Trial Outcomes & Findings for Ponto Implantation Using a Minimally Invasive Surgical Technique (NCT NCT04606823)

NCT ID: NCT04606823

Last Updated: 2026-01-29

Results Overview

The variables assessed to determine reliable anchorage in the study are implant survival and stability, skin reactions, skin overgrowth and pain preventing use of the sound processor. For a positive outcome of the primary endpoint (reliable anchorage), the implant should be in place and stable without any adverse skin reactions, skin overgrowth or pain preventing usage of the sound processor.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

52 participants

Primary outcome timeframe

3 months after implant surgery

Results posted on

2026-01-29

Participant Flow

Participant milestones

Participant milestones
Measure
Single-arm
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Overall Study
STARTED
52
Overall Study
COMPLETED
51
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Single-arm
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Overall Study
Delayed surgery, withdrawn
1

Baseline Characteristics

Ponto Implantation Using a Minimally Invasive Surgical Technique

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single-arm
n=52 Implants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Age, Categorical
<=18 years
0 Participants
n=35 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
n=35 Participants
Age, Categorical
>=65 years
25 Participants
n=35 Participants
Age, Continuous
56.2 years
STANDARD_DEVIATION 15.6 • n=35 Participants
Sex: Female, Male
Female
25 Participants
n=35 Participants
Sex: Female, Male
Male
26 Participants
n=35 Participants
Race/Ethnicity, Customized
Caucasian
46 Participants
n=35 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=35 Participants
Race/Ethnicity, Customized
Hispanic
1 Participants
n=35 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=35 Participants
Region of Enrollment
Sweden
6 participants
n=35 Participants
Region of Enrollment
Netherlands
14 participants
n=35 Participants
Region of Enrollment
Denmark
6 participants
n=35 Participants
Region of Enrollment
United Kingdom
25 participants
n=35 Participants
BMI
27.0 kg/m2
STANDARD_DEVIATION 4.2 • n=35 Participants
Smoking
Current smoker
8 Participants
n=35 Participants
Smoking
History of smoking
21 Participants
n=35 Participants
Smoking
No smoking
22 Participants
n=35 Participants
Hearing loss indication
Conductive hearing loss
15 Participants
n=35 Participants
Hearing loss indication
Mixed hearing loss
25 Participants
n=35 Participants
Hearing loss indication
Sensorineural hearing loss
3 Participants
n=35 Participants
Hearing loss indication
Single sided deafness
8 Participants
n=35 Participants

PRIMARY outcome

Timeframe: 3 months after implant surgery

The variables assessed to determine reliable anchorage in the study are implant survival and stability, skin reactions, skin overgrowth and pain preventing use of the sound processor. For a positive outcome of the primary endpoint (reliable anchorage), the implant should be in place and stable without any adverse skin reactions, skin overgrowth or pain preventing usage of the sound processor.

Outcome measures

Outcome measures
Measure
Single-arm
n=52 Implants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Number of Implants With Reliable Anchorage for a Sound Processor
49 Implants

SECONDARY outcome

Timeframe: 12 months after implant surgery

The variables assessed to determine reliable anchorage in the study are implant survival and stability, skin reactions, skin overgrowth and pain preventing use of the sound processor. For a positive outcome (reliable anchorage), the implant should be in place and stable without any adverse skin reactions, skin overgrowth or pain preventing usage of the sound processor.

Outcome measures

Outcome measures
Measure
Single-arm
n=52 Implants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Number of Implants With Reliable Anchorage for a Sound Processor
46 Implants

SECONDARY outcome

Timeframe: 12 months after implant surgery

Implant survival will be assessed by the investigator by means of a Yes/No question: Implant in place \[Yes/No\]

Outcome measures

Outcome measures
Measure
Single-arm
n=52 Implants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Implant Survival
48 Implants

SECONDARY outcome

Timeframe: 12 months after implant surgery

Clinical assessment of implant stability by the investigator by means of a Yes/No question: Implant stable \[Yes/No\]

Outcome measures

Outcome measures
Measure
Single-arm
n=52 Implants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Implant Stability
48 Implants

SECONDARY outcome

Timeframe: 9 days, 5 weeks, 3-, 6-, and 12 months after implant surgery, and unplanned visits

Population: The analysis is based on number of implants (one participant had two implants). The total number of visits varies between different time points due to missed visits, and all available data is reported. Holgers scores were reported in a total of 22 unplanned visits.

Distribution of Holgers score ratings assigned by investigator across all study visits. The Holgers score is used to grade skin reactions around the skin-penetrating abutment on a scale from 0 to 4, where 0 indicates a reaction-free area whereas 4 indicates a severe infection often requiring removal of the implant. The results are presented based on Holgers score distribution across all study visits, as well as separate for each study visit and for unplanned visits.

Outcome measures

Outcome measures
Measure
Single-arm
n=265 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Holgers Score Distribution
All study visits : Holgers 0
205 Visits
Holgers Score Distribution
All study visits : Holgers 1
53 Visits
Holgers Score Distribution
All study visits : Holgers 2
6 Visits
Holgers Score Distribution
All study visits : Holgers 3
1 Visits
Holgers Score Distribution
All study visits : Holgers 4
0 Visits
Holgers Score Distribution
9 days : Holgers 0
35 Visits
Holgers Score Distribution
9 days : Holgers 1
17 Visits
Holgers Score Distribution
9 days : Holgers 2
0 Visits
Holgers Score Distribution
9 days : Holgers 3
0 Visits
Holgers Score Distribution
9 days : Holgers 4
0 Visits
Holgers Score Distribution
5 weeks : Holgers 0
40 Visits
Holgers Score Distribution
5 weeks : Holgers 1
8 Visits
Holgers Score Distribution
5 weeks : Holgers 2
1 Visits
Holgers Score Distribution
5 weeks : Holgers 3
0 Visits
Holgers Score Distribution
5 weeks : Holgers 4
0 Visits
Holgers Score Distribution
3 months : Holgers 0
36 Visits
Holgers Score Distribution
3 months : Holgers 1
12 Visits
Holgers Score Distribution
3 months : Holgers 2
1 Visits
Holgers Score Distribution
3 months : Holgers 3
0 Visits
Holgers Score Distribution
3 months : Holgers 4
0 Visits
Holgers Score Distribution
6 months : Holgers 0
38 Visits
Holgers Score Distribution
6 months : Holgers 1
6 Visits
Holgers Score Distribution
6 months : Holgers 2
1 Visits
Holgers Score Distribution
6 months : Holgers 3
0 Visits
Holgers Score Distribution
6 months : Holgers 4
0 Visits
Holgers Score Distribution
12 months : Holgers 0
43 Visits
Holgers Score Distribution
12 months : Holgers 1
4 Visits
Holgers Score Distribution
12 months : Holgers 2
1 Visits
Holgers Score Distribution
12 months : Holgers 3
0 Visits
Holgers Score Distribution
12 months : Holgers 4
0 Visits
Holgers Score Distribution
Unplanned visits : Holgers 0
13 Visits
Holgers Score Distribution
Unplanned visits : Holgers 1
6 Visits
Holgers Score Distribution
Unplanned visits : Holgers 2
2 Visits
Holgers Score Distribution
Unplanned visits : Holgers 3
1 Visits
Holgers Score Distribution
Unplanned visits : Holgers 4
0 Visits

SECONDARY outcome

Timeframe: 12 months after implant surgery

Max Holgers score rating per patient across study visits. The Holgers score is used to grade skin reactions around the skin-penetrating abutment on a scale from 0 to 4, where 0 indicates a reaction-free area whereas 4 indicates a severe infection often requiring removal of the implant.

Outcome measures

Outcome measures
Measure
Single-arm
n=52 Implants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Max Holgers Score
Holgers 2
5 Implants
Max Holgers Score
Holgers 3
1 Implants
Max Holgers Score
Holgers 4
0 Implants
Max Holgers Score
Holgers 0
17 Implants
Max Holgers Score
Holgers 1
29 Implants

SECONDARY outcome

Timeframe: 12 months after implant surgery

Population: The analysis is based on number of implants (one participant had two implants). The total number of visits varies between different time points due to missed visits, and all available data is reported. Holgers scores were reported in a total of 22 unplanned visits.

Mild/Adverse skin reaction per patient across study visits, where adverse skin reaction is defined as Holgers ≥ 2 on at least one follow-up visit. The Holgers score is used to grade skin reactions around the skin-penetrating abutment on a scale from 0 to 4, where 0 indicates a reaction-free area whereas 4 indicates a severe infection often requiring removal of the implant.

Outcome measures

Outcome measures
Measure
Single-arm
n=265 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Mild/Adverse Skin Reaction
No or minor skin reaction (Holgers 0-1)
258 Visits
Mild/Adverse Skin Reaction
Adverse skin reaction (Holgers 2-4)
7 Visits

SECONDARY outcome

Timeframe: 9 days, 5 weeks, 3-, 6- and 12 months after implant surgery, and unplanned visits

Population: The analysis is based on number of implants (one participant had two implants). The total number of visits varies between different time points due to missed visits, and all available data is reported. IPS scores were reported in a total of 22 unplanned visits. For one unplanned visit, only I- and P-scores were reported.

Distribution of IPS scores assigned by investigator across all study visits. The IPS scale is used to assess soft tissue status including inflammation (I), pain (P), and skin height (S) for a skin-penetrating implant, with scores ranging from 0 to 4 for the I-scale, and from 0 to 2 for the P- and S-scales. The IPS score is presented as \[Ix Px Sx\] with x being the individual score for each parameter. A higher score reflects a more severe complication. The results are presented based on IPS score distribution across all study visits, as well as separate for each study visit and unplanned visits.

Outcome measures

Outcome measures
Measure
Single-arm
n=265 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : I-score 4
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : I-score 0
195 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : I-score 1
55 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : I-score 2
13 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : I-score 3
2 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : P-score 0
209 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : P-score 1
38 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : P-score 2
18 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : S-score 0
243 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : S-score 1
21 Visits
IPS (Inflammation, Pain, Skin Height) Scores
All study visits : S-score 2
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : I-score 0
29 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : I-score 1
18 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : I-score 2
5 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : I-score 3
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : I-score 4
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : P-score 0
31 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : P-score 1
14 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : P-score 2
7 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : S-score 0
51 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : S-score 1
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
9 days : S-score 2
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : I-score 0
39 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : I-score 1
8 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : I-score 2
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : I-score 3
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : I-score 4
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : P-score 0
39 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : P-score 1
10 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : P-score 2
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : S-score 0
45 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : S-score 1
4 Visits
IPS (Inflammation, Pain, Skin Height) Scores
5 weeks : S-score 2
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : I-score 0
37 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : I-score 1
10 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : I-score 2
2 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : I-score 3
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : I-score 4
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : P-score 0
38 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : P-score 1
7 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : P-score 2
4 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : S-score 0
42 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : S-score 1
7 Visits
IPS (Inflammation, Pain, Skin Height) Scores
3 months : S-score 2
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : I-score 0
37 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : I-score 1
6 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : I-score 2
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : I-score 3
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : I-score 4
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : P-score 0
41 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : P-score 1
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : P-score 2
3 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : S-score 0
41 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : S-score 1
4 Visits
IPS (Inflammation, Pain, Skin Height) Scores
6 months : S-score 2
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : I-score 0
41 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : I-score 1
5 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : I-score 2
2 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : I-score 3
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : I-score 4
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : P-score 0
40 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : P-score 1
5 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : P-score 2
3 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : S-score 0
45 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : S-score 1
3 Visits
IPS (Inflammation, Pain, Skin Height) Scores
12 months : S-score 2
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : I-score 0
12 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : I-score 1
8 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : I-score 2
2 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : I-score 3
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : I-score 4
0 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : P-score 0
20 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : P-score 1
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : P-score 2
1 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : S-score 0
19 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : S-score 1
2 Visits
IPS (Inflammation, Pain, Skin Height) Scores
Unplanned visits : S-score 2
0 Visits

SECONDARY outcome

Timeframe: 9 days, 5 weeks and 3 months after implant surgery, and unplanned visits

Population: Wound healing status was reported in a total of 17 unplanned visits.

Investigator assessment of wound being completely healed by means of a Yes/No question. The results are presented for each study visit and for unplanned visits.

Outcome measures

Outcome measures
Measure
Single-arm
n=167 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Wound Healing
9 days : Yes
37 Visits
Wound Healing
9 days : No
15 Visits
Wound Healing
5 weeks : Yes
45 Visits
Wound Healing
5 weeks : No
4 Visits
Wound Healing
3 months : Yes
48 Visits
Wound Healing
3 months : No
1 Visits
Wound Healing
Unplanned visits : Yes
15 Visits
Wound Healing
Unplanned visits : No
2 Visits

SECONDARY outcome

Timeframe: 9 days, 5 weeks, 3-, 6-, and 12 months after implant surgery, and unplanned visits

Population: The analysis is based on number of implants (one participant had two implants). The total number of visits varies between different time points due to missed visits, and all available data is reported. Assessment of skin overgrowth was reported in a total of 22 unplanned visits.

Skin overgrowth over implant/abutment complex judged by the investigator by means of a Yes/No question. The results are presented for each study visit and for unplanned visits.

Outcome measures

Outcome measures
Measure
Single-arm
n=265 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Skin Overgrowth
12 months : Yes
0 Visits
Skin Overgrowth
12 months : No
48 Visits
Skin Overgrowth
Unplanned visits : Yes
1 Visits
Skin Overgrowth
Unplanned visits : No
21 Visits
Skin Overgrowth
6 months : No
45 Visits
Skin Overgrowth
9 days : No
52 Visits
Skin Overgrowth
5 weeks : Yes
0 Visits
Skin Overgrowth
5 weeks : No
49 Visits
Skin Overgrowth
3 months : Yes
0 Visits
Skin Overgrowth
3 months : No
49 Visits
Skin Overgrowth
6 months : Yes
0 Visits
Skin Overgrowth
9 days : Yes
0 Visits

SECONDARY outcome

Timeframe: 9 days, 5 weeks, 3-, 6-, and 12 months after implant surgery, and unplanned visits

Population: The analysis is based on number of implants (one participant had two implants). The total number of visits varies between different time points due to missed visits, and all available data is reported. For one visit, two post-operative events were reported for the same implant. Post-operative events were reported in a total of 25 unplanned visits.

Assessment of post-operative events by investigator into five different categories: None, Bleeding and/or hematoma, Hair in-growth, Skin dehiscence around abutment, and Other. The results are presented based on post-operative event distribution across all study visits, as well as separate for each study visit and unplanned visits.

Outcome measures

Outcome measures
Measure
Single-arm
n=269 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Post-operative Events Around Abutment
All study visits: None
240 Visits
Post-operative Events Around Abutment
All study visits : Bleeding and/or hematoma
3 Visits
Post-operative Events Around Abutment
All study visits : Hair in-growth
1 Visits
Post-operative Events Around Abutment
All study visits : Skin dehiscence around abutment
18 Visits
Post-operative Events Around Abutment
All study visits : Other
7 Visits
Post-operative Events Around Abutment
9 days : None
39 Visits
Post-operative Events Around Abutment
9 days : Bleeding and/or hematoma
0 Visits
Post-operative Events Around Abutment
9 days : Hair in-growth
0 Visits
Post-operative Events Around Abutment
9 days : Skin dehiscence around abutment
13 Visits
Post-operative Events Around Abutment
9 days : Other
0 Visits
Post-operative Events Around Abutment
5 weeks : None
45 Visits
Post-operative Events Around Abutment
5 weeks : Bleeding and/or hematoma
1 Visits
Post-operative Events Around Abutment
5 weeks : Hair in-growth
0 Visits
Post-operative Events Around Abutment
5 weeks : Skin dehiscence around abutment
2 Visits
Post-operative Events Around Abutment
5 weeks : Other
2 Visits
Post-operative Events Around Abutment
3 months : None
44 Visits
Post-operative Events Around Abutment
3 months : Bleeding and/or hematoma
1 Visits
Post-operative Events Around Abutment
3 months : Hair in-growth
0 Visits
Post-operative Events Around Abutment
3 months : Skin dehiscence around abutment
1 Visits
Post-operative Events Around Abutment
3 months : Other
3 Visits
Post-operative Events Around Abutment
6 months : None
43 Visits
Post-operative Events Around Abutment
6 months : Bleeding and/or hematoma
0 Visits
Post-operative Events Around Abutment
6 months : Hair in-growth
0 Visits
Post-operative Events Around Abutment
6 months : Skin dehiscence around abutment
2 Visits
Post-operative Events Around Abutment
6 months : Other
0 Visits
Post-operative Events Around Abutment
12 months : None
47 Visits
Post-operative Events Around Abutment
12 months : Bleeding and/or hematoma
0 Visits
Post-operative Events Around Abutment
12 months : Hair in-growth
1 Visits
Post-operative Events Around Abutment
12 months : Skin dehiscence around abutment
0 Visits
Post-operative Events Around Abutment
12 months : Other
0 Visits
Post-operative Events Around Abutment
Unplanned visits : None
22 Visits
Post-operative Events Around Abutment
Unplanned visits : Bleeding and/or hematoma
1 Visits
Post-operative Events Around Abutment
Unplanned visits : Hair in-growth
0 Visits
Post-operative Events Around Abutment
Unplanned visits : Skin dehiscence around abutment
0 Visits
Post-operative Events Around Abutment
Unplanned visits : Other
2 Visits

SECONDARY outcome

Timeframe: 9 days, 5 weeks, 3-, 6-, and 12 months after implant surgery, and unplanned visits

Population: The analysis is based on number of implants (one participant had two implants). The total number of visits varies between different time points due to missed visits, and all available data is reported. Assessment of pain was reported in a total of 23 unplanned visits.

Assessment of presence of patient-perceived pain by means of a Yes/No question to the subject.

Outcome measures

Outcome measures
Measure
Single-arm
n=266 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Patient-perceived Presence of Pain Around Abutment
All study visits : No
204 Visits
Patient-perceived Presence of Pain Around Abutment
All study visits : Yes
62 Visits
Patient-perceived Presence of Pain Around Abutment
9 days : No
31 Visits
Patient-perceived Presence of Pain Around Abutment
9 days : Yes
21 Visits
Patient-perceived Presence of Pain Around Abutment
5 weeks : No
39 Visits
Patient-perceived Presence of Pain Around Abutment
5 weeks : Yes
10 Visits
Patient-perceived Presence of Pain Around Abutment
3 months : No
36 Visits
Patient-perceived Presence of Pain Around Abutment
3 months : Yes
13 Visits
Patient-perceived Presence of Pain Around Abutment
6 months : No
41 Visits
Patient-perceived Presence of Pain Around Abutment
6 months : Yes
4 Visits
Patient-perceived Presence of Pain Around Abutment
12 months : No
38 Visits
Patient-perceived Presence of Pain Around Abutment
12 months : Yes
10 Visits
Patient-perceived Presence of Pain Around Abutment
Unplanned visits : No
19 Visits
Patient-perceived Presence of Pain Around Abutment
Unplanned visits : Yes
4 Visits

SECONDARY outcome

Timeframe: 9 days, 5 weeks, 3-, 6-, and 12 months after implant surgery, and unplanned visits

Population: The analysis is based on number of implants (one participant had two implants). The total number of visits varies between different time points due to missed visits, and all available data is reported. Assessment of numbness was reported in a total of 23 unplanned visits.

Assessment of presence of patient-perceived numbness by means of a Yes/No question to the patient.

Outcome measures

Outcome measures
Measure
Single-arm
n=266 Visits
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Patient-perceived Presence of Numbness Around Abutment
12 months : No numbness
48 Visits
Patient-perceived Presence of Numbness Around Abutment
12 months : Presence of numbness
0 Visits
Patient-perceived Presence of Numbness Around Abutment
Unplanned visits : No numbness
22 Visits
Patient-perceived Presence of Numbness Around Abutment
Unplanned visits : Presence of numbness
1 Visits
Patient-perceived Presence of Numbness Around Abutment
All study visits : No numbness
254 Visits
Patient-perceived Presence of Numbness Around Abutment
All study visits : Presence of numbness
12 Visits
Patient-perceived Presence of Numbness Around Abutment
9 days : No numbness
48 Visits
Patient-perceived Presence of Numbness Around Abutment
9 days : Presence of numbness
4 Visits
Patient-perceived Presence of Numbness Around Abutment
5 weeks : No numbness
46 Visits
Patient-perceived Presence of Numbness Around Abutment
5 weeks : Presence of numbness
3 Visits
Patient-perceived Presence of Numbness Around Abutment
3 months : No numbness
46 Visits
Patient-perceived Presence of Numbness Around Abutment
3 months : Presence of numbness
3 Visits
Patient-perceived Presence of Numbness Around Abutment
6 months : No numbness
44 Visits
Patient-perceived Presence of Numbness Around Abutment
6 months : Presence of numbness
1 Visits

SECONDARY outcome

Timeframe: 3 months after implant surgery

Length of surgery measured in minutes.

Outcome measures

Outcome measures
Measure
Single-arm
n=52 Implants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Duration of Surgery
10.0 minutes
Standard Deviation 5.5

SECONDARY outcome

Timeframe: 12 months after implant surgery

Population: Participants using the sound processor daily at 12 months after surgery

Average sound processor usage time.

Outcome measures

Outcome measures
Measure
Single-arm
n=45 Participants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Sound Processor Usage
13.0 hours per day
Standard Deviation 3.3

SECONDARY outcome

Timeframe: 3 months after surgery

Population: Number of participants answering the GBI questionnaire at 3 months

The Glasgow Benefit Inventory (GBI) is a validated, 18-item patient-reported questionnaire that assesses changes in health-related quality-of-life following otorhinolaryngological (ENT) interventions. The questionnaire evaluates the perceived benefit after a procedure and generates a Total Score and three subscale scores: General (12 items), Social Support (3 items), and Physical Health (3 items). Each score ranges from -100 to +100, where positive values indicate improvement, negative values indicate deterioration, and zero reflects no change. The Total Score is calculated as the mean of all item scores (not a sum of subscale scores), while each subscale score is calculated as the mean of the items belonging to that subscale.

Outcome measures

Outcome measures
Measure
Single-arm
n=46 Participants
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Subjective Benefit After Surgery
Total score
26.8 Score
Standard Deviation 18.0
Subjective Benefit After Surgery
General score
37.7 Score
Standard Deviation 24.7
Subjective Benefit After Surgery
Social support score
9.1 Score
Standard Deviation 19.5
Subjective Benefit After Surgery
Physical support score
1.45 Score
Standard Deviation 24.3

Adverse Events

Single-arm

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Single-arm
n=51 participants at risk
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Nervous system disorders
Pain (abdomen, back)
2.0%
1/51 • Number of events 2 • 12 months
An adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) in subjects, users or other persons, in the context of a clinical investigation, whether or not related to the investigational medical device.

Other adverse events

Other adverse events
Measure
Single-arm
n=51 participants at risk
In this single-arm study the patients undergo a minimally invasive surgery to recieve a bone anchored hearing system. After implantation, the patients re-visit the clinic at five occasions for follow-up visits (1-3 extra compared to routine clinical practice at the hospitals) and complete a quality of life-questinnaire three months after surgery.
Nervous system disorders
Pain
11.8%
6/51 • Number of events 7 • 12 months
An adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) in subjects, users or other persons, in the context of a clinical investigation, whether or not related to the investigational medical device.
Infections and infestations
Infection
7.8%
4/51 • Number of events 5 • 12 months
An adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) in subjects, users or other persons, in the context of a clinical investigation, whether or not related to the investigational medical device.
Blood and lymphatic system disorders
Bleeding
5.9%
3/51 • Number of events 3 • 12 months
An adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) in subjects, users or other persons, in the context of a clinical investigation, whether or not related to the investigational medical device.
Skin and subcutaneous tissue disorders
Inflammation
5.9%
3/51 • Number of events 3 • 12 months
An adverse event (AE) is defined as any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) in subjects, users or other persons, in the context of a clinical investigation, whether or not related to the investigational medical device.

Additional Information

Director of Clinical Affairs

Oticon Medical

Phone: +46 31 748 6100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place