Nineteenth-Century Disability:  Cultures & Contexts

A Red Conversation Tube



A conversation tube constructed with red silk, ivory mouthpiece, and ivory ear insert, made by Rein & Son. Courtesy of The Central Institute for the Deaf-Max A. Goldstein Historic Devices for Hearing Collection.  Becker Medical Library, Washington University School of Medicine (VC703001). 


A conversation tube is a non-electric, acoustic device designed to amplify sounds for deaf or hard-of-hearing individuals and is constructed of a flexible tube with a mouthpiece at one end and an ear piece at the other. The device dates to the seventeenth-century, when Puritan couples used them to have private conversations while courting, as social customs of the day limited their interaction in presence of family members (Wellcome Images). During the nineteenth-century, many versions of the conversation tube were manufactured for personal use. The device creates a “direct line from the hearer” who wears the earpiece, and the speaker, who spoke through the mouthpiece; the length of the tube allowed for a “polite and comfortable distance between individuals” (Church). Conversation tubes are often synonymously referred as “speaking tubes.”


This particular conversation tube is one of the earliest devices at the CID-Goldstein Collection at the Bernard Becker Medical Library. It was designed and sold by Frederick C. Rein in London, who established the first commercial firm for hearing devices in 1800. The maker’s trademark is inscribed on the mouthpiece as “Rein and Son. Improved. 108 Strand, London.” A very simple design, this 56inch conversation tube is composed of an ivory mouthpiece and ear insert, with two layers of red silk woven around the coiled metal tube.

Designs of conversation tube were relatively uniform. The standard design for a conversation tube included ivory for the earpiece and mouthpiece, with black wool, leather or silk covering the coil. Later designs incorporated different materials for the tubes in attempts to increase hearing amplification, including: wood, rubber, or celluloid. Ornamental designs were also present in some versions that were preferred by aristocratic or fashionable users and were likely more expensive than standard designs. Some manufacturers, however, abstained from using rubber or gum solutions in their designs, in order to protect the device from climatic conditions (Hawksley). In some cases, the designs were a compromise between amplification and portability, especially as some individuals may have preferred smaller designs to be folded and carried in their pockets (Mills, 76). The length of most tubes was 88 to 176 cm, with an average price of 1 guinea for the most powerfully amplified versions (Bennion), which would enable the user to hear at least 20 to 40dB of sounds (Berger).

The red silk of this conversation tube is the most striking design feature, suggesting a fashionable and feminine trait embodied into the design. Even more remarkable is the conspicuous nature of the device, suggesting that the user had no qualms about hiding her deafness. Conversation tubes in general, were not disguised devices to be used in private. To use the device, a user needed to make his or her deafness apparent, since the very nature of the device “required the presence of one other person, who might judge you on your plebeian and unattractive listening device” (Church). As the Hawksley catalog of acoustic instruments declares, “A Conversation Tube is the most useful form of instrument for severe cases of deafness, or when a person is only moderately deaf and wishes to carry on a conversation with a friend” (Hawksley).


Becker Medical Library


c. 1800 to 1850

Further Reading

  • Bennion, Elisabeth. Antique Medical Instruments (Berkley: University of California Press, 1979).

  • Bernard Becker Library Virtual Exhibit: Deafness in Disguise: Concealed Hearing Devices of the 19th and 20th Centuries

  • Berger, Kenneth W. The Hearing Aid, it’s Operation and Development. Michigan, USA: National Hearing Aid Society, 1970.

  • Church, Joanna. “Conversation tube, circa 1900,” A Fine Collection: Blog of the Montgomery County Historical Society Maryland

  • Gallery of Conversation Tubes, The Hearing Aid Museum:

  • Hawksley, T. Catalogue of Otacoustical Instruments to Aid the Deaf, 3rd Edition (London: T. Hawksley, 1895).

  • Koelkebeck, Mary Lou, Collen Detjen, and Donald R. Calvert, Historic Devices for Hearing: The CID-Goldstein Collection. St. Louise: The Central Institute for the Deaf, 1984.

  • Mills, Mara. “Hearing Aids and the History of Electronics Miniaturization,” in Jonathan Sterne (Ed.), The Sound Studies Reader (London & New York: Routledge, 2012), 73-78.


Jaipreet Virdi-Dhesi



“A Red Conversation Tube,” Nineteenth-Century Disability: Cultures & Contexts, accessed July 22, 2024,