A device to transmit an audio signal to a user, the user having an ear comprising an eardrum, the device comprising: a transducer; and a support configured for placement at least partially against the eardrum; wherein the transducer is coupled to the support at a first location and a second location to drive the eardrum when the support is placed at least partially on the eardrum, wherein the device further comprises a first attachment structure affixed to the support at the first location and wherein the first attachment structure is coupled to an elongate movable structure of the transducer; wherein the first location of the support is configured to correspond to at least one of a portion of a malleus of the ear or an umbo of the ear and the second location of the support is configured to correspond to at least one of a lateral process of the malleus or a bony part of the external ear canal when the support is placed on the eardrum, and wherein the second location is separated from the first location by a distance of at least 1 mm; and wherein the elongate movable structure extends along a first elongate dimension and comprises an armature configured to move in response to the audio signal, and wherein an extension structure extends from the elongate movable structure to the first attachment structure to couple the elongate movable structure to the first attachment structure, along a second elongate dimension which is transverse to the first elongate dimension; wherein the transducer is coupled to the support through at least one of (i) at least one structure comprising a compression structure configured to urge the transducer toward the eardrum to couple the transducer to the eardrum, and (ii) a conformable material so as to inhibit loading of the transducer and decrease occlusion when the support is coupled to the eardrum, and the conformable material can transmit substantially audible frequencies that correspond to hearing loss of the user. a transducer; and a support configured for placement at least partially against the eardrum; wherein the transducer is coupled to the support at a first location and a second location to drive the eardrum when the support is placed at least partially on the eardrum, wherein the device further comprises a first attachment structure affixed to the support at the first location and wherein the first attachment structure is coupled to an elongate movable structure of the transducer; wherein the first location of the support is configured to correspond to at least one of a portion of a malleus of the ear or an umbo of the ear and the second location of the support is configured to correspond to at least one of a lateral process of the malleus or a bony part of the external ear canal when the support is placed on the eardrum, and wherein the second location is separated from the first location by a distance of at least 1 mm; and wherein the elongate movable structure extends along a first elongate dimension and comprises an armature configured to move in response to the audio signal, and wherein an extension structure extends from the elongate movable structure to the first attachment structure to couple the elongate movable structure to the first attachment structure, along a second elongate dimension which is transverse to the first elongate dimension; wherein the transducer is coupled to the support through at least one of (i) at least one structure comprising a compression structure configured to urge the transducer toward the eardrum to couple the transducer to the eardrum, and (ii) a conformable material so as to inhibit loading of the transducer and decrease occlusion when the support is coupled to the eardrum, and the conformable material can transmit substantially audible frequencies that correspond to hearing loss of the user.