I can program the hearing aids to your specific hearing loss before shipment if you can provide me a copy of your most recent hearing test/audiogram. If you do not have a HearingTest I can do a general programming but it is not as accurate. It would be based on a description of your hearing that you can provide me. You can always find a local provider that can program these hearing aids for you at any time. These hearing Aids are new and have never been used. The product shall be delivered using the Chinese manual and Chinese packaging (if you need the English version of the manual and product information, please contact the customer service to obtain) Oticon Ruby miniRITE T is based on the popular miniRITE, and features telecoil and a convenient double push button. Oticon Ruby is built on the powerful Velox platform, processing sound in 48 channels for high?resolution sound quality.Oticon Siya is a Made for iPhone hearing aid that offers a full connectivity package built with 2.4 GHz Bluetooth for advanced and streamer free connectivity.Fully programmable with updatable firmware, the Velox platform is ready for the future. Oticon Ruby captures the rich natural details in sound and reproduces their nuances. With the ultra-fast Velox chip, it can process sound 50 times faster than the previous technology and enables exceptional sound quality. High-resolution sound Captures the rich natural details of sounds and reproduces the nuances. This is thanks to the category-leading resolution from 48 frequency channels. Fast and responsive focus Adapts rapidly to different listening scenarios in 15 independent frequency bands. Oticon Siya responds progressively to noise sources in each frequency band until full directionality is needed. Advanced noise reduction Attenuates disturbing noise extremely quickly, even reducing noise between words. Made for iPhone connectivity Oticon Siya powers 2.4 GHz Bluetooth low energy connectivity where you can perform audio streaming from your phone to the hearing aids. Ruby is available in two different technology levels: Ruby 1 (more expensive, and more sophisticated) and Ruby 2 (less expensive, and less sophisticated). Both levels utilize the Velox S platform, which utilizes Oticons BrainHearing technology. Oticon claims that BrainHearing enables less listening effort and better speech understanding and capacity to remember more of what one has heard. The following is a list of key features available within this platform for improved communication. Noise Reduction LX - reduces background noise interference, even in-between words Speech Rescue LX - provides high frequency speech information in a more audible range custom to your hearing levels (not available in Ruby 2) Multiband Adaptive Directionality LX - analyzes the sound environment and adjusts microphone focus according to hearing needs Wind Noise Management - provides better listening in windy environments Single Compression LX - concentrates speech sounds into a more audible range custom to your hearing levels Feedback shield LX - suppresses feedback over time SuperShield - prevents whistling feedback from occurring in the first place. Works in tandem with the Feedback shield LX. (not available in Ruby 2) Tinnitus SoundSupport - presentation of sounds to provide relief for patients experiencing tinnitus Oticon On Smartphone App Ruby is compatible with Oticons latest app, Oticon ON, which allows you to customize and control your listening experience. This is helpful if you prefer to override or adjust the automatic environmental adjustments provided by Oticons Velox S platform. Of note, many patients do well in the automatic settings and may never change their devices themselves. The app also allows connection to Bluetooth cell phones and options to help you find your hearing aids if you lose them. Oticon Ruby and the Oticon On Smartphone App The Oticon ON app allows you to switch between programs, adjust volume, connect to an array of Oticon wireless accessories, and control Internet of Things (IoT) devices like light bulbs and coffee makers. Accessory options from Oticon include remote microphones, remote controls, and TV adaptors for those who still struggle to hear with their hearing aids. These are the same options available to all Oticon product lines. The Oticon On app also allows you to connect to your hearing healthcare provider through RemoteCare. Basic adjustments and fine-tuning for your hearing aids can be completed via virtual appointments from the comfort and safety of your own home.