Envoy Medical | Fully Implanted Hearing Implant & Cochlear Solutions

Envoy Medical | Fully Implanted Hearing Implant & Cochlear Solutions

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Company Profile

Envoy Medical, Inc. is a US-based manufacturer of    fully implanted hearing devices, headquartered in    White Bear Lake, Minnesota, USA. Founded in    2006 (predecessor research dating to 1995), the company operates as an    independent publicly traded entity listed on    NASDAQ: COCH, serving otology and audiology centers across the United States and Europe.    Envoy Medical is dedicated to pushing hearing technology beyond the status quo to improve access, usability, compliance, and quality of life.

Core Products & Technologies

Fully Implanted Active Middle Ear Implant

Esteem FI-AMEI: The only FDA-approved, fully implanted active middle ear implant for adults with moderate to severe sensorineural hearing loss, offering 24/7 hearing using the ear's natural anatomy without externally worn components or ear canal insertion; commercially available in the US since 2010

Investigational Fully Implanted Cochlear Implant

Acclaim Cochlear Implant: First-of-its-kind fully implanted cochlear implant designed for severe to profound sensorineural hearing loss, leveraging a proprietary piezoelectric sensor that uses the ear's natural anatomy to capture sound instead of an external microphone; no visible hardware, no external processor, and no magnets
   • Rechargeable Battery System: Large-capacity internal battery providing approximately five days of use between recharges, with replacement required roughly once every 10 years
   • MRI Compatibility: Designed to be MRI compatible without magnet-related restrictions

Digital & Clinical Ecosystem

Esteem Personal Programmer: External activation and programming device for initial setup; not required for daily use once activated
   • Clinical Trial Network: Seven top-tier cochlear implant centers across the US conducting the pivotal Acclaim trial

Market Position & Certifications

Envoy Medical holds a pioneering position as the only company with an FDA-approved fully implanted hearing device and a fully implanted cochlear implant in pivotal trials,    competing with Cochlear Ltd. and    Advanced Bionics (Sonova) in the broader implantable hearing market. Key strengths include:

15+ years of fully implanted hearing device commercial heritage with the Esteem platform
   • Sensor technology leadership: Proprietary implanted piezoelectric sensor validated as the "gold standard" for fully implanted hearing implants
   • Regulatory milestones: Esteem FDA approved (2010); Acclaim FDA Breakthrough Device Designation (2019) and IDE approval (2024)
   • Intellectual property: 47 patents across North America, Europe, Asia, and Australia as of February 2026, including US Patent No. 12,544,564 for cochlear implant signal processing and Hong Kong patents for combination hearing aid/cochlear implant systems
   • Clinical validation: Over 900 Esteem implants worldwide; Acclaim pivotal trial fully enrolled with 56 participants as of March 2026, all patients through activation as of April 2026

Corporate Timeline

1995 — Predecessor research begins on fully implanted hearing sensor technology
   2001 — First in-human feasibility study conducted
   2004 — European clinical trials initiated for Esteem
   2006 — Company rebranded to Envoy Medical; CE Mark obtained for Esteem
   2010 — Esteem receives FDA approval, becoming the first fully implanted hearing device available in the US
   2019 — Acclaim cochlear implant granted FDA Breakthrough Device Designation
   2022 — Acclaim receives Investigational Device Exemption (IDE) for feasibility study
   2024 — FDA approves IDE for Acclaim pivotal trial; trial sites selected
   2025 — Pivotal trial enrollment begins; first 10-patient data submitted to FDA enabling trial expansion; extinguished over USD 32 million in debt; Nasdaq grants continued listing extension to February 23, 2026
   2026 — February: Closed upsized USD 78 million public offering led by Nantahala Capital; global IP portfolio expanded to 47 patents. March: Pivotal trial fully enrolled (56 patients). April: All 56 patients through activation; first three patients complete 12-month endpoint; Chas McKhann appointed to board; anticipated PMA submission to FDA in Q2 2027

Target Markets & Applications

Moderate to Severe Sensorineural Hearing Loss: Esteem FI-AMEI for adults seeking invisible, 24/7 hearing without daily device management
   • Severe to Profound Sensorineural Hearing Loss: Acclaim cochlear implant for adults who are candidates for cochlear implantation but prefer a fully internal, discreet solution
   • Otolaryngology & Neurotology Practices: Surgical implantation and long-term follow-up care at specialized ENT centers
   • Patient Populations Stigmatized by External Devices: Individuals avoiding traditional cochlear implants due to visible external processors and social stigma

Contact Information

Global Headquarters

Address: 4875 White Bear Parkway, White Bear Lake, MN 55110, USA
   Tel: +1-877-900-3277
   Website: envoymedical.com

Investor Relations

Stock: NASDAQ: COCH
   Website: ir.envoymedical.com
   Email: Envoy@kcsa.com (add COCH in subject line for distribution list)

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