# Conditions of the outer or middle ear with mild to severe sensorineural hearing loss

 [hearbetter](https://hearbetter.medel.com/en-int/) > [Indications](https://hearbetter.medel.com/en-int/indications/) > Conditions of the outer or middle ear with mild to severe sensorineural hearing loss 

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 [ VIBRANT SOUNDBRIDGE Middle Ear Implant ](https://hearbetter.medel.com/en-int/indications/category/vibrant-soundbridge-middle-ear-implant-en-int/) 

#  Conditions of the outer or middle ear with mild to severe sensorineural hearing loss 

 

##  Indications 

- Mild to severe sensorineural hearing loss
- Unilateral, bilateral
- Stable air conduction thresholds: <65 dB at 500 Hz up to approx. 80 dB at 6 kHz - see red area in chart
- Normal middle ear function shown in impedance measurements and pure tone threshold audiometry
- Speech audiometry corresponding to pure tone audiogram, minimum 50% at MCL with headphones in open-set word test
- Better speech understanding possible with amplification
- No retrocochlear or central auditory disorders
- Realistic expectations
- Minimum age: 5 years
 
 

 ![](https://hearbetter.medel.com/wp-content/uploads/2026/02/VSB-mild-to-severe-sensorineural-HL_RGB-1.png) 

 

 

 

 

##  Key features of the VIBRANT SOUNDBRIDGE Middle Ear Implant 

    

 Transcutaneous transmission leaves skin intact 

    

 Stable audiological results independent of outer or middle ear condition 

    

 Middle ear structures are preserved 

    

 Natural sound quality thanks to direct inner ear stimulation via FMT 

    

 Free ear canal leads to better ventilation and mimized infection risk 

    

 1.5 Tesla MRI without surgery\* 

    

 No acoustic feedback 

 

### SAMBA 2 Audio Processor

    

 Lightweight, thin, comfortable and discreet to wear 

    

 8-10 days of battery life 

    

 Easy to use 

    

 Streaming options 

 

\*Unless required for diagnostic reasons.

 

 [ View product ](https://www.medel.com/hearing-solutions/vibrant-soundbridge) 

 

 

##  Related Studies 

 

###  [ Study: Long-Term Stability and Safety of the SOUNDBRIDGE Coupled to the Round Window ](https://hearbetter.medel.com/en-int/study/long-term-stability-safety-soundbridge-round-window/) 

 

 

 [ Find out more ](https://hearbetter.medel.com/en-int/study/long-term-stability-safety-soundbridge-round-window/) 

 

 

 [ View all studies ](/indications) 

 

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