- Device
- HiResolution™ Bionic Ear System
- Applicant
- Advanced Bionics
- PMA number
- P960058
- Supplement
- S167
- Product code
- MCM
- Generic name
- Implant, cochlear
- Decision date
- 2026-07-22
- Decision code
- APPR
- Date received
- 2025-01-29
- Supplement type
- Panel Track
- Supplement reason
- Labeling Change - Indications/instructions/shelf life/tradename
- Approval order statement
- Unilateral Hearing Loss The HiResolution™ Bionic Ear System is indicated for individuals with unilateral hearing loss who meet the following criteria: Asymmetric Hearing Loss (AHL) Individuals with AHL are defined as those with a mild to moderately severe hearing loss in the better ear, i.e., a 4PTA of 31 to 65 dB HL at 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz, with a difference of at least 15 dB in the 4PTA between ears. It is recommended that individuals with AHL have at least two (2) weeks experience wearing an appropriately fitted Contralateral Routing of Signal (CROS) system or suitable hearing device prior to cochlear implantation. The ear to be implanted will be as follows: Adults (18 years of age or older): Severe to profound sensorineural hearing loss (4PTA of 500, 1000, 2000, and 4000 Hz = 80 dB HL) A score of = 20% on a Consonant-Nucleus-Consonant (CNC) word test Children (5 years through 17 years of age): Profound sensorineural hearing loss (4PTA of 500, 1000, 2000, and 4000 Hz = 90 dB HL) Insufficient functional access to sound in the ear to be implanted must be determined by aided speech perception test scores of 5% or less on a developmentally appropriate monosyllabic word list when tested in the ear to be implanted alone. Single-Sided Deafness (SSD) Individuals with SSD are defined as those with normal hearing or mild sensorineural hearing loss in the better ear (4PTA of = 30 dB HL at 500, 1000, 2000, and 4000 Hz). It is recommended that individuals with SSD have at least two (2) weeks experience wearing an appropriately fitted Contralateral Routing of Signal (CROS) system or suitable hearing device prior to cochlear implantation. The ear to be implanted will be as follows: Adults (18 years of age or older): Severe to profound sensorineural hearing loss (4PTA of 500, 1000, 2000, and 4000 Hz = 80 dB HL) A score of = 20% on a Consonant-Nucleus-Consonant (CNC) word test Children (5 years through 17 years of age): Profound sensorineural hearing loss (4PTA of 500, 1000, 2000, and 4000 Hz = 90 dB HL) Insufficient functional access to sound in the ear to be implanted must be determined by aided speech perception test scores of 5% or less on a developmentally appropriate monosyllabic word list when tested in the ear to be implanted alone.