. BTE HIs are located behind the ear and are mass produced whereas In-the-Ear (ITE) HIs are placed in or right outside the ear canal and are custom-made to fit the user's ear and ear canal. This makes it harder to achieve a high E2E path gain for ITE HIs. The ITE antennas that have been presented in the literature have not yielded E2E path gains significantly above -90 dB [2,3]. In the following a novel ITE antenna, which is the first to make E2E communication feasible between ITE HIs is presented. The antenna was first presented briefly in [4]. This is an augmentation of the article presented in [5].
II. THEORYAt 2.45 GHz, the human body is very lossy [6]. Therefore, the electromagnetic energy cannot propagate through the body. It has been shown that the electromagnetic energy propagates around the human body as creeping waves instead [7]. Models for the E2E propagation channel have been presented in [8,9] A novel body-worn spiral monopole antenna is presented. The antenna consists of a ground plane and a spiral monopole. The antenna was designed for Ear-to-Ear (E2E) communication between In-the-Ear (ITE) hearing instruments at 2.45 GHz and has been simulated, prototyped, and measured. The antenna yielded a measured and simulated E2E path gain at 2.45 GHz of -82.1 dB and -85.9 dB, respectively. The radiation pattern of the antenna when mounted in the ear is presented and discussed.