to as the Akouphone. To make the hearing aid portable, Hutchinson used a carbon transmitter to amplify sound.

By the late 20th centurysmaller hearing aids were being developed. A key factor to the decrease of hearing aid size was the manufacturers’ idea to make transistors out of silicon. Take a look at how unobtrusive Miracle-Ear Discreet hearing aids have become!

Over the last few decades, hearing aids have made even more impressive breakthroughs. Learn about some of Miracle-Ear's most advanced hearing aid technology. We’re excited to see where this important technology goes in the next few decades!  While hearing aids have a fascinating history, tomorrow looks even more exciting.

When was hearing aid invented?

While basic devices like ear trumpets appeared in the 1600s, the first electric hearing aid was invented in 1898 by American inventor Miller Reese Hutchison. Motivated by a friend’s hearing loss, Hutchison applied new telephone ad microphone technology to create the Akouphone. This portable device used a carbon transmitter powered by a battery to amplify sound.

What did the first hearing aid look like?

  • Ear trumpets (1600s–1800s ): These large, horn-shaped tubes were made of metal, wood, or animal horn. They collected sound and funneled it into the ear. Some were handheld, while others were built into furniture or accessories like walking sticks and fans to hide them.
  • Akouphone (1898): This bulky, battery powered device had wires connecting the microphone, amplifier and earpiece. The user had to carry the battery, often in a bag, while holding the microphone to amplify sounds.
  • Concealed designs (19th Century): During the 1800s, designers tried to make hearing aids less visible. Some were hidden in fans, hats, hairpieces, or even furniture. Royalty and nobility sometimes used elaborate disguised devices, such as acoustic thrones fitted with sound channels.

Hearing aids in the 1920s, ‘30s, and ‘40s

The 1920s marked a major shift in hearing id technology with the introduction of vacuum tubes, which replaced the earlier carbon microphone designs. Vacuum tubes amplified electrical signals much more effectively than carbon transmitters, producing clearer and stronger sound. This made hearing aids useable for people with more severe hearing loss.

  • 1920s: Early vacuum tube devices were still large and cumbersome. A typical model consisted of three partsa desktop or box amplifier with large batteries, a microphone, and a receiver worn at the ear. Users often placed the amplifier on a table or carried it in a handbag. Frequent battery changes and bulkiness meant they were mostly used in private settings.
  • 1930s: Advances in miniaturization allowed companies like Western Electric and Siemens to shrink vacuum tubes into pocket-sized hearing aids. These could be carried in a small case or worn on a strap, with wires leading to the earphone. While still bulky compared to today’s standards, they were a big improvement over the heavy tabletop models of the 1920s.
  • 1940s: World War II accelerated developments in electronics and batteries. Hearing aids became lighter and more discreet, often clipped to clothing or carried in a pocket, with a thin wire connecting to the earpiece. For the first time, people could comfortably use hearing aids outside the home, integrating them into everyday life. A key figure in this era was Ken Dahlberg, a former World War II fighter pilot who founded Dalberg Electronics and later founded Miracle-Ear in 1948.  His innovations helped popularize the BTE style and established Miracle-Ear as a trusted name in hearing solutions.

The invention of transistor in 1947

By the late 1940s, vacuum tube hearing aids were already portable but still heavy, fragile, and required frequent battery changes. A  major breakthrough came in 1947, when Bell Laboratories invented the transistor,— a tiny semiconductor device that could switch and amplify electrical signals just like a vacuum tube, but with far greater efficiency, durability, and compactness. This innovation set the stage for much smaller and more practical hearing aids.

Hearing aids in the 1950s and 1960s

By the 1950s, the newly invented transistor was being built into hearing aids, replacing the fragile vacuum tubes of earlier models.

  • 1950s – The transistor revolution in practice: The first commercial transistor hearing aids appeared in 1952, introduced by companies such as Sonotone and Maico. They consumed less power and could run on compact button batteries, allowing people to wear them comfortably all day. By the mid-1950s, the behind-the-ear (BTE) style, placing the microphone and amplifier in a small casing behind the ear, connected to an earmold – a discreet and convenient design that quickly gained popularity. In 1955, Miracle-Ear introduced the D-10 “Magic Ear”, one of the first in-the-ear hearing aids to house the battery, amplifier, microphone, and receiver in a single compact shell. This innovation reflected the growing demand for smaller, more discreet devices.
  • 1960s – Miniaturization and variety: Advances in microelectronics during the 1960s allowed further reduction in size. In-the-ear (ITE) hearing aids  became available, fitting directly into the ear canal for a more natural look. These devices were more durable and provided clearer sound, improving comfort and adaptation.
Elderly man with glasses holding a tablet in his hands

Discover the latest technology

Our newest technology offers cutting-edge direct streaming, allowing you to stay connected to the people and sounds that you love.

Hearing aids in the 1970s and 1980s

The 1970s and 1980s were decades of rapid innovation, with hearing aids becoming smaller, more efficient, and more tailored to individual needs.

  • 1970s – Integrated circuits: The introduction of integrated circuits (ICs) replaced individual transistors with compact chips that contained many components. This made hearing aids even smaller and more reliable while reducing power consumption. Devices could be manufactured in more discreet styles, and in-the-ear (ITE) models became increasingly common.  Microphone technology also improved, providing better sound quality and less distortion. During this era, Miracle-Ear introduced the SHARP circuitry, an in-house innovation that reduced power usage while maintaining strong amplification, helping patients access high-quality sound in a more compact form.
  • 1980s – Programmable hearing aids: Advances in microelectronics allowed hearing care providers to fine-tune amplification across different frequencies, providing more personalized hearing solutions. Styles diversified, becoming smaller and more cosmetically appealing, and some models included directional microphones to improve speech understanding in noisy environments. Miracle-Ear continued to innovate with the Dolphin programmable hearing aid, one of the company’s first solutions that allowed hearing care professionals to adjust settings for individual needs, reflecting a shift toward customizable, user-focused hearing technology.

Hearing aids in the 1990s

The 1990s marked a major turning point in hearing aid technology, as the industry shifted from analog to digital processing. Around the mid-1990s, hearing aids became more programmable, allowing hearing care providers to fine-tune devices for individual hearing profiles. Early models often had switches or tiny screws that could be adjusted with special tools to modify amplification and improve sound quality. This was the first step toward giving users more control and flexibility, with settings that adapted to different listening situations such as quiet conversations or noisy environments.

In 1996, the first fully digital hearing aids were introduced. Unlike analog devices, which simply amplified all sounds, digital hearing aids converted sound into numerical signals that could be processed by a microchip. This allowed for much clearer, more precise sound, as well as features like background noise reduction and multiple listening programs.

The 1990s represented a cultural shift: hearing aids were no longer viewed just as amplifiers but as smart medical devices that could improve quality of life through customization and adaptability.

Hearing aids in the 2000s

The 2000s were the decade when digital hearing aids became standard. By the mid-2000s, nearly 80% of all hearing aids sold were digital, replacing analog models almost entirely. Digital processing allowed sounds to be analyzed and adjusted in real time, making it possible to amplify speech while reducing background noise, something analog devices could not achieve effectively.

A key development during this time was the introduction of wireless connectivity. Hearing aids could now communicate with each other, enabling features such as automatic volume balancing between ears. This made listening more natural and improved the localization of sounds.

Manufacturers also introduced directional microphones, feedback suppression, and adaptive noise reduction systems, all of which dramatically improved clarity in challenging environments like restaurants or busy streets. Rechargeable battery options began appearing, though most users still relied on disposable button-cell batteries.

Another important step forward was compatibility with accessories. Devices could connect to external transmitters for use with televisions, telephones, and assistive listening systems, expanding functionality beyond simple amplification.

By the end of the 2000s, hearing aids were no longer just amplifiers—they were becoming miniature computers for the ear, offering personalization, comfort, and better speech understanding than ever before.

hearing aids

Discover the future of hearing aids

Ready to experience the latest in hearing technology? Explore the next generation of hearing aids at Miracle-Ear. Discover advanced solutions that can enhance your hearing and improve your daily life. Visit your local center for a free hearing test and see how our cutting-edge technology can work for you.

Hearing aids today: Smarter with AI

Modern hearing aids have evolved into sophisticated AI-driven devices that go far beyond simple sound amplification. Today’s models use artificial intelligence and machine learning to analyze listening environments in real time, automatically adjusting settings to improve speech clarity while minimizing background noise. This allows users to transition seamlessly between quiet conversations, busy restaurants, and outdoor settings without needing manual adjustments.

Many devices feature Bluetooth streaming, enabling direct connections to smartphones, tablets, and televisions for calls, music, or podcasts. Paired with smartphone apps, users can adjust the settings on their hearing aids, track usage, and even locate their devices when not in use.

Rechargeable batteries have made hearing aids more convenient and eco-friendlier, while long-wear designs allow some models to stay in the ear canal for weeks at a time. Advanced directional microphones and AI speech enhancement provide clearer sound in noisy environments, helping wearers feel more confident in social situations.

Overall, hearing aids today are not just medical devices; they are smart, connected tools that integrate into everyday life. With ongoing improvements in AI, wireless connectivity, and comfort, hearing aids continue to offer greater independence, accessibility, and quality of life for people with hearing loss.

Beyond hearing aids: Cochlear implants as a parallel breakthrough

While hearing aids have transformed over the past century, another revolutionary technology has advanced in parallel: cochlear implants. Introduced in the 1980s, these devices provide a solution for people with severe hearing loss who may not benefit from traditional hearing aids. Instead of amplifying sound, cochlear implants bypass damaged parts of the ear and send electrical signals directly to the auditory nerve. Today’s implants are smaller, safer to implant, and more effective than every before, greatly expanding candidacy and improving outcomes for users worldwide.

Although Miracle-Ear specializes in advanced hearing aids rather than implants, the evolution of cochlear implants highlights the broader innovation happening in hearing aid – and reinforces the importance of providing solutions that meet the unique needs of every individual.

More from the blog

Discover a world of sounds.
View all

Get support and advice

Book an appointment online

Book now

Take a free online hearing test

Start test

Find a hearing aid center near you

Search now