Electric Vacuum Tube
Unlike the carbon instruments, these had adequate power for severe hearing losses but were also usable by persons with a lesser loss. The first one appeared in 1921, but this type did not become practical until the early 1930's, and did not appear in a wearable version until 1934. Vacuum tube aids required two batteries, so costs were rather high.
A.) Ear Receiver
B.) Microphone/Amplifier
C.) Batteries