ent product & instrument catalog further information, please call medtronic ent at 800-874-5797...

ENT Product & Instrument Catalog 2010-2011

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Caution: Federal (USA) law restricts these devices to sale by or on the order of a physician. Refer to product package insert for instructions, warnings, precautions and complications.

ENT Product and Instrum

ent Catalog | 2010-2011

For further information, please call Medtronic ENT at 800-874-5797 or 904-296-9600. You may also consult our website at www.MedtronicENT.com.

Medtronic ENTMedtronic USA, Inc.6743 Southpoint Drive NorthJacksonville, FL 32216 USAwww.MedtronicENT.comToll free: (800) 874-5797Fax: (800) 678-3995

International Phone NumbersAdriatic Reg. Office 385-1-488-1120 Australia 1800-668-670 Baltic Reg. Office 37-1-67560226 Belgium 32-2456-09-09 Canada 1800-217-1617 China 86-21-50800998 Czech Republic 420-2-9657-9580 France 33-470-679-800 Germany 49-2159-8149 209 Greece 30-210-67-79-099 Hong Kong 852-2919-1312 Hungary 36-30-5052987 India 91-22-26836733 Israel 972-9-972-4400

Italy 39-02-24137-324 Japan 81-6-4795-1506 Korea 82-2-3404-3600 Lebanon 961-1-370-670 Luxembourg 32-2456-09-09 Netherlands 31-45-566-8800 Poland 48-22-465-6942 Russian Federation 7 495 580 73 77 Singapore 65-6776-6255 South Africa 27 11 466-1820 Spain 34-91-625-05-40 UK 44-1923-205-166 USA 1-904-296-9600

107800-874-5797 • www.MedtronicENT.com

Ventilation Tubes andMyringotomy Accessories

Ventilation Tubes and Myringotomy Accessories . . . . . . 109Activent® Antimicrobial Ventilation Tube - Black™ 109C-Flex® Ventilation Tube - Sea Green 109Fluoroplastic - Green or White 109Microgel® Surface-Enhanced Ventilation Tube - Green 109Silicone - Green 109Stainless Steel - Bright or Matte Finish 109Titanium 109

Ventilation Tubes: Grommets . . . . . . . . . . . . . . . . . . . . . . . . . . . 110Armstrong Beveled Grommets 110Armstrong Beveled Grommets, Modified 110Armstrong V Grommets 110Baxter Beveled Buttons 111Baxter Beveled T-Grommets 111Beveled Bobbins 111Cohen T-Grommets 111Donaldson-Type Tubes 112Goode T-Grommets 112Hubbard Airplane Tube 112Moretz Tab Vent Tubes 113Paparella-Type Vent Tubes 113Pope Beveled Grommets 114Reuter Bobbins 115Rube T-Grommet 115Shah-Type Ventilation Tubes 116Sheehy-Type Collar Buttons 116Shepard Grommets 117Soileau Tytan® Titanium Ventilation Tubes 117Spoon Bobbins 117Touma Beveled T-Grommet 118Touma T-Type Grommets 118Umbrella Ventilation Tubes 118V-T Grommet Ventilation Tubes 118Venturi™ Style Ventilation Tubes 118

Ventilation Tubes: Long-Term . . . . . . . . . . . . . . . . . . . . . . . . . . 119Goode T-Tubes® 119Goode T-Tubes, Modified 119Hoffman Permanent Vent Tubes 119Per-Lee Tube 120Siegel T-Tubes 120Silverstein Permanent Aeration Tubes (SPAT) 120T-Type Vent Tubes 120

Ventilation Tubes: Pediatric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121Pediatric Ventilation Tubes 121

Ventilation Tubes: Semi-Permeable . . . . . . . . . . . . . . . . . . . . 121Semi-Permeable Membrane Tubes 121

Ventilation Tubes: Shank Style . . . . . . . . . . . . . . . . . . . . . . . . . . 122Armstrong Beveled Straight Shanks 122Armstrong V Tubes 122Plain Straight Shanks 122

Tympanic Membrane Patcher . . . . . . . . . . . . . . . . . . . . . . . . . . 123Tympanic Membrane (TM) Patcher 123

Myringotomy Accessories and Instruments . . . . . . . . . . . . 123E/Z Load T-Tube Inserter and Replacement Pin 123Micro Otologic Blade, Downcutting, Angled 123Micro Otologic Blade, Razor 124Micro Otologic Blade, Spear 124Micro Otologic Blade, Spear, Angled 124Micro Otologic Blade, Upcutting, Angled 124Myringotomy Blade, Narrow 124Myringotomy Blade, Spear Tip 125Myringotomy Knife, Lance Blade 125Myringotomy Knife, Spear Blade 125E/Z Chuck Blade Handle 125LiteTouch Uni-Handle 126Disposable Myringotomy Kit, Adult and Pediatric 126

Ventilation Tubes andM

yringotomy A

ccessories

109800-874-5797 • www.MedtronicENT.com

Ventilation Tubes and Myringotomy Accessories

Activent® Antimicrobial Ventilation Tube - Black™

• Silver oxide-impregnated silicone elastomer or fluoroplastic• Clinically shown to significantly reduce the incidence of postoperative otorrhea compared to conventional ventilation tube materials• Same handling characteristics as silicone or fluoroplastic ventilation tubes

C-Flex® Ventilation Tube - Sea Green

• Advanced thermoplastic elastomer • Surface characteristics may reduce early clogging of the tube lumen• Available in regular durometer (C-Flex) and firm (H/C-Flex) • Proven biocompatibility and biomechanical properties

Fluoroplastic - Green or White

• Non-stick surfaces may reduce or preclude clogging or adhesions to the tube• Rigid material to facilitate tube insertion• Proven biocompatibility

Microgel® Surface-Enhanced Ventilation Tube - Green

• Patented modified PVP coating increases the surface energy of silicone, reducing bacterial adherence by more than 90%• Same handling characteristics as silicone

Silicone - Green

• Soft, easy to manipulate• Proven biocompatibility in otologic applications• Silicone elastomer tubes are easily compressed to aid in insertion while retaining shape • Some tubes available in a firmer durometer

Stainless Steel - Bright or Matte Finish

• Rigid for easy insertion• Clinical history of biocompatibility in the ear

Titanium

• Tytan® titanium vent tubes have micro-polished lumens and flanges to discourage occlusion with blood, mucus, or edemal fluids• Interflange recess is finished in Vapo-Lure process to maximize retention and to resist early extrusion • Titanium is lightweight — about one-half the weight of stainless steel

All dimensions are approximate.

ID = Inner Diameter OFD = Outer Flange Diameter IFD = Inner Flange Diameter IFDis = Interflange Distance L = Length FL = Flange Length

800-874-5797 • www.MedtronicENT.com 127

Ossicular ReconstructionImplants and Accessories

Biomaterials for Ossicular Reconstruction . . . . . . . . . . . . . . 129Polycel® Porous Ultra High Molecular-Weight Polyethylene 129Hydroxylapatite 129H/A-Coated Polycel 129Platinum 129Titanium 129Stainless Steel 129Fluoroplastic 129Flex H/A® 129

Stapedectomy/Stapedotomy Implants: Pistons . . . . . . . . 130The Big Easy® Piston 130MicroFrance® Gardini Crimper 130Causse Loop Pistons 130Causse Large Loop Pistons 131Causse Loop with Stapes Tendon Attachment 131Causse Malleus Loop with Malleable Shaft 131De la Cruz Pistons 132Fisch Platinum and Fluoroplastic Pistons 132Fisch Stainless Steel and Fluoroplastic Pistons 132Fluoroplastic and Platinum Pistons 133House-Type Piston and Wire 133House-Type Wire Loop 133Lesinski Platinum and Fluoroplastic Stapedotomy Pistons 133Lesinski Modified Loop Platinum and Fluoroplastic Pistons 134Mangham Platinum and Fluoroplastic Pistons with Depth Gauge 134McGee Pistons – Incus Attachment 134McGee Pistons – Malleus Attachment, Large Hook 135McGee Modified Loop Pistons 135Portmann Piston – Clip 135Scheer Piston and Wire 136Schuknecht-Type Piston and Wire 136

Stapedectomy/Stapedotomy Implants: Cupped Pistons 137Bailey/Pappas Modified Cupped Pistons 137Causse Polycel® Bucket Prosthesis with Malleable Shaft 137Cupped Pistons 137Lippy Modified Cupped Pistons 138Modified Cupped Pistons 138Roberson Stapes Prostheses 138Robinson Cupped Pistons 139Robinson-Moon Offset Cupped Pistons 139Robinson-Moon-Lippy Offset Cupped Pistons 139

Universal Ossicular Reconstruction Implants . . . . . . . . . . . 140Universal Titanium Prosthesis, Vincent Head, with Shoe 140Universal Titanium Prostheses 140Bojrab Universal Prosthesis 140Convertible Prosthesis – Total, Partial, or Strut 140

Universal Ossicular Reconstruction Implants: Dense H/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Bojrab Centered Universal Prosthesis 141Bojrab Offset Universal Prosthesis 141

Universal Ossicular Reconstruction Implants . . . . . . . . . . . 141Garcia-Ibanez Notched Universal Prosthesis 141Campbell Universal Prosthesis 141

Universal Ossicular Reconstruction Implants: Polycel® . 142Bojrab Universal Polycel Prosthesis 142

Partial Ossicular Reconstruction Implants: Titanium . . . 142Partial Titanium Prosthesis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Vincent Partial Titanium Prosthesis 142

Partial Ossicular Reconstruction Implants: Dense Hydroxylapatite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Incus Partial Prosthesis 143Mushroom Head Partial with Malleable Link 143Notched Offset Partial 143Offset Mushroom Head Partial with Malleable Link 143Partial 75° Rectangular 144Partial 90° Off-Center Round 144Partial 90° Rectangular 144Partial 90° Round 144Mushroom Cap Prostheses 145Cam Cap Prostheses 145Schwaber Cap Prosthesis 145Silverstein Incus-Stapes Connector 145

Partial Ossicular Reconstruction Implants: Flex H/A® . . . 146Causse Mini-Head Partial with Malleable Link 146Causse Notched Offset Partial with Malleable Link 146Causse-Vincent Notched Narrow Partial with Short Malleable Link 146Centered Partial with Malleable Link 146Centered Partial, Non-Malleable 146Haberman Notched Partial with Offset Malleable Link 147Lesinski Offset Partial with Malleable Link 147Malleus Cradle Partial with Malleable Link 147Mansfield Smith Strut Prosthesis Partial 147Millen Thin Head Partials, Non-Malleable 148Notched Offset Partial with Malleable Link 148Notched Offset Partial, Non-Malleable 148Offset Partial with Malleable Link 148Schwaber Offset Partial, Non-Malleable 148Schwaber Offset Partial with Malleable Link 149Wiet Offset Partial with Malleable Link 149

Medtronic ENT Product & Instrument Catalog128

Ossicular Reconstruction Implants and Accessories

Partial Ossicular Reconstruction Implants: Flex H/A® Necrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

Causse Tri-Axial Incus Necrosis Prosthesis 150Flex H/A Incus Necrosis Prostheses 150Incus Necrosis Prosthesis with Tympanic Membrane Interface 150

Partial Ossicular Reconstruction Implants: Hydroxylapatite-Coated Polycel® . . . . . . . . . . . . . . . . . . . . . . . 151

Brackmann Partial 151Moretz Malleus Strut Short, Angled and Straight 151Sheehy Partial Ossicular Prosthesis (POP) 151

Partial Ossicular Reconstruction Implants: H/A Combination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Causse Malleus Head Partial 152Moretz Cam Head Partial 152Moretz Cam Head Partial 152Moretz Mushroom Head Partial 152

Partial Ossicular Reconstruction Implants: Polycel® . . . . . 153Austin Modified Partial 153Causse Fluoroplastic Partial 153Moretz Malleus Strut Partials 153Moretz Peg-Top® Partial 153Sheehy Partial Ossicular Prosthesis (POP) 154

Partial Ossicular Reconstruction Implants: Dense Hydroxylapatite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Causse Notched Offset Total with Short Malleable Link 154Mushroom Head Total with Malleable Link 154Notched Offset Total 154Notched Offset Total with Malleable Link 155Offset Mushroom Head Total with Malleable Link 155Robinson Malleus-to-Oval Window Prostheses 155Total 75° Rectangular 155Total 90° Rectangular 155Total 90° Round 156Total 90° Off-Center Round 156

Total Ossicular Reconstruction Implants: Flex H/A®. . . . . 156Causse MicroLite Total with Short Malleable Link 156Causse Mini-Head Total with Malleable Link 156Causse Notched Offset Total with Malleable Link 157Causse Notched Offset Total with Short Malleable Link 157Causse/Parahy Flex H/A® 157Causse-Vincent Notched Narrow Cap with Stainless Steel Wire 157Centered Total with Malleable Link 158Centered Total, Non-Malleable 158Haberman Malleable Offset Totals 158Lesinski Malleable Offset Totals with Oval Shafts 158Lesinski Offset Total with Malleable Link 159Malleus Cradle Total with Malleable Link 159Millen Thin Head Total, Non-Malleable 159Millen Thin Head Notched Total, Non-Malleable 159Moretz Mushroom Head Total 160Moretz Cam Head Total 160Moretz Malleus Head Totals 160Notched Offset Total with Malleable Link 160Offset Total with Malleable Link 161Schwaber Total with Malleable Link 161Schwaber Total, Non-Malleable 161

Total Ossicular Reconstruction Implants: Hydroxylapatite-Coated Polycel® . . . . . . . . . . . . . . . . . . . . . . . 162

Wiet Offset Total with Malleable Link 162Brackmann Total 162Moretz Malleus Strut, Long 162Sheehy Total Ossicular Prosthesis (TOP) 162

Total Ossicular Reconstruction Implants: H/A Combination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

Causse Cam Head Total with Shoe 163Causse Delta Head Total 163Causse Malleus Head Total with Shoe 163Causse Mushroom Head Total with Shoe 163Causse Stapedotomy Revision Prosthesis with Short Malleable Link 164Lesinski Stapedotomy Revision Prosthesis with Malleable Link 164Moretz Cam Head Total 164Moretz Malleus Head Total 164Moretz Mini Head Total 165Moretz Mushroom Head Total 165

Total Ossicular Reconstruction Implants: Polycel® . . . . . . 165Austin Modified Total 165Brackmann Modified Total 165Fisch Modified Total 166Fisch Spandrel II Total with Shoe 166Moretz Malleus Strut Total 166Moretz Peg-Top® Total 166Polycel® Malleus-to-Footplate Strut 167Sheehy Total Ossicular Prosthesis (TOP) 167

Middle Ear Liners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167Causse Stapes Sheet 167Silverstein Silicone Disc 167Silverstein Silicone Implant 168Wehrs Mastoid Implant 168Wehrs Tympanoplasty Implant 168Silverstein Packing Strips 168

Endolymphatic Shunts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169Austin Endolymphatic Shunts 169Pulec Endolymphatic Shunts 169

Middle Ear Specialty Instruments . . . . . . . . . . . . . . . . . . . . . . 169Hubbard Micro-Worktable, Complete Set 169Juhn Tym-Tap® Middle Ear Fluid Aspirator/Collector 169Microsurgical Gauge 170Moretz Trimming Block 170Prosthesis Grasping Forceps 170Prosthesis Cutting Scissors 170Tympanocentesis Collector 171Universal Speculum Holder Set 171Disposable Suction Handle with Bypass Control 171MicroLite Disposable Suction Needles 171

External Ear Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172External Ear Protector, Hard 172External Ear Protector, Soft 172

Universal Ossicular Reconstruction Implants: Dense H/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172

Tympanic Membrane (TM) Patcher 172

Universal Ossicular Reconstruction Implants: Otology Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Bio-Flek® Surgical Head Supports 173Thornton Headrest 173

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Biomaterials for Ossicular Reconstruction

Polycel® Porous Ultra High Molecular-Weight Polyethylene

• Porous polyethylene material is well-tolerated in middle ear applications • Porous surface permits tissue ingrowth that stabilizes implant and provides secure reconstruction • Clinical history in middle ear reconstruction is well-documented • Polycel is easy to configure with a knife or scissors

Hydroxylapatite

• Dense hydroxylapatite (calcium phosphate ceramic) closely resembles natural bone • Biocompatible, non-organic alternative to homographs • Stabilized H/A implants provide excellent sound conduction and resist degradation • Sculpting and shaping is performed with a diamond bur under irrigation

H/A-Coated Polycel

• Combines the best features of Polycel and hydroxylapatite by providing a coating of H/A on targeted areas of the prosthesis • Implant is easily tailored and lightweight, with H/A located where bone or tissue interfaces are desired

Platinum

• Non-corrosive, biocompatible, non-magnetic • Platinum ribbons are malleable and retain their shape once crimped • 99.99% pure platinum, non-ferromagnetic

Titanium

• Lightweight metal • Biocompatible, non-ferromagnetic, ASTM F-136 and F-67

Stainless Steel

• Excellent sound conduction qualities, well-tolerated in middle ear environment • Polished surfaces resist adhesions • ASTM F-138 (Type 316)

Fluoroplastic

• Rigidity provides excellent sound conduction while smooth, non-stick surface minimizes adhesions • Excellent clinical history in stapedotomy, stapedectomy, and ossicular chain reconstruction • Proven biocompatibility in middle ear applications

Flex H/A®

• Unique blend of biomaterials combines the biocompatibility of dense H/A with the handling characteristics of silicone • Non-porous surface resists adhesions • Easy to trim or configure with knife or scissors


Stapedectomy/Stapedotomy Implants: Pistons

The Big Easy® Piston

• Triple width platinum loop is easier to crimp• Stronger, double width platinum shaft is less likely to crumple on insertion• Shorter titanium body makes it easier to see the footplate• Clear depth marker• Offset piston with angled shaft accommodates partial necrosis of the incus• Right and left versions• MRI-safe

Product Description SD L Qty

1156601 Straight, Platinum and Titanium 0.5 mm 4.00 mm 1 1156602 Straight, Platinum and Titanium 0.5 mm 4.25 mm 1 1156603 Straight, Platinum and Titanium 0.5 mm 4.50 mm 1 1156604 Straight, Platinum and Titanium 0.5 mm 4.75 mm 1 1156611 Left Ear Offset, Platinum and Titanium 0.5 mm 4.50 mm 1 1156612 Left Ear Offset, Platinum and Titanium 0.5 mm 4.75 mm 1 1156613 Left Ear Offset, Platinum and Titanium 0.5 mm 5.00 mm 1 1156621 Right Ear Offset, Platinum and Titanium 0.5 mm 4.50 mm 1 1156622 Right Ear Offset, Platinum and Titanium 0.5 mm 4.75 mm 1 1156623 Right Ear Offset, Platinum and Titanium 0.5 mm 5.00 mm 1

MicroFrance® Gardini Crimper

• Placing The Big Easy Piston is even easier with the Gardini Crimper• The wider jaw of the crimper fits the larger piston band for smooth, stable placement

Developed in conjunction with Bertrand Gardini, MD

Product Qty

MCO261 1

Causse Loop Pistons

• Especially suitable for the techniques of Jean-Bernard Causse, MD, in performing a posterior stapedotomy

• A diamond bur is used to make a hole in the third posterior part of the footplate and a large vein graft is interpositioned in the hole. The slim shaft is thus discouraged from pressing upon the saccule in case of vacuum in the middle ear

Endorsed by Jean-Bernard Causse, MD, Béziers, France

Product Description LID SD L Qty

1156314 Fluoroplastic 0.6 mm 0.4 mm 6.0 mm 1 1156316 Fluoroplastic 0.6 mm 0.6 mm 6.0 mm 1

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Causse Large Loop Pistons

• Larger loop inside diameter of 0.8 mm allows easier adaptation to variation of incus sizes in stapedotomy techniques

• Fluoroplastic helps to minimize adhesions


Product Description LID SD L Qty

1129015 Fluoroplastic 0.8 mm 0.3 mm 4.5 mm 1 1129020 Fluoroplastic 0.8 mm 0.3 mm 5.0 mm 1 1129030 Fluoroplastic 0.8 mm 0.3 mm 6.0 mm 1 1156241 Fluoroplastic 0.8 mm 0.4 mm 6.0 mm 1 1129040 Fluoroplastic 0.8 mm 0.6 mm 4.0 mm 1 1129045 Fluoroplastic 0.8 mm 0.6 mm 4.5 mm 1 1129050 Fluoroplastic 0.8 mm 0.6 mm 5.0 mm 1 1129055 Fluoroplastic 0.8 mm 0.6 mm 6.0 mm 1 1129065 Fluoroplastic 0.8 mm 0.8 mm 4.5 mm 1 1129070 Fluoroplastic 0.8 mm 0.8 mm 5.0 mm 1

Causse Loop with Stapes Tendon Attachment

• Stapedial tendon can be reattached to Polycel platform on the shaft for possible improved hearing qualities

• Tendon attachment only is also available and made of Polycel (1131050)



1131000 Fluoroplastic and Polycel® 0.4 mm 4.5 mm 1 1131050 Tendon Attachment Only – Polycel 1

Causse Malleus Loop with Malleable Shaft

• Stainless steel core allows optimal alignment and positioning between malleus and footplate• Opening in loop at 2 o’clock position provides secure attachment to malleus



1133191 Fluoroplastic and Stainless Steel 0.4 mm 12 mm 1


SD = Shaft Diameter LID = Loop Inner Diameter L = Length



De la Cruz Pistons

• Shortened piston shaft for improved visibility during placement in stapedotomy techniques

• Round platinum (0.127 mm diameter) wire converges to a flat ribbon shape in the loop portion

Endorsed by Antonio De la Cruz, MD, Los Angeles, CA

Product Description SD SL L Qty

1156278 Platinum and Fluoroplastic 0.6 mm 1.25 mm 3.75 mm 1 1156279 Platinum and Fluoroplastic 0.6 mm 1.25 mm 4.00 mm 1 1156280 Platinum and Fluoroplastic 0.6 mm 1.25 mm 4.25 mm 1 1156281 Platinum and Fluoroplastic 0.6 mm 1.25 mm 4.50 mm 1 1156282 Platinum and Fluoroplastic 0.6 mm 1.25 mm 4.75 mm 1 1156283 Platinum and Fluoroplastic 0.6 mm 1.25 mm 5.00 mm 1 1156479 Stainless Steel and Fluoroplastic 0.6 mm 1.25 mm 4.00 mm 1 1156480 Stainless Steel and Fluoroplastic 0.6 mm 1.25 mm 4.25 mm 1 1156481 Stainless Steel and Fluoroplastic 0.6 mm 1.25 mm 4.50 mm 1

Fisch Platinum and Fluoroplastic Pistons

• Featuring round platinum wire converging to a flat ribbon shape in the loop• Closes uniformly with very slight pressure; can be cut to desired length• 0.4 mm diameter preferred by Professor Fisch for stapedotomies

Endorsed by Professor Ugo Fisch, Zurich, Switzerland


1156234 Platinum and Fluoroplastic 0.4 mm 4.0 mm 6.0 mm 1 1156235 Platinum and Fluoroplastic 0.5 mm 4.0 mm 6.0 mm 1 1156236 Platinum and Fluoroplastic 0.6 mm 4.0 mm 6.0 mm 1 0440 Platinum and Fluoroplastic 0.4 mm 4.6 mm 8.8 mm 1

Fisch Stainless Steel and Fluoroplastic Pistons

• Round stainless steel wire with fluoroplastic piston shaft helps minimize adhesions• Can be cut to desired length

Endorsed by Professor Ugo Fisch, Zurich, Switzerland


1156324 Stainless Steel and Fluoroplastic 0.4 mm 4 mm 6 mm 1 1156325 Stainless Steel and Fluoroplastic 0.5 mm 4 mm 6 mm 1 1156326 Stainless Steel and Fluoroplastic 0.6 mm 4 mm 6 mm 1 9100420 Stainless Steel and Fluoroplastic 0.5 mm 4 mm 6 mm 1


SD = Shaft Diameter SL = Shaft Length L = Length

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Fluoroplastic and Platinum Pistons

• Featuring round platinum wire converging to a flat ribbon shape in the loop• Closes uniformly with very slight pressure• Ductile, biocompatible platinum retains its closure


1156221 Platinum and Fluoroplastic 0.5 mm 2.5 mm 4.00 mm 1 1156222 Platinum and Fluoroplastic 0.5 mm 2.5 mm 4.25 mm 1 1156223 Platinum and Fluoroplastic 0.5 mm 2.5 mm 4.50 mm 1 1156224 Platinum and Fluoroplastic 0.5 mm 2.5 mm 4.75 mm 1 1156255 Platinum and Fluoroplastic 0.6 mm 2.5 mm 4.00 mm 1 1156256 Platinum and Fluoroplastic 0.6 mm 2.5 mm 4.25 mm 1 1156257 Platinum and Fluoroplastic 0.6 mm 2.5 mm 4.50 mm 1 1156258 Platinum and Fluoroplastic 0.6 mm 2.5 mm 4.75 mm 1

House-Type Piston and Wire

• Round wire loop for easy positioning and closure over incus• Stainless steel piston shaft resists adhesions


1117035 Stainless Steel 0.4 mm 4.50 mm 1 1117040 Stainless Steel 0.4 mm 4.75 mm 1 1117045 Stainless Steel 0.4 mm 5.00 mm 1

House-Type Wire Loop

• Classic wire loop design for stapedectomy• Surgical grade stainless steel

Product Description L Qty

1117105 Stainless Steel 4.00 mm 1 1117110 Stainless Steel 4.25 mm 1 1117115 Stainless Steel 4.50 mm 1 1117120 Stainless Steel 4.75 mm 1 1117125 Stainless Steel 5.00 mm 1

Lesinski Platinum and Fluoroplastic Stapedotomy Pistons

• For a high degree of otologic performance• Designed for stapedotomy performed with laser, microdrill, or hand drill

on stapes footplate

Endorsed by S. George Lesinski, MD, Cincinnati, OH


0427 Platinum and Fluoroplastic 0.6 mm 2 mm 4.25 mm 1 0428 Platinum and Fluoroplastic 0.6 mm 2 mm 4.50 mm 1 0429 Platinum and Fluoroplastic 0.6 mm 2 mm 4.75 mm 1



Lesinski Modified Loop Platinum and Fluoroplastic Pistons

• Modified hook configuration resists lateralization from incus

Endorsed by S. George Lesinski, MD, Cincinnati, OH



Mangham Platinum and Fluoroplastic Pistons with Depth Gauge

• Modified hook configuration resists laterization from incus• Ring on shaft provides depth gauge for positioning in stapes footplate

Endorsed by Charles Mangham, MD, Seattle, WA



McGee Pistons – Incus Attachment

• Round wire loop for easy positioning and closure over incus• Stainless steel piston shaft resists adhesions• Distal end of piston is contrast-finished to provide a 0.5 mm reference zone for depth positioning

Endorsed by T. Manford McGee, MD, Detroit, MI


1156330 Stainless Steel 0.6 mm 3.75 mm 1 1156331 Stainless Steel 0.6 mm 4.00 mm 1 1156332 Stainless Steel 0.6 mm 4.25 mm 1 1156333 Stainless Steel 0.6 mm 4.50 mm 1 1156334 Stainless Steel 0.6 mm 4.75 mm 1 1156340 Stainless Steel 0.5 mm 3.75 mm 1 1156341 Stainless Steel 0.5 mm 4.00 mm 1 1156342 Stainless Steel 0.5 mm 4.25 mm 1 1156343 Stainless Steel 0.5 mm 4.50 mm 1 1156344 Stainless Steel 0.5 mm 4.75 mm 1

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McGee Pistons – Malleus Attachment, Large Hook

• Large hook for positioning prosthesis on malleus• Includes distal depth indicator on piston shaft for placement on stapes footplate• Distal end of piston is contrast-finished to provide a 0.5 mm reference zone for depth positioning



1156346 Stainless Steel 0.5 mm 4.50 mm 1 1156347 Stainless Steel 0.5 mm 4.75 mm 1 1156348 Stainless Steel 0.5 mm 5.00 mm 1

McGee Modified Loop Pistons

• Round loop design with closure tab• One piece, stainless steel• Distal end of piston is contrast-finished to provide a 0.5 mm reference

zone for depth positioning



1156210 Stainless Steel 0.5 mm 3.75 mm 1 1156211 Stainless Steel 0.5 mm 4.00 mm 1 1156212 Stainless Steel 0.5 mm 4.25 mm 1 1156213 Stainless Steel 0.5 mm 4.50 mm 1 1156214 Stainless Steel 0.5 mm 4.75 mm 1

Portmann Piston – Clip

• Designed for use as stapedotomy prosthesis• Curved wire clip facilitates placement over incus

Endorsed by Professor Michel Portmann, Bordeaux, France

Product Description SD L Clip Qty

1125020 Stainless Steel and Fluoroplastic 0.4 mm 7 mm 0.5 mm 1 1125025 Stainless Steel and Fluoroplastic 0.4 mm 7 mm 0.6 mm 1 1125025 Stainless Steel and Fluoroplastic 0.4 mm 7 mm 0.6 mm 1



Scheer Piston and Wire

• Fluoroplastic piston, stainless steel wire

Endorsed by Harold F. Schuknecht, MD


1128180 Stainless Steel and Fluoroplastic 0.6 mm 4.5 mm 1 1128190 Stainless Steel and Fluoroplastic 0.6 mm 5.0 mm 1

Schuknecht-Type Piston and Wire

• Fluoroplastic piston, stainless steel wire• For incus attachment

Endorsed by Harold F. Schuknecht, MD


1128110 Stainless Steel and Fluoroplastic 0.6 mm 3.50 mm 1 1128115 Stainless Steel and Fluoroplastic 0.6 mm 3.75 mm 1 1128120 Stainless Steel and Fluoroplastic 0.6 mm 4.00 mm 1 1128125 Stainless Steel and Fluoroplastic 0.6 mm 4.25 mm 1 1128130 Stainless Steel and Fluoroplastic 0.6 mm 4.50 mm 1 1128135 Stainless Steel and Fluoroplastic 0.6 mm 4.75 mm 1 1128140 Stainless Steel and Fluoroplastic 0.6 mm 5.00 mm 1 1128145 Stainless Steel and Fluoroplastic 0.8 mm 4.00 mm 1 1128150 Stainless Steel and Fluoroplastic 0.8 mm 4.25 mm 1 1128155 Stainless Steel and Fluoroplastic 0.8 mm 4.50 mm 1 1128160 Stainless Steel and Fluoroplastic 0.8 mm 4.75 mm 1 1128165 Stainless Steel and Fluoroplastic 0.8 mm 5.00 mm 1


SD = Shaft Diameter SL = Shaft Length L = Length

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Stapedectomy/Stapedotomy Implants: Cupped Pistons

Bailey/Pappas Modified Cupped Pistons

• Cutaway portion of bucket seats the long process of the incus• Designed with no hole in shaft, suitable for stapedotomies• Polished stainless steel for excellent sound conduction and resistance to adhesions

Endorsed by H. A. Ted Bailey, MD, and James J. Pappas, MD, Little Rock, AR

Product Description SD WD L Qty

1156452 Stainless Steel 0.4 mm 1 mm 4.00 mm 1 1156453 Stainless Steel 0.4 mm 1 mm 4.25 mm 1 1156454 Stainless Steel 0.4 mm 1 mm 4.50 mm 1 1156468 Stainless Steel 0.6 mm 1 mm 4.00 mm 1 1156469 Stainless Steel 0.6 mm 1 mm 4.25 mm 1 1156470 Stainless Steel 0.6 mm 1 mm 4.50 mm 1

Causse Polycel® Bucket Prosthesis with Malleable Shaft

• Bucket stabilizes long process of incus by allowing tissue ingrowth into micropore holes• Removable bucket handle assures secure attachment to incus• Stainless steel wire core allows angling of shaft as needed; may improve sound conduction



1133210 Polycel, Fluoroplastic, Stainless Steel 0.4 mm 0.89 mm 8 mm 1

Cupped Pistons

• Polished stainless steel conducts sound well and resists adhesions• Cupped portion accepts lenticular process of incus• Notch in cup cradles arm of incus• Self-centering; no need to crimp wire around incus


1133120 Stainless Steel 0.6 mm 0.88 mm 4.00 mm 1 1133125 Stainless Steel 0.6 mm 0.88 mm 4.50 mm 1 1133135 Stainless Steel 0.6 mm 1.00 mm 4.00 mm 1 1133180 Stainless Steel 0.4 mm 0.88 mm 4.00 mm 1 1133185 Stainless Steel 0.4 mm 0.88 mm 4.50 mm 1 1133190 Stainless Steel 0.4 mm 0.88 mm 5.00 mm 1 1133195 Stainless Steel 0.4 mm 1.00 mm 4.00 mm 1 1133600 Stainless Steel 0.8 mm 0.88 mm 4.00 mm 1 1133650 Stainless Steel 0.8 mm 0.88 mm 4.25 mm 1


SD = Shaft Diameter WD = Well Diameter FL = Functional Length L = Length PID = Partial Inner Diameter HD = Head Diameter



Lippy Modified Cupped Pistons

• Large, deep well allows use when lenticular process of incus is absent • Polished stainless steel for excellent sound conduction and resistance to adhesions• Hole in bucket helps stabilize incus by improving tissue ingrowth

Endorsed by William N. Lippy, MD, Warren, OH

Product Description SD WD L FL Qty

1133250 Stainless Steel 0.6 mm 1 mm 4.0 mm 3.20 mm 1 1133255 Stainless Steel 0.6 mm 1 mm 4.5 mm 3.70 mm 1 1133260 Stainless Steel 0.6 mm 1 mm 5.0 mm 4.20 mm 1 1133265 Stainless Steel 0.6 mm 1 mm 5.5 mm 4.70 mm 1 1133270 Stainless Steel 0.6 mm 1 mm 6.0 mm 5.20 mm 1 1133280 Stainless Steel 0.4 mm 1 mm 4.0 mm 3.20 mm 1 1133285 Stainless Steel 0.4 mm 1 mm 4.5 mm 3.70 mm 1 1133290 Stainless Steel 0.4 mm 1 mm 5.0 mm 4.20 mm 1 1133295 Stainless Steel 0.4 mm 1 mm 5.5 mm 4.70 mm 1 1133300 Stainless Steel 0.4 mm 1 mm 6 .0mm 5.20 mm 1

Modified Cupped Pistons

• Double notch in cup makes positioning easier• Polished stainless steel for excellent sound conduction and resistance to adhesions

Endorsed by H. A. Ted Bailey, MD, Little Rock, AR


1133370 Stainless Steel 0.4 mm 0.88 mm 4.00 mm 3.77 mm 1 1133372 Stainless Steel 0.4 mm 0.88 mm 4.25 mm 4.02 mm 1 1133375 Stainless Steel 0.4 mm 0.88 mm 4.50 mm 4.27 mm 1

Roberson Stapes Prostheses

• 44 percent lighter than stainless steel design allows improved high-frequency sound transmission

• Narrow design and malleable shaft accommodate the narrow oval window niche/dehiscent facial nerve space

• Improved incus interface and bail wire configuration increase prosthesis stability, which reduces the potential for postoperative displacement

• Textured bucket surface eliminates glare from microscope light reflection• Piston depth gauge allows enhanced depth judgment for stapedotomy insertion

Endorsed by Joseph Roberson Jr., MD, Palo Alto, CA


1133061 Titanium 0.6 mm 0.9 mm 4.00 mm 1 1133062 Titanium 0.6 mm 0.9 mm 4.50 mm 1 1133063 Titanium 0.6 mm 1.0 mm 4.00 mm 1 1133064 Titanium 0.6 mm 1.0 mm 4.50 mm 1 1133065 Titanium 0.6 mm 0.9 mm 4.25 mm 1 1133066 Titanium 0.6 mm 1.0 mm 4.25 mm 1

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Robinson® Cupped Pistons

• Proven cupped piston design• Polished stainless steel for excellent sound conduction and resistance to adhesions, matte

finish well• Fenestrated for tissue ingrowth, revascularizes the lenticular process• Gentle radii at body contact points

Endorsed by Mendell Robinson, MD, Providence, RI


1133001 Stainless Steel 0.6 mm 0.9 mm 4.0 mm 1 1133002 Stainless Steel 0.6 mm 0.9 mm 4.5 mm 1 1133003 Stainless Steel 0.6 mm 1.0 mm 4.0 mm 1 1133004 Stainless Steel 0.6 mm 1.0 mm 4.5 mm 1 1133005 Stainless Steel 0.4 mm 0.9 mm 4.0mm 1 1133006 Stainless Steel 0.4 mm 0.9 mm 4.5 mm 1 1133007 Stainless Steel 0.4 mm 1.0 mm 4.0 mm 1 1133008 Stainless Steel 0.4 mm 1.0 mm 4.5 mm 1

Robinson®-Moon Offset Cupped Pistons

• Offset shaft provides improved visibility during surgical placement• Fenestrated for tissue ingrowth, revascularizes the lenticular process• Loop anchors prosthesis to incus until tissue ingrowth is complete• Polished stainless steel for excellent sound conduction and resistance to adhesions,

matte finish well

Endorsed by Mendell Robinson, MD, Providence, RI, and Cary N. Moon, Jr., MD


1133031 Stainless Steel 0.4 mm 0.88 mm 4.00 mm 1 1133032 Stainless Steel 0.4 mm 1.00 mm 4.00 mm 1 1133038 Stainless Steel 0.4 mm 1.00 mm 4.50 mm 1 1133042 Stainless Steel 0.4 mm 0.88 mm 4.50 mm 1

Robinson®-Moon-Lippy Offset Cupped Pistons

• Offset shaft provides improved visibility during surgical placement• Large, deep well allows use when lenticular process of incus is absent• Fenestrated for tissue ingrowth, revascularizes the lenticular process• Loop anchors prosthesis to incus until tissue ingrowth is complete• Polished stainless steel for excellent sound conduction and resistance to adhesions,

matte finish well

Endorsed by Mendell Robinson, MD, Providence, RI; Cary N. Moon, Jr., MD; and William N. Lippy, MD, Warren, OH


1133009 Stainless Steel 0.4 mm 1 mm 4.5 mm 3.73 mm 1 1133010 Stainless Steel 0.4 mm 1 mm 5.0 mm 4.24 mm 1


HD = Head Diameter L = Length ID = Inner Diameter


Universal Ossicular Reconstruction Implants

Universal Titanium Prosthesis, Vincent Head, with Shoe

• Dense hydroxylapatite head features a deep, centered groove to fit the malleus• Quickly and easily trimmed for a total or partial reconstruction• Universal design allows for reduced inventories• Shoe packaged as a partial; may be trimmed to create a total shoe

Designed by Robert Vincent, MD, Béziers, France

Product Description PID HD SD L Qty

1150050 Titanium and Hydroxylapatite 1.1 mm 3.25 mm 0.25 mm 10 mm 1 Head/Shaft Assembly Titanium and Flex H/A Shoe Assembly MCO857 Universal Titanium Prosthesis Sizer 1 for Vincent Head Measures from 3 mm to 9 mm MCO858 Universal Titanium Prothesis Trimmer 1 with Tungsten Inserts

Universal Titanium Prostheses

• Stiff and lightweight for excellent sound transmission, this biocompatible implant is also malleable enough to fit most patient anatomies. The Universal Titanium Prosthesis is available in two head designs for added versatility (after trimming)

• Other features include: • Fenestrated head for maximum visibility • Designed for stable fixation on stapes capitulum • Quickly and easily trimmed • Universal design for reduced inventories

Product Description Qty

1150000 Universal Titanium Prosthesis, Round Head, with Shoe 1 1150001 Universal Titanium Prosthesis, Cam Head, with Shoe 1 MCO856 Universal Titanium Prosthesis Sizer 1 MCO858 Universal Titanium Prosthesis Trimmer with Tungsten Inserts 1

Bojrab Universal Prosthesis

Designed by Dennis Bojrab, MD, Farmington Hills, MI

Product Description PID HD PL TL Qty

0506 Hydroxylapatite with 1.14 mm 3 mm 3.65 mm 7 mm 1 Flex H/A shaft 0507 Hydroxylapatite with 1.14 mm 3 mm 6.00 mm 9 mm 1 Flex H/A shaft

Convertible Prosthesis – Total, Partial, or Strut

• Three-in-one implant: options include total, with or without a footplate, a partial or a strut• Supplied as a partial with separate insertable total shaft with shoe• Cap is dense H/A for direct contact to the tympanic membrane, shaft is Flex H/A and is easily shaped


0590 Hydroxylapatite and Flex H/A 1.14 mm 3 mm 5 mm 8 mm 1

11150000

1150001

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Universal Ossicular Reconstruction Implants

Garcia-Ibanez Notched Universal Prosthesis

• Features notched, offset H/A cap with malleable link for varying anatomical requirements• Easily converts from a total to a partial with a knife• Can be used as a strut for stapes superstructure replacement• Modification of popular GI prosthesis

Designed by Emilio Garcia-Ibanez, MD, Barcelona, Spain


0508 Hydroxylapatite, Flex H/A 1.14 mm 3.3 x 2.9 mm 4.25 mm 8 mm 1 and Titanium

Campbell Universal Prosthesis

• Surgically adaptable to be used on stapes head or footplate• Innovative head design cradles the malleus and maximizes direct columella transmission from tympanic membrane to stapes footplate

Developed in conjunction with Emmett E. Campbell, MD, FACS


0505 Hydroxylapatite and Flex H/A 1.14 mm 3.5 narrowed 3.5 mm 7 mm 1

Bojrab Centered Universal Prosthesis

• Unique centered prosthesis for total or partial reconstruction• Shaft is notched at 1 mm intervals to aid trimming



0306 Hydroxylapatite 1.1 mm 3.5 mm 3.2 mm 7 mm 1

Bojrab Offset Universal Prosthesis

• Offset cap allows for natural offset of drum and stapes• May be trimmed to desired length with diamond bur for total or snapped at shaft and trimmed for partial reconstruction• Shaft is notched at 1 mm intervals to aid trimming



0308 Hydroxylapatite 1.1 mm 3.5 mm 3.2 mm 7 mm 1


SD = Shaft Diameter HD = Head Diameter L = Length SID = Shaft Inner Diameter

Universal Ossicular Reconstruction Implants: Dense H/A


Universal Ossicular Reconstruction Implants: Polycel®

Bojrab Universal Polycel Prosthesis

• Features notched, offset hydroxylapatite head with malleable link for varying anatomical requirements• Quickly and easily trimmed for a total or partial design



0385 Hydroxylapatite with 1.17 mm 3 mm 5.25 mm 9 mm 1 Polycel and Titanium

Partial Titanium Prosthesis

• Fully cannulated design enhances view of stapes • Enhanced stability on stapes capitulum with titanium partial design

Product Description HD L ID Qty

1160000 Titanium 2.5 mm 2 mm 1.1 mm 1

Vincent Partial Titanium Prosthesis

• Dense hydroxylapatite head features a deep, centered groove to the malleus • Enhanced stability on stapes capitulum with titanium partial design

Developed in conjuction with Robert Vincent, MD, Béziers, France

Product Description HD L ID Qty

1160050 Titanium 3.25 mm 2 mm 1.1 mm 1


HD = Head Diameter L = Length H = Head SID = Shaft Inner Diameter CID = Cap Inner Diameter OD = Outer Diameter ID = Inner Diameter

Partial Ossicular Reconstruction Implants: Titanium

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Partial Ossicular Reconstruction Implants: Titanium

Partial Ossicular Reconstruction Implants: Dense Hydroxylapatite

Incus Partial Prosthesis

• Incus replacement strut allows for use of smallest prosthesis in reconstruction• Grooved top fits under malleus• Partially cannulated shaft fits on head of stapes

Product Description SID L Qty

1112075 Hydroxylapatite 1.1 mm 3.75 mm 1

Mushroom Head Partial with Malleable Link

• For cases where stapes is intact and mobile• Dense hydroxylapatite shaft fits directly on capitulum of the stapes

Product Description SID HD L Qty

0352 Hydroxylapatite with Titanium 1.14 mm 4 mm 5 mm 1

Notched Offset Partial

• Dense H/A cap provides added stability when positioned under the malleus handle• Offset cap provides correct drum-to-stapes capitulum alignment• Cannula allows visualization during placement


0362 Hydroxylapatite with Malleable Link 1.14 mm 4 mm 5 mm 1 0364 Hydroxylapatite with Titanium 1.14 mm 4 mm 5 mm 1

Offset Mushroom Head Partial with Malleable Link

• Dense cap is offset• Shaft fits directly on capitulum of stapes where stapes is intact and mobile• Titanium link permits angular changes


0353 Hydroxylapatite with Titanium 1.14 mm 4 mm 5 mm 1

0362

0364



Partial 75° Rectangular

• Rectangular head positions on drum next to malleus for stability• Angled shaft accommodates different anatomical needs• Partially cannulated shaft fits on head of stapes

Product Description SID H L Qty

1112070 Hydroxylapatite 1.1 mm 2.5 x 3.5 mm 4 mm 1

Partial 90° Off-Center Round

• Off-centered round head provides stable platform for drum• Fully cannulated shaft fits securely on head of stapes


1112095 Hydroxylapatite 1.1 mm 4 mm 5 mm 1

Partial 90° Rectangular

• Rectangular head positions on drum next to malleus for stability• Partially cannulated shaft fits on head of stapes

Product Description SID H L Qty


Partial 90° Round

• Round head provides stable platform for drum• Fully cannulated shaft fits securely on head of stapes



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Mushroom Cap Prostheses

• For shallow middle ear spaces• Fully and partially cannulated to fit on head of stapes

Product Description PID HD L Cannulation Qty

1112091 Hydroxylapatite 1 mm 3 mm 1.5 mm Full 1 1112092 Hydroxylapatite 1 mm 3 mm 1.5 mm Partial 1

Cam Cap Prostheses

• Designed for close proximity to the malleus handle• Fully and partially cannulated to fit on head of stapes

Product Description PID H L Cannulation Qty

1112096 Hydroxylapatite 1 mm 4 x 2.7 mm 1.5 mm Full 1 1112097 Hydroxylapatite 1 mm 4 x 2.7 mm 1.5 mm Partial 1

Schwaber Cap Prosthesis

• Dense H/A cap allows placement where very short length is required• Egg-shaped design resists extrusion by eliminating edges, allowing the tympanic membrane to drape over prosthesis

Designed by Mitchell Schwaber, MD, Nashville, TN

Product Description PID HD L Qty

0380 Hydroxylapatite 1.14 mm 2 x 3 mm 1.5 mm 1

Silverstein Incus-Stapes Connector

• Provides a stable platform to aid in reconnecting a disarticulated incudostapedial joint• May also be used for small defects in the lenticular process of the incus

Endorsed by Herbert Silverstein, MD, Sarasota, FL

Product Description ID OD H Qty

1112120 Hydroxylapatite 1.1 mm 2.1 mm 1 mm 1




Causse Mini-Head Partial with Malleable Link

• Features a smaller, lighter-weight dense H/A cap compared to other Causse designs• Flex H/A shaft will position securely over head of stapes and may be trimmed with a knife



0528 Hydroxylapatite with Flex H/A and Titanium 1.14 mm 2.5 mm 5 mm 1

Causse Notched Offset Partial with Malleable Link

• Offset, dense H/A cap with notch fits directly under manubrium of malleus for added stability• Flex H/A shaft fits securely over head of stapes and may be trimmed with a knife• Malleable titanium link




Causse-Vincent Notched Narrow Partial with Short Malleable Link

• Offset, dense H/A cap with notch fits directly under manubrium of malleus for added stability• Flex H/A shaft fits securely over head of stapes and may be trimmed with a knife• Malleable titanium link

Endorsed by Jean-Bernard Causse, MD, and Robert Vincent, MD, Béziers, France



Centered Partial with Malleable Link

• Gently rounded, dense H/A cap provides tympanic membrane with excellent tissue interface and broad support

• Flex H/A shaft is easily trimmed and fits securely over head of stapes


0550 Hydroxylapatite with Flex H/A and Titanium 1.14 mm 4 mm 5 mm 1 0551 Hydroxylapatite with Flex H/A and Titanium 1.14 mm 3 mm 5 mm 1

Centered Partial, Non-Malleable

• Prosthesis is fully cannulated to provide visualization during placement onto stapes capitulum• Flex H/A shaft is easily trimmed


0524 Hydroxylapatite and Flex H/A 1.14 mm 3 mm 5 mm 1

Partial Ossicular Reconstruction Implants: Flex H/A®

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Haberman Notched Partial with Offset Malleable Link

• Notched, dense H/A cap for placement under malleus handle• Lightweight Flex H/A notched shaft for stapedial tendon compensation and secure attachment

Designed by Rex Haberman, MD, Minneapolis, MN


0504 Hydroxylapatite and Flex H/A and Titanium 1 mm 2 mm 2.5 mm 1

Lesinski Offset Partial with Malleable Link

• H/A cap features unique notch that allows placement directly under the manubrium of the malleus or against tympanic membrane

• Angular adjustments can be readily made with the malleable link• Flex H/A shaft may be trimmed to fit precisely over head of stapes

Designed by S. George Lesinski, MD, Cincinnati, OH



Malleus Cradle Partial with Malleable Link

• Dense H/A cap designed to gently cradle handle of malleus• Lightweight due to minimal cap size• Titanium link for angular adjustments• Trimmable Flex H/A shaft


0541 Hydroxylapatite with Flex H/A and Titanium 1.14 mm 2 x 4.4 mm 5 mm 1

Mansfield Smith Strut Prosthesis Partial

• Lightweight implant designed for distal incus loss, made entirely of Flex H/A• Broad crutch maximizes stability under malleus handle• Acetabulum notched for stapedial tendon compensation and secure attachment

Designed by Mansfield Smith, MD, San Jose, CA


0595 Flex H/A® 1 mm 2.00 mm 1 0596 Flex H/A 1 mm 2.25 mm 1 0597 Flex H/A 1 mm 2.50 mm 1 0598 Flex H/A 1 mm 2.25 mm 1 Orange Color, Disp. Trial Measuring Gauge

All dimensions are approximate. All measurements are listed as millimeters.

SD = Shaft Diameter HD = Head Diameter L = Length SID = Shaft Inner Diameter STID = Stapes Inner Diameter IID = Incus Inner Diameter ID = Inner Diameter



Millen Thin Head Partials, Non-Malleable

• Thin, dense Flex H/A® offset cap specifically designed to avoid contact with the promontory and prevent disruption of sound conduction through prosthesis

• Fully cannulated for improved visualization during placement• Flex H/A shaft may be easily trimmed

Designed by Steven J. Millen, MD, Hales Corner, WI


0568 Offset, Notched Hydroxylapatite and Flex H/A 1.14 mm 4 mm 5 mm 1 0567 Hydroxylapatite and Flex H/A 1.14 mm 4 mm 5 mm 1

Notched Offset Partial with Malleable Link

• Dense H/A cap fits directly under the manubrium of the malleus to provide added stability• Cap is offset to allow most drum-to-stapes alignments• Trimmable Flex H/A shaft


0570 Hydroxylapatite with Flex H/A and Titanium 1.14 mm 4 mm 5 mm 1

Notched Offset Partial, Non-Malleable

• Dense H/A notched cap fits under manubrium of malleus• Prosthesis is fully cannulated for improved visualization during placement• Offset allows most drum-to-stapes capitulum alignments• Trimmable Flex H/A shaft


0555 Hydroxylapatite and Flex H/A 1.14 mm 4 mm 5 mm 1

Offset Partial with Malleable Link

• Offset cap and malleable link give maximum alignment during partial reconstruction• Dense H/A cap provides broad support of tympanic membrane• Flex H/A shaft may be trimmed to fit securely over capitulum of the stapes


0560 Hydroxylapatite with Flex H/A and Titanium 1.14 mm 4 mm 5 mm 1

Schwaber Offset Partial, Non-Malleable

• Egg-shaped H/A offset cap resists extrusion by eliminating edges, allowing the tympanic membrane to drape over prosthesis

• Elimination of titanium link allows Flex H/A shaft to be trimmed to extremely short lengths



0557 Hydroxylapatite and Flex H/A 1.14 mm 3 x 2 mm 5 mm 1

0568

0567

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Schwaber Offset Partial with Malleable Link

• Offset dense H/A offset cap and malleable link allow optimum alignment• Egg-shaped cap resists extrusion by eliminating edges, allowing the tympanic membrane

to drape over prosthesis• Flex H/A shaft may be trimmed to fit precisely over the head of the stapes



0513 Hydroxylapatite and Flex H/A and Titanium 1.14 mm 3 x 2 mm 5 mm 1

Wiet Offset Partial with Malleable Link

• Mid-size dense H/A offset cap for unique reconstructive conditions• Trimmable Flex H/A shaft is designed to fit over capitulum of stapes• Patented titanium malleable link

Designed by Richard Wiet, MD, Hinsdale, IL






Partial Ossicular Reconstruction Implants: Flex H/A® Necrosis

Causse Tri-Axial Incus Necrosis Prosthesis

• Design utilizes all possible paths of sound conduction • Dense H/A offset cap and Flex H/A long process replacement

Developed by Jean-Bernard Causse, MD, Béziers, France

Product Description IID StID HD Qty

0585 Hydroxylapatite with Flex H/A and Titanium 0.8 mm 1.17 mm 3.25 mm 1

Flex H/A Incus Necrosis Prostheses

• Ideal for low-trauma, quick ossicular reconstruction where long process has necrosed• Lightweight Flex H/A material can be easily modified with knife to accommodate

anatomical requirements

Product Description ID StID Qty

0579 Flex H/A, Small 0.8 mm 1.00 mm 1 0580 Flex H/A, Medium 0.8 mm 1.17 mm 1 0581 Flex H/A, Large 1 mm 1.17 mm 1

Incus Necrosis Prosthesis with Tympanic Membrane Interface

• Tympanic membrane interface provides additional support for tympanic membrane after reconstruction• Long process replacement is Flex H/A

Product Description IID StID HD L Qty

0577 Hydroxylapatite with Flex H/A 0.8 mm 1.17 mm 3 mm 3.6 mm 1

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Partial Ossicular Reconstruction Implants:Hydroxylapatite-Coated Polycel®

Brackmann Partial

• Thin coating of H/A present on surface of Polycel head where implant interfaces with bone, cartilage, or tissue

• Lightweight prosthesis minimizes total mass on ossicles • Easy to trim with surgical scissors or knife

Endorsed by Derald E. Brackmann, MD, Los Angeles, CA


1112305 Hydroxylapatite-Coated Polycel 1 mm 3 mm 5 mm 1

Moretz Malleus Strut Short, Angled and Straight

• Thin coating of H/A on surface of Polycel gutter where implant interfaces with the malleus handle

• Tab on shaft allows easy grasp and positioning with forceps• Easy to trim with surgical scissors or knife

Endorsed by William H. Moretz, Jr., MD, Augusta, GA

Product Description PID StID Qty

1112296 Hydroxylapatite-Coated Polycel, Angled 1.17 mm 6.25 mm 1 1112297 Hydroxylapatite-Coated Polycel, Straight 1.17 mm 5.00 mm 1

Sheehy Partial Ossicular Prosthesis (POP)

• Thin coating of H/A on surface of Polycel head where implant interfaces with bone, cartilage, or tissue

• Fully cannulated and easy to trim with surgical scissors or knife

Endorsed by James L. Sheehy, MD, Los Angeles, CA


1112362 Hydroxylapatite-Coated Polycel 1.17 mm 3 mm 4.75 mm 1



1112296

1112297


Partial Ossicular Reconstruction Implants:H/A Combination

Causse Malleus Head Partial

• Causse design provides precise fit of implant head onto remnant of malleus • Dense H/A head allows high bioactivity and bonding at interface site and may be angled • Trimmable Polycel® shaft



1112197 Hydroxylapatite with Polycel and Stainless Steel 1.17 mm 4 x 2.1 mm 4.75 mm 1

Moretz Cam Head Partial

• Hydroxylapatite head with Polycel and stainless steel• Cam head design will fit securely on drum next to malleus and may be angled as needed• Trimmable Polycel shaft



1112184 Hydroxylapatite with Polycel and Stainless Steel 1.17 mm 4 x 2.7 mm 10.00 mm 1 1112185 Hydroxylapatite with Polycel and Stainless Steel 1.17 mm 4 x 2.7 mm 4.75 mm 1

Moretz Cam Head Partial

• Hydroxylapatite head with Polycel and stainless steel• Cam head design will fit securely on drum next to malleus and may be angled as needed• Trimmable Polycel shaft



1112184 Hydroxylapatite with Polycel and Stainless Steel 1.17 mm 4 x 2.7 mm 10.00 mm 1 1112185 Hydroxylapatite with Polycel and Stainless Steel 1.17 mm 4 x 2.7 mm 4.75 mm 1

Moretz Mushroom Head Partial

• Wire-tilting neck for proper angulation



1112175 Hydroxylapatite with Polycel and Stainless Steel 1.17 mm 4 mm 4.75 mm 1



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Partial Ossicular Reconstruction Implants: Polycel®

Austin Modified Partial

• Head is off-center for improved surgical visibility• Fully cannulated for easier positioning on stapes capitulum• Polycel® is easy to trim and configure

Endorsed by David F. Austin, MD, Idaho Falls, ID


1156361 Polycel 1.17 mm 3 mm 4.75 mm 1

Causse Fluoroplastic Partial

• Polycel head for tissue ingrowth and stabilization• Fluoroplastic shaft to minimize adhesions• Cannula allows visualization during placement on stapes



1156376 Polycel and Fluoroplastic 1.17 mm 4 mm 4.75 mm 1

Moretz Malleus Strut Partials

• U-shaped head positioned to malleus handle• Straight and angled styles, easily trimmed to desired length



1156296 Polycel, Angled 1.17 mm 6.25 mm 1 1156297 Polycel, Straight 1.17 mm 5.00 mm 1

Moretz Peg-Top® Partial

• Integral peg on the head provides an efficient method of securing cartilage or bone used for interposition

• Offset head for improved surgical visibility• Inner diameter of shaft allows a good fit on head of stapes



1156358 Polycel, Off-set 1.17 mm 3 mm 4.75 mm 1 1156359 Polycel, Centered 1.17 mm 3 mm 4.75 mm 1 1156377 Polycel and Fluoroplastic, Centered 1.17 mm 4 mm 4.75 mm 1

1156297

115696

1156358

1156359

1156377


Partial Ossicular Reconstruction Implants: Polycel®

Sheehy Partial Ossicular Prosthesis (POP)

• Classic Sheehy design is easy to use and position on head of stapes• Polycel is easy to trim with knife or surgical scissors• Round surface of head includes tapered edges to minimize extrusion



1156362 Polycel 1.17 mm 3 mm 4.75 mm 1



Partial Ossicular Reconstruction Implants:Dense Hydroxylapatite

Causse Notched Offset Total with Short Malleable Link

• Shortened, malleable titanium link allows prosthesis to be trimmed to extremely short lengths• Notched offset cap improves stability when placed directly under manubrium of malleus• Dense H/A cap may also be placed directly against the tympanic membrane when malleus

is missing• Off-set design allows most drum-to-stapes footplate alignments



0321 Hydroxylapatite and Titanium 0.8 mm 3.25 mm 9 mm 1

Mushroom Head Total with Malleable Link

• Patented malleable titanium link allows cap to be positioned for individual patient needs• Dense hydroxylapatite head provides stable bonding platform and support for tympanic

membrane when malleus is missing


0300 Hydroxylapatite and Titanium 0.8 mm 4 mm 7 mm 1

Notched Offset Total

• Notched hydroxylapatite head is designed for the manubrium of the malleus and improves the stability of the implant once positioned

• Offset design allows most drum-to-stapes footplate alignments• Can be placed directly against the drum if malleus is absent



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Notched Offset Total with Malleable Link

• Flexible titanium link allows angular adjustments• Stable notched cap fits directly under manubrium of malleus• May also be used directly against the tympanic membrane if malleus is missing• Offset design allows most drum-to-stapes footplate alignments



Offset Mushroom Head Total with Malleable Link

• Offset design provides correct alignment between tympanic membrane and stapes footplate• Dense H/A mushroom head provides broad tympanic membrane support• Titanium link permits angular changes



Robinson® Malleus-to-Oval Window Prostheses

• Ideal for conditions such as: • Stapedectomy or fenestrated ear - absent incus long process or stapes/incus • Malleus fixation - congenital ossicular deformities - traumatic dislocation of ossicles• Posterior side of malleus trough is 0.2 mm shorter to prevent irritation of tympanic membrane• Equally effective with partial or total footplate removal and drillouts

Designed by Mendell Robinson, MD, Providence, RI


0340 Hydroxylapatite 0.6 mm 4.5 mm 1 0341 Hydroxylapatite 0.6 mm 5.0 mm 1 0342 Hydroxylapatite 0.6 mm 5.5 mm 1 0343 Hydroxylapatite 0.6 mm 6.0 mm 1

Total 75° Rectangular

• Rectangular head positions on drum next to malleus for stability• Solid, dense H/A provides high level of bioactivity at interface sites• Angled shaft accommodates different anatomical needs• May be shaped with diamond bur under irrigation


1112050 Hydroxylapatite 0.89 mm 2.54 mm x 3.5 mm 8 mm 1

Total 90° Rectangular

• Rectangular head positions on drum next to malleus for stability• Solid dense H/A provides high level of bioactivity at interface sites• May be shaped with diamond bur under irrigation


1112045 Hydroxylapatite 0.89 mm 2.54 mm x 3.5 mm 8 mm 1



Total 90° Round

• Round head provides stable platform for drum• Solid dense H/A provides high level of bioactivity at interface sites• May be shaped with diamond bur under irrigation



Total 90° Off-Center Round

• Off-centered round head provides stable platform for drum• Solid dense H/A provides high level of bioactivity at interface sites• May be shaped with diamond bur under irrigation



Total Ossicular Reconstruction Implants: Flex H/A®

Causse MicroLite Total with Short Malleable Link

• Thinner cap is notched and offset for positioning under the manubrium of the malleus• Shortened malleable link allows trimming to extremely short lengths for anatomical variations• Overall design is lighter weight than larger H/A cap designs


Product Description SD HD L Qty

0529 Hydroxylapatite with Flex H/A and Titanium 1 mm 3.25 mm 9 mm 1

Causse Mini-Head Total with Malleable Link

• Features a smaller, lighter-weight dense H/A cap compared to other Causse designs• Shaft is easily trimmed with a knife




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0525

05251


Causse Notched Offset Total with Malleable Link

• Notched, offset, dense H/A cap for improved visibility and stability• 0525 has a trimmable Flex H/A shaft and malleable titanium link• 05251 has a stainless steel wire through the shaft for malleability and improved rigidity



0525 Hydroxylapatite with Flex H/A and Titanium 1 mm 3.25 mm 9 mm 1 05251 Hydroxylapatite with Flex H/A 1 mm 3.25 mm 9 mm 1 and Stainless Steel Wire

Causse Notched Offset Total with Short Malleable Link

• Shortened malleable link allows trimming to extremely short lengths for very small distances between the tympanic membrane and stapes footplate

• Notched, dense H/A cap can accommodate tympanic membrane with or without presence of manubrium

• Flex H/A shaft is readily trimmed




Causse/Parahy Flex H/A®

• Centered dense H/A cap offers a small profile and smooth surface• Flex H/A shaft is easily and quickly trimmed

Designed by Jean-Bernard Causse, MD, Béziers, France, and Christian Parahy, MD, Sète, France


0586 Hydroxylapatite with Flex H/A .6 mm 1.7 x 4 mm 10 mm 1 and Stainless Steel

Causse-Vincent Notched Narrow Cap with Stainless Steel Wire

• Narrow, notched, offset, dense H/A cap for improved visibility and stability• Trimmable Flex H/A shaft • Stainless steel wire through shaft for malleability and improved rigidity

Endorsed by Jean-Bernard Causse, MD, and Robert Vincent, MD, Béziers, France


05421 Hydroxylapatite with Flex H/A 1 mm 3.25 mm 9 mm 1 and Stainless Steel Wire



Centered Total with Malleable Link

• Gently rounded, dense H/A cap provides tympanic membrane with excellent tissue interface and broad support

• Flex H/A shaft is easily trimmed and provides controlled level of bioactivity• Malleable titanium link can be angled to suit ossicular geometry


0500 Hydroxylapatite with Flex H/A and Titanium 1 mm 4 mm 7 mm 1 05011 Hydroxylapatite with Flex H/A and 1 mm 3 mm 7 mm 1 Stainless Steel Wire 0501 Hydroxylapatite with Flex H/A and Titanium 1 mm 3 mm 7 mm 1

Centered Total, Non-Malleable

• Dense H/A cap provides excellent tympanic membrane interface with or without cartilage interposition

• Non-malleable shaft, made totally of Flex H/A, is easily trimmed to length with a knife


0523 Hydroxylapatite with Flex H/A 1 mm 3 mm 9 mm 1

Haberman Malleable Offset Totals

• Extended malleable link is offset 0.7 mm to accommodate most drum-to-footplate alignments

• May be further adjusted to meet special anatomical requirements• Flex H/A shaft provides controlled level of bioactivity and is easily trimmed to fit• Round, smooth head provides stable platform for tympanic membrane interface• 05031 has a stainless steel wire through the shaft for malleability and improved rigidity

Designed by Rex Haberman, MD, Minneapolis, MN


05031 Hydroxylapatite with Flex H/A and 1 mm 3 mm 7.7 mm 1 Stainless Steel Wire

Lesinski Malleable Offset Totals with Oval Shafts

• Designed for revision stapedotomy due to erosion of the long process of the incus• Dense H/A cap features unique notch that allows placement directly under the

manubrium of the malleus or against tympanic membrane• Oval Flex H/A shaft allows for improved positioning on stapes footplate• 05321 has a stainless steel wire through the shaft for malleability and improved rigidity



0532 Hydroxylapatite with Flex H/A 1.2 x 0.8 mm 3.25 mm 8 mm 1 and Titanium 05321 Hydroxylapatite with Flex H/A 1.2 x 0.8 mm 3.25 mm 8 mm 1 and Stainless Steel Wire

0500

0501

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Lesinski Offset Total with Malleable Link

• Designed for revision stapedotomy due to erosion of the long process of the incus• Dense H/A cap features unique notch that allows placement directly under

the manubrium of the malleus or against tympanic membrane• Trimmable Flex H/A shaft




Malleus Cradle Total with Malleable Link

• Dense H/A cap designed to gently cradle manubrium of malleus• Lightweight due to minimal cap size• Titanium link can be angled for different anatomical requirements• Flex H/A shaft is easily trimmable


0540 Hydroxylapatite with Flex H/A and Titanium 1 mm 2 x 4.4 mm 10.2 mm 1

Millen Thin Head Total, Non-Malleable

• Thin, dense Flex H/A offset cap specifically designed to avoid contact with the promontory and prevent disruption of sound conduction through prosthesis

• Elimination of titanium link allows Flex H/A shaft to be trimmed to extremely short lengths



0564 Hydroxylapatite with Flex H/A and Titanium 1 mm 4 mm 9 mm 1

Millen Thin Head Notched Total, Non-Malleable

• Thin, dense Flex H/A offset cap specifically designed to avoid contact with the promontory and prevent disruption of sound conduction through prosthesis

• Notched head allows placement under manubrium of malleus• Flex H/A shaft is easily trimmed



0565 Hydroxylapatite and Flex H/A 1 mm 4 mm 9 mm 1



Moretz Mushroom Head Total

• Broad, flat mushroom-shaped head allows for broad drum contact when malleus is absent• Dense H/A head is designed to provide platform for sound conduction



0574 Hydroxylapatite with Flex H/A 0.6 mm 4 mm 8 mm 1 and Stainless Steel

Moretz Cam Head Total

• Dense H/A cam cap is designed to fit adjacent to malleus on drum• Flex H/A shafts may be trimmed and bent to accommodate anatomical requirements



0575 Hydroxylapatite with Flex H/A 0.6 mm 4.0 x 2.7 mm 8 mm 1 and Stainless Steel

Moretz Malleus Head Totals

• Dense H/A head is designed for lock-in fit with malleus handle• Tailored to specific right or left ear configuration• Flex H/A® shafts may be trimmed and bent as required



0562 H/A with Flex H/A and Stainless Steel 0.6 mm Left 8 mm 1 0563 H/A with Flex H/A and Stainless Steel 0.6 mm Right 8 mm 1

Notched Offset Total with Malleable Link

• Dense H/A notched design fits directly under manubrium of malleus to provide added stability

• Offset allows most drum-to-stapes footplate alignments• Flex H/A shaft is easily trimmed





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Offset Total with Malleable Link

• Dense H/A offset cap and malleable link allow maximum alignment during total reconstruction

• 4 mm diameter head provides broad support of tympanic membrane• Flex H/A shaft is easily trimmed



Schwaber Total with Malleable Link

• Offset cap and malleable link enable maximum alignment• Egg-shaped cap resists extrusion by eliminating edges, allowing the tympanic membrane

to drape over prosthesis• Flex H/A shaft can be readily trimmed



0512 Hydroxylapatite with Flex H/A and Titanium 1 mm 3 x 2 mm 9 mm 1

Schwaber Total, Non-Malleable

• Dense H/A offset cap and malleable link enable maximum alignment• Egg-shaped cap resists extrusion by eliminating edges, allowing the tympanic membrane

to drape over prosthesis• Flex H/A shaft may be trimmed to very short lengths



0559 Hydroxylapatite and Flex H/A 1 mm 3 x 2 mm 9 mm 1


SD = Shaft Diameter HD = Head Diameter L = Length SID = Shaft Inner Diameter H = Head T = Thickness ID= Inner Diameter OD - Outer Diameter CD = Chamber Diameter CL = Chamber Length


Total Ossicular Reconstruction Implants: Hydroxylapatite-Coated Polycel®

Wiet Offset Total with Malleable Link

• Mid-size dense H/A cap offset for unique reconstructive conditions• Malleable titanium link can be easily bent to individual requirements• Trimmable Flex H/A® shaft

Designed by Richard Wiet, MD, Hinsdale, IL



Brackmann Total

• Thin coating of H/A on Polycel head where implant interfaces with bone, cartilage, or tissue• Malleable stainless steel core allows permanent tilting of head to match TM angle or bending

of shaft to desired configuration

Endorsed by Derald E. Brackmann, MD, Los Angeles, CA


1112303 Hydroxylapatite-Coated Polycel 0.6 mm 3 mm 8 mm 1 and Stainless Steel

Moretz Malleus Strut, Long

• Thin coating of H/A on Polycel® gutter where implant interfaces with the malleus handle• U-shaped head allows use of remaining malleus handle• Stainless steel core enables bending shaft to reach footplate

Endorsed by William H. Moretz Jr., MD, Augusta, GA


1112298 Hydroxylapatite-Coated Polycel and Stainless Steel 0.6 mm 8 mm 1 1112372 Footplate Shoe Only, Hydroxylapatite-Coated Polycel 1

Sheehy Total Ossicular Prosthesis (TOP)

• Thin coating of H/A on Polycel head where implant interfaces with bone, cartilage, or tissue

• Oval shaft fits precisely onto stapes footplate• Round surface of head includes tapered edges to minimize extrusion



1112363 Hydroxylapatite-Coated Polycel 0.8 x 1 mm 3 mm 7 mm 1

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Total Ossicular Reconstruction Implants:H/A Combination

Causse Cam Head Total with Shoe

• Dense H/A cam head design will fit securely on drum next to malleus• Fluoroplastic shaft resists adhesions• Stainless steel core in shaft is malleable and increases rigidity• Footplate shoe stabilizes implant on stapes footplate



1112195 Hydroxylapatite with Fluoroplastic 0.4 mm 4 x 2.7 mm 10 mm 1 and Stainless Steel

Causse Delta Head Total

• For revision stapedectomy procedures where malleus handle is absent• Small delta head may be secured to drum with a vein graft in a sandwich graft technique• Shaft is malleable and may be trimmed with a knife• Dense hydroxylapatite head with fluoroplastic shaft and stainless steel wire core



1112194 Hydroxylapatite with Fluoroplastic 0.4 mm 2.5 mm 20 mm 1 and Stainless Steel

Causse Malleus Head Total with Shoe

• Dense H/A head provides lock-in fit with malleus handle• Malleable fluoroplastic shaft and stainless steel shaft increases rigidity and resists adhesions• Footplate shoe provides broad, stable contact with stapes footplate to resist post-operative migration




Causse Mushroom Head Total with Shoe

• Broad, flat mushroom-shaped dense H/A head allows for broad drum contact when malleus is absent• Malleable fluoroplastic shaft and stainless steel wire core increases rigidity and resists adhesions• Footplate shoe provides broad, stable contact with stapes footplate to resist postoperative

migration




ent product & instrument catalog further information, please call medtronic ent at 800-874-5797...

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