A
round window excitation type manual middle lug
actuator with the initial pressure capable of being monitored comprises a supporting device, a distance adjusting device, a shell and a telescopic device, the front end of the supporting device is connected with the distance adjusting device, the shell and the front end of the distance adjusting
device form a moving pair, the whole telescopic deviceis located in the shell, and the front end of the telescopic device directly acts on a
round window film; The supporting device is fixed on a bone wall opposite to the
round window membrane through an implantation operation; Telescopic device comprises an expansion device, a load indicator, a spring and a
coupling rod, the spring is arranged in the center of the rear end of the expansion piece and abuts against the rear wall of the inner side of the shell, the load indicator is arranged at the top of the rear end of the expansion piece, the expansion piece moves in the axial direction of theshell, the
coupling rod is arranged at the front end of the expansion piece and directly acts on the round window film, and the
maximum diameter of the front end of the
coupling rod is 1 mm. The support rigidity of the
actuator is improved, the loss of the output quantity of the
actuator is reduced, the hearing
compensation effect of the actuator is improved, and the initial pressure between the actuator and a round window film can be monitored.