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.
A Better Mom,
Mrs. America Post-Esteem Implant
Father and Golf Enthusiast Improves Quality of Life with Esteem
Grandpa and Business Owner
Trainer/Consultant, North Carolina
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As you explore whether the Esteem is right for you, here are the most common questions we receive about it.
If you’re curious about what to expect from the Esteem procedure, here’s a link to a brief Q&A on the procedure from Dr. Jack Shohet. Dr. Shohet is a neurotologist who has completed over 300 Esteem cases, more than any other active surgeon in the U.S. To date, there have been more than 1,000 Esteem devices implanted worldwide, and many of the original clinical trial patients have had their devices for more than 14 years.
As Dr. Shohet comments in the Q&A above, the success rate is incredibly high, as 97% of patients implanted after the FDA approval show a demonstrable improvement in their audiometric evaluations. The three percent with less than successful results were caused by infections and poor audiological performance. The technology is very reliable with a failure rate of less than one percent. Patient satisfaction rates are more subjective and depend on preoperative patient expectations.
When considering options it's always helpful to learn what an experienced Envoy Medical surgeon has to say.
In people with sensorineural (nerve-related) hearing loss, the mechanics of the middle ear are functioning normally. The Esteem is designed to leverage the natural mechanics of the middle ear. The surgical procedure takes place under general anesthesia and typically takes two to three hours. It is an outpatient procedure, so you can go home after surgery.
Like all implanted medical devices, we use standard bench top testing to try to determine products' anticipated lifespan. All bench top testing done has shown an expected lifespan of at least 30 years (that was the limit of the testing done, not the limit of the device lifespan). Many of our patients have the Esteem implanted for more than ten years. Most of its components are benchmarked to pacemaker components — these products are built to last a long time in the human body.
The Esteem is designed to be retroactively compatible. Therefore, as improvements such as software upgrades and improved battery life are made Esteem patients will get to take advantage of these upgrades when their battery is replaced.
One of the most common questions prospective patients ask is what does the Esteem really look like? Watch this short video for an example:
Curious about how the Esteem works? Watch the short video below to find out.
Yes. The Esteem battery and software are housed together in the Sound Processor piece which sits in the temporal bone. The battery lasts an average of five years. When the battery begins to deplete, the Sound Processor is replaced with a new one in an outpatient procedure that takes place under local or general anesthesia depending on the surgeon’s preference. The procedure takes about an hour and afterwards the device is typically turned on right away.
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.
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