Hmmm, the vise would serve as a big time heat sink for the paper clip! I would have to work very quick!!
Um-bongo- Thank you for this hot tip.
I had been slitting the domes as you mention- but in my particular case I have moved on to the to the hole punch method. The physical integrity of the dome is maintained better - and the dome stays inserted more securely (and I get less feedback) than with the slit.
Then buy a pin vice and use it.
Starkey makes Comfort Buds occlude. These domes have 2 tiny holes, and come in a variety of sizes. I wear them on OPN1 P100 receivers. After years of trial & error - slitting, cutting, hole punching, and trying every dome available, my Audi gave me these to try. The absolute best, most physically comfortable solution to date. If the teeny holes get plugged or turn and hit my canal, I get that stopped up feeling. The small amount of venting is perfect for me and consistent from dome to dome. I also wash them daily, unplug the holes with the black plastic wire tool to keep the vents open.
We used to use a little ear punch for genotyping or identifying our knock-out mice that would probably work really well.
Mago I looked those up - they look like they would be really comfortable. I would consider trying those if I had a clue they would fit my Resound Forte’s.
Um bongo Do you know if Starkey domes would also fit Resound aids?
Neville: As I was reading the thread I had been trying to remember something like that and you brought it all crystal clear. So I also found this.
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No idea. I haven’t bought a Starkey dome in years tbh.
I was told the Starkey ‘closed’ comfort domes are fairly new. Prior to these, I was ordering and using domes from GN Resound for the P100 receivers on the Oticon Alta2 Pro and now the OPN1 (will not fit Epoch). I wear 9mm Product # 53271-004 and 7mm Product # 53271-003. These domes eliminated all feedback comfortably. Keeping them very clean, also stopped the itching & irritation. Hopefully this info will help determine if they will fit other brands.
I would love to see a detailed data base of which domes fit which
aids / receivers and any helpful details.
Thanks Mago-
I decided I would take a chance and ordered some of these.
I will report back to the forum if they fit ( or not), and if they do fit, how well they work for me.
Take care with all this dome switching. I excavated a dome from a patient’s ear the other day that had probably been in there for 1-2 years. It was not a dome that matched his hearing aid, and not one given to him by us.
You make a very good point. All my trial domes have been given to me by my Audi and I order from him. I actually had a Oticon dome come off in my ear when I removed the Alta Pro aid. It was scary!
I can’t imagine not knowing for that long something was inside your ear.
Adams, I hope the Comfort dome works for you. My dome fits snug on my receiver and keeps it’s shape.
Yikes!!! No practitioner in that span of time never bothered to look?!
The patient did not see a practitioner in that span of time. Which probably describes all the self fitters on here. 
Touché 
…
I had Bass domes with my OPN, but they ended up giving sound in the side instead of in the chanel. Now I have molds, and after getting used I’m fine. They are less irritating. It’s correct that another phone then my own iphone doesn’t work this way, since the mic is behind you ear, and doesn’t catch the phone speaker, and the direct sound is blocked to much. With the Widex I had as test, it worked with a phone better. But the made for Iphone does it’s work.
When my receiver broke from the wire it was about 10 seconds after I removed it from my ear - even with the best of practices one can end up with these things stuck in an ear. The question is how did the patient not notice and do something about the missing dome. Perhaps more care with removal and checking if all is intact is in order.
Oh certainly. A dome in the ear is not uncommon.
Unfortunately, a few domes in the ear is not outside of my experience, nor is a dome in the ear for multiple months and beyond.
A primary phsyician not recognizing a dome in the ear is also not uncommon.
Here they would probably notice the dome and fish it out but they suck at wax removal. No one wants to own that one.
I’ve heard audiologists aren’t actually allowed to do wax removal in Australia? That you have to see a specialized nurse? And that irrigation is not allowed.
I’ve also heard that if you go into emergency in The States for a dome in the ear, they fish it out and charge you $600 for “surgery”. O.o