A hearing restoration system with a housing having a user interface, a pump, control circuitry, and at least one pneumatic port. The hearing restoration system comprises one or more pneumatic ports, which are connected fluidly to one or more tubes. Furthermore, the housing may have a vacuum chamber fluidly connected to the third pneumatic port. A control circuitry is configured to detect a mode of operation of the system based on a measurement of pressure or vacuum inside the hearing aid restoration apparatus.