Since 1996, the Vibroacoustic Bridge has been the most successful middle ear implant system in the field of auditory implants. It directly stimulates the vibrating structures of the middle ear in the most natural way of sound transmission. This “direct drive” stimulation results in superior sound quality while keeping the external ear canal open and comfortable. The vibrating sound bridge consists of two parts, in vivo and in vitro. The external part, called the auditory processor, can be worn on the head and is well concealed. The in vivo part, called the implant, generates mechanical vibrations that drive the middle ear structures. The vibrations can be amplified and adjusted to accommodate different types and degrees of deafness. For sensorineural deafness: the vibrating sound bridge provides an amplified vibration signal to the middle ear, compensating for decreased inner ear hearing; for conductive deafness: the vibrating sound bridge provides a vibration signal directly to the inner ear, replacing the diseased outer and middle ear; for mixed deafness: the vibrating sound bridge provides an amplified vibration signal to the inner ear, bypassing the diseased outer and middle ear, while compensating for decreased inner ear hearing.