{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T12:04:21Z","timestamp":1784808261146,"version":"3.55.0"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"German Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012246","name":"Priority Academic Program Development of Jiangsu Higher Education Institutions","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012246","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Hearing Research"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.heares.2026.109565","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T16:05:23Z","timestamp":1770307523000},"page":"109565","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Effect of coupler tip size on round window stimulation with the floating mass transducer under controlled preload"],"prefix":"10.1016","volume":"473","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5450-5958","authenticated-orcid":false,"given":"Houguang","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Ghoncheh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Schurzig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lenarz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Prenzler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"Maier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.heares.2026.109565_bib0001","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1177\/108471380200600302","article-title":"Methods and Applications of the Audibility Index in Hearing Aid Selection and Fitting","volume":"6","author":"Amlani","year":"2002","journal-title":"Trends Amplif"},{"issue":"1","key":"10.1016\/j.heares.2026.109565_bib0002","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.heares.2009.12.019","article-title":"The floating mass transducer at the round window: direct transmission or bone conduction?","volume":"263","author":"Arnold","year":"2010","journal-title":"Hear. Res."},{"issue":"1","key":"10.1016\/j.heares.2026.109565_bib0003","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/MAO.0b013e3181c34ee0","article-title":"Factors improving the vibration transfer of the floating mass transducer at the round window","volume":"31","author":"Arnold","year":"2010","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.heares.2026.109565_bib0004","series-title":"Standard Practice For Describing System Output of Implantable Middle Ear Hearing Devices","year":"2005"},{"issue":"8","key":"10.1016\/j.heares.2026.109565_bib0005","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.1097\/MAO.0000000000000332","article-title":"Is the Human Round Window Really Round? An Anatomic Study With Surgical Implications","volume":"35","author":"Atturo","year":"2014","journal-title":"Otology & Neurotology"},{"issue":"1","key":"10.1016\/j.heares.2026.109565_bib0006","doi-asserted-by":"crossref","first-page":"9","DOI":"10.17430\/JHS.2021.11.1.1","article-title":"Design and development of the vibrant soundbridge \u2013 a 25-year perspective","volume":"11","author":"Ball","year":"2021","journal-title":"J Hear Sci"},{"issue":"6","key":"10.1016\/j.heares.2026.109565_bib0007","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1002\/lio2.495","article-title":"Implantable Hearing Aids: where are we in 2020?","volume":"5","author":"Banakis Hartl","year":"2020","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"1\u20132","key":"10.1016\/j.heares.2026.109565_bib0008","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.heares.2010.02.007","article-title":"Evaluation of implantable actuators by means of a middle ear simulation model","volume":"263","author":"Bornitz","year":"2010","journal-title":"Hear Res"},{"issue":"2","key":"10.1016\/j.heares.2026.109565_bib0009","doi-asserted-by":"crossref","DOI":"10.1115\/1.4055237","article-title":"Finite Element Model of a Piezo-Electric Actuator Coupled to the Middle Ear","volume":"145","author":"Burovikhin","year":"2023","journal-title":"J Biomech Eng"},{"issue":"3","key":"10.1016\/j.heares.2026.109565_bib0010","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1080\/14992027.2024.2360031","article-title":"An easy method to determine crucial AMEI performance parameters from clinical routine data in individuals - Part 2: dynamic range","volume":"64","author":"Busch","year":"2025","journal-title":"Int J Audiol"},{"issue":"10","key":"10.1016\/j.heares.2026.109565_bib0011","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1080\/14992020600840903","article-title":"Treatment of mixed hearing losses via implantation of a vibratory transducer on the round window","volume":"45","author":"Colletti","year":"2006","journal-title":"Int J Audiol"},{"key":"10.1016\/j.heares.2026.109565_bib0012","doi-asserted-by":"crossref","DOI":"10.1016\/j.heares.2022.108512","article-title":"Round window stimulation with an interface coupler demonstrates proof of concept","volume":"421","author":"Frear","year":"2022","journal-title":"Hear Res"},{"issue":"5","key":"10.1016\/j.heares.2026.109565_bib0013","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1097\/MAO.0000000000001028","article-title":"Loads and Coupling Modalities Influence the Performance of the Floating Mass Transducer as a Round Window Driver","volume":"37","author":"Gostian","year":"2016","journal-title":"Otology & Neurotology"},{"issue":"11","key":"10.1016\/j.heares.2026.109565_bib0014","doi-asserted-by":"crossref","first-page":"3651","DOI":"10.1007\/s00405-016-3997-2","article-title":"Performance of the round window soft coupler for the backward stimulation of the cochlea in a temporal bone model","volume":"273","author":"Gostian","year":"2016","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"1","key":"10.1016\/j.heares.2026.109565_bib0015","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-017-16107-9","article-title":"Validation of methods for prediction of clinical output levels of active middle ear implants from measurements in human cadaveric ears","volume":"7","author":"Grossohmichen","year":"2017","journal-title":"Sci Rep"},{"issue":"10278","key":"10.1016\/j.heares.2026.109565_bib0016","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/S0140-6736(21)00516-X","article-title":"Hearing loss prevalence and years lived with disability, 1990-2019: findings from the Global Burden of Disease Study 2019","volume":"397","author":"Haile","year":"2021","journal-title":"Lancet"},{"key":"10.1016\/j.heares.2026.109565_bib0017","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2021.777010","article-title":"Round Window Stimulation of the Cochlea","volume":"12","author":"Jenkins","year":"2021","journal-title":"Front Neurol"},{"key":"10.1016\/j.heares.2026.109565_bib0018","first-page":"1","article-title":"Vibrant Soundbridge Round Window Vibroplasty: safety, Coupling Efficiency, and Speech Outcome of the Most Common Coupling Modalities","author":"Knolke","year":"2025","journal-title":"Audiol Neurootol"},{"issue":"3","key":"10.1016\/j.heares.2026.109565_bib0019","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1002\/lio2.812","article-title":"The Hannover Coupler V2: audiological outcomes of a round window coupler for the Vibrant Soundbridge","volume":"7","author":"Knolke","year":"2022","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"1","key":"10.1016\/j.heares.2026.109565_bib0020","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-022-21245-w","article-title":"Methods and reference data for middle ear transfer functions","volume":"12","author":"Koch","year":"2022","journal-title":"Sci Rep"},{"issue":"10","key":"10.1016\/j.heares.2026.109565_bib0021","doi-asserted-by":"crossref","first-page":"e1060","DOI":"10.1097\/MAO.0000000000001996","article-title":"Case Report of a New Coupler for Round Window Application of an Active Middle Ear Implant","volume":"39","author":"Lenarz","year":"2018","journal-title":"Otol Neurotol"},{"issue":"2","key":"10.1016\/j.heares.2026.109565_bib0022","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1097\/MAO.0000000000002911","article-title":"Investigating the Geometry and Mechanical Properties of Human Round Window Membranes Using Micro-Fringe Projection","volume":"42","author":"Liang","year":"2021","journal-title":"Otol Neurotol"},{"issue":"14","key":"10.1016\/j.heares.2026.109565_bib0023","doi-asserted-by":"crossref","first-page":"18727","DOI":"10.1007\/s11071-025-11149-5","article-title":"Effect of electromagnetic transducer design parameters on round-window stimulation in otosclerosis: a nonlinear dynamic analysis","volume":"113","author":"Liu","year":"2025","journal-title":"Nonlinear Dyn"},{"key":"10.1016\/j.heares.2026.109565_bib0024","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.heares.2012.12.010","article-title":"The effect of static force on round window stimulation with the direct acoustic cochlea stimulator","volume":"301","author":"Maier","year":"2013","journal-title":"Hear Res"},{"issue":"7","key":"10.1016\/j.heares.2026.109565_bib0025","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1097\/MAO.0000000000000790","article-title":"Does Coupling and Positioning in Vibroplasty Matter? A Prospective Cohort Study","volume":"36","author":"Marino","year":"2015","journal-title":"Otology & Neurotology"},{"issue":"5","key":"10.1016\/j.heares.2026.109565_bib0026","doi-asserted-by":"crossref","first-page":"79","DOI":"10.3390\/jimaging7050079","article-title":"Determination of the Round Window Niche Anatomy Using Cone Beam Computed Tomography Imaging as Preparatory Work for Individualized Drug-Releasing Implants","volume":"7","author":"Matin","year":"2021","journal-title":"J Imaging"},{"issue":"8","key":"10.1016\/j.heares.2026.109565_bib0027","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1097\/MAO.0000000000001484","article-title":"The Hannover Coupler: controlled Static Prestress in Round Window Stimulation With the Floating Mass Transducer","volume":"38","author":"Muller","year":"2017","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.heares.2026.109565_bib0028","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/3701954","article-title":"Redesign of the Hannover Coupler: optimized Vibration Transfer from Floating Mass Transducer to Round Window","volume":"2018","author":"Muller","year":"2018","journal-title":"Biomed Res Int"},{"issue":"3","key":"10.1016\/j.heares.2026.109565_bib0029","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/MAO.0b013e3181c0ea9f","article-title":"Evaluation of round window stimulation using the floating mass transducer by intracochlear sound pressure measurements in human temporal bones","volume":"31","author":"Nakajima","year":"2010","journal-title":"Otol Neurotol"},{"issue":"6","key":"10.1016\/j.heares.2026.109565_bib0030","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1097\/MAO.0b013e3181e8fc21","article-title":"Analysis of Vibrant Soundbridge Placement Against the Round Window Membrane in a Human Cadaveric Temporal Bone Model","volume":"31","author":"Pennings","year":"2010","journal-title":"Otology & Neurotology"},{"issue":"1","key":"10.1016\/j.heares.2026.109565_bib0031","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s00405-020-06064-x","article-title":"A retrospective European multicenter analysis of the functional outcomes after active middle ear implant surgery using the third generation vibroplasty couplers","volume":"278","author":"Rahne","year":"2021","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"2","key":"10.1016\/j.heares.2026.109565_bib0032","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/MAO.0b013e318206fda1","article-title":"Impact of floating mass transducer coupling and positioning in round window vibroplasty","volume":"32","author":"Rajan","year":"2011","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.heares.2026.109565_bib0033","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.heares.2014.04.001","article-title":"Round window stimulation with the floating mass transducer at constant pretension","volume":"314","author":"Salcher","year":"2014","journal-title":"Hear Res"},{"issue":"2","key":"10.1016\/j.heares.2026.109565_bib0034","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1159\/000333807","article-title":"Conditions for highly efficient and reproducible round-window stimulation in humans","volume":"17","author":"Schraven","year":"2012","journal-title":"Audiol Neurootol"},{"issue":"2","key":"10.1016\/j.heares.2026.109565_bib0035","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.otc.2018.11.011","article-title":"Totally Implantable Active Middle Ear Implants","volume":"52","author":"Seidman","year":"2019","journal-title":"Otolaryngol Clin North Am"},{"issue":"9","key":"10.1016\/j.heares.2026.109565_bib0036","first-page":"560","article-title":"The active middle ear implant for the rehabilitation of sensorineural, mixed and conductive hearing losses","volume":"90","author":"Sprinzl","year":"2011","journal-title":"Laryngorhinootologie"},{"key":"10.1016\/j.heares.2026.109565_bib0037","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.heares.2012.11.005","article-title":"Comparison of forward (ear-canal) and reverse (round-window) sound stimulation of the cochlea","volume":"301","author":"Stieger","year":"2013","journal-title":"Hear Res"},{"issue":"5","key":"10.1016\/j.heares.2026.109565_bib0038","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1159\/000283006","article-title":"Round window membrane implantation with an active middle ear implant: a study of the effects on the performance of round window exposure and transducer tip diameter in human cadaveric temporal bones","volume":"15","author":"Tringali","year":"2010","journal-title":"Audiol Neurootol"},{"issue":"03","key":"10.1016\/j.heares.2026.109565_bib0039","doi-asserted-by":"crossref","DOI":"10.1142\/S0219519418500331","article-title":"Study On Vibration Characteristics And Transmission Performance Of Round Window Membrane Under Inverse Excitation","volume":"18","author":"Yao","year":"2018","journal-title":"J Mech Med Biol"},{"issue":"4","key":"10.1016\/j.heares.2026.109565_bib0040","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1159\/000444616","article-title":"Multicenter Clinical Trial of Vibroplasty Couplers to Treat Mixed\/Conductive Hearing Loss: first Results","volume":"21","author":"Zahnert","year":"2016","journal-title":"Audiol Neurootol"},{"issue":"6","key":"10.1016\/j.heares.2026.109565_bib0041","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1159\/000495560","article-title":"Long-Term Outcomes of Vibroplasty Coupler Implantations to Treat Mixed\/Conductive Hearing Loss","volume":"23","author":"Zahnert","year":"2018","journal-title":"Audiol Neurootol"},{"issue":"1","key":"10.1016\/j.heares.2026.109565_bib0042","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1121\/10.0009313","article-title":"Effects of design and coupling parameters on the performance of electromagnetic transducers in round-window stimulation","volume":"151","author":"Zhao","year":"2022","journal-title":"J Acoust Soc Am"}],"container-title":["Hearing Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0378595526000419?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0378595526000419?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:38:52Z","timestamp":1784806732000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0378595526000419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":42,"alternative-id":["S0378595526000419"],"URL":"https:\/\/doi.org\/10.1016\/j.heares.2026.109565","relation":{},"ISSN":["0378-5955"],"issn-type":[{"value":"0378-5955","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effect of coupler tip size on round window stimulation with the floating mass transducer under controlled preload","name":"articletitle","label":"Article Title"},{"value":"Hearing Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.heares.2026.109565","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109565"}}