Hearing LossNCT04427033
The BCI 602 BONEBRIDGE Post-Market Clinical Follow-up Study
An observational study of Hearing Loss and Hearing Loss, Conductive, run by MED-EL Elektromedizinische Geräte GmbH at 8 sites in 3 countries.
Trial summary
The Bonebridge system using the BCI 601 is marketed since 2012. Previous prospective, multi-center, non-randomized studies on the BCI 601 Bonebridge performed in adult and paediatric populations have shown a significant improvement in terms of aided sound field (SF) thresholds, word recognition scores (WRS), speech… Read more about this study
- Who is it for?
- Ages 5 years and older
- Conditions the study is for
- Hearing Loss, Hearing Loss, Conductive, Hearing Loss, Mixed
- What is being tested?
- Bone Conduction Implant
- Type of treatment
- Medical device
- How many people
- 52 participants
- Where
- 8 sitesin 3 countries
- Study dates
- 6 Dec 2019to 18 Jan 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 5 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: This study will only enrol subjects who represent the target population and meet the inclusion/exclusion criteria.
Who may be able to join
- Geographically and physically able to return to the investigational site for scheduled evaluations and follow-up appointments
- Fluent in the language used in the investigational site and used for evaluation
- Signed and dated informed consent before the start of any study-specific procedure and collection of any retrospective data.
- Subjects meet the indication criteria according to the instructions for use (IFU):
- Subject 5 years of age and older
- The physician must fully assess the potential risks and benefits for the patient and his/her realistic expectations with the device prior to the decision to implant the BCI 602. The physician must exercise medical judgement and consider the patient's complete medical history.
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- Bonebridge candidates suffer from either
- • conductive or mixed hearing loss as indicated by audiometric testing with bone conduction thresholds better than or equal to 45 dB HL at 0.5, 1.0, 2.0 and 3.0 kHz.
- • single-sided sensorineural deafness, that is severe-to-profound sensorineural hearing loss in one ear while the other ear has normal hearing (air conduction (AC) should be better than or equal to 20 dB HL measured at 0.5, 1.0, 2.0 and 3.0 kHz).
Who cannot join
- A subject whose hearing loss has demonstrated an improving and decreasing fluctuation over a two-year period of >15 dB HL in either direction
- Severe, chronic, non-revisable diseases or disorders (vestibular disorder, cancer etc.)
- A subject with any psychological (anxiety, depression, hallucinations etc.), emotional (schizophrenia, mania, melancholia etc.) or from that originating physical disorder that would interfere with the ability to perform on test procedures
- Simultaneous participation in another clinical trial (on device or on drug) which would interfere with the results of the study.
- Any active ear infection
- Subjects who meet any of the contraindications in the IFU:
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- Evidence that hearing loss is of retrocochlear or central origin (ipsilateral CHL /MHL; contralateral SSD)
- Skin or scalp conditions that may preclude attachment of the Audio Processor (AP) or that may interfere with the use of the AP
- Skull size or abnormality would preclude appropriate placement of the BCI 602 implant
- Intolerant to the materials in the BCI 602 implant.
Trial locations and contacts
8 sites in 3 countries.
8 sites in 3 countries
Austria4 sites
Universitätsklinik Innsbruck für Hals-, Nasen- und Ohrenheilkunde
Innsbruck, 6020
Universitätsklinikum St. Pölten - Lilienfeld, Hals-Nasen-Ohren-Abteilung
Sankt Pölten, 3100
Allgemeines Krankenhaus der Stadt Wien, Universitätsklinik für Hals-, Nasen- und Ohrenkrankheiten
Vienna, 1090
Klinikum Wels-Grieskirchen, Abteilung für Hals-, Nasen-, Ohrenkrankheiten
Wels, 4600
Germany3 sites
Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie
Halle, 06120
Klinik u. Poliklinik f. HNO-Heilkunde
Hanover, 30625
Klinikum Stuttgart - Olgahospital, Klinik für HNO-Krankheiten, Plastische Operationen
Stuttgart, 70174
United Kingdom1 site
Regional Auditory Implant Centre, Beech Hall Centre, Belfast HSC Trust
Belfast, BT11 9AF
About this study
The Bonebridge system using the BCI 601 is marketed since 2012. Previous prospective, multi-center, non-randomized studies on the BCI 601 Bonebridge performed in adult and paediatric populations have shown a significant improvement in terms of aided sound field (SF) thresholds, word recognition scores (WRS), speech reception thresholds (SRT) and subjective device satisfaction. Safety was established by stable residual hearing and low complication rates. The Bonebridge, implanted in over 600 clinics worldwide, is the world's first active transcutaneous bone conduction implant (BCI) system.
This study now focuses on the further developed BCI 602 (marketed since 2019) that has the same indication criteria and performance characteristics.
The aim of this post-market clinical follow-up (PMCF) study is to provide clinical data for the long-term performance and safety when implanted with the Bonebridge BCI 602 .
- Conditions
- Hearing Loss, Hearing Loss, Conductive, Hearing Loss, Mixed, Hearing Loss, Unilateral, Hearing Loss, Bilateral, Hearing Loss, Sensorineural
- Being tested
- Bone Conduction Implant
- Keywords
- Bonebridge system, BCI 601, BCI 602, bone conduction, bone conduction implant
- Medical subject headings
- Hearing Loss, Hearing Loss, Conductive, Hearing Loss, Mixed Conductive-Sensorineural, Hearing Loss, Unilateral, Hearing Loss, Bilateral, Hearing Loss, Sensorineural
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bone Conduction ImplantDevice
Bonebridge system BCI 602
| Study group | Role | What they receive |
|---|---|---|
| CHL & MHL (18 years and older) | CHL= conductive hearing loss, MHL= mixed hearing loss Receives: Device: Bone Conduction Implant | |
| CHL & MHL (5 to 17 years) | Not described Receives: Device: Bone Conduction Implant | |
| SSD (5 years and older) | SSD= single sided deafness Receives: Device: Bone Conduction Implant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sound Field audiometry
Investigate if the PTA4 sound field thresholds (SF) improve with the BCI 602 (aided) at 12 months post-operative compared to the unaided test situation.
(PTA4 = average of audiometric test frequencies 0.5, 1.0, 2.0, 4.0 kHz)
Measured: 12 months post-operative
Secondary outcomes (10)
Word Recognition Score (CHL/MHL)
Investigate if speech intelligibility improves with the BCI 602 (aided) at 12 months post-operative compared to the unaided test situation in the following speech intelligibility test.
Word Recognition Score (WRS): S0°, WRS correct @ 65 dB SPL Signal
Monosyllabic (MS) word lists are presented from the front (0°) at 65 dB SPL (45 dB HL) and the percent correct score [%] (0 % to 100 %) is recorded.
(SPL= Sound Pressure Level; Score: 0% to 100% words understood )
Measured: 12 months post-operative
Speech Reception Threshold in quiet (CHL/MHL)
Investigate if speech intelligibility improves with the BCI 602 (aided) in CHL/MHL at 12 months post-operative compared to the unaided test situation in the following speech intelligibility test.
Speech Reception Threshold in quiet (SRT) : S0°, SRT for 50% correct
Measured: 12 months post-operative
Speech Reception Threshold in noise (CHL/MHL)
Investigate if speech intelligibility improves with the BCI 602 (aided) in CHL/MHL at 12 months post-operative compared to the unaided test situation in the following speech intelligibility test.
Speech Reception Threshold in noise (SNR): S0° N0°, SNR for 50% correct @ 65 dB SPL Noise
Measured: 12 months post-operative
Speech Reception Threshold in noise (SSD) Sssd Nnh
Investigate if speech intelligibility improves with the BCI 602 (aided) in SSD at 12 months post-operative compared to the unaided test situation in the following speech intelligibility tests.
Sssd Nnh, SNR for 50% correct @ 65 dB SPL Noise
(S= Signal; N= Noise; ssd = single sided deaf ear; nh = normal hearing ear)
Measured: 12 months post-operative
Speech Reception Threshold in noise (SSD) S0° Nnh
Investigate if speech intelligibility improves with the BCI 602 (aided) in SSD at 12 months post-operative compared to the unaided test situation in the following speech intelligibility tests.
S0° Nnh, SNR for 50% correct @ 65 dB SPL Noise
Measured: 12 months post-operative
Residual hearing
Investigate whether residual hearing by means of bone conduction (BC) PTA4 thresholds of subjects implanted with the BCI 602 remains stable 12 months post-operative compared to the pre operative test situation.
Measured: 12 months post-operative
Adverse Events
Monitor the long-term safety of subjects implanted with the BCI 602 by collecting and reviewing adverse events (AEs).
Measured: 12 months post-operative
Surgical Questionnaires
Monitor the long-term safety of subjects implanted with the BCI 602 by administering a surgical evaluation questionnaire to the surgeon.
Measured: 12 months post-operative
Speech Spatial Qualities questionnaire
Investigate the Quality of Life with the SSQ questionnaire of subjects implanted with the BCI 602 12 months post-operative.
(SSQ = Speech Spatial Qualities)
Measured: 12 months post-operative
Assessment Quality of Life questionnaire
Investigate the Quality of Life with the AQoL questionnaire of subjects implanted with the BCI 602 12 months post-operative.
(AQoL= Assessment Quality of Life)
Measured: 12 months post-operative
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jun 2020
- Study start6 Dec 2019
- Primary completion18 Jan 2024
- Study completion18 Jan 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Hearing LossStudies of the same condition, open and under way.
- More trials run by MED-EL Elektromedizinische Geräte GmbHThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Other
- Enrolment
- 52 participants (actual)
Sponsor and investigators
- Lead sponsor
- MED-EL Elektromedizinische Geräte GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Assen Koitschev, Prof. Dr., Principal investigator, Klinikum Stuttgart - Olgahospital and Eberhard-Karls-Universität Tübingen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04427033
- Sponsor's protocol ID
- 2019BB005
- Status last verified
- Aug 2026
- First submitted
- 4 Jun 2020
- Last updated
- 17 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Plontke SK, Lenarz T, Toner J, Keintzel T, Sprinzl G, Baumgartner WD, Koitschev A, Schmutzhard J, Gotze G, Rahne T, Knoelke N, Busch S, Corkill S, Raffelsberger T, Niederwanger L, Magele A, Schorg P, Honeder C, Liepins R, Berger N, Koci V, Wiek R. The Bonebridge BCI 602 Safety and Performance 1 Year Post-Implantation in Adults and Children: A Multicentric Post-Market Study. Otol Neurotol. 2026 Jan 1;47(1):175-184. doi: 10.1097/MAO.0000000000004688. Epub 2025 Nov 18.
PubMed 41250191Sprinzl G, Toner J, Koitschev A, Berger N, Keintzel T, Rasse T, Baumgartner WD, Honeder C, Magele A, Plontke S, Gotze G, Schmutzhard J, Zelger P, Corkill S, Lenarz T, Salcher R. Multicentric study on surgical information and early safety and performance results with the Bonebridge BCI 602: an active transcutaneous bone conduction hearing implant. Eur Arch Otorhinolaryngol. 2023 Apr;280(4):1565-1579. doi: 10.1007/s00405-022-07792-y. Epub 2023 Jan 10.
PubMed 36625869
Study at a glance
From the registry record, last updated by the sponsor on 17 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The BCI 602 BONEBRIDGE Post-Market Clinical Follow-up Study
- ClinicalTrials.gov ID
- NCT04427033
- Acronym / sponsor ID
- 2019BB005
- Conditions
- Hearing Loss, Hearing Loss, Conductive, Hearing Loss, Mixed, Hearing Loss, Unilateral, Hearing Loss, Bilateral, Hearing Loss, Sensorineural
- Keywords
- Bonebridge system, BCI 601, BCI 602, bone conduction, bone conduction implant
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 52 participants (actual)
- Lead sponsor
- MED-EL Elektromedizinische Geräte GmbHIndustry (pharma, biotech, devices)
- Study start
- 6 Dec 2019 (actual)
- Primary completion
- 18 Jan 2024 (actual)
- Study completion
- 18 Jan 2024 (actual)
- First posted
- 11 Jun 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The Bonebridge system using the BCI 601 is marketed since 2012. Previous prospective, multi-center, non-randomized studies on the BCI 601 Bonebridge performed in adult and paediatric populations have shown a significant improvement in terms of aided sound field (SF) thresholds, word recognition scores (WRS), speech reception thresholds (SRT) and subjective device satisfaction. Safety was established by stable residual hearing and low complication rates. The Bonebridge, implanted in over 600 clinics worldwide, is the world's first active transcutaneous bone conduction implant (BCI) system.
This study now focuses on the further developed BCI 602 (marketed since 2019) that has the same indication criteria and performance characteristics.
The aim of this post-market clinical follow-up (PMCF) study is to provide clinical data for the long-term performance and safety when implanted with the Bonebridge BCI 602 .
Study design
- Observational model
- Other
- Time perspective
- Other
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| CHL & MHL (18 years and older) | – | Device: Bone Conduction ImplantCHL= conductive hearing loss, MHL= mixed hearing loss |
| CHL & MHL (5 to 17 years) | – | Device: Bone Conduction Implant |
| SSD (5 years and older) | – | Device: Bone Conduction ImplantSSD= single sided deafness |
Who may qualify
- Ages
- 5 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- This study will only enrol subjects who represent the target population and meet the inclusion/exclusion criteria.
Key inclusion criteria (9 listed)
- Geographically and physically able to return to the investigational site for scheduled evaluations and follow-up appointments
- Fluent in the language used in the investigational site and used for evaluation
- Signed and dated informed consent before the start of any study-specific procedure and collection of any retrospective data.
- Subjects meet the indication criteria according to the instructions for use (IFU):
Key exclusion criteria (10 listed)
- A subject whose hearing loss has demonstrated an improving and decreasing fluctuation over a two-year period of >15 dB HL in either direction
- Severe, chronic, non-revisable diseases or disorders (vestibular disorder, cancer etc.)
- A subject with any psychological (anxiety, depression, hallucinations etc.), emotional (schizophrenia, mania, melancholia etc.) or from that originating physical disorder that would interfere with the ability to perform on test procedures
- Simultaneous participation in another clinical trial (on device or on drug) which would interfere with the results of the study.
- Any active ear infection
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Bone Conduction ImplantBonebridge system BCI 602 | Device | CHL & MHL (18 years and older), CHL & MHL (5 to 17 years), SSD (5 years and older) |
Primary outcome
Sound Field audiometry
Time frame: 12 months post-operative
Investigate if the PTA4 sound field thresholds (SF) improve with the BCI 602 (aided) at 12 months post-operative compared to the unaided test situation. (PTA4 = average of audiometric test frequencies 0.5, 1.0, 2.0, 4.0 kHz)
10 secondary outcomes
Word Recognition Score (CHL/MHL)
Time frame: 12 months post-operative
Speech Reception Threshold in quiet (CHL/MHL)
Time frame: 12 months post-operative
Speech Reception Threshold in noise (CHL/MHL)
Time frame: 12 months post-operative
Speech Reception Threshold in noise (SSD) Sssd Nnh
Time frame: 12 months post-operative
Speech Reception Threshold in noise (SSD) S0° Nnh
Time frame: 12 months post-operative
Residual hearing
Time frame: 12 months post-operative
Adverse Events
Time frame: 12 months post-operative
Surgical Questionnaires
Time frame: 12 months post-operative
Speech Spatial Qualities questionnaire
Time frame: 12 months post-operative
Assessment Quality of Life questionnaire
Time frame: 12 months post-operative
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Aug 2026.
- Results publication: PubMed 41250191Plontke SK, Lenarz T, Toner J, Keintzel T, Sprinzl G, Baumgartner WD, Koitschev A, Schmutzhard J, Gotze G, Rahne T, Knoelke N, Busch S, Corkill S, Raffelsberger T, Niederwanger L, Magele A, Schorg P, Honeder C, Liepins R, Berger N, Koci V, Wiek R. The Bonebridge BCI 602 Safety and Performance 1 Year Post-Implantation in Adults and Children: A Multicentric Post-Market Study. Otol Neurotol. 2026 Jan 1;47(1):175-184. doi: 10.1097/MAO.0000000000004688. Epub 2025 Nov 18.
- Results publication: PubMed 36625869Sprinzl G, Toner J, Koitschev A, Berger N, Keintzel T, Rasse T, Baumgartner WD, Honeder C, Magele A, Plontke S, Gotze G, Schmutzhard J, Zelger P, Corkill S, Lenarz T, Salcher R. Multicentric study on surgical information and early safety and performance results with the Bonebridge BCI 602: an active transcutaneous bone conduction hearing implant. Eur Arch Otorhinolaryngol. 2023 Apr;280(4):1565-1579. doi: 10.1007/s00405-022-07792-y. Epub 2023 Jan 10.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Assen Koitschev, Prof. Dr. principal investigator
Klinikum Stuttgart - Olgahospital and Eberhard-Karls-Universität Tübingen
8 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Hearing Loss and Hearing Loss, Conductive, run by MED-EL Elektromedizinische Geräte GmbH at 8 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Austria, Germany, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sound Field audiometry (time frame: 12 months post-operative). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04427033, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2026.