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Middle Ear Implants
While relatively unknown, middle ear implants have existed for decades with a long history of being both safe and effective for the right patients - those with:
  • Certain types of hearing loss
  • Unsuccessful or disappointing experience with hearing aids
  • Reasonable expectations


If your hearing healthcare provider has not mentioned middle ear implants, we can help bridge that knowledge gap and work with your local hearing healthcare provider.

There are several types of middle ear implants, yet all middle ear implants are NOT the same kind or type of device. Some are indicated for sensorineural hearing loss; others are for mixed or conductive hearing loss. Some are active; others are passive. Some are fully implanted; others are partially implanted. Some have MRI conditional approval; others are contraindicated for any meaningful level of MRI testing. Some are osseointegrated and replace part of your hearing anatomy; others are less involved - akin to hearing aids.

Here are the initial steps we recommend:

Take our hearing loss
Have your hearing tested
Schedule an appointment with an audiologist in your area
Esteem® Hearing Implant

The fully implanted Esteem® osseointegrated active middle ear implant (AMEI) is the only FDA-approved, completely internal hearing device for adults diagnosed with moderate to severe sensorineural hearing loss. The Esteem hearing implant is invisible. There are no microphones to distort conversations or amplify wind. Unlike hearing aids, you never put it on or take it off. You can't lose it. You don't clean it. In fact, you rarely think about it - the Esteem hearing implant offers true 24/7 hearing.

How the Esteem Hearing Implant Works
  • The Esteem osseointegrated AMEI uses a novel sensor and the natural anatomy of the ear to capture sound and convert it into electrical signals that are leveraged by the implant.
  • The fully implanted Esteem requires a significant procedure - similar to cochlear implants - to remove and replace part of the hearing anatomy to address your hearing loss in a completely different way from hearing aids and other active middle ear implants.
  • As with other prosthetics, components of the Esteem system osseointegrate - bone grows into and around the components so that they are intertwined with the surrounding bone - to keep the device firmly implanted and ensure a consistent and constant ability to hear.

A Personal Programmer is given to you after the device is activated, allowing you to make adjustments or turn the device on/off. 
“After my [Esteem] implant, I decided to run for Mrs. Nebraska, and that’s something that I never would’ve done before I got the implant. I had the confidence to stand up on stage and speak to numerous people about my implant and how it affected my life.”

A Better Mom,
Mrs. America Post-Esteem Implant

“The Esteem implant has been 'invaluable.' I understand people in meetings better than ever before.”

Father and Golf Enthusiast Improves Quality of Life with Esteem

“I don't know it's there. It's just doing it's job, automatically. Just like my ear does, automatically. I would be devastated if my Esteem was taken away. That would mean the end of a lot of things I'm able to hear and enjoy.”

Grandpa and Business Owner

“I think I’m more comfortable and I have my confidence back,” Elizabeth said. “Having loss and then having hearing aids and then having the Esteem, I would do it all again tomorrow because there’s no comparison for me.”

Trainer/Consultant, North Carolina

“The Esteem, frankly, gives me far greater clarity. And what’s really important to me is that it’s in my ear turned on 24/7 and I can go and jump off a sailboat if I need to without worrying about forgetting to take my hearing aids off . . .”

Businessman and Water Sports Enthusiast, North Carolina

 "I call the Esteem the no worry device. There’s no worry about batteries - whether you have a spare battery in your pocket or it goes dead unexpectedly. There’s nothing to drop; there’s nothing to break. To me this is one of those priceless items.”

Wannabe Cowgirl, Ohio

Find an Envoy Medical Surgical Site

Need help finding and scheduling an appointment with an audiologist at one of our certified Envoy Medical Surgical Sites? Reach out and we will help you identify the closest and most cost effective site near you.

Contact Us

Frequently Asked Questions

As you explore whether the Esteem is right for you, here are the most common questions we receive about it.

Hearing loss is a journey and it is uniquely different for everyone despite similarities and common themes. It is important that you educate yourself on all of your options and become your best hearing health advocate.

The Esteem may not be the right solution for you, but on the other hand, maybe it is. Let us help you understand your hearing loss, weigh your options and locate hearing healthcare professionals committed to offering you a full spectrum of hearing solutions.

You owe it to yourself and your loved ones to take the time to learn more and not just accept the status quo.


Video Testimonials

Meet Bryan, who went from “the kid who couldn’t hear secrets,” to dad who “. . . can hear when I’m sleeping, when my wife is traveling, if one of my boys wakes up in the middle of the night, I can attend to him."

Watch brief videos  →



Father, Triathelete and Regional Business Development Director

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Find out whether the Esteem hearing implant might be the right hearing health solution for you.
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