A middle ear prosthesis comprises an ossicular attachment component contiguous with a vibration transmission element, the attachment component comprising a loop or other structure to surround and attach the prosthesis to an ossicle. The prosthesis has a plurality of recesses designed to be securely engaged by the jaws of an applicator or forceps into the recesses. This engagement can allow the attachment element to be opened or closed via an expanding or compressing force from the applicator. The recesses may be squared off in appearance or rounded and may have a complex shape to more precisely accommodate the jaws of the applicator. The applicator can also be angled, configured, and dimensioned to provide an optimum engagement with the prosthesis.
