The Ear CompanySan Francisco, CA

No one should be left
out of the conversation.

Leo is a pair of glasses for people with cochlear implants. In a loud room, it raises the one voice you are trying to follow above the noise around it. For Deaf signers it works the other way, and speaks their signing aloud to people who don't sign.

The hardware

An engineering model you can turn in your hands.

To hear which direction a voice comes from, you need microphones spread across the head. Glasses already sit there. Here is where each part goes on the DK-1 frame.

Leo DK-1 · engineering model, rendered live
Drag to rotate

Drag to rotate. The frame is generated from the DK-1 design targets and rendered in your browser: titanium rims and temples, prescription-compatible lenses, six microphone ports across the brow bar and temples for aperture, two sign cameras under the bridge for the outward channel, and the waveguide on the right lens. Compute and radio are split across the temples for thermal and mass balance. To be explicit: this frame has not been built. It is the layout our software is being written against, not a photograph of something on a desk.

What Leo is

AI glasses for cochlear implant recipients.

  • Six microphones pull one voice out of a crowded room
  • Streams only that voice into the implant you already own
  • Rides the accessory pathway your manufacturer already ships
  • A second channel reads sign and speaks it aloud
  • All of it on the frame, so no conversation leaves the device
Where we actually arePre-hardware

The software runs. The frame does not exist yet.

  • Separation and sign models run on a laptop, on recorded audio
  • The DK-1 frame has not been built
  • No study has been run and no clinical claim is made
  • Every Leo figure below is a design target, labelled as one
What we are raising forThe ask

A whole Leo, on a face, working.

  • Six microphones on a built frame
  • Separation and sign both running on-frame
  • Inside the latency budget, on its own battery
  • Coupled into a real implant
  • Worn by recipients, who tell us whether it worked
Why we publish it this way. Assistive hearing technology has a long history of launching on bench numbers that did not survive a real room. We put the literature we have to beat on our own site before publishing anything of our own, and we would rather lose a meeting for being early than win one for being vague. Everything below is either a citation or a labelled target.
The idea

A group conversation leaves people behind in two directions.

You get left out when you can't pull one voice out of the noise, and when the room can't understand the voice you have. For decades the first half was a hardware problem with no good fix. What changed is recent: AI can now pull overlapping voices apart in real time and label who said what, on a chip small enough to wear [15][16][17]. Leo puts that on your face, and pairs it with a channel that runs the other way.

The room → you Inward

Six microphones and an on-frame model split the room into separate voices in real time, lock onto the person you're attending to, and caption each line tagged to who said it, so a table of people talking over each other becomes one thread you can actually follow.

For a cochlear-implant wearer, whose hearing plateaus at a handful of usable channels, that ratio is the only lever left. How the acoustic stack works →

You → the room Outward

Two cameras under the bridge watch the wearer's signing space; an on-device model reads the hands and the frame speaks the words aloud. A Deaf signer stops needing a phone, a notepad or an interpreter just to be understood by someone who doesn't sign.

Everything is read on-frame and the video is discarded; the wearer picks the voice and confirms before anything is spoken. How sign → speech works →

The whole product is one sentence: everyone in the conversation gets to stay in it. The rest of this page is the evidence, the engineering, and the honest limits behind that claim.
Why glasses

The ear is already spent. The eyes are usually next.

Every other company building hearing AI is competing for space inside the ear. For the people we build for, that space is gone, and it was gone before anyone shipped an earbud. What is left is the face, and it turns out to be the surface our users were most likely to be wearing something on anyway.

The ear is occupied

A cochlear implant recipient wears a sound processor on the ear and against the side of the head, every waking hour. That is not a preference and it is not coming off. Any product shaped like an earbud is structurally locked out of this user, not because the software is weak but because the geometry is taken.

Glasses are the only unoccupied surface on the head, and they are the only one with the sightlines this problem needs. An array on the temples has aperture the ear cannot offer, the bridge looks where the wearer looks, and the same mount that hears the talker can see the talker's mouth and the signing space.

Deafness and vision loss travel together

Vision problems affect somewhere between 44 and 65 percent of deaf and hard-of-hearing people, against 17 to 30 percent of normal-hearing people [26]. Roughly double, and it is not a coincidence.

The retina and the cochlea differentiate from the same layer in weeks six and seven of gestation [26]. What damages one frequently damages the other, whether genetic, hypoxic or viral. Usher syndrome, the leading inherited cause of deafblindness at 4 to 17 per 100,000, is the clearest case, and those patients are routinely implanted [27].

Vision problems are about twice as common in deaf and hard-of-hearing people

Reported prevalence ranges across the literature. Each bar is the range as stated, not an interpolated estimate.

Prevalence ranges as reported in a study of refractive error, amblyopia, strabismus and low vision among deaf and hearing-impaired students, which also states the shared embryonic origin of retina and cochlea [26]. The underlying studies weight toward children and adolescents; we have not found an equivalent figure measured specifically in adult implant recipients, and we are not claiming one.

And it compounds with age

Combined hearing and vision loss climbs steeply in later life: about 1.5% of people aged 65 to 74, 2.6% at 75 to 84, and 10.8% past 85 [28]. The same age band where hearing loss concentrates is the band where the second sense starts going too.

A device that sits on the face can carry optical correction and audio on one mount. We are not building display features for their own sake, but the person we are designing for is more likely than not to need a lens in front of their eye regardless of what we do.

Why this is the adoption argumentThe bet

Only 16% of US adults aged 20 to 69 who could benefit from a hearing aid have ever used one [19]. That number, not the engineering, is what has killed assistive hearing hardware for forty years. People do not decline these devices because they do not work. They decline them because of what wearing one means.

So we are not asking anyone to put a new device on their face. Something close to half of them already have one there. We are asking them to change frames, and that is the lowest-friction adoption story available in this category.
Capabilities

What the glasses do, and how far along each part is.

Everything below runs on the glasses themselves. Nothing you say or hear is sent to a server. Six separate models share one chip on the frame, and the whole path from sound in your ear to text in your eye is built to stay under 120 ms. The badge on each one says how finished it is, not what it does in a clinic.

6on-frame neural models, one shared 4.2 TOPS NPU
<120mswavefront to stimulation, inside the binding window [7]
10–15dBthe noise deficit implant users carry, and the number Leo exists to move [3]
0bytes of audio, transcript or video that leave the device
Off-frame prototype

Real-time voice separation

A causal, streaming separation network pulls the talker you are attending to out of overlapping speech and diffuse babble, on-frame, with lookahead capped at 32 ms. It descends from the line of work that took source separation from an offline trick to a real-time one [15][16].

Planned

Speaker memory

Enroll the voices that matter, a partner, a child, a manager, in a few seconds each. Leo learns their embeddings and prioritizes them across rooms and days, and tags every caption with who is speaking so a crowded table reads as one attributable thread.

Planned

Gaze-steered attention

Gaze direction, head orientation and streaming diarization fuse into a single target estimate, so Leo locks onto the person you are looking at without you touching a thing. When confidence drops it widens rather than guesses, because a wrong lock is far more disorienting than a broad one.

Research

Live translation

A speech-translation model renders a talker in another language into the wearer's language, captioned in the display and optionally spoken. On-device and scoped to conversational domains, we are not claiming open-domain, unbounded translation, and we would distrust anyone who did.

Planned

Spatial captions

Transcribed speech lands in the lower periphery of a monocular waveguide, each line tagged to the direction it arrived from and never placed over a talker's mouth. Text and sound are time aligned to fall inside the same audiovisual binding window, by design, not by luck.

Research

Sign → speech

Two cameras under the bridge read the wearer's signing space, an on-device pose model reads the hands, and the frame speaks. It gives a Deaf signer a voice with people who do not sign. It is the most valuable thing we could build and the least finished. Read the honest limits →

These stack on two independent levers, both established in the literature: directional gain from a head-wide microphone array, and the 10–15 dB effective boost of seeing the talker [4]. Leo is an attempt to put both on one face at once, which is exactly the deficit the implant leaves behind [3].
The problem

The implant solved audibility. It did not solve the cocktail party.

A modern cochlear implant restores access to sound with remarkable reliability. What it does not restore is the ability to pull one voice out of a room full of them. That failure is not a defect in the device, it is a consequence of what an electrode array can physically do inside a cochlea, and it has been stable in the literature for three decades.

1.5B

people live with some degree of hearing loss; 430 million require rehabilitation today.

WHO, World Report on Hearing (2021) [1]

~1M

cochlear implant recipients worldwide, a population that has roughly doubled in a decade.

NIDCD implant statistics [2]

~8

effective spectral channels, regardless of whether the array has 12 or 22 electrodes.

Friesen et al., JASA (2001) [3]

15 dB

effective SNR gain available from visual speech cues alone at poor signal-to-noise ratios.

Sumby & Pollack, JASA (1954) [4]

The population is growing faster than the response

People living with hearing loss worldwide, today versus the WHO's 2050 projection.

World Health Organization, Deafness and hearing loss fact sheet, drawing on the World Report on Hearing (2021). "Rehabilitation" counts moderate or higher loss in the better ear. [1]

Where the burden actually sits

Share of people with disabling hearing loss living in low- and middle-income countries.

80%

WHO fact sheet [1]

And it concentrates with age

Share of people older than 60 affected by disabling hearing loss.

>25%

WHO fact sheet [1]

Electrodes are not channels

What the hardware provides, against what listeners can actually use. Each bar is the range reported in the cited work, not an interpolated curve.

Asymptote of 8–10 channels: Berg et al., JASA 147(5), 2020, in 18 adult recipients on CNC words and AzBio sentences [11]. Continued gains to 20 channels for normal-hearing listeners on vocoded speech: Friesen et al., 2001 [3]. Electrode counts are the commercial range across current manufacturers.

Why channels collapse

An implant array sits in a conductive salt bath. Current injected at one electrode spreads to neighbouring neural populations, so physically adjacent contacts excite overlapping regions of the spiral ganglion. Adding electrodes does not add independent channels; it adds correlated ones.

Friesen and colleagues showed the consequence directly: normal-hearing listeners given noise-vocoded speech keep improving as channel count rises toward twenty, while implant users plateau around seven to ten and go no further [3]. Shannon's earlier work established the floor, intelligible speech needs surprisingly few channels in quiet [5]. Noise is where the gap opens.

What that costs in a room

Spectral resolution is exactly the resource you spend on separating concurrent talkers. With it degraded, implant users typically need a signal-to-noise ratio roughly 10–15 dB more favourable than a normal-hearing listener to reach comparable sentence recognition, and restaurants, classrooms and open offices sit well below that line.

The head-shadow effect contributes about 6.4 dB of the binaural benefit that unilateral implant users lose outright, one reason bilateral fitting helps, and why an external array of microphones helps further.
What we heard

The failure recipients describe is not the one the literature measures.

Everything above this line comes from published work. This section does not. It comes from conversations with cochlear implant recipients about what actually goes wrong in a room, and it changed what we decided to build. We are stating it plainly as what it is: a small number of informal conversations, not a study, with no protocol and no sample size worth quoting.

Nobody said "I could not hear"

They said they nod. They follow most of a conversation, lose a sentence, and rather than stop five people to ask, they guess and keep going. The cost is not a missed word, it is going home unsure whether the thing they agreed to was a question, a joke or a plan.

That failure is invisible from the outside and invisible on a test. A recipient scoring well on sentence recognition in a clinic can still be doing this at every dinner.

The second one is fatigue, not failure

The other thing we heard repeatedly is that following a room is possible and expensive. The implant works. The person can do it. It costs so much concentration that they are wiped out afterwards, and the rational response is to go to fewer rooms.

An implant that succeeds on every clinical measure can still lose someone their social life through pure effort cost. That is a device outcome, and nothing in the standard battery captures it.

Why this changed what we build

Both failures share a shape. Neither shows up in word recognition scores, which is what the field optimises, and both are caused by the same thing: the listener is doing separation work that the device should be doing. Effort is the product spec, not intelligibility.

It is also why we are not building captioning glasses. Reading a transcript solves comprehension and makes effort worse, because now you are decoding text and watching a face at the same time. If we ever measure a Leo that raises sentence scores while raising listening effort, we will report that as a failure, and we are stating that here so it is on record before we have data.

The insight

Deaf listeners are already exceptional multisensory integrators.

This is the finding our entire product thesis rests on, and it is not ours, it is well replicated. The visual channel in an implant user is not a fallback. It is load-bearing.

Seeing the talker is worth more the worse the noise gets

Percentage-point gain in word intelligibility from watching the speaker's face, at two signal-to-noise ratios. The size of the closed response set changes how much vision can contribute.

Sumby & Pollack, JASA 26(2), 1954 [4]. Spondee words, 129 listeners, each point pooled from 450 determinations. The paper reports the −30 dB gap as ranging "from 40 percent for the 256-word vocabulary to 80 percent for the 8-word vocabulary," and states that under noise-free conditions there is little difference between the two presentation conditions, plotted here as approximately zero.

Vision carries speech

Sumby and Pollack's 1954 measurement still sets the ceiling: at low SNRs, seeing a talker's face is worth as much as adding roughly 15 dB of clean signal [4].

Integration is plastic

Rouger et al. found implant recipients outperform normal-hearing controls at lipreading and fuse audiovisual speech more effectively, a durable reorganization, not a temporary strategy [6].

Timing is the constraint

Audiovisual speech fuses inside a temporal binding window of roughly 200 ms, and asymmetrically, listeners tolerate audio lagging vision far better than the reverse [7].

The product

Leo

AI glasses built for cochlear implant recipients. Leo does two things a sound processor cannot do on its own: it hears the room from a wider baseline than a single behind-the-ear microphone, and it renders what it hears into the wearer's visual field, where the evidence says it will actually be used.

Six microphones, one baseline DK-1

A behind-the-ear processor gets one microphone and a head's worth of acoustic shadow. Leo distributes six MEMS capsules across the temples and brow bar, giving roughly a 140 mm horizontal baseline, enough aperture for meaningful directivity in the 500 Hz–4 kHz band where speech information concentrates.

A minimum-variance distortionless-response beamformer steers toward the attended talker; a second, wider-aperture estimate maintains a running map of competing sources so the system can switch targets without re-converging from scratch.

Why not just more gain

Amplification raises target and masker together. Directional gain does not, it improves the ratio. For a listener whose spectral resolution is capped by the physics of current spread, ratio is the only lever that still moves the needle.

Directivity is a geometry problem before it is a software problem. Glasses happen to be the only consumer form factor that already spans the head.
Signal path

Wavefront to stimulation

Six stages, one budget. Allocations below are DK-1 design targets, the budget we are writing software against. They have not been measured on hardware, because the hardware does not exist yet.

1

Capture

Six MEMS capsules sample at 48 kHz with sub-sample-synchronised clocks. Phase coherence across the array is the whole game; a drifting clock destroys directivity faster than any amount of self-noise.

≈ 4 ms
2

Spatial analysis

Steered-response power localisation builds a running map of active sources around the wearer, updated every 16 ms. Head motion is compensated from the onboard IMU so the map lives in room coordinates, not head coordinates.

≈ 16 ms
3

Separation

A causal, streaming separation network isolates the attended talker from concurrent speech and diffuse background, the descendant of a line of work that took source separation from an offline trick to a real-time one [15][16]. Lookahead is capped at 32 ms, which eliminates most published offline architectures outright.

≈ 38 ms
4

Attention selection

Gaze direction, head orientation and streaming diarization, who is speaking, when, combine into a target estimate and the speaker tag each caption carries [17]. When confidence is low the system widens rather than guesses; a wrong lock is far more disorienting than a broad one.

≈ 12 ms
5

Delivery

Clean audio is streamed to the recipient's processor over the manufacturer's accessory pathway. Leo hands over a better signal; the existing clinical map converts it to stimulation exactly as it always has.

≈ 28 ms
6

Visual render

Transcription and speaker attribution reach the waveguide on a deliberately separate path, time-aligned to the audio stream so text and sound land inside the same binding window.

≈ 18 ms
Budget check 116 ms of 120 ms allocated

Four milliseconds of headroom is not comfortable, and we say so plainly. Reclaiming it is the central engineering objective of the DK-2 revision.

Sign → speech

Giving the wearer a voice in the room

A cochlear implant solves one direction of the conversation. It does nothing for the other. A deaf signer speaking to someone who does not sign still needs a phone, a notepad or a human interpreter. Leo's outward channel is our attempt at removing that, cameras watch the signing space, an on-device model reads it, and the frame speaks. In a group, that is the difference between answering in real time and waiting for a turn that never comes.

A

Capture

Two global-shutter cameras sit under the bridge, tilted down toward the signing space in front of the torso. Global shutter matters here: signing is fast, and a rolling shutter skews a moving hand badly enough to change the handshape.

60 fps
B

Pose & handshape

A hand and upper-body pose model runs on the same NPU as the audio stack, producing joint positions rather than raw video. Frames are discarded immediately, nothing that could reconstruct a conversation is retained or transmitted.

on-device
C

Recognition

Fingerspelling and a constrained phrase set, decoded as a sequence. This is deliberately narrow. Continuous, open-domain sign translation is not a solved problem and we are not going to pretend otherwise.

streaming
D

Speech out

Synthesised through a small frame speaker, or to a paired phone when the wearer would rather the voice came from the table than from their head. The wearer picks the voice, and the wearer confirms before anything is spoken.

wearer-gated

Grammar lives on the face

Non-manual markers, brow position, head tilt, mouth morphemes, carry grammatical meaning in ASL: negation, topic marking, and the difference between a yes/no and a wh- question. A frame worn by the signer cannot see the signer's own face, so that information has to be inferred from the hands alone. This is the hardest structural problem in a first-person mount, and it is why we scoped to fingerspelling first.

Self-occlusion is constant

From a head-mounted camera looking down, hands cross, overlap and foreshorten continuously. A third-person camera sees a signing space that a first-person camera sees edge-on. Most published sign-recognition results come from front-facing cameras at conversational distance, which is a materially easier problem than the one we have chosen.

The benchmarks are young

Speech recognition had decades of transcribed audio before it worked. Sign language has orders of magnitude less data, and the largest continuous corpora are small next to what speech models train on. Progress is real and fast, but the starting point is not comparable.

The corpora this rests on
DatasetScopeScaleTask
WWLASL isolated 2,000 signs Word-level ASL recognition, over 21,000 clips. The easier problem, and the one closest to fingerspelling.
HHow2Sign continuous 11 signers Continuous ASL over a vocabulary of more than 16,000 English words. Much harder, much closer to real conversation.
PPHOENIX-2014T continuous one domain German Sign Language weather broadcasts, the field's standard translation benchmark, and narrow by construction.

WLASL: Li et al., WACV 2020 [12]. How2Sign: Duarte et al., CVPR 2021 [13]. RWTH-PHOENIX-Weather 2014T, introduced for neural sign language translation by Camgöz et al., CVPR 2018 [14]. All three are third-person recordings; none is first-person, which is the gap our own data collection has to close.

We are building this with Deaf signers, not for them, and ASL fluency is a hiring requirement on the team that owns it. A hearing team shipping a machine that speaks on a Deaf person's behalf, without Deaf people holding the pen, would get this wrong in ways it could not detect.
Evidence base

What the literature establishes

The figures below are drawn from published work on cochlear implant performance, not from Leo. We publish the baseline we are trying to move before we publish anything about moving it.

Implant performance baselines
Sources ↗
Listening condition Channels available Channels used Ceiling behaviour
1 NNormal hearing, unprocessed , full No ceiling; performance limited by the masker, not the listener.
2 VNormal hearing, 20-ch vocoder 20 ~20 Continues improving with channel count up to twenty.
3 VNormal hearing, 8-ch vocoder 8 8 Approximates implant performance in quiet; diverges in noise.
4 CIImplant, 22-electrode array 22 ~8 Plateaus near eight regardless of electrodes active.
5 CIImplant, 12-electrode array 12 ~7 Statistically indistinguishable from the 22-electrode case.

Channel counts follow Friesen et al. [3] and Shannon et al. [5]. Environmental SNRs are representative ranges for the listed settings, and the intelligibility bars illustrate the direction and magnitude reported across the speech-in-noise literature rather than any single pooled dataset. Individual outcomes vary enormously, duration of deafness, age at implantation and residual hearing all dominate.

Audio alone
AImplant only vs BImplant + vision
In multi-talker babble
COmnidirectional mic vs DBeamformed array
Leo DK-1

Hardware

Developer kit configuration. Every figure below is a design target for a frame we have not built. Nothing here has been measured, certified or clinically verified. Treat this table as the specification we are designing to, which is the only thing it is.

Form factorTitanium frame, 52 mm lens width, prescription-compatible48 g
Microphones6 × digital MEMS, 66 dB SNR, sample-synchronised across the array140 mm baseline
Audio48 kHz / 24-bit capture, causal streaming processing throughout≤ 32 ms lookahead
ComputeOn-frame NPU; no audio or transcript leaves the device4.2 TOPS
Sign capture2 × global-shutter cameras under the bridge, tilted toward the signing space; pose extracted on-frame, frames discarded60 fps
DisplayMonocular geometric waveguide, lower-peripheral placement, never over a talker's face22° FOV
Implant couplingManufacturer accessory-streaming pathways, abstracted behind a single internal layer3 vendor targets
End-to-end latencyAcoustic wavefront to implant stimulation, inside the audiovisual binding window< 120 ms
BatteryMixed conversational use with display active roughly one third of runtime8 h
IngressSplash and dust resistant; not rated for immersionIP54
Regulatory status. Leo is a developer kit. It is not a medical device, is not FDA cleared or approved, and is not intended to diagnose, treat, cure or prevent any condition. Nothing here should be read as a claim of clinical benefit. Anyone with a cochlear implant should talk to their audiologist before adding any accessory to their setup.
The market

A large market that has been counted badly.

Hearing is one of the biggest unaddressed health burdens in the world and one of the smallest device markets relative to it. The gap between those two facts is the whole opportunity, and it is also the reason to be careful: a market that has looked obviously large for thirty years and stayed small is telling you something about adoption, not about need.

$980B

annual global cost of unaddressed hearing loss, across health care, lost productivity and societal cost.

WHO [1][18]

28.8M

US adults who could benefit from a hearing aid. About 16% of those aged 20 to 69 have ever used one.

NIDCD, Quick Statistics About Hearing [19]

736,900

cochlear implants registered worldwide as of December 2019; 118,100 in US adults, 65,000 in US children.

FDA figures via NIDCD [2]

≈2×

year-on-year growth in smart glasses shipments through 2025, with one vendor holding over 70% of the category.

Counterpoint Research [21]

Nobody agrees how big this market is

Published estimates for the same market in the same year, plotted as the span between the lowest and the highest. Each span is roughly a factor of two.

Cochlear implant estimates for 2025 collected from published report summaries by Grand View Research, IMARC, Vantage Market Research, Fortune Business Insights, Research Nester and Mordor Intelligence; hearing aid estimates from eight comparable reports. These are commercial research products, not peer-reviewed work, and their methodologies are not public. Definitions differ on whether over-the-counter devices, hearables and service revenue are counted. The spread is the finding [25].

Implant candidates who get an implant

US utilisation among people meeting traditional audiometric candidacy criteria. Under expanded criteria it falls to about 2%.

12.7%

Nassiri, Sorkin & Carlson, Otology & Neurotology (2022) [20]

Adults who could benefit and wear a hearing aid

US adults aged 20 to 69 who have ever used a hearing aid, among those who could benefit. It reaches 30% only over age 70.

16%

NIDCD, Quick Statistics About Hearing [19]

Why the estimates disagree

Because the category boundary is unsettled. A hearing aid was a regulated medical device until the US over-the-counter rule took effect in 2022, and since then the line between a hearing aid, a hearable and a pair of earbuds with a hearing feature has been a matter of opinion. Firms that count earbuds report figures around $15B. Firms that count only fitted devices report around $9B.

We are quoting the disagreement rather than picking the flattering end of it. A number you cannot reproduce is not evidence, and the honest version of this slide is that the addressable device market is somewhere in the low tens of billions and growing at high single digits.

The market we can actually reachOur estimate

Leo's first customer is an adult cochlear implant recipient in a high-income market. Cumulative US adult implants are 118,100, and cumulative implants are not living active users, so the real number is smaller. Call the reachable beachhead on the order of 100,000 people in the US and perhaps three times that across comparable markets.

At a $1,500 device, a price we have not set and state here only as arithmetic you can redo with your own assumption, that beachhead is roughly $150M in the US and $600M across high-income markets. Small on purpose. It is where the hardest version of the problem lives.
Why now

The form factor stopped being strange

Assistive glasses have failed on stigma before. Smart glasses shipments roughly doubled year on year through 2025, and someone else's marketing budget is normalising a camera and a microphone array on a face. A device that looks like what everyone else is already wearing does not carry the same cost.

Separation became streamable

Real-time speaker separation good enough for a live conversation is recent, and the models that made it practical are small enough to run causally on a frame rather than in a datacentre [15][16]. That is a capability change, not a packaging change.

The channel is already open

Every major implant manufacturer already ships an accessory streaming pathway. We do not have to displace an incumbent or win a clinical channel to reach a recipient. We have to be compatible with the one they already have.

What the size of this market does not tell you. The 16% and 12.7% figures above are the real constraint, and they are not a distribution problem waiting for a better funnel. Devices in this category have historically failed on comfort, stigma, reimbursement and the gap between bench performance and a real room. We think the honest reading is that the market is large and the conversion is hard, which is why our roadmap spends 2027 and 2028 on recipients rather than on sales.
The field

Everyone else amplifies or transcribes.

Glasses for hearing loss are not a new idea and we are not the first people here. It is worth being precise about what already exists, because the thing that separates Leo from all of it is narrow and easy to state: every product below either makes the whole room louder or turns it into text. None of them decide which voice you want and send only that one into a cochlear implant.

What exists What it does Who it is for Why it does not solve this
Nuance Audio
EssilorLuxottica
Open-ear directional amplification built into a normal-looking frame. FDA cleared as an over-the-counter hearing aid and on sale in the US. Perceived mild to moderate hearing loss. Amplification, not separation. Making a room with four talkers louder gives an implant recipient four louder talkers. It is also not a route into an implant.
AirPods Pro hearing aid feature
Apple
FDA-authorised hearing aid function in a mass-market earbud, with a self-administered hearing test. Mild to moderate loss, in-ear. Same amplification limit, plus it occupies the ear. An implant recipient's hearing does not run through their ear canal.
Captioning glasses
Xander, XRAI and others
Live speech-to-text projected on the lens. Xander runs on the device without a phone; XRAI runs off a connected phone. Severe loss and Deaf users who read English fluently. Text instead of sound, and it costs you the talker's face. Reading captions pulls your eyes off the mouth, and the visual speech cues you lose are worth up to 15 dB of effective SNR [4]. This is the tradeoff our whole thesis is built on.
Manufacturer remote mics
Cochlear, Advanced Bionics, MED-EL
A clip-on microphone that streams one talker directly into the implant over the accessory pathway. Cochlear implant recipients. Widely prescribed. This is the real incumbent and the one to beat. It works, but somebody has to physically wear it, so it solves one known talker in advance and does nothing for a table of five.
The gap we are aiming at

The remote microphone is the honest baseline, not Nuance Audio and not captions. A recipient at a dinner table today has one option that genuinely works: hand a microphone to one person and give up on everyone else. Leo's claim is that an array on your own face can do the choosing, with no object to hand over and no conversation to interrupt.

That is a narrow claim, and it is falsifiable. If our separation does not beat a clipped-on remote mic in a five-talker room, we do not have a product, and that comparison is the first measurement we intend to publish.

What we do not claim

We are not competing with Nuance Audio or Apple. They serve mild to moderate loss, a population perhaps a hundred times larger than ours, and they serve it well. If anything, they help us: every pair of hearing glasses sold makes the form factor more ordinary and lowers the stigma cost of the one we are building.

The uncomfortable version: EssilorLuxottica owns Ray-Ban, has the retail network, and could point it at implant recipients. We do not think they will, because the population is small and the coupling work is specialised, but a well-funded incumbent deciding otherwise is the clearest way we lose.
Founders

Who is building this

Two people so far, paired on purpose: one who has spent years turning a condition he lives with into working assistive technology, and one who brings the clinical depth that hearing work demands. Between us we have the two things this problem is hard to attempt without: direct access to recipients and clinicians, and a founder who has already shipped assistive technology for a condition nobody was going to solve for him.

Kiro Moussa

Hardware & systems

Kiro studies computer science, economics and data science at MIT. He was born with congenital nystagmus, a condition with no established cure in that form, and instead of waiting for one he built computer-vision software that counter-oscillates on-screen text to match the motion of the eye, holding reading still for people who live with it. It began with his own sight and his sister's data, and earned two Silver awards at a regional science and engineering fair.

The Ear Company comes from the same instinct: not assistive technology in the abstract, only the version that actually reaches the person who needs it. kiro.city ↗

Finn

Clinical & language

Finn is an incoming computer science undergraduate and works at Stanford on clinical speech-language pathology and NLP. His regular work with deaf children brings exactly the clinical depth a hearing product demands, the part engineering alone cannot supply.

Kiro and Finn have known each other for two years. The split is deliberate: hardware and systems on one side, clinical and language science on the other, with the people Leo is for kept at the centre of both.

Practically, this is why the conversations behind the section above happened at all, and it is the route to the academic audiology partner the 2027 studies depend on. For a company whose hardest gate is recipient access rather than engineering, that is the part of the team that is hard to hire for.

Roadmap

How this gets to people

We are a hardware company in a clinical adjacency, which means the honest version of our timeline is longer than the exciting version. This is the honest one.

2026, separation running off-frameCurrent

Where we actually are. The separation and sign models run on a laptop against recorded multi-talker audio. The DK-1 array geometry is designed and not yet built, so nothing has been characterised in a chamber and no latency figure on this site has been measured on hardware.

2026, a working LeoNext

The whole device, assembled and running unaided: six-microphone array, separation and sign both on-frame, own battery, coupled into an implant. This is the milestone that turns every design target on this page into a measurement, and it is what the raise is for. Until it lands, the honest description of Leo is software plus a drawing.

2027, Coupling interoperabilityPlanned

Bench interoperability across the three major implant accessory pathways, with a published compatibility matrix. No performance claims until this is stable.

2027, Lab studies with recipientsPlanned

Structured speech-in-noise testing with adult implant recipients under IRB oversight, run with an academic audiology partner. Protocol pre-registered; results published whichever way they land.

2028, Take-home cohortPlanned

Longitudinal at-home use. Bench SNR gain and real-world benefit are different quantities, and the gap between them is where most assistive hearing technology has historically died.

Nothing on this page is a clinical result. When we have one, it will appear here with its protocol, its sample size, its confidence intervals and its null findings attached.
References

Where the numbers come from

Published sources for every empirical figure cited above. Where we state a design target rather than a finding, it is labelled as such in the text.

  1. World Health Organization. World Report on Hearing. Geneva, 2021., Prevalence of hearing loss and projected growth to 2050.
  2. National Institute on Deafness and Other Communication Disorders (NIDCD). Cochlear Implants, statistics page., Global recipient counts.
  3. Friesen, L. M., Shannon, R. V., Başkent, D., & Wang, X. (2001). Speech recognition in noise as a function of the number of spectral channels: comparison of acoustic hearing and cochlear implants. Journal of the Acoustical Society of America, 110(2), 1150–1163.
  4. Sumby, W. H., & Pollack, I. (1954). Visual contribution to speech intelligibility in noise. Journal of the Acoustical Society of America, 26(2), 212–215.
  5. Shannon, R. V., Zeng, F.-G., Kamath, V., Wygonski, J., & Ekelid, M. (1995). Speech recognition with primarily temporal cues. Science, 270(5234), 303–304.
  6. Rouger, J., Lagleyre, S., Fraysse, B., Deneve, S., Deguine, O., & Barone, P. (2007). Evidence that cochlear-implanted deaf patients are better multisensory integrators. Proceedings of the National Academy of Sciences, 104(17), 7295–7300.
  7. van Wassenhove, V., Grant, K. W., & Poeppel, D. (2007). Temporal window of integration in auditory-visual speech perception. Neuropsychologia, 45(3), 598–607.
  8. International Telecommunication Union. Recommendation ITU-R BT.1359-1: Relative timing of sound and vision for broadcasting., Detectability thresholds for audio lead and lag.
  9. McGurk, H., & MacDonald, J. (1976). Hearing lips and seeing voices. Nature, 264(5588), 746–748.
  10. Cherry, E. C. (1953). Some experiments on the recognition of speech, with one and with two ears. Journal of the Acoustical Society of America, 25(5), 975–979.
  11. Berg, K. A., Noble, J. H., Dawant, B. M., Dwyer, R. T., Labadie, R. F., & Gifford, R. H. (2020). Speech recognition with cochlear implants as a function of the number of channels: effects of electrode placement. Journal of the Acoustical Society of America, 147(5), 3646–3656.
  12. Li, D., Rodriguez Opazo, C., Yu, X., & Li, H. (2020). Word-level deep sign language recognition from video: a new large-scale dataset and methods comparison. IEEE Winter Conference on Applications of Computer Vision (WACV).
  13. Duarte, A., Palaskar, S., Ventura, L., Ghadiyaram, D., DeHaan, K., Metze, F., Torres, J., & Giró-i-Nieto, X. (2021). How2Sign: a large-scale multimodal dataset for continuous American Sign Language. IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR).
  14. Camgöz, N. C., Hadfield, S., Koller, O., Ney, H., & Bowden, R. (2018). Neural sign language translation. IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR)., Introduces RWTH-PHOENIX-Weather 2014T.
  15. Luo, Y., & Mesgarani, N. (2019). Conv-TasNet: surpassing ideal time–frequency magnitude masking for speech separation. IEEE/ACM Transactions on Audio, Speech, and Language Processing, 27(8), 1256–1266., The architecture that made single-channel voice separation practical.
  16. Li, C., Yang, L., Wang, W., & Qian, Y. (2022). SkiM: Skipping Memory LSTM for low-latency real-time continuous speech separation. IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP)., Streaming, low-latency separation of the kind an on-frame device requires.
  17. Coria, J. M., Bredin, H., Ghannay, S., & Rosset, S. (2021). Overlap-aware low-latency online speaker diarization based on end-to-end local segmentation. IEEE Automatic Speech Recognition and Understanding Workshop (ASRU)., Deciding who is speaking, incrementally, as audio arrives.
  18. World Health Organization. Global costs of unaddressed hearing loss and cost-effectiveness of interventions. Geneva, 2017., Source of the US$ 980 billion annual cost figure reported in the World Report on Hearing.
  19. National Institute on Deafness and Other Communication Disorders (NIDCD). Quick Statistics About Hearing, Balance, & Dizziness., Hearing aid use among US adults who could benefit.
  20. Nassiri, A. M., Sorkin, D. L., & Carlson, M. L. (2022). Current estimates of cochlear implant utilization in the United States. Otology & Neurotology, 43(5), e558–e562.
  21. Counterpoint Research. Global smart glasses shipments, H1 and H2 2025 market briefs., Shipment growth and vendor share for the smart glasses category.
  22. EssilorLuxottica. Nuance Audio Glasses., FDA 510(k) clearance and CE marking announced February 2025 as an over-the-counter hearing aid; US availability from April 2025. Indicated for perceived mild to moderate hearing loss.
  23. Apple. Hearing Aid Feature, AirPods Pro., FDA-authorised over-the-counter hearing aid software feature, announced September 2024, for perceived mild to moderate hearing loss.
  24. Xander Glasses; XRAI Glass. Live captioning eyewear., Xander performs speech-to-text on the device without a paired phone; XRAI runs captioning software on connected AR glasses via a phone. Cited as the captioning category, not as endorsement.
  25. Commercial market research summaries, 2025–2026 editions: Grand View Research, IMARC Group, Vantage Market Research, Fortune Business Insights, Research Nester, Mordor Intelligence, MarketsandMarkets, Custom Market Insights., Cited only to show the spread between them. These are paid research products whose methodologies are not published, and we do not treat any single figure as evidence.
  26. Mohammadi, S.-F., et al. Assessment of refractive errors, amblyopia, strabismus, and low vision among hearing-impaired and deaf students in Kermanshah., Reports vision problems in 17–30% of normal-hearing people against 44–65% of deaf and hard-of-hearing people, and states that the retina and cochlea originate from a single layer in the sixth and seventh weeks of the embryonic period. The underlying prevalence studies weight toward children and adolescents.
  27. Usher syndrome literature. Prevalence of 4–17 per 100,000, and status as the most common inherited cause of deafblindness; cochlear implantation outcomes in Usher recipients., Reviews at PMC7502997 and PMC11487040.
  28. Dual sensory impairment prevalence. Combined hearing and vision loss rising from roughly 1.5% at ages 65–74 to 2.6% at 75–84 and 10.8% past 85, with associated increases in dementia risk., Population-based studies including PLOS One (2013) and Fuller-Thomson et al. (2022).
Company

The Ear Company, LLC

We build AI hardware for bionic enhancement. We started with hearing because it is the one sense where a widely deployed neural implant already exists, has been refined over four decades, and is still bottlenecked by something a well-designed external device can genuinely help with.

Compatible by default

We build things that attach to the clinical world rather than replacing it. No recipient should have to abandon a working map, a trusted audiologist, or a device they have spent years learning.

On-device or not at all

Conversation is the most sensitive data a person produces. Leo processes it on the frame and keeps it there. That constraint shapes the architecture rather than being bolted onto it.

Publish the baseline first

We put the literature we are trying to beat on our own website before we put up a single number of our own. If our results do not clear that bar, that will be visible here too.

Where we are

The Ear Company, LLC is a limited liability company headquartered in San Francisco, California. Hardware, acoustics and machine learning are in one room, which for a latency-bound product is less a culture choice than an engineering requirement.

Be first in line

Get Leo before anyone else.

Join the waitlist for early access to the DK-1 developer kit and the occasional, honest update on where the engineering actually stands. No hype, no spam, unsubscribe in one click.

Audiologist, researcher or press? Email us directly ↗

If you invest: we are raising a pre-seed to build a fully working Leo, the whole device on a face rather than a bench, and then measure it in a real room against a clipped-on remote microphone, the incumbent we actually have to beat. That comparison is the next thing that will appear on this page, whichever way it lands. We are happy to walk through the off-frame demo and the latency budget on a call before you decide anything.