• Non-Implantable Solutions


360° View of Bone Conduction
Implant Safety and Reliability

360 Safety and Reliability

Our Philosophy

All our life-changing devices are developed with a complete 360-degree view of reliability and safety in mind. BONEBRIDGE, MED-EL’s active bone conduction implant system, is the most advanced active transcutaneous bone conduction system available on the market—and it’s no coincidence that BONEBRIDGE provides outstanding reliability.

We designed BONEBRIDGE with a broad understanding of what is needed to make a bone conduction implant system safe and reliable: a robust implant engineered to minimize complications, withstand impact, keep skin healthy, and allow easy access to MRI scans.* And all that comes with a reliable audio processor that makes everyday hearing simple for recipients.

We know your patients count on our technology to enjoy life every day. That’s why we made BONEBRIDGE safe and reliable by design.

Implant Reliability

BONEBRIDGE: Over a Decade of Clinical Data

The second generation BONEBRIDGE, BCI 602, was engineered in close collaboration with surgeons and clinicians to further optimize the design of the world’s first active transcutaneous bone conduction implant. Now, with over a decade of clinical experience and thousands of implantations worldwide, BONEBRIDGE has a proven track record of outstanding reliability.

In fact, over a decade of studies show BONEBRIDGE has a lower rate of complications and adverse events than both percutaneous and passive transcutaneous bone conduction implants.[ft][ft][ft][ft][ft][ft][ft][ft][ft]

  • 360° reliability by design
  • Lower complication rate
  • Over a decade of unmatched, long-term clinical experience

Outstanding Reliability

As the world’s most advanced active transcutaneous bone conduction system—and as the one with by far the longest market experience—BONEBRIDGE sets standards in reliability and safety, hearing performance, and user satisfaction.

BCI 602

Cumulative Survival Rate

MED-EL reporting on implant reliability and safety is compliant with International Standard ISO 5841-2:2014 and the principles set out in the European Consensus on Cochlear Implant Failures and Explantations.[ft][ft]

The cumulative survival rate of the second-generation BONEBRIDGE is 99.51% within four years.

MED-EL, Data on file as of January 2, 2024

What Makes MED-EL’s Hearing Implants So Reliable?

Listen to our podcast series to discover how we ensure that every MED-EL hearing implant meets the highest standards for quality, safety, and reliability.

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Clinical Safety

Clinical Safety

While it is important for implant manufacturers to report reliability data openly, these reports only provide part of the picture. Clinic-reported data in peer-reviewed publications often give a more complete overview. These are especially useful when it comes to complications and adverse events associated with a device.

Lower Rate of Complications & Adverse Events

A systematic literature review of publications that compare bone conduction systems shows that BONEBRIDGE has a lower rate of complications and a lower rate of adverse events than percutaneous and passive transcutaneous bone conduction implants.[ft]

White paper On Safety Outcomes Of Bone Conduction and Middle Ear Implants:
A Systematic Review, rev. 5.0 (2020).
Impact Safety

Impact Safety

We engineered BONEBRIDGE for impact resistance. A robust titanium design, stable two-point fixation, and a transducer embedded in the bone with low protrusion make BONEBRIDGE very reliable against impact.

  • Stable two-point fixation
  • Transducer recessed securely in bone
  • Lower protrusion above the bone[ft]

Impact Resistant up to 2.5 Joules

BCI 602 was impact-tested according to ISO 14708-7:2019.[ft] These tests confirm that BONEBRIDGE can withstand sudden forces from impacts up to 2.5 Joules.[ft]


Securely Embedded in Bone

In contrast to other bone conduction implants, BONEBRIDGE is not simply placed on the bone’s surface and screwed in. Instead, the transducer of BONEBRIDGE is embedded in the bone, making it impact resistant.

In addition, BONEBRIDGE was designed with stable two-point fixation, making it very reliable against impact. On the other hand, bone conduction implants that are only attached to the bone with one screw face an increased risk that the implant could be damaged by external forces.

Securely Embedded in Bone
Skin Safety

Skin Safety

BONEBRIDGE is designed to leave the skin over the implant intact. The implant is placed beneath the skin and the transducer transfers vibrations directly to the bone. This allows the skin to remain healthy.

  • Intact Skin
  • No permanent wounds
  • No pressure

No Permanent Wounds, No Pressure

Percutaneous implant systems have a permanent wound that requires the user’s daily care, which can lead to a high risk of complications. Thanks to BONEBRIDGE’s transcutaneous technology, there is no permanent wound requiring special ongoing care.

Passive transcutaneous implant systems require high pressure to remain pressed against the skin to effectively transmit vibrations to the bone. With BONEBRIDGE, high pressure does not need to be exerted on the skin for stimulation.

The BONEBRIDGE Active Transcutaneous Bone Conduction Implant System
The BONEBRIDGE Active Transcutaneous Bone Conduction Implant System
Percutaneous Bone Conduction Implant System
Percutaneous Bone Conduction Implant System
Passive Transcutaneous Bone Conduction Implant System
Passive Transcutaneous Bone Conduction Implant System

Low Profile Reduces Skin Strain

The BCI 602 implant is rounded just as the human skull is. We designed BONEBRIDGE partly recessed in the bone to minimize both skin pressure and skin displacement around the transducer.

Low Profile Reduces Skin Strain
MRI Safety

Made for MRI

BONEBRIDGE’s advanced magnet technology enables its magnet to remain secure and free of force throughout MRI scans. This enables straightforward and easy access to 1.5T MRI scans following the simple safety conditions—all without additional surgery and without hearing downtime.*

Great Protection. Guaranteed.

Because of our long and positive experience with MRIs and hearing implants, we offer a life-long MRI guarantee. We promise to replace a BONEBRIDGE implant in the very unlikely event that it’s damaged during an MRI scan.

This life-long MRI guarantee for hearing implants is the first and only such guarantee to be offered by any hearing implant manufacturer. It covers both the BCI 601 and BCI 602 implants, so your patients can feel confident about any MRI scans they need in the future.

  • Hassle-free access to 1.5T MRI scans*
  • No surgery
  • No hearing downtime
Audio Processor Reliability

Audio Processor Reliability

An implant that delivers outstanding reliability would be no good without an audio processor that can also do the same. An audio processor that is reliable by design provides your patients with reliable hearing day after day. This also means there will be fewer visits to your clinic.

Low Average Monthly Repair Rate

Our audio processors—SAMBA and SAMBA 2—have a proven record of outstanding reliability.[ft] And that’s good news because with fewer issues, you’ll save time on fitting replacements and administrating returns.


Active Bone Conduction Implants: Safety & Reliability Comparison

Your patients deserve devices that are safe and reliable by design. When choosing between the two active bone conduction implant systems available on the market, there are several important factors to keep in mind.


360° Reliability by Design

For more than 30 years, MED-EL has been a trusted partner and innovation leader in hearing implants. We create and manufacture our implants directly in our Austrian headquarters, ensuring they follow state-of-the-art European engineering, and meet the highest standards in quality and reliability. With this focused oversight and our dedication to quality, we can check and verify every single step of the design and process.

MED-EL has always been privately owned by our founders, so for us reliability is not a percentage or an earnings report for investors. With no shareholders to answer to, we’re in a unique position where we can put the safety and peace of mind of our recipients above all else. And because we believe that everyone should benefit from the latest hearing technology, our latest audio processors work for all our recipients since 1994.

Choosing MED-EL means putting your trust in us. We promise to always be there for you, our professional partner, and for your patients.

  • European engineering
  • Manufactured on-site
  • Dedication to reliability and quality
  • Unmatched backward compatibility
  • Committed to recipients

Contact Us

What to learn more about how BONEBRIDGE is reliable by design? Fill out the form below and a MED-EL representative will get in touch with you.

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* The BONEBRIDGE BCI 601 and BCI 602 Active Bone Conduction Implants are MR Conditional. Recipients with BONEBRIDGE may be safely MRI scanned at 1.5 Tesla following the conditions detailed in the instructions for use.
** Osia is a trademark of Cochlear Ltd, Australia