Abstract: A system, method, and apparatus for iontophoretically delivering medically-active ions beyond the tympanic membrane, into a middle ear portion of a patient, and to an area or structure of the middle or inner ear that is targeted for treatment. The system and apparatus can include a needle configured partially for insertion through a tympanic membrane and having a longitudinal bore, a flexible lumen coupled with the needle, and typically a fluid source coupled with the lumen such that a fluid in the fluid source can be delivered from the fluid source, through the lumen and the needle, and into the middle ear. A positioning tab can be coupled with the needle to assist determining a proper insertion extent of the needle through the membrane.