The Esteem^® is intended to alleviate hearing loss in patients by replicating the ossicular chain and providing additional gain. The Esteem^® is indicated for patients with hearing loss that meet the following criteria:

• 18 years of age or older
• Stable bilateral sensorineural hearing loss
• Moderate to severe sensorineural hearing loss defined by Pure Tone Average (PTA)
• Unaided speech discrimination test score greater than or equal to 40%
• Normally functioning Eustachian tube
• Normal middle ear anatomy
• Normal tympanic membrane
• Adequate space for Esteem^® implant determined via high resolution CT scan
• Minimum 30 days of experience with appropriately fit hearing aids