Devices

FDA-approved cochlear implant family with SYNCHRONY 2 as the current implant, indications expanded in October 2024. Values come from the FDA summary of safety and effectiveness; electrode specs are not on this sheet yet.

Catalog specification sheet - Other

MED-EL cochlear implant system

Record ID
BTSD-FDA-0019
Reviewed
2026-10-08
Interface
other
Evidence stage
human

Independent, source-linked catalog sheet. Not a manufacturer-issued datasheet, regulatory decision or instructions for clinical use. Human evidence does not establish approval. Source-specific restrictions, conflicts and missing specifications are retained below.

MED-EL cochlear implant system

The MED-EL Cochlear Implant System is an FDA-approved cochlear implant family. This sheet uses the FDA summary for supplement S129 (approved October 3, 2024) and MED-EL’s SYNCHRONY 2 page. It is thin on hardware: electrode geometry and implant dimensions are Unreported.

Identity

FieldValue and source scope
DeviceMED-EL Cochlear Implant System: implants (stimulator, coil with magnet, active electrode, reference electrode and ECAP reference electrode) including SYNCHRONY 2 (PIN) Mi1250, with SONNET 2 and RONDO 3 processors and MAESTRO fitting software [1][2]
ManufacturerMED-EL Elektromedizinische Geraete GmbH, Innsbruck, Austria (MED-EL Corp.) [1]
Interface classCochlear implant with an electrode array and external audio processor [1]
OriginCommercial FDA-approved device; PMA P000025, original approval August 20, 2001 [1]
First demonstratedUnreported
First human implantUnreported
Species studiedUnreported
Regulatory statusP000025/S129 panel-track supplement approved October 3, 2024, expanding indications to adults with bilateral moderate to profound sensorineural hearing loss; SYNCHRONY 2 approved under S110 (decision 06/04/2019) [1][3]
FunctionEvokes auditory sensations by electrical stimulation of the auditory pathways [1]
Target tissueCochlea and auditory nerve [1]

Geometry and architecture

FieldValue and source scope
Interface typeA variant of an active electrode array in the cochlea; the SSED notes hearing preservation claims for the FLEX electrode series [1]
Array layoutUnreported
Electrode countUnreported
PitchUnreported
Electrode lengthsUnreported
Shank width and thicknessUnreported
Tip and exposed site geometryUnreported
Contact coatingUnreported
InsulationUnreported
Insertion methodUnreported
Anchoring and fixationUnreported

Electrode and channel physics

FieldValue and source scope
Exposed site areaUnreported
Electrode materialUnreported
Impedance (with measurement frequency)Unreported
Noise floor or SNRUnreported
Recording modalityUnreported
Sampling rateUnreported
Stimulation capabilityUnreported
Charge injection limitUnreported
Reference and groundUnreported

Tissue interface and bioresponse

FieldValue and source scope
Target tissueUnreported
Insertion trauma and BBB disruptionUnreported
Vascular disruption riskUnreported
Micromotion sensitivityUnreported
Gliosis and encapsulationUnreported
Neuron loss near sitesUnreported
Foreign-body response mitigationUnreported
Typical failure modesUnreported

System architecture

FieldValue and source scope
Onboard electronicsUnreported
Data pathAudio processor sends a coded signal over an RF inductive link through an external coil held by the implant magnet [1]
Telemetry bandwidthUnreported
Sampling rateUnreported
PowerUnreported
Thermal managementUnreported
Packaging and hermeticityUnreported
MRI compatibilityMED-EL states SYNCHRONY 2 allows MRI up to 3.0 T without magnet removal surgery (manufacturer claim) [2]
Surgical complexityImplant stimulator housing recessed in the skull; PIN variants named in the product list [1]
Output connectorsUnreported

Performance envelope

FieldValue and source scope
Acute yieldUnreported
Chronic yieldUnreported
Stability over timeUnreported
LongevityUnreported
Revision and explant experienceUnreported
Adverse eventsUnreported
Notable demonstrationsUnreported

Clinical and preclinical evidence

FieldValue and source scope
Human subjectsIDE G170111: 44 participants in the database through March 27, 2023; enrolled April 26, 2018 to March 27, 2023 [1]
Preclinical cohortUnreported
Follow-up duration6 months after activation for the primary endpoints [1]
IndicationsAdults 18 and older with bilateral moderate to profound sensorineural hearing loss and limited benefit from appropriately fit hearing aids (CNC 50% or less in the implant ear) [1]
Trials and registriesIDE G170111, multicenter, prospective, open-label, single-arm, US and Canada [1]
Primary outcomesCNC words in quiet: baseline 26.5 +/- 12.4 (n=44), 6 months 52.0 +/- 19.9 (n=43), change 25.6 +/- 22.8 (n=43), p<.01. AzBio sentences in noise: 23.5 +/- 17.3 (n=44), 47.0 +/- 22.8 (n=43), change 24.1 +/- 25.3 (n=43), p<.01 [1]
Key limitationsSingle-arm study of 44 participants. Electrode contact counts, lengths and implant dimensions are not in the SSED text read, so they read Unreported. Many models and processors are covered by one PMA; this sheet follows the SYNCHRONY 2 family [1]

Engineering tradeoffs

FieldValue and source scope
StrengthsUnreported
LimitationsUnreported
Scaling constraintsUnreported

Version boundary

SYNCHRONY 2 (Mi1250) is the newest implant in the S129 component list alongside SONATA 2, SYNCHRONY ST, SYNCHRONY, CONCERTO 2 and SONATATI100. Processors SONNET 2 and RONDO 3 are the newest listed.

References

  1. FDA summary of safety and effectiveness, P000025/S129.
  2. MED-EL, SYNCHRONY 2.
  3. FDA PMA record, P000025/S110.