Living with the Esteem® Fully Implanted Active Middle Ear Implant (FI-AMEI)
Find answers to questions about getting an MRI, using your personal programmer and maintaining your Esteem implant.

Frequently Asked Questions
Yes, we encourage you to use your Personal Programmer on a regular basis (or at least once per month). Adjusting your settings can improve some environments and using your programmer regularly allows you to monitor the battery life of your device and be aware of when it needs to be replaced.
When the Esteem battery begins to deplete you will notice the confirmation tone changing from a single tone to a dual tone when changing programs. Also, the Esteem low battery LED light on the lower right of the programmer will illuminate. If this happens, contact us and we will help you locate the closest surgical sites for battery replacement. Remember, when the device is completely depleted you will no longer be able to hear, so prompt action is important.
The battery can fully deplete in as little as two weeks after the programmer indicates depletion. This assumes that you use the Personal Programmer during this time frame and therefore notice the first time the battery depletion lights is flashing.
If you have an Esteem implant which includes a model 2001 Sound Processor with the 7002 / 7004 / 7010 sensors and 7502 /7504 / 7510 drivers, then you are eligible for MRI scans provided specific instructions are followed.
If you lost or did not receive an Esteem ID card please get in touch with customer service by emailing us at customerservice@envoymedical.com or by calling 800-460-7531.
We suggest replacing the batteries and then querying the device. Visit our Help Center for more detailed instructions.
Sensorineural hearing loss can be progressive and worsen over time. While the Esteem hearing implant cannot prevent additional hearing loss (which is why hearing protection remains important), it can be programmed to adjust to your hearing loss needs over time. If your hearing has progressed to the level of severe or profound hearing loss, you may be a candidate for a cochlear implant. Fortunately, in most cases, the Esteem procedure does not prevent patients from having a cochlear implant in the future.
Your programmer comes with a one-year warranty. Envoy Medical Customer Service can help you purchase a new programmer if yours is not working, broken or lost.

Upcoming MRI? Protect Your Esteem Implant
Do you have an upcoming MRI? Generally, the implanted components of the Esteem are MR Conditional and are safe for MRI scans under certain conditions.
Download MRI Conditional Safety Information ->
- Esteem ID card
- Personal programmer

Annual Hearing Test
The best care is preventative. Given that hearing loss typically progresses over time, it's important to schedule an annual check-up with your Esteem audiologist for fine-tuning. Esteem- trained audiologists are equipped with the proper training and tools to test and troubleshoot your device's performance, ensuring optimal hearing and monitoring your battery level.
During your visit, your audiologist will test your baseline hearing (hearing levels without the Esteem implant) to determine if your hearing loss has progressed. If necessary, they can adjust your device to meet your evolving needs.
We strongly recommend using your programmer regularly, or at least once a month. Adjusting your Esteem implant settings can enhance performance in different environments. Additionally, frequent use of the programmer allows you to monitor battery depletion and know when it needs replacement.