510(k) Report

510(k) · Cleared

Cleared

Bonebridge

K183373510(k) TraditionalCleared Mar 7, 201991-day reviewClass II21 CFR 874.3340

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Med-El Elektromedizinische Geraete GmbH · PFO Active Implantable Bone Conduction Hearing System

Cleared on Mar 7, 2019 as substantially equivalent to DEN170009 (Med-El Elektromedizinische Geraete GmbH, 2018) after a 91-day review. Its family tree reaches back 1 generation to 2018. 1 later device descends from it.

Decided
Mar 7, 2019
Review
91 days
Class
Class II
Product code
PFO
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to DEN170009 (2018). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2020: 1 descendant clearedDEN170009 · Bonebridge · Med-El Elektromedizinische Geraete GmbH · 2018201620182020202220242026
Descendants, by generation 1 generation forward: 1 descendant DEN170009 · Bonebridge · Med-El Elektromedizinische Geraete GmbH · 20180
  1. Root · 1 generation backDEN170009 BonebridgeMed-El Elektromedizinische Geraete GmbH · 2018
  2. This deviceK183373 BonebridgeMed-El Elektromedizinische Geraete GmbH · 2019
  3. Descendant · cites it directly · 0 of its ownK200504 BONEBRIDGE System, SAMBA 2 BB, SYMFIT 8.0, SAMBA 2 GO, SAMBA 2 RemoteMed-El Elektromedizinische Geraete GmbH · 2020

Most influential descendants

Showing 1 of 1 · See all
  • K200504BONEBRIDGE System, SAMBA 2 BB, SYMFIT 8.0, SAMBA 2 GO, SAMBA 2 RemoteMed-El Elektromedizinische Geraete GmbH · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN170009BonebridgeMed-El Elektromedizinische Geraete GmbH2018—
0 (this device)K183373BonebridgeMed-El Elektromedizinische Geraete GmbH2019—
+1K200504BONEBRIDGE System, SAMBA 2 BB, SYMFIT 8.0, SAMBA 2 GO, SAMBA 2 RemoteMed-El Elektromedizinische Geraete GmbH2020—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
FIG. 1 — Lineage of K183373, 2018–2020Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in PFO? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new PFO device

  1. #1 K260902 Cochlear™ Osia® 3(I) Sound Processor;Cochlear™…score 13.2 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*DEN170009Bonebridge
Summary page 4
…21 CFR§874.3340 Classification Panel: Ear, Nose, and Throat Product Code: PFO IV. Predicate Devices BONEBRIDGE (DEN170009) V. Purpose of Submission 1…
Med-El Elektromedizinische Geraete GmbH2018—

Also cleared against DEN170009: 3 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K200504BONEBRIDGE System, SAMBA 2 BB, SYMFIT 8.0, SAMBA 2 GO, SAMBA 2 RemoteMed-El Elektromedizinische Geraete GmbH20200

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K200504 (Med-El Elektromedizinische Geraete GmbH, 2020) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate DEN170009.

How does its category compare?

All PFO devices

PFO Active Implantable Bone Conduction Hearing System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · PFO

2in 2024

2018: 12019: 42020: 22022: 12023: 12024: 22026 (partial year): 1
2007high 4 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PFO

114in 2019

2019: 114 days median
2007high 114 (2019)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · PFO

No recall names PFO since 2007.

Adverse event reports per year · PFO

994in 2025

2018: 22019: 252020: 702021: 2372022: 3062023: 4732024: 7122025: 994
2007high 994 (2025) · low 0 (2007)2025

MAUDE reports naming product code PFO, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20181—02
20194114025
20202—070
20210—0237
20221—0306
20231—0473
20242—0712
20250—0994
20261—0—

What is it indicated for?

The BONEBRIDGE bone conduction hearing implant system is intended for the following patients and indications: • Patients 12 years of age or older. • Patients who have a conductive or mixed hearing loss and still can benefit from sound amplification. The pure tone average (PTA) bone conduction (BC) threshold (measured at 0.5, 1, 2, and 3 kHz) should be better than or equal to 45 dB HL. • Bilateral fitting of the BONEBRIDGE is intended for patients having…

Read the full statement (234 words)

The BONEBRIDGE bone conduction hearing implant system is intended for the following patients and indications:

• Patients 12 years of age or older.

• Patients who have a conductive or mixed hearing loss and still can benefit from sound amplification. The pure tone average (PTA) bone conduction (BC) threshold (measured at 0.5, 1, 2, and 3 kHz) should be better than or equal to 45 dB HL.

• Bilateral fitting of the BONEBRIDGE is intended for patients having a symmetrically conductive or mixed hearing loss. The difference between the left and right sides' BC thresholds should be less than 10 dB on average measured at 0.5, 1, 2, and 3 kHz, or less than 15 dB at individual frequencies.

• Patients who have profound sensorineural hearing loss in one ear and normal hearing in the opposite ear (i.e., single-sided deafness or "SSD"). The pure tone average air conduction hearing thresholds of the hearing ear should be better than or equal to 20 dB HL (measured at 0.5, 1, 2, and 3 kHz).

• The BONEBRIDGE for SSD is also indicated for any patient who is indicated for an air-conduction contralateral routing of signals (AC CROS) hearing aid, but who for some reason cannot or will not use an AC CROS.

• Prior to receiving the device, it is recommended that an individual have experience with appropriately fit air conduction or bone conduction hearing aids.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K183373: Bonebridge.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K183373

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026