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Clinical Performance of a New Implant System for Bone Conduction Hearing

Clinical Performance of a New Implant System for Bone Conduction Hearing

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03086135
Enrollment
51
Registered
2017-03-22
Start date
2017-03-09
Completion date
2019-06-20
Last updated
2021-10-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Conductive Hearing Loss, Deafness; Sensoneural Single Sided, Mixed Hearing Loss

Brief summary

To study the initial experience with implanting and fitting the new Bone conduction system in patients with conductive, mixed or Single sided Sensorineural deafness.

Interventions

DEVICEOsia System

An external Sound Processor captures and digitize the sound which is transferred to the internal implant where it is converted to an electrical signal. The electrical signal is further transferred as a vibration through an osseointegrated implant to the mastoid bone and eventually to the cochlea.

Sponsors

Cochlear
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Adult subjects (18 years or older) * Subject with conductive or mixed hearing loss in the ear to be implanted. Bone conduction thresholds with pure tone average (PTA4; mean of 0.5, 1, 2 and 4 kHz) of 55 dB HL. OR Subject with single-sided sensorineural deafness who is a candidate for Baha surgery. Air conduction thresholds with a pure tone average PTA4 of 20 dB HL (mean of 0.5, 1, 2 and 3 kHz) in the good ear OR subject who is indicated for an AC CROS but-for some reason-cannot or will not use an AC CROS (Air Conduction-Contralateral Routing of Signal). * Signed informed consent * Previous experience from amplified sound though a non-surgical solution. (For example but not limited to Hearing aid, CROS device, Bone conductional hearing device on headband/ softband)

Exclusion criteria

* Uncontrolled diabetes as judged by the investigator. * Condition that could jeopardise osseointegration and/or wound healing (e.g. osteoporosis, psoriasis, long-term systemic use of corticosteroids) or condition that may have an impact on the outcome of the investigation as judged by the investigator. * Insufficient bone quality and quantity for implantation of a BI300 Implant. * Subject that has received radiotherapy in the area of implantation, or is planned for such radiotherapy during the study period * Use of ototoxic drugs that could be harmful to the hearing, as judged by the investigator * Unable to follow investigational procedures, e.g. to complete quality of life scales. * Participation in another clinical investigation with pharmaceutical and/or device.

Design outcomes

Primary

MeasureTime frameDescription
Hearing Performance: Threshold Audiometry, Pure Tone Average of 4 Frequencies, PTA4, Unaided Versus OSIA System at 3 MonthsBaseline before surgery, 3 months after surgeryThe change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA system at 3 month, measured as free-field hearing test; Threshold audiometry PTA4 (mean of 500, 1000, 2000 and 4000 Hz) is presented. A Pure Tone Average (PTA) refers to the average of hearing threshold levels at a set of specified frequencies: typically 500, 1000, 2000 and 4000 Hz. This value gives a snapshot of an individual's hearing level. If PTA is \<25 dB, the overall hearing would be considered to be within normal limits. With a PTA of 95 dB, the hearing would be considered in the profound range. The units reported for PTA4 are decibels (dB). The results presented here are the difference of PTA4 unaided and PTA4 aided with the Osia system. An uaided PTA4 values should be higher than a aided PTA4 if the hearing device is effective. A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.
Adaptive Speech Recognition in Noise, Unaided Versus OSIA System at 3 Months.Baseline before surgery, 3 months after surgeryThe change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 months measured as free field hearing test Adaptive speech recognition in noise, is presented. Adaptive speech recognition in noise was measured as Signal to Noise Ratio (SNR). The noise was kept constant at 65 dB SPL and the speech was adapted in dB steps to establish the Speech-to-Noise Ratio (SNR) providing a 50% level of understanding. A ratio of 0 reflects the ability to correctly hear sentences at 65 dB, in the presence of 65 dB background noise. A negative SNR-value reflects the ability to correctly hear sentences below 65 dB, for example if 50% of the speech is received correctly at 55 dB the SNR value is -10. A positive SNR-value (Speech to Noise Ratio) reflects the ability to correctly hear sentences presented above 65 dB. A lower or more negative score is more desirable and reflects abetter hearing in a noisy enviroment.

Secondary

MeasureTime frameDescription
Hearing Performance: Threshold Audiometry, Pure Tone Average, PTA4, Unaided Versus OSIA System at 4 Weeks, 6 and 12 MonthsBaseline before surgery, 4 weeks, 6 and 12 months after surgeryThe change of hearing performance from the unaided hearinhg situation before surgery to the aided hearing situation with the OSIA system at 4 weeks, 6 and 12 months, measured as free-field hearing test: Threshold audiometry PTA4 (mean of 500, 1000, 2000 and 4000 Hz) is presented. A Pure Tone Average (PTA) refers to the average of hearing threshold levels at a set of specified frequencies: typically 500, 1000, 2000 and 4000 Hz. This value gives a snapshot of an individual's hearing level. If PTA is \<25 dB, the overall hearing would be considered to be within normal limits. With a PTA of 95 dB, the hearing would be considered in the profound range. The units reported for PTA4 are decibels (dB). The results presented here are the difference of PTA4 unaided and PTA4 aided with the Osia system. An uaided PTA4 values should be higher than a aided PTA4 if the hearing device is effective. A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.
Hearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 MonthsBaseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.The change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA system at 4 weeks, 3, 6 and 12 months, measured as free-field hearing test: Threshold audiometry (0.25, 0.5, 0.75, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 and 8.0 kHz) is presented. This value gives a snapshot of an individual's hearing level. If PTA is \<25 dB, the overall hearing would be considered to be within normal limits. With a PTA of 95 dB, the hearing would be considered in the profound range. The units reported for PTA4 are decibels (dB). The results presented here are the difference of the unaided hearing level expressed in dB and the hearing level aided with the Osia system at different time points. An unaided value should be higher than a aided if the hearing device is effective. A lower or more negative score is therefor more desirable and reflects a better ability to hear at the specified frequency.
Adaptive Speech Recognition in Noise, Unaided Versus OSIA System at 4 Weeks, 6 and 12 MonthsBaseline before surgery, 4 weeks, 6 and 12 months after surgeryThe change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 months measured as free field hearing test Adaptive speech recognition in noise, is presented. Adaptive speech recognition in noise was measured as Signal to Noise Ratio (SNR). The noise was kept constant at 65 dB SPL and the speech was adapted in dB steps to establish the Speech-to-Noise Ratio (SNR) providing a 50% level of understanding. A ratio of 0 reflects the ability to correctly hear sentences at 65 dB, in the presence of 65 dB background noise. A negative SNR-value reflects the ability to correctly hear sentences below 65 dB, for example if 50% of the speech is received correctly at 55 dB the SNR value is -10. A positive SNR-value (Speech to Noise Ratio) reflects the ability to correctly hear sentences presented above 65 dB. A lower or more negative score is more desirable and reflects a better hearing in a noisy environment.
Abbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 MonthsBaseline before surgery, 3 and 12 months after surgeryThe change of Ease of communication, Reverberation, Background noise, Aversiveness and a Global score from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 and 12 months is presented. All subscales range from 0-100%, total score is the average of all subscales 0-100%, where 0% indicates no problem and 100% indicates always problem. The difference between the unaided and the aided situation is presented. In an ultimate case the unaided value could be 100 and the aided 0, the result is then 100. A positive value indicates an improvement, a negative value an impairment.
Health Utility Index (HUI) at 3 and 12 MonthsBaseline before surgery and 3 and 12 months after surgeryThe change of health status and health related quality of life from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 and 12 months using the generic quality of life scale Health Utilities Index (HUI3) is presented. All subscales (comprehensive health state, vision, hearing, speech, ambulation, dexterity, emotion, pain, cognition) range from 0-1. A health utility value of 1.00 indicates perfect health while a score of 0.00 indicates death. The difference between the unaided and the aided situation is presented. In an ultimate case the unaided value could be 0 and the aided 1, the result is then 1.0. A positive value indicates an improved quality of life, a negative value indicates impaired quality of life.
Speech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 MonthsBaseline before surgery and 3 and 12 months after surgeryThe change of speech, spatial and hearing experiences from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 and 12 months using the SSQ scale is presented. All subscales (speech, spatial, quality) range from 0 to 10, where 0 represents can not hear at all, and 10 hear perfectly. Total score is a average of the subscales. A positive value indicates improved hearing, a negative value indicates impaired hearing.
Hearing Performance: Threshold Audiometry PTA4, With Reference Device BP110Baseline before surgery, 4 weeks, 3, 6 and 12 months.The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband, measured as free-field hearing test; Threshold audiometry PTA4 (mean of 500, 1000, 2000 and 4000 Hz) is presented. The units reported for PTA4 are decibels (dB). A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.
Hearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP110Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband, measured as free-field hearing test; Threshold audiometry individual frequencies (0.25, 0.5, 0.75, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 and 8.0 kHz) is presented. The units reported are decibels (dB). A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.
Speech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP110Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband measured as free-field hearing test; Speech in quiet \[% correctly perceived words at 50, 65 and 80 dB SPL\]. The change in percent points is presented. A positive value indicates an improved ability to perceive words in quiet at the specified decibel (dB) level a negative value represent an impairment.
Adaptive Speech Recognition in Noise, With Reference Device BP110Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband;measured with free field hearing test Adaptive speech recognition in noise which was measured as signal to noise ratio (SNR). The noise was kept constant at 65 dB SPL and the speech was adapted in dB steps to establish the speech-to-noise ratio (SNR) providing a 50% level of understanding. A ratio of 0 reflects the ability to correctly hear sentences at 65 dB, in the presence of 65 dB background noise. A negative SNR-value reflects the ability to correctly hear sentences below 65 dB. A positive SNR-value reflects the ability to correctly hear sentences presented above 65 dB. A lower or more negative score is more desirable and represent a better hearing in a noisy environment.
Daily Usage Time of Sound Processor6 weeks, 3, 6 and 12 monthsSound processor usage time measured as hours per day.
Soft Tissue ThicknessVisit 2, surgerySurgical information: Soft tissue thickness was measured in mm
Soft Tissue ReductionVisit 2, surgerySurgical information: a question was asked if soft tissue reduction had been performed. Could be answered by ticking a box for Yes or No.
Bone Polishing/Removal at Implant SiteVisit 2, surgerySurgical information: a question is asked if bone polishing/removal at Implant site has been performed. Yes or No can be ticked.
Type of AnaesthesiaVisit 2, surgerySurgical information: a question is asked which type of anaesthesia has been used: local or general can be ticked.
Location of BI300 ImplantVisit 2, surgerySurgical information: where is the location of the BI300 implant, measured in two different ways: Alternative 1 used for the first 6 subjects: Location from the ear channel in mm. Alternative 2 used for the rest of the population 45 subjects, after an amendment: measured in mm horizontally and vertically from ear channel. and the distance in mm between the receiver and the coil. Value 9.64 mm vertically from ear channel is correct.
Incision TypeVisit 2, surgerySurgical information: a question was asked regarding what type of incision had been used; C-shaped flap, posterior based flap or other could be ticked.
Comfort6 weeks, 3, 6 and 12 monthsComfort of sound processor measured with a visual analogue scale where 0% is defined as no comfort at all and 100% as most comfortable imaginable, i.e. minimum 0, maximum 100.
Magnet Choice4, 6 weeks, 3, 6 and 12 monthsAvailable magnet strengths: 1/2, 1, 2, 3, 4, 5 or 6, where 1/2 is the weakest and 6 the strongest.
Softpad Use6 weeks, 3, 6 and 12 monthsA question was asked if the subjects used softpads; yes or no could be ticked.
Surgical Information: Time of SurgeryVisit 2, surgerySurgery time in minutes between first incision and last suture
Speech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 MonthsBaseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.The change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 4 weeks, 3, 6 and 12 months, measured as free-field hearing test Speech in quiet at 50, 65 and 80 dB SPL \[% correctly perceived words at 50, 65 and 80 dB SPL\] is presented. The change in percent points is presented. A positive value indicates an improved ability to perceive words in quiet at the specified decibel (dB) level a negative value represent an impairment.

Countries

Australia, Germany, Netherlands, Poland, United States

Participant flow

Participants by arm

ArmCount
Bone-conduction Hearing Device
The bone-conduction hearing device Osia system allows a direct bone-conduction through an osseointegrated implant. A magnet allows the external Sound Processor to be placed in the correct position over the implanted system including an inner magnet. Osia System: An external Sound Processor captures and digitize the sound which is transferred to the internal implant where it is converted to an electrical signal. The electrical signal is further transferred as a vibration through an osseointegrated implant to the mastoid bone and eventually to the cochlea.
51
Total51

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyLost to Follow-up2

Baseline characteristics

CharacteristicBone-conduction Hearing Device
Age, Continuous47.4 years
STANDARD_DEVIATION 14.7
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
51 Participants
Region of Enrollment
Australia
12 participants
Region of Enrollment
Germany
10 participants
Region of Enrollment
Netherlands
9 participants
Region of Enrollment
Poland
10 participants
Region of Enrollment
United States
10 participants
Sex: Female, Male
Female
24 Participants
Sex: Female, Male
Male
27 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 51
other
Total, other adverse events
42 / 51
serious
Total, serious adverse events
2 / 51

Outcome results

Primary

Adaptive Speech Recognition in Noise, Unaided Versus OSIA System at 3 Months.

The change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 months measured as free field hearing test Adaptive speech recognition in noise, is presented. Adaptive speech recognition in noise was measured as Signal to Noise Ratio (SNR). The noise was kept constant at 65 dB SPL and the speech was adapted in dB steps to establish the Speech-to-Noise Ratio (SNR) providing a 50% level of understanding. A ratio of 0 reflects the ability to correctly hear sentences at 65 dB, in the presence of 65 dB background noise. A negative SNR-value reflects the ability to correctly hear sentences below 65 dB, for example if 50% of the speech is received correctly at 55 dB the SNR value is -10. A positive SNR-value (Speech to Noise Ratio) reflects the ability to correctly hear sentences presented above 65 dB. A lower or more negative score is more desirable and reflects abetter hearing in a noisy enviroment.

Time frame: Baseline before surgery, 3 months after surgery

ArmMeasureValue (MEAN)Dispersion
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, Unaided Versus OSIA System at 3 Months.-13.3 SNR (Speech in Noise Ratio)Standard Deviation 8.3
Comparison: Speech in noise at 3 months with the Osia system vs Unaided at visit 1p-value: <0.0001Fisher's non-parametric permutation test
Primary

Hearing Performance: Threshold Audiometry, Pure Tone Average of 4 Frequencies, PTA4, Unaided Versus OSIA System at 3 Months

The change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA system at 3 month, measured as free-field hearing test; Threshold audiometry PTA4 (mean of 500, 1000, 2000 and 4000 Hz) is presented. A Pure Tone Average (PTA) refers to the average of hearing threshold levels at a set of specified frequencies: typically 500, 1000, 2000 and 4000 Hz. This value gives a snapshot of an individual's hearing level. If PTA is \<25 dB, the overall hearing would be considered to be within normal limits. With a PTA of 95 dB, the hearing would be considered in the profound range. The units reported for PTA4 are decibels (dB). The results presented here are the difference of PTA4 unaided and PTA4 aided with the Osia system. An uaided PTA4 values should be higher than a aided PTA4 if the hearing device is effective. A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.

Time frame: Baseline before surgery, 3 months after surgery

ArmMeasureValue (MEAN)Dispersion
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry, Pure Tone Average of 4 Frequencies, PTA4, Unaided Versus OSIA System at 3 Months-25.8 dB (Decibel)Standard Deviation 9.1
Comparison: PTA4 at 3 months with the Osia system vs Unaided at visit 1p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Abbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months

The change of Ease of communication, Reverberation, Background noise, Aversiveness and a Global score from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 and 12 months is presented. All subscales range from 0-100%, total score is the average of all subscales 0-100%, where 0% indicates no problem and 100% indicates always problem. The difference between the unaided and the aided situation is presented. In an ultimate case the unaided value could be 100 and the aided 0, the result is then 100. A positive value indicates an improvement, a negative value an impairment.

Time frame: Baseline before surgery, 3 and 12 months after surgery

Population: Some of the subjects did not answer some of the questions at one or more visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months3 months: Ease of communication24.1 units on a scaleStandard Deviation 21.7
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months3 months: Background noise29.4 units on a scaleStandard Deviation 20
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months3 months: Reverberation25.8 units on a scaleStandard Deviation 23.1
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months3 months: Aversiveness-2.2 units on a scaleStandard Deviation 22.3
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months3 months: Global26.1 units on a scaleStandard Deviation 18.5
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months12 months: Ease of communication24.0 units on a scaleStandard Deviation 19.1
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months12 months: Background noise29.6 units on a scaleStandard Deviation 20.9
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months12 months: Reverberation25.4 units on a scaleStandard Deviation 25.8
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months12 months: Aversiveness-3.58 units on a scaleStandard Deviation 24.6
Bone-conduction Hearing DeviceAbbreviated Profile of Hearing Aid Benefit (APHAB) at 3 and 12 Months12 months: Global26.3 units on a scaleStandard Deviation 18.5
Comparison: APHAB, Ease of communication, at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: APHAB, Background noise, at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: APHAB, Reverberation, at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: APHAB, Aversiveness, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.51Fisher's non-parametric permutation test
Comparison: APHAB, Global score, at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: APHAB, Ease of communication, at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: APHAB, Background noise, at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: APHAB, Reverberation, at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: APHAB, Aversiveness, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.32Fisher's non-parametric permutation test
Comparison: APHAB, Global score, at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Adaptive Speech Recognition in Noise, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months

The change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 months measured as free field hearing test Adaptive speech recognition in noise, is presented. Adaptive speech recognition in noise was measured as Signal to Noise Ratio (SNR). The noise was kept constant at 65 dB SPL and the speech was adapted in dB steps to establish the Speech-to-Noise Ratio (SNR) providing a 50% level of understanding. A ratio of 0 reflects the ability to correctly hear sentences at 65 dB, in the presence of 65 dB background noise. A negative SNR-value reflects the ability to correctly hear sentences below 65 dB, for example if 50% of the speech is received correctly at 55 dB the SNR value is -10. A positive SNR-value (Speech to Noise Ratio) reflects the ability to correctly hear sentences presented above 65 dB. A lower or more negative score is more desirable and reflects a better hearing in a noisy environment.

Time frame: Baseline before surgery, 4 weeks, 6 and 12 months after surgery

Population: Some subjects did not perform the test at one or more visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months4 weeks-12.1 SNR (Speech in Noise Ratio)Standard Deviation 8.1
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months6 months-13.7 SNR (Speech in Noise Ratio)Standard Deviation 8.1
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months12 months-13.6 SNR (Speech in Noise Ratio)Standard Deviation 8.8
Comparison: Adaptive speech recognition in noise at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Adaptive speech recognition in noise at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Adaptive speech recognition in noise at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Adaptive Speech Recognition in Noise, With Reference Device BP110

The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband;measured with free field hearing test Adaptive speech recognition in noise which was measured as signal to noise ratio (SNR). The noise was kept constant at 65 dB SPL and the speech was adapted in dB steps to establish the speech-to-noise ratio (SNR) providing a 50% level of understanding. A ratio of 0 reflects the ability to correctly hear sentences at 65 dB, in the presence of 65 dB background noise. A negative SNR-value reflects the ability to correctly hear sentences below 65 dB. A positive SNR-value reflects the ability to correctly hear sentences presented above 65 dB. A lower or more negative score is more desirable and represent a better hearing in a noisy environment.

Time frame: Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.

Population: Some of the subjects did not perform the test at all visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, With Reference Device BP1104 weeks-6.12 SNRStandard Deviation 6.92
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, With Reference Device BP1103 months-7.19 SNRStandard Deviation 6.8
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, With Reference Device BP1106 months-7.91 SNRStandard Deviation 6.8
Bone-conduction Hearing DeviceAdaptive Speech Recognition in Noise, With Reference Device BP11012 months-7.54 SNRStandard Deviation 7.99
Comparison: Adaptive Speech Recognition in Noise with Osia at 4 weeks vs reference device BP110 on softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Adaptive Speech Recognition in Noise with Osia at 3 months vs reference device BP110 on softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Adaptive Speech Recognition in Noise with Osia at 6 months vs reference device BP110 on softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Adaptive Speech Recognition in Noise with Osia at 12 months vs reference device BP110 on softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Bone Polishing/Removal at Implant Site

Surgical information: a question is asked if bone polishing/removal at Implant site has been performed. Yes or No can be ticked.

Time frame: Visit 2, surgery

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bone-conduction Hearing DeviceBone Polishing/Removal at Implant SiteYes42 Participants
Bone-conduction Hearing DeviceBone Polishing/Removal at Implant SiteNo9 Participants
Secondary

Comfort

Comfort of sound processor measured with a visual analogue scale where 0% is defined as no comfort at all and 100% as most comfortable imaginable, i.e. minimum 0, maximum 100.

Time frame: 6 weeks, 3, 6 and 12 months

Population: Some of the subjects did not answer the question at all visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceComfort6 weeks77.3 units on a scaleStandard Deviation 18.6
Bone-conduction Hearing DeviceComfort3 months80.8 units on a scaleStandard Deviation 16.6
Bone-conduction Hearing DeviceComfort6 months78.2 units on a scaleStandard Deviation 20.1
Bone-conduction Hearing DeviceComfort12 months80.9 units on a scaleStandard Deviation 16.2
Secondary

Daily Usage Time of Sound Processor

Sound processor usage time measured as hours per day.

Time frame: 6 weeks, 3, 6 and 12 months

Population: Some of the subjects did not answer the question at all visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceDaily Usage Time of Sound Processor6 weeks10.7 hours per dayStandard Deviation 3.8
Bone-conduction Hearing DeviceDaily Usage Time of Sound Processor3 months10.5 hours per dayStandard Deviation 4.3
Bone-conduction Hearing DeviceDaily Usage Time of Sound Processor6 months10.6 hours per dayStandard Deviation 4.6
Bone-conduction Hearing DeviceDaily Usage Time of Sound Processor12 months11.3 hours per dayStandard Deviation 3.6
Secondary

Health Utility Index (HUI) at 3 and 12 Months

The change of health status and health related quality of life from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 and 12 months using the generic quality of life scale Health Utilities Index (HUI3) is presented. All subscales (comprehensive health state, vision, hearing, speech, ambulation, dexterity, emotion, pain, cognition) range from 0-1. A health utility value of 1.00 indicates perfect health while a score of 0.00 indicates death. The difference between the unaided and the aided situation is presented. In an ultimate case the unaided value could be 0 and the aided 1, the result is then 1.0. A positive value indicates an improved quality of life, a negative value indicates impaired quality of life.

Time frame: Baseline before surgery and 3 and 12 months after surgery

Population: Some of the subjects did not answer all questions in the questionnaire at one or both time-points.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Pain0.007 units on a scaleStandard Deviation 0.258
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: comprehensive health state0.058 units on a scaleStandard Deviation 0.243
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Vision-0.011 units on a scaleStandard Deviation 0.055
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Hearing0.149 units on a scaleStandard Deviation 0.3
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Speech0.062 units on a scaleStandard Deviation 0.136
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Ambulation-0.024 units on a scaleStandard Deviation 0.094
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Dexterity-0.011 units on a scaleStandard Deviation 0.122
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Emotion0.004 units on a scaleStandard Deviation 0.144
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Cognition0.001 units on a scaleStandard Deviation 0.125
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months12 months: Pain-0.029 units on a scaleStandard Deviation 0.334
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: comprehensive health state0.081 units on a scaleStandard Deviation 0.227
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Vision-0.006 units on a scaleStandard Deviation 0.035
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Hearing0.173 units on a scaleStandard Deviation 0.324
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Speech0.033 units on a scaleStandard Deviation 0.129
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Ambulation-0.018 units on a scaleStandard Deviation 0.063
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Dexterity0.000 units on a scaleStandard Deviation 0
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Emotion0.016 units on a scaleStandard Deviation 0.12
Bone-conduction Hearing DeviceHealth Utility Index (HUI) at 3 and 12 Months3 months: Cognition0.013 units on a scaleStandard Deviation 0.088
Comparison: HUI Comprehensive health state at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.026Fisher's non-parametric permutation test
Comparison: HUI Vision attribute at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.5Fisher's non-parametric permutation test
Comparison: HUI Hearing attribute, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.0008Fisher's non-parametric permutation test
Comparison: HUI Speech attribute, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.082Fisher's non-parametric permutation test
Comparison: HUI Ambulation attribute, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.13Fisher's non-parametric permutation test
Comparison: HUI Dexterity attribute, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.9Wilcoxon Signed Rank test
Comparison: HUI Emotion attribute, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.43Fisher's non-parametric permutation test
Comparison: HUI Cognition attribute, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.31Fisher's non-parametric permutation test
Comparison: HUI Pain attribute, at 3 months with the Osia system vs Unaided at visit 1.p-value: 0.72Wilcoxon Signed Rank test
Comparison: HUI Comprehensive Health State attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.13Fisher's non-parametric permutation test
Comparison: HUI Vision attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.23Wilcoxon Signed Rank test
Comparison: HUI Hearing attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.0026Fisher's non-parametric permutation test
Comparison: HUI Speech attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.0024Fisher's non-parametric permutation test
Comparison: HUI Ambulation attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.16Fisher's non-parametric permutation test
Comparison: HUI Dexterity attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.16Fisher's non-parametric permutation test
Comparison: HUI Emotion attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.85Fisher's non-parametric permutation test
Comparison: HUI Cognition attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 1Fisher's non-parametric permutation test
Comparison: HUI Pain attribute, at 12 months with the Osia system vs Unaided at visit 1.p-value: 0.56Fisher's non-parametric permutation test
Secondary

Hearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months

The change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA system at 4 weeks, 3, 6 and 12 months, measured as free-field hearing test: Threshold audiometry (0.25, 0.5, 0.75, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 and 8.0 kHz) is presented. This value gives a snapshot of an individual's hearing level. If PTA is \<25 dB, the overall hearing would be considered to be within normal limits. With a PTA of 95 dB, the hearing would be considered in the profound range. The units reported for PTA4 are decibels (dB). The results presented here are the difference of the unaided hearing level expressed in dB and the hearing level aided with the Osia system at different time points. An unaided value should be higher than a aided if the hearing device is effective. A lower or more negative score is therefor more desirable and reflects a better ability to hear at the specified frequency.

Time frame: Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.

Population: 750, 1500 and 8000 Hz were not included in the eCRF for free-field threshold audiometry test due to an error when the first six subjects entered the study. Measurements at these frequencies were therefore not performed at the first visits. In addition; not all subjects performed the test at all frequencies at all visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 250 Hz-10.3 dB (Decibel)Standard Deviation 12.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 500 Hz-23.3 dB (Decibel)Standard Deviation 11.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 750 Hz-28.3 dB (Decibel)Standard Deviation 12.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 1000 Hz-26.4 dB (Decibel)Standard Deviation 11.2
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 1500 Hz-24.2 dB (Decibel)Standard Deviation 12.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 2000 Hz-23.8 dB (Decibel)Standard Deviation 11.5
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 3000 Hz-24.7 dB (Decibel)Standard Deviation 11.3
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 4000 Hz-26.1 dB (Decibel)Standard Deviation 10.5
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 6000 Hz-29.6 dB (Decibel)Standard Deviation 11.3
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks: 8000 Hz-29.8 dB (Decibel)Standard Deviation 12.5
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 250 Hz-10.8 dB (Decibel)Standard Deviation 13.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 500 Hz-23.9 dB (Decibel)Standard Deviation 11.3
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 750 Hz-28.5 dB (Decibel)Standard Deviation 12.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 1000 Hz-27.4 dB (Decibel)Standard Deviation 11.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 1500 Hz-25.1 dB (Decibel)Standard Deviation 10.6
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 2000 Hz-24.9 dB (Decibel)Standard Deviation 11
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 3000 Hz-26.1 dB (Decibel)Standard Deviation 10.7
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 4000 Hz-26.8 dB (Decibel)Standard Deviation 10.6
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 6000 Hz-31.7 dB (Decibel)Standard Deviation 11.2
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 8000 Hz-30.9 dB (Decibel)Standard Deviation 13.8
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 250 Hz-11.9 dB (Decibel)Standard Deviation 11.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 500 Hz-26.2 dB (Decibel)Standard Deviation 11.3
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 750 Hz-30.4 dB (Decibel)Standard Deviation 12
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 1000 Hz-28.9 dB (Decibel)Standard Deviation 11.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 1500 Hz-28.0 dB (Decibel)Standard Deviation 12.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 2000 Hz-26.1 dB (Decibel)Standard Deviation 10.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 3000 Hz-27.6 dB (Decibel)Standard Deviation 10.8
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 4000 Hz-30.2 dB (Decibel)Standard Deviation 11.2
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 6000 Hz-31.6 dB (Decibel)Standard Deviation 10.6
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 8000 Hz-33.7 dB (Decibel)Standard Deviation 12.3
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 250 Hz-14.7 dB (Decibel)Standard Deviation 12.8
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 500 Hz-27.8 dB (Decibel)Standard Deviation 10.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 750 Hz-31.8 dB (Decibel)Standard Deviation 11.6
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 1000 Hz-31.8 dB (Decibel)Standard Deviation 10.6
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 1500 Hz-31.2 dB (Decibel)Standard Deviation 12.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 2000 Hz-28.8 dB (Decibel)Standard Deviation 11.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 3000 Hz-29.6 dB (Decibel)Standard Deviation 12
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 4000 Hz-33.0 dB (Decibel)Standard Deviation 12.2
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 6000 Hz-35.9 dB (Decibel)Standard Deviation 11.6
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 8000 Hz-38.8 dB (Decibel)Standard Deviation 12
Comparison: Threshold audiometry 250Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 500Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 750Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1000Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1500Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 2000Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 3000Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 4000Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 6000Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 8000Hz at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 250Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 500Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 750Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1000Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1500Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 2000Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 3000Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 4000Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 6000Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 8000Hz at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 250Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 500Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 750Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1000Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1500Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 2000Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 3000Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 4000Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 6000Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 8000Hz at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 250Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 500Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 750Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1000Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 1500Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 2000Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 3000Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 4000Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 6000Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Threshold audiometry at 8000Hz at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Hearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP110

The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband, measured as free-field hearing test; Threshold audiometry individual frequencies (0.25, 0.5, 0.75, 1.0, 1.5, 2.0, 3.0, 4.0, 6.0 and 8.0 kHz) is presented. The units reported are decibels (dB). A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.

Time frame: Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.

Population: Some of the subjects did not perform all measurements at all visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 250 hz3.58 dBStandard Deviation 10.98
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 500 Hz-2.22 dBStandard Deviation 9.15
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 750 Hz-3.30 dBStandard Deviation 8.49
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 1000 Hz0.42 dBStandard Deviation 6.65
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 1500 Hz-0.48 dBStandard Deviation 8.39
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 2000 Hz-2.62 dBStandard Deviation 7.66
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 3000 Hz-3.18 dBStandard Deviation 7.86
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 4000 Hz-8.20 dBStandard Deviation 9.58
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 6000 Hz-12.5 dBStandard Deviation 10.3
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1104 weeks: 8000 Hz-16.4 dBStandard Deviation 17.3
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 250 Hz3.20 dBStandard Deviation 9.19
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 500 Hz-2.69 dBStandard Deviation 8.86
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 750 Hz-2.86 dBStandard Deviation 8.66
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 1000 Hz-0.47 dBStandard Deviation 7.22
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 1500 Hz-1.19 dBStandard Deviation 7.82
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 2000 Hz-3.37 dBStandard Deviation 8.15
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 3000 Hz-4.57 dBStandard Deviation 9.11
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 4000 Hz-8.73 dBStandard Deviation 10.07
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 6000 Hz-15.0 dBStandard Deviation 9.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1103 months: 8000 Hz-18.1 dBStandard Deviation 18.4
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 250 Hz2.10 dBStandard Deviation 8.7
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 500 Hz-4.69 dBStandard Deviation 8.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 750 Hz-4.70 dBStandard Deviation 7.9
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 1000 Hz-1.67 dBStandard Deviation 7.03
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 1500 Hz-4.00 dBStandard Deviation 7.23
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 2000 Hz-4.61 dBStandard Deviation 8.29
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 3000 Hz-5.76 dBStandard Deviation 8.06
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 4000 Hz-11.9 dBStandard Deviation 10.4
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 6000 Hz-14.4 dBStandard Deviation 10.7
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP1106 months: 8000 Hz-20.7 dBStandard Deviation 17.6
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 250 Hz-0.39 dBStandard Deviation 9.81
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 500 Hz-5.91 dBStandard Deviation 8.79
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 750 Hz-5.75 dBStandard Deviation 8.65
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 1000 Hz-4.07 dBStandard Deviation 7.98
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 1500 Hz-6.73 dBStandard Deviation 8.21
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 2000 Hz-6.80 dBStandard Deviation 8.33
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 3000 Hz-7.61 dBStandard Deviation 9.13
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 4000 Hz-14.6 dBStandard Deviation 10.8
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 6000 Hz-18.6 dBStandard Deviation 11.4
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry Individual Frequences With Reference Device BP11012 months: 8000 Hz-26.5 dBStandard Deviation 17.3
Comparison: Hearing performance: threshold audiometry 250Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: 0.025Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 500Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: 0.096Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 750Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: 0.015Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1000Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: 0.67Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1500Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: 0.73Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 2000Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: 0.019Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 3000Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: 0.0046Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 4000Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 6000Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 8000Hz with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 250Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: 0.019Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 500Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: 0.04Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 750Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: 0.037Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1000Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: 0.67Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1500Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: 0.34Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 2000Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: 0.0048Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 3000Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: 0.0008Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 4000Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 6000Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Wilcoxon (Mann-Whitney)
Comparison: Hearing performance: threshold audiometry 8000Hz with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 250Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: 0.1Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 500Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: 0.0007Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 750Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: 0.0003Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1000Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: 0.11Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1500Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 2000Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: 0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 3000Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 4000Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 6000Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 8000Hz with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 250Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: 0.8Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 500Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 750Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1000Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: 0.001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 1500Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 2000Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 3000Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 4000Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 6000Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry 8000Hz with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Hearing Performance: Threshold Audiometry PTA4, With Reference Device BP110

The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband, measured as free-field hearing test; Threshold audiometry PTA4 (mean of 500, 1000, 2000 and 4000 Hz) is presented. The units reported for PTA4 are decibels (dB). A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.

Time frame: Baseline before surgery, 4 weeks, 3, 6 and 12 months.

Population: Some of the subjects did not perform a PTA4 measurement at one or more visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry PTA4, With Reference Device BP1104 weeks-3.16 dBStandard Deviation 5.68
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry PTA4, With Reference Device BP1103 months-3.82 dBStandard Deviation 5.94
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry PTA4, With Reference Device BP1106 months-5.72 dBStandard Deviation 5.84
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry PTA4, With Reference Device BP11012 months-7.85 dBStandard Deviation 6.35
Comparison: Hearing performance: threshold audiometry PTA4 with Osia at 4 week vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry PTA4 with Osia at 3 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry PTA4 with Osia at 6 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Hearing performance: threshold audiometry PTA4 with Osia at 12 months vs the reference device BP110 on a softband at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Hearing Performance: Threshold Audiometry, Pure Tone Average, PTA4, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months

The change of hearing performance from the unaided hearinhg situation before surgery to the aided hearing situation with the OSIA system at 4 weeks, 6 and 12 months, measured as free-field hearing test: Threshold audiometry PTA4 (mean of 500, 1000, 2000 and 4000 Hz) is presented. A Pure Tone Average (PTA) refers to the average of hearing threshold levels at a set of specified frequencies: typically 500, 1000, 2000 and 4000 Hz. This value gives a snapshot of an individual's hearing level. If PTA is \<25 dB, the overall hearing would be considered to be within normal limits. With a PTA of 95 dB, the hearing would be considered in the profound range. The units reported for PTA4 are decibels (dB). The results presented here are the difference of PTA4 unaided and PTA4 aided with the Osia system. An uaided PTA4 values should be higher than a aided PTA4 if the hearing device is effective. A lower or more negative score is more desirable and reflects a better ability to hear softer sounds.

Time frame: Baseline before surgery, 4 weeks, 6 and 12 months after surgery

Population: Some subjects did not perform the test at one or more visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry, Pure Tone Average, PTA4, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months4 weeks-24.9 dBStandard Deviation 9.4
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry, Pure Tone Average, PTA4, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months6 months-27.9 dBStandard Deviation 9.1
Bone-conduction Hearing DeviceHearing Performance: Threshold Audiometry, Pure Tone Average, PTA4, Unaided Versus OSIA System at 4 Weeks, 6 and 12 Months12 months-30.4 dBStandard Deviation 8.9
Comparison: PTA4 at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: PTA4 at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: PTA4 at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Incision Type

Surgical information: a question was asked regarding what type of incision had been used; C-shaped flap, posterior based flap or other could be ticked.

Time frame: Visit 2, surgery

Population: For two subjects two alternatives were checked.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bone-conduction Hearing DeviceIncision TypeOther22 Participants
Bone-conduction Hearing DeviceIncision TypeC-shaped flap30 Participants
Bone-conduction Hearing DeviceIncision TypePoesterior flap1 Participants
Secondary

Location of BI300 Implant

Surgical information: where is the location of the BI300 implant, measured in two different ways: Alternative 1 used for the first 6 subjects: Location from the ear channel in mm. Alternative 2 used for the rest of the population 45 subjects, after an amendment: measured in mm horizontally and vertically from ear channel. and the distance in mm between the receiver and the coil. Value 9.64 mm vertically from ear channel is correct.

Time frame: Visit 2, surgery

Population: Localization of the BI300 implant measured in two different ways; 6 subjects with alternative 1, 45 subjects with alternative 2.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceLocation of BI300 ImplantAlt 1: distance from the ear channel48.3 mmStandard Deviation 10.3
Bone-conduction Hearing DeviceLocation of BI300 Implant9.64Alt 2: horizontally from ear channel40.0 mmStandard Deviation 17.9
Bone-conduction Hearing DeviceLocation of BI300 ImplantAlt 2: vertically from the ear channel9.64 mmStandard Deviation 9.2
Bone-conduction Hearing DeviceLocation of BI300 ImplantAlt 2: distance between receiver and coil54.4 mmStandard Deviation 13.8
Secondary

Magnet Choice

Available magnet strengths: 1/2, 1, 2, 3, 4, 5 or 6, where 1/2 is the weakest and 6 the strongest.

Time frame: 4, 6 weeks, 3, 6 and 12 months

Population: Some of the subjects did not perform all visits.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bone-conduction Hearing DeviceMagnet Choice12 months strength 212 Participants
Bone-conduction Hearing DeviceMagnet Choice4 weeks: strength 1/20 Participants
Bone-conduction Hearing DeviceMagnet Choice4 weeks: strength 11 Participants
Bone-conduction Hearing DeviceMagnet Choice4 weeks: strength 211 Participants
Bone-conduction Hearing DeviceMagnet Choice4 weeks: strength 313 Participants
Bone-conduction Hearing DeviceMagnet Choice4 weeks: strength 412 Participants
Bone-conduction Hearing DeviceMagnet Choice4 weeks: strength 58 Participants
Bone-conduction Hearing DeviceMagnet Choice4 weeks: strength 65 Participants
Bone-conduction Hearing DeviceMagnet Choice6 weeks strength 1/20 Participants
Bone-conduction Hearing DeviceMagnet Choice6 weeks strength 11 Participants
Bone-conduction Hearing DeviceMagnet Choice6 weeks strength 210 Participants
Bone-conduction Hearing DeviceMagnet Choice6 weeks strength 311 Participants
Bone-conduction Hearing DeviceMagnet Choice6 weeks strength 413 Participants
Bone-conduction Hearing DeviceMagnet Choice6 weeks strength 59 Participants
Bone-conduction Hearing DeviceMagnet Choice6 weeks strength 65 Participants
Bone-conduction Hearing DeviceMagnet Choice3 months strength 1/20 Participants
Bone-conduction Hearing DeviceMagnet Choice3 months strength 11 Participants
Bone-conduction Hearing DeviceMagnet Choice3 months strength 212 Participants
Bone-conduction Hearing DeviceMagnet Choice3 months strength 310 Participants
Bone-conduction Hearing DeviceMagnet Choice3 months strength 414 Participants
Bone-conduction Hearing DeviceMagnet Choice3 months strength 58 Participants
Bone-conduction Hearing DeviceMagnet Choice3 months strength 65 Participants
Bone-conduction Hearing DeviceMagnet Choice6 months strength 1/20 Participants
Bone-conduction Hearing DeviceMagnet Choice6 months strength 12 Participants
Bone-conduction Hearing DeviceMagnet Choice6 months strength 211 Participants
Bone-conduction Hearing DeviceMagnet Choice6 months strength 311 Participants
Bone-conduction Hearing DeviceMagnet Choice6 months strength 413 Participants
Bone-conduction Hearing DeviceMagnet Choice6 months strength 510 Participants
Bone-conduction Hearing DeviceMagnet Choice6 months strength 63 Participants
Bone-conduction Hearing DeviceMagnet Choice12 months strength 1/20 Participants
Bone-conduction Hearing DeviceMagnet Choice12 months strength 12 Participants
Bone-conduction Hearing DeviceMagnet Choice12 months strength 310 Participants
Bone-conduction Hearing DeviceMagnet Choice12 months strength 411 Participants
Bone-conduction Hearing DeviceMagnet Choice12 months strength 510 Participants
Bone-conduction Hearing DeviceMagnet Choice12 months strength 63 Participants
Secondary

Softpad Use

A question was asked if the subjects used softpads; yes or no could be ticked.

Time frame: 6 weeks, 3, 6 and 12 months

Population: Some of the subjects did not answer the question at all visits.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bone-conduction Hearing DeviceSoftpad Use6 weeks: yes1 Participants
Bone-conduction Hearing DeviceSoftpad Use6 weeks: no47 Participants
Bone-conduction Hearing DeviceSoftpad Use3 months: yes4 Participants
Bone-conduction Hearing DeviceSoftpad Use3 months: no45 Participants
Bone-conduction Hearing DeviceSoftpad Use6 months: yes0 Participants
Bone-conduction Hearing DeviceSoftpad Use6 months: no50 Participants
Bone-conduction Hearing DeviceSoftpad Use12 months: yes3 Participants
Bone-conduction Hearing DeviceSoftpad Use12 months: no44 Participants
Secondary

Soft Tissue Reduction

Surgical information: a question was asked if soft tissue reduction had been performed. Could be answered by ticking a box for Yes or No.

Time frame: Visit 2, surgery

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bone-conduction Hearing DeviceSoft Tissue ReductionYes10 Participants
Bone-conduction Hearing DeviceSoft Tissue ReductionNo41 Participants
Secondary

Soft Tissue Thickness

Surgical information: Soft tissue thickness was measured in mm

Time frame: Visit 2, surgery

ArmMeasureValue (MEAN)Dispersion
Bone-conduction Hearing DeviceSoft Tissue Thickness6.00 mmStandard Deviation 1.3
Secondary

Speech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months

The change of hearing performance from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 4 weeks, 3, 6 and 12 months, measured as free-field hearing test Speech in quiet at 50, 65 and 80 dB SPL \[% correctly perceived words at 50, 65 and 80 dB SPL\] is presented. The change in percent points is presented. A positive value indicates an improved ability to perceive words in quiet at the specified decibel (dB) level a negative value represent an impairment.

Time frame: Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.

Population: Some of the subjects did not perform the test at one or more visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 50 dB46.5 Percentage of correctly perceived wordsStandard Deviation 29.5
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 65 dB61.5 Percentage of correctly perceived wordsStandard Deviation 27.7
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months6 months: 80 dB30.7 Percentage of correctly perceived wordsStandard Deviation 33.3
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 50 dB57.8 Percentage of correctly perceived wordsStandard Deviation 24.9
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 65 dB68.3 Percentage of correctly perceived wordsStandard Deviation 23.6
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months12 months: 80 dB32.7 Percentage of correctly perceived wordsStandard Deviation 32.4
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks; 50 dB38.0 Percentage of correctly perceived wordsStandard Deviation 27
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks; 65 dB59.8 Percentage of correctly perceived wordsStandard Deviation 28.8
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months4 weeks; 80 dB29.3 Percentage of correctly perceived wordsStandard Deviation 30.8
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 50 dB40.1 Percentage of correctly perceived wordsStandard Deviation 26.8
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 65 dB60.6 Percentage of correctly perceived wordsStandard Deviation 26.8
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, Unaided Versus OSIA System at 4 Weeks, 3, 6 and 12 Months3 months: 80 dB31.8 Percentage of correctly perceived wordsStandard Deviation 31.9
Comparison: Speech in quiet at 50dB at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 80dB at 4 weeks with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 50dB at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 80dB at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 50dB at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 80dB at 6 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 50dB at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Wilcoxon (Mann-Whitney)
Comparison: Speech in quiet at 80dB at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Speech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP110

The change of hearing performance with the OSIA System at 4 weeks, 3, 6 and 12 months compared to the pre-operative aided situation with BP110 on softband measured as free-field hearing test; Speech in quiet \[% correctly perceived words at 50, 65 and 80 dB SPL\]. The change in percent points is presented. A positive value indicates an improved ability to perceive words in quiet at the specified decibel (dB) level a negative value represent an impairment.

Time frame: Baseline before surgery, 4 weeks, 3, 6 and 12 months after surgery.

Population: Some of the subjects did not perform all measurements at all visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1103 months: 50 dB SPL5.17 Percentage of correctly perceived wordsStandard Deviation 26.16
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1103 months: 65 dB SPL7.48 Percentage of correctly perceived wordsStandard Deviation 21.39
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1104 weeks: 50 dB SPL2.40 Percentage of correctly perceived wordsStandard Deviation 24.81
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1104 weeks: 65 dB SPL6.65 Percentage of correctly perceived wordsStandard Deviation 19.58
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1104 weeks: 80 dB SPL1.17 Percentage of correctly perceived wordsStandard Deviation 7.34
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1103 months: 80 dB SPL1.77 Percentage of correctly perceived wordsStandard Deviation 8.35
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1106 months: 50 dB SPL10.3 Percentage of correctly perceived wordsStandard Deviation 24.4
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1106 months: 65 dB SPL7.73 Percentage of correctly perceived wordsStandard Deviation 22.56
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP1106 months: 80 dB SPL0.875 Percentage of correctly perceived wordsStandard Deviation 10.02
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP11012 months: 50 dB SPL20.7 Percentage of correctly perceived wordsStandard Deviation 29.5
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP11012 months: 65 dB SPL13.9 Percentage of correctly perceived wordsStandard Deviation 22.3
Bone-conduction Hearing DeviceSpeech in Quiet at 50, 65 and 80 dB SPL, With Reference Device BP11012 months: 80 dB SPL3.61 Percentage of correctly perceived wordsStandard Deviation 10.45
Comparison: Speech in quiet at 50dB SPL with Osia at 4 weeks vs reference device BP110 on softband att visit 1.p-value: 0.51Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB SPL with Osia at 4 weeks vs reference device BP110 on softband att visit 1.p-value: 0.021Fisher's non-parametric permutation test
Comparison: Speech in quiet at 80dB SPL with Osia at 4 weeks vs reference device BP110 on softband att visit 1.p-value: 0.29Fisher's non-parametric permutation test
Comparison: Speech in quiet at 50dB SPL with Osia at 3 months vs reference device BP110 on softband att visit 1.p-value: 0.18Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB SPL with Osia at 3 months vs reference device BP110 on softband att visit 1.p-value: 0.017Fisher's non-parametric permutation test
Comparison: Speech in quiet at 80dB SPL with Osia at 3 months vs reference device BP110 on softband att visit 1.p-value: 0.16Fisher's non-parametric permutation test
Comparison: Speech in quiet at 50dB SPL with Osia at 6 months vs reference device BP110 on softband att visit 1.p-value: 0.0051Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB SPL with Osia at 6 months vs reference device BP110 on softband att visit 1.p-value: 0.021Fisher's non-parametric permutation test
Comparison: Speech in quiet at 80dB SPL with Osia at 6 months vs reference device BP110 on softband att visit 1.p-value: 0.56Fisher's non-parametric permutation test
Comparison: Speech in quiet at 50dB SPL with Osia at 12 months vs reference device BP110 on softband att visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 65dB SPL with Osia at 12 months vs reference device BP110 on softband att visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: Speech in quiet at 80dB SPL with Osia at 12 months vs reference device BP110 on softband att visit 1.p-value: 0.041Wilcoxon Signed Rank test
Secondary

Speech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months

The change of speech, spatial and hearing experiences from the unaided hearing situation before surgery to the aided hearing situation with the OSIA System at 3 and 12 months using the SSQ scale is presented. All subscales (speech, spatial, quality) range from 0 to 10, where 0 represents can not hear at all, and 10 hear perfectly. Total score is a average of the subscales. A positive value indicates improved hearing, a negative value indicates impaired hearing.

Time frame: Baseline before surgery and 3 and 12 months after surgery

Population: Some of the subjects did not answer all questions at one or both visits.

ArmMeasureGroupValue (MEAN)Dispersion
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months3 months: Total score2.57 units on a scaleStandard Deviation 2.01
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months3 months: Speech score2.91 units on a scaleStandard Deviation 2.19
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months3 months: Spatial score2.85 units on a scaleStandard Deviation 2.5
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months3 months: Quality score1.88 units on a scaleStandard Deviation 2.38
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months12 months: Total score2.69 units on a scaleStandard Deviation 1.75
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months12 months: Speech score2.94 units on a scaleStandard Deviation 1.94
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months12 months: Spatial score2.95 units on a scaleStandard Deviation 2.52
Bone-conduction Hearing DeviceSpeech, Spatial and Qualities of Hearing Scale (SSQ) at 3 and 12 Months12 months: Quality score2.13 units on a scaleStandard Deviation 2.3
Comparison: SSQ Total score at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: SSQ Speech score at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: SSQ Spatial score at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: SSQ Quality score at 3 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: SSQ Total score at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: SSQ Speech score at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: SSQ Spatial score at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Comparison: SSQ Quality score at 12 months with the Osia system vs Unaided at visit 1.p-value: <0.0001Fisher's non-parametric permutation test
Secondary

Surgical Information: Time of Surgery

Surgery time in minutes between first incision and last suture

Time frame: Visit 2, surgery

ArmMeasureValue (MEAN)Dispersion
Bone-conduction Hearing DeviceSurgical Information: Time of Surgery97.2 minutesStandard Deviation 27.8
Secondary

Type of Anaesthesia

Surgical information: a question is asked which type of anaesthesia has been used: local or general can be ticked.

Time frame: Visit 2, surgery

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bone-conduction Hearing DeviceType of AnaesthesiaGeneral51 Participants
Bone-conduction Hearing DeviceType of AnaesthesiaLocal0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026