Having had your ear impressions in my hands I can safely say they won't fit your ears.While Nic suggested the SE5U for me to consider, as it obviously fits my preferences very well, I have never gone beyond the point of reading a few reviews and having a quick look at the website.
As for the silicone vs acrylic you can take a look at our design guide to help you pick correct material for your preferences https://thecustomart.com/iem-design-guide/
The industry can use a soft silicone that can get break faster. (Seals)
Medical silicone should be more durable...
Think, there are hearing aids around the world (more than CIEM-s) ... what if they had to be replaced annually ...
I ask Piotr privately for this opinion (Custom Art chief)
All companies that I know of who manufacture silicone IEMs use medical grade silicone made by one or the other leading manufacturers of silicone hearing aid materials.
Let's be honest - silicone material is fragile and requires care.