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This device will work with a Vizio smart TV as long as your TV has one of the following audio outputs: Optical S/PDIF (usually labeled Digital Optical Audio Out), a headphone jack, or red/white RCA connectors. Most modern TVs will have at least an Optical audio output, which this device will work with. Regarding hearing aids, this will depend on the specific model of the hearing aids. We recommend you contact the manufacturer with the exact model of your hearing aids to establish that 1) they support the A2DP Bluetooth profile, which is required for stereo audio and 2) they can be put into Bluetooth pairing mode manually, without the use of an app. You will need both of these to be true in order to use your hearing aids with a Bluetooth transmitter/streamer. The manufacturer of your hearing aids will be able to provide the answers to these questions and also explain the process for putting them into Bluetooth pairing mode, which you will need to do in order to connect them to this or any other Bluetooth TV adapter.
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