MED-EL

Multinational medical device company

MED-EL

Company type| Private company
Industry| medical device
Founded| 1990
Headquarters| Innsbruck, Austria

Key people

| Ingeborg Hochmair CEO & CTO
Products| Hearing implants

Number of employees

| 1,500[1]
Website| www.medel.com

MED-EL is a global medical technology company specializing in hearing implants and devices. They develop and manufacture products including cochlear implants, middle ear implants and bone conduction systems.

MED-EL is a privately owned company and is run by its co-founder and CEO Ingeborg Hochmair, a scientist and researcher in the field of hearing implants.[2] The company headquarters are in Innsbruck, Austria.

## History

[edit]

In the mid-1970s, Ingeborg and Erwin Hochmair were research scientists at the Technical University of Vienna, working on the development of cochlear implants. In 1977, the first microelectronic multichannel cochlear implant was implanted by Dr Kurt Burian in Vienna.[3] In 1979, a modified version of that implant enabled a female patient to understand words and sentences without lip-reading via a small, body-worn sound processor used in a quiet environment.[2]

In 1989, the Hochmair’s decided to create their own hearing implant company: MED-EL GmbH. As Erwin Hochmair had been awarded a professorship at the University of Innsbruck,[4] they decided to found the company in the city and hired their first three employees in 1990.[5] In 1991, they developed the world’s first behind-the-ear (BTE) audio processor.[6] Instead of being attached to the body, this audio processor was worn behind the ear in the same way as a conventional hearing aid.

In 1995, MED-EL developed the CIS LINK system: an audio processor that allowed users of the Ineraid implant to use the recently developed CIS sound coding strategy, despite the fact that Ineraid had discontinued further development on their implants.[7]

In 2003, the company acquired the Vibrant Soundbridge, a new type of active middle ear implant pioneered by American inventor Geoffrey Ball.[8] It was MED-EL’s first non-cochlear implant product. Further non-cochlear implant products followed with the Bonebridge active bone conduction implant in 2012 and the Adhear non-surgical bone conduction system in 2017.[6]

MED-EL operates in over 100 countries worldwide including Europe, America, the Middle East, Asia and Australia.[9] There are around 200,000 MED-EL users around the world.[10]

The company opened its own hearing museum, the Audioversum Science Centre, in 2013. The science centre is located in central Innsbruck.[11]

## Products

[edit]

### Cochlear Implants

[edit]

These were the first products to be designed and manufactured by MED-EL. They electronically stimulate the cochlea, sending sound signals to auditory nerve and onto the brain. The current models available are the Synchrony 2 implant with either the Sonnet 2 or Rondo 3 audio processor.[12] The Synchrony 2 implant can undergo MRI scans of up to 3.0 Tesla.[13]

### Electric acoustic stimulation

[edit]

In 2005, MED-EL released their first electric acoustic stimulation system (EAS).[6] This new type of implant combines both cochlear implant and hearing aid technology. The cochlear implant technology helps patients to hear high-pitched sounds, while the hearing aid technology helps them to hear low-pitched sounds.[14] The current models are the Synchrony 2 for EAS implant with the Sonnet 2 EAS audio processor.[15]

### Middle ear implants

[edit]

In 2003, MED-EL acquired the Vibrant Soundbridge, a new type of middle ear implant.[8] The implant works by vibrating the bones of the middle ear, allowing sound vibrations to pass from the middle ear to the cochlea. The current models are the VORP 503 implant and the SAMBA 2 audio processor.[16] Inventor Geoffrey Ball still works as a technical director at MED-EL. The company also offer passive middle ear implants — prostheses that replace one or all of the ossicles in the middle ear, again allowing sound vibrations to pass from the middle ear to the cochlea.[17]

### Bone conduction systems

[edit]

MED-EL offers two types of bone conduction systems: an implant and a non-surgical device.[18] The Bonebridge bone conduction implant was the first implant on the market to offer direct drive stimulation of the bone through a transcutaneous device.[19] The current models are the BCI 602 implant and the SAMBA 2 audio processor.[20] The system was first approved in Europe in 2012.[21]

The Adhear bone conduction device is the company’s only non-surgical hearing device. It consists of an adhesive adapter, which is placed on the skin behind the ear. The hearing device then snaps onto the adapter and transmits sound vibrations to the bones of the skull.[22] There is currently only one model of the Adhear available.[23]

### Auditory brainstem implant

[edit]

MED-EL has been producing auditory brainstem implants since 1997.[6] The ABI is similar in design to a cochlear implant, however the electrode array is placed on the cochlear nucleus of the brainstem, as opposed to being inserted into the cochlea.

## Research and development

[edit]

### Hearo

[edit]

A collaboration with Swiss company CAScination helped to develop Hearo, a surgical robot designed to assist with cochlear implantation. It uses image-guided surgical planning software to plan the optimal trajectory to the cochlea. The Hearo received the CE mark in 2020.[24]

### Vestibular prosthesis

[edit]

Vestibular dysfunction can lead to a multitude of balance problems, such as falls. MED-EL is conducting research into a viable vestibular prosthesis with local partners, including the Medical University of Innsbruck and the UMIT university in Hall. Investigational devices have already been implanted in patients in Europe and the US.[25]

### Dexel

[edit]

MED-EL is developing the Dexel electrode array, which emits controlled doses of the drug dexamethasone into the cochlea to improve healing after implantation.[26] The first six patients were implanted with the Dexel at the Hannover Medical School in Germany as part of a clinical trial in 2020.[27]

### Improved healing

[edit]

The company is researching different ways to improve healing after cochlear implantation. In 2020, MED-EL and the Paracelsus Medical University Salzburg announced a joint research agreement for the clinical testing of human umbilical cord cell-derived extracellular vesicles. The first clinical trial will take place at the Hannover Medical School in Germany.[28]

### TICI

[edit]

MED-EL is developing a totally implantable cochlear implant. This involves combining all the parts of the audio processor into the internal implant.[29] The first patient in Europe was implanted with a TICI in September 2020 as part of a clinical trial.[30]

## Awards

[edit]

* 2021: Red Dot award for Rondo 3[31]
* 2020: Innovator of the Year award for Synchrony cochlear implant system, Bonebridge bone conduction implant and AudioKey app[32]
* 2020: Trigos award for international engagement, for healthcare projects in Bangladesh and Ivory Coast[33]
* 2019: Red Dot award for Bonebridge BCI 602 implant[34]
* 2014: Red Dot award for MED-EL audio processor[35]
* 2013: Red Dot award for VSB QuickCheck[36]
* 2004: Honorary Doctorate for Medicine (Ingeborg and Erwin Hochmair) from Technical University of Munich[37]

## See also

[edit]

* Novogenia GmbH
* W&H Dentalwerk

## References

[edit]

1. ^ "MED-EL Founders Nominated for European Inventor Award 2014". Reuters UK. 29 April 2014. Archived from the original on 20 October 2014.
2. ^ a b "MED-EL's Hochmair Among Trio of CI Developers Recognized by Lasker-DeBakey Research Award". The Hearing Review. 2013-09-09. Retrieved 2022-05-13.
3. ^ "LASKER~DEBAKEY MEDICAL CLINICAL RESEARCH AWARD. The importance of being flexible" (PDF). Archived from the original (PDF) on 2013-09-09. Retrieved 2022-05-13.
4. ^ "Erwin Hochmair Biography | Ohio University". www.ohio.edu. Retrieved 2022-05-13.
5. ^ "Stadt Innsbruck gratuliert MED-EL". Innsbruck Informiert (in German). Retrieved 2022-05-13.
6. ^ a b c d "The History of MED-EL". www.medel.com. Retrieved 2022-05-13.
7. ^ CochlearImplantHELP (2013-10-15). "The Ineraid Cochlear Implant". cochlear implant HELP. Retrieved 2022-05-13.
8. ^ a b Ball, Geoffrey Robert; Rose-Eichberger, Karin (2021-03-31). "Design and Development of the Vibrant Soundbridge – A 25-Year Perspective". Journal of Hearing Science. 11 (1): 9–20\. doi:10.17430/JHS.2021.11.1.1. ISSN 2083-389X.9-20&rft.date=2021-03-31&rft_id=info:doi/10.17430/JHS.2021.11.1.1&rft.issn=2083-389X&rft.aulast=Ball&rft.aufirst=Geoffrey+Robert&rft.au=Rose-Eichberger,+Karin&rft_id=https://www.journalofhearingscience.com/DESIGN-AND-DEVELOPMENT-OF-THE-VIBRANT-SOUNDBRIDGE-A-25-YEAR-PERSPECTIVE,133026,0,2.html&rfr_id=info:sid/en.wikipedia.org:MED-EL" class="Z3988">
9. ^ "MED-EL Founders Nominated for European Inventor Award 2014". Reuters UK. 29 April 2014. Archived from the original on 20 October 2014.
10. ^ "About MED-EL". www.medel.com. Retrieved 2022-05-13.
11. ^ "Audioversum Science Center - Die akustische Erlebniswelt in Innsbruck". Audioversum (in German). Retrieved 2022-05-13.
12. ^ "Cochlear Implants from MED-EL". www.medel.com. Retrieved 2022-05-13.
13. ^ "Children with MED-EL Synchrony cochlear implant can safely undergo MRI without discomfort". News-Medical.net. 2020-07-09. Retrieved 2022-05-13.
14. ^ Racey, Allison. "Who is a Candidate for an Electric-Acoustic Stimulation (EAS) Cochlear Implant?". AudiologyOnline. Retrieved 2022-05-13.
15. ^ "Electric Acoustic Stimulation". www.medel.com. Retrieved 2022-05-13.
16. ^ "Vibrant Soundbridge Middle Ear Implant". www.medel.com. Retrieved 2022-05-13.
17. ^ "Passive Middle Ear Implants | MED-EL Pro". www.medel.pro. Retrieved 2022-05-13.
18. ^ "Hearing Solutions from MED-EL". www.medel.com. Retrieved 2022-05-13.
19. ^ "MED-EL's First Bonebridge Hearing Implant System Surgically Implanted". The Hearing Review. 2018-12-04. Retrieved 2022-05-13.
20. ^ "Bonebridge Bone Conduction Implant". www.medel.com. Retrieved 2022-05-13.
21. ^ Güldner, Christian; Heinrichs, Julia; Weiß, Rainer; Zimmermann, Annette Paula; Dassinger, Benjamin; Bien, Siegfried; Werner, Jochen Alfred; Diogo, Isabell (2013-09-03). "Visualisation of the Bonebridge by means of CT and CBCT". European Journal of Medical Research. 18 (1): 30. doi:10.1186/2047-783X-18-30. ISSN 2047-783X. PMC 3844407. PMID 24004903.
22. ^ How Adhear works, retrieved 2022-05-13
23. ^ "Adhear Bone Conduction System". www.medel.com. Retrieved 2022-05-13.
24. ^ CMO CRO (2020-05-01). "Heard: World's First Cochlear Implant Surgical Robot Receives CE-Mark".
25. ^ "MED-EL collaborates with local partners to foster vestibular research". www.medel.com. Retrieved 2022-05-13.
26. ^ "On track towards a new category of cochlear implants". www.medel.com. Retrieved 2022-05-13.
27. ^ Dhanasingh, Anandhan; Hochmair, Ingeborg (2021-03-31). "Drug delivery in cochlear implantation". Acta Oto-Laryngologica. 141 (sup1): 135–156\. doi:10.1080/00016489.2021.1888505. ISSN 0001-6489. PMID 33818265.135-156&rft.date=2021-03-31&rft.issn=0001-6489&rft_id=info:pmid/33818265&rft_id=info:doi/10.1080/00016489.2021.1888505&rft.aulast=Dhanasingh&rft.aufirst=Anandhan&rft.au=Hochmair,+Ingeborg&rft_id=https://doi.org/10.1080%2F00016489.2021.1888505&rfr_id=info:sid/en.wikipedia.org:MED-EL" class="Z3988">
28. ^ "MED-EL collaborates with Paracelsus Medical University Salzburg for a phase 1/2a clinical trial on improved healing of cochlear implants". evtt.pmu.ac.at (in German). 5 October 2020. Retrieved 2022-05-13.
29. ^ Cohen, Noel (2016-08-27). "Considerations for Devising a Totally Implantable Cochlear Implant". Ento Key. Retrieved 2022-05-13.
30. ^ "hoerakustik.net - Erstes TICI in Europa implantiert". www.hoerakustik.net. Retrieved 2022-05-13.
31. ^ "Rondo 3".
32. ^ "MED-EL Named Hearing Technology "Innovator of the Year"". www.businesswire.com. 2020-10-19. Retrieved 2022-05-13.
33. ^ "Kooperationspartner MED-EL gewinnt renommierten Trigos-Award". ICEP (in German). 2020-11-17. Retrieved 2022-05-13.
34. ^ "Red Dot Design Award: BCI 602 Implant". www.red-dot.org. Retrieved 2024-04-29.
35. ^ "Red Dot Design Award: MED-EL Audio Processor". www.red-dot.org. Retrieved 2024-04-29.
36. ^ "Red Dot Design Award: VSB QuickCheck". www.red-dot.org. Retrieved 2024-04-29.
37. ^ "Fakultät für Medizin der TU München: Ehrendoktorwürde für Pioniere der Gehörlosen-Technik". idw-online.de. Retrieved 2022-05-13.

## External links

[edit]

* MED-EL Website
* HearPeers Website
* European Patent Organization
* Cochlear Implant Online
* Research Gate
* Lasker Foundation

Authority control databases |

* ISNI

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47°15′45″N 11°22′26″E﻿ / ﻿47.2625°N 11.3740°E﻿ / 47.2625; 11.3740