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[

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# Hearing Devices

Air-conduction and bone-conduction hearing aids, OTC hearing aids, and cochlear implants, spanning Class I, II, and III pathways.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 9, 2026 

## Definition

The hearing-devices segment covers prescription air-conduction hearing aids, the FDA-created OTC hearing aid category (effective October 2022 under 21 CFR 800.30), bone-anchored hearing systems, and cochlear implants. The 2022 OTC rule fundamentally restructured the consumer end of the market by allowing direct-to-consumer sale of mild-to-moderate hearing-loss devices to adults without an audiologist visit. 

What the regulation says

21 CFR 800.30 (OTC hearing aids), 21 CFR 874.3300 (prescription hearing aids), and 21 CFR 874.3450 (bone-conduction). Cochlear implants are Class III  [PMA](/terms/pma) devices under product code MCM. 

## What this means in practice

OTC hearing aids brought new entrants (Apple AirPods Pro hearing-aid feature, Sony, Bose) and price compression on traditional prescription products. Insurance coverage remains uneven; Medicare does not cover most hearing aids. 

Common pitfalls

-   • Marketing personal sound amplification products (PSAPs) with hearing-loss claims, that triggers FDA hearing-aid regulation. 
-   • Forgetting that pediatric hearing aids remain prescription-only under the OTC rule. 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Regulatory

510(k) Premarket Notification(510(k)) 

FDA submission demonstrating a device is substantially equivalent to a legally marketed predicate.





](/terms/510k)[

Regulatory

Premarket Approval(PMA) 

FDA's most stringent device marketing application, required for high-risk Class III devices.





](/terms/pma)

### More in Market Segments

· Same category 

[

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Software that analyzes medical images to triage, detect, or quantify disease.





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Implantable and external devices that monitor and treat cardiac arrhythmias, pacemakers, ICDs, CRT devices, and insertable cardiac monitors.





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Devices for diagnosing, monitoring, or treating cardiovascular disease.





](/terms/cardiovascular)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Strategic Landscape](/ecosystems/strategic-landscape)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

FDA· 1 MedTech Europe· 1 MedTech Dive· 1 

1.  [1 
    
    FDA, OTC Hearing Aids Final Rule
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/medical-devices/hearing-aids/otc-hearing-aids-what-you-should-know)
2.  [2 
    
    MedTech Europe - Facts & Figures
    
    Verified 
    
    MedTech Europe · medtecheurope.org 
    
    
    
    ](https://www.medtecheurope.org/datahub/)
3.  [3 
    
    MedTech Dive
    
    Verified 
    
    MedTech Dive · medtechdive.com 
    
    
    
    ](https://www.medtechdive.com/)

Inline markers like \[1\]  jump to the matching reference above.

Sponsor note

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MedTech Terms is a community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com). Definitions are independent of any vendor.

On this term

Category

Market Segments

Sources

3

Updated

5/9/2026

[Compare with another term](/compare?a=hearing-devices)

Learn in 60 seconds

Card Lesson Quiz

Air-conduction and bone-conduction hearing aids, OTC hearing aids, and cochlear implants, spanning Class I, II, and III pathways.

-   · OTC hearing aids brought new entrants (Apple AirPods Pro hearing-aid feature, Sony, Bose) and price compression on traditional prescription products. 
-   · Insurance coverage remains uneven; Medicare does not cover most hearing aids. 
-   · The 2022 OTC rule fundamentally restructured the consumer end of the market by allowing direct-to-consumer sale of mild-to-moderate hearing-loss devices to adults without an audiologist visit. 

Remember this

Watch out: Marketing personal sound amplification products (PSAPs) with hearing-loss claims, that triggers FDA hearing-aid regulation.

Related terms

-   [510(k) Premarket Notification(510(k)) ](/terms/510k)
-   [Premarket Approval(PMA) ](/terms/pma)

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Resources

-   [FDA Medical Devices](https://www.fda.gov/medical-devices)
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