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Vivtone Xpure Hearing Aid Expert Review

Mid-Priced OTCReleased 2023
See Price at Vivtone

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How We Test

The Vivtone Xpure is a mid-priced behind-the-ear OTC hearing aid available for $549. In our lab testing, it earned a SoundScore of 3.0 out of 5, placing it slightly below the OTC category average of 3.47.

The Xpure demonstrates notable strengths in specific areas. Music streaming quality is a standout, scoring 4.4/5—a strong result that sits 2.53 points above the category average. This makes it an appealing choice for users who prioritize audio entertainment. Speech in quiet environments also performs well at 3.2/5, measuring 0.55 points above average for the category.

However, the device shows meaningful limitations. Own-voice comfort scores just 0.8/5, falling 1.70 points below the category average—a low result that may cause users to perceive their own voice as boomy or unnatural. Speech in noise measures 1.4/5, which is above the category average but still low in absolute terms, indicating limited benefit in challenging listening environments. Feedback handling scores 3.3/5, solid in absolute terms though 1.23 points below the category average.

The Xpure responds well to fitting adjustments. Initial fit scores 2.8/5, but tuned fit improves to 3.5/5—a 0.7-point gain that demonstrates meaningful optimization potential. Shoppers should note alternatives like the Cearvol Wave, which offers a higher SoundScore at a lower price point. The Vivtone Xpure is best suited for users who prioritize music streaming quality and have access to fitting adjustments, while being less ideal for those sensitive to own-voice perception or frequently in noisy environments.

Reliable & Repeatable Lab Results

Quality data starts with quality recordings. HearAdvisor worked with GRAS to build a no-compromise front end so every test is repeatable and reliable.

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Steve in HearAdvisor Lab
HearAdvisor Verdict
B
Bottom Line

The Vivtone Xpure delivers standout music streaming and solid speech clarity in quiet, best suited for casual listeners at home.

Strengths
  • Excellent music streaming quality4.4/5
  • Above-average speech in quiet+0.55 vs category
  • Mid-range price for the OTC category
Drawbacks
  • Poor own voice naturalness0.8/5
  • Low speech-in-noise performance1.4/5
  • Below-average feedback handling for OTC
Lab Test Summary

In initial fit configuration with power dome coupling, the Vivtone Xpure scores 2.8/5. Music streaming performs exceptionally well at 4.4/5, and feedback handling is excellent at 5.0/5. However, speech intelligibility is limited, with speech in quiet and speech in noise both scoring 0.9/5. Own-voice comfort is low at 0.8/5. This out-of-box configuration prioritizes stability and streaming quality over speech clarity, suggesting users will benefit significantly from professional fitting adjustments.

What is HearAdvisor's Initial Fit?

The Initial Fit approximates the most likely settings and eartips for a typical moderate hearing loss. Results are measured across the same 72 acoustic scenes in our custom-built lab, then scored on a 5-star scale using an auditory model.

Lab Review Scores
B
SoundGrade
Initial Score
2.8
Tuned Score
3.5
Speech in quiet
best
0.9
5.0
Own voice
best
0.8
5.0
Speech in noise
best
0.9
5.0
Feedback handling
best
5.0
5.0
Music streaming
best
4.4
5.0

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Lab Recordings
Adjust volume to make "No hearing aids" as loud as it would be in the real world, without hearing aids. Remove hearing aids while auditioning. High-quality headphones will improve results!
Lab Image
Lab Notes
Initial Fitting
Tuned Fitting
Ear Coupling
Initial Fitting
Power Dome
Tuned Fitting
Closed Dome
Receiver
Initial Fitting
Default
Tuned Fitting
Default
Fitting Formula
Initial Fitting
Proprietary manufacturer default
Tuned Fitting
Proprietary manufacturer default
Listening Program
Initial Fitting
Noise
Tuned Fitting
Noise
Volume Setting
Initial Fitting
Left 80%; Right 90%
Tuned Fitting
90%
Software Version
Initial Fitting
2.2.12
Tuned Fitting
2.2.12
Tuning Adjustments
Initial Fitting
Hearing Evaluation completed, Noise Reduction enabled (Default), Whistle Suppression enabled (Default), Other settings at manufacturer defaults
Tuned Fitting
Hearing Evaluation completed, Noise Reduction enabled (Default), Whistle Suppression enabled (Default), "Fine Tuning" adjusted to match targets, "MPO" set at 40%, Other settings left at manufacturer defaults
Notes
Initial Fitting
Different volume settings were needed to balance amplification between devices
Tuned Fitting