Ossicular Reconstruction Reference Guide - …mepmedica.com/wp-content/uploads/protesis-reconstruccion-cadena... · Ossicular Reconstruction Reference Guide ... EG140912 HA Head,

Ossicular Reconstruction Reference Guide

OCR ProsthesesENT

E0499033_ENT_Protheses_engl_3.indd 1 01.03.2010 16:58:22 Uhr

2 SURGERY SOLUTIONS

Only OlymPus OffeRs COmPlete OCR suRgeRy sOlutiOns Olympus works in conjunction with premier global otologic surgeons, to provide the most unique and innovative solutions for middle ear stability.

This complete line of solutions include: Micron Titanium Implants, OtoMimix HA Bone Cement, Explorent’s durable German Crafted Instruments, the Dornhoffer Implant System and the Kartush Strut System.


imPlant mateRials

....................................................................................................................fluoroplastics....................................................................................................................

Fluoroplastics are polymers that are composed of carbon and fluorine atoms. They come from a variety of different resins and are usedin a wide range of industrial, medical, and home applications. Teflon is the brand name of one of the morepopular varieties of fluoroplastic. Fluoroplastics are highly regarded by otologists for their inertness, smoothness of texture, andbiocompatibility. Fluoroplastic parts are molded, machined from rods, or formed from tubing and sheeting. White and blue are thecolors used by Olympus. ....................................................................................................................Hapex....................................................................................................................

HAPEX is a homogeneous composite of high-density polyethylene (PE) reinforced by particulate hydroxylapatite (HA) and mixedin a 60/40 ratio by volume. HAPEX features the bioactivity of solid HA with the toughness of polyethylene. The latter quality enables HAPEX to be trimmed and shaped with a #11 scalpel and cutting block within the O.R.....................................................................................................................Hydroxylapatite....................................................................................................................

Hydroxylapatite is one of the most biocompatible materials available for implant use. Because its chemical composition resembles that of real bone, it is well tolerated by the human body. Additional stabilization of the reconstructed middle ear chain is provided by “ongrowth” (not bony ingrowth) onto the solid, dense surface of the material. Porous forms of this material (pore size of 150-350 microns) allow for bone ingrowth and/or soft tissue ongrowth.....................................................................................................................micron....................................................................................................................

Micron is Olympus patented finishing process for titanium implants. This proprietary chemical process not only smoothes thesurface but also “dulls” it, which reduces glare.....................................................................................................................titanium....................................................................................................................

Titanium (ASTM F 136) is used in many medical implants. It has excellent corrosion resistance and is well tolerated by tissue. Thematerial is lightweight and MRI compatible.....................................................................................................................Polyethylene....................................................................................................................

Polyethylene, which is composed of only carbon and hydrogen atoms, is a popular implant material used in a variety of microsurgery applications. Bioinertness and the ability to have smooth surfaces are but a few of the qualities that make polyethylene appropriate for otology implants. It is available in white and blue colors.....................................................................................................................Porouspolyethylene....................................................................................................................

Porous polyethylene (Plasti-Pore) is formed by sintering many individual polyethylene resin particles. It permits tissue ingrowth into the interconnecting pores of the implant material. The base resin, polyethylene, is known to be a very inert material. The natural whitecolor is the only one used by Olympus.


4 SURGERY SOLUTIONS

isJ sOlutiOns

applebaum incudostapedial Joint Prosthesis

EG140956 Small

“A” 2.0 mm 1.0 mm

“B” 2.0 mm 1.0 mm

“C” 1.2 mm 1.0 mm

EG140957 Large

“A” 2.5 mm 1.0 mm

“B” 2.0 mm 1.0 mm

“C” 1.2 mm 1.0 mm

Hydroxylapatite material

Fully Cat. No. Description Dimensions Cannulated

CB

Top View End View A

applebaum incus Replacement system

EG140970 2.00 mm

EG140971 2.25 mm

EG140972 2.50 mm

EG140973 3.00 mm

EG140974 3.50 mm

Hydroxylapatite material, Partially Cannulated

Cat. No. Length

1.52 mm

2.48 mmLenght

Otomimix

EG70143266 2 gram

Cat. No. Amount

OCR sOlutiOns

Black Oval-top PORP Prosthesis

EG140859 4 x 3 mm Head 6.6 mm 1.15 mm

Hydroxylapatite Head and Plasti-Pore shaft

EG140857 4 x 3 mm Head 6.6 mm 1.15 mm

Hydroxylapatite Head and fluoroplastic shaft

PartiallyCat. No. Description Length Cannulated

a

B

6.6 mm 3.0 mm

4.0 mm


Black Oval-top tORP Prosthesis

EG140858 4 x 3 mm Head 0.8 mm 10.0 mm


EG140856 4 x 3 mm Head 0.8 mm 10.0 mm

Hydroxylapatite Head and fluoroplastic shaft

ShaftCat. No. Description Diameter Length

a

B

10 mm

3.0 mm

4.0 mm

Black Oval-top universal Prosthesis

EG140861 4 x 3 mm Head 0.8 mm (wire) 1.15 mm


EG140860 4 x 3 mm Head 9.5 mm 6.0 mm

TORP Type PORP Type Cat. No. Description Shaft Diameter Shaft Length

a

B

1.15 mm

6.0 mm9.5 mm

3.0 mm

4.0 mm

Black spanner strut

EG140923 1.15 mm 0.8 mm 10.9 mm

Hydroxylapatite Head and fluoroplastic shaft incus or incus-stapes Replacement

Shaft OverallCat. No. Cup I.D. Diameter Length

10.9 mm

Spanner Head

Angled


6 SURGERY SOLUTIONS

DORnHOffeR

Dornhoffer malleable PORP Prosthesis

EG70145842 4 x 3.2 mm Head 5.0 mm 1.0 mm

Hydroxylapatite Head, trimmable HaPeX shaft

Cat. No. Description Length Cannulated

5.0 mm 3.2 mm

4.0 mm

Dornhoffer interpositional PORP Prosthesis

EG70141014 3.2 mm 3.0mm 2.0 mm

Hydroxylapatite Head, titanium Head Cradle

Head Overall Overall Length Cat. No. Diameter Length With Cradle

3.2 mm3.0 mm

Dornhoffer malleable tORP Prosthesis

EG70145843 4 x 3.2 mm Head 0.8 mm 8.25 mm


Shaft Cat. No. Description Diameter Length

8.25 mm 3.2 mm

4.0 mm

Dornhoffer micron titanium footplate shoes

EG70143253 0.9 mm 1.98 mm 0.25 mm

EG70143254 0.8 mm 1.98 mm 0.25 mm

Hydroxylapatite Head, titanium Head Cradle

Shoe Overall Adds toCat. No. Inner Diameter Length Implant Length

BOJRaB

Bojrab universal Prosthesis

EG70145844 3.0 mm 6.9 mm .8 mm


Head Shaft Cat. No. Diameter Length Diameter

3.0 mm

2.7 mm

6.9 mm

0.8 mm

0.9 mm 0.8 mm

1.98 mm

1.98 mm

1.98 mm


goldenberg incus-stapes Prosthesis

EG140913 HA Head, Plasti-Pore Shaft 0.8 mm 7.9 mm

with Wire Reinforcement


Shaft Cat. No. Description Diameter Length

7.9 mm2.3 mm

4.0 mm

goldenberg PORP Prosthesis



Fully Cat. No. Description Length Cannulated

3.0 mm

4.0 mm

5.0 mm

goldenberg malleable PORP Prosthesis


Partially Cat. No. Description Length Cannulated

3.0 mm

4.0 mm

5.0 mm

gOlDenBeRg

goldenberg incus Prosthesis



Fully Cat. No. Description Length Cannulated

4.2 mm2.3 mm

4.0 mm

EG140964 HA Head, Malleable 5.1 mm 1.14 mm

Plasti-Pore Shaft


8 SURGERY SOLUTIONS

goldenberg CaP Prosthesis

EG140963 HA Material 1.5 mm 1.14 mm


FullyCat. No. Description Length Cannulated

1.5 mm3.0 mm

4.0 mm

goldenberg incus Prosthesis

EG70145912 2.3 x 4.25 mm Head 3.9 mm 1.17 mm

Hydroxylapatite Head and trimmable HaPeX shaft


2.3 mm3.9 mm

4.25 mm

gOlDenBeRg

goldenberg sHOe Prosthesis

EG140914 1.3 mm 0.8 mm 0.5 mm

Dense Hydroxylapatite material

Outer Partially Adds to Cat. No. Diameter Cannulated Implant Length

2.0 mm0.5 mm

1.3 mm

goldenberg tORP Prosthesis



EG140917 HA Head, Plasti-Pore Shaft with Wire Reinforcement 0.8 mm 7.9 mm 3.0 mm

4.0 mm

7.9 mm


goldenberg PORP Prosthesis

EG70145916 3 x 4.0 mm Head 6.0 mm 1.17 mm



6.0 mm

3.0 mm

4.0 mm

goldenberg malleable incus-stapes Prosthesis

EG70145913 2.3 x 4.25 mm Head 0.8 mm 8.0 mm



2.3 mm8.0 mm

4.25 mm

6.0 mm

goldenberg malleable PORP Prosthesis

EG70145964 3 x 4.0 mm Head 6.0 mm 1.17 mm



3.0 mm

4.0 mm

7.9 mm

goldenberg malleable tORP Prosthesis

EG70145917 3 x 4.0 mm Head 0.8 mm 7.9mm



3.0 mm

4.0 mm


10 SURGERY SOLUTIONS

HaBeRman

micron adjustable titanium accessories

EG70135802 Micron Adjustable Sizing block

EG550108 Ryder Needle Holder

EG70135805 Micron Sizing block and Ryder Needle Holder

EG70132120 Complete PORP and TORP Trial set including sterilization case

titanium

Cat. No. Description

3.0 mm

Haberman tORP Prosthesis

EG70145870 3.5 mm 0.9 mm 7.4 mm


Head ShaftCat. No. Diameter Diameter Length

3.5 mm 7.4 mm

Haberman PORP Prosthesis

EG70145871 3 mm x 2 mm Head 4.0 mm 1 mm


Overall PartiallyCat. No. Description Length Cannulated

2.0 mm

3.0 mm

4.0 mm

micron adjustable titanium tORP and PORP

EG70141044 Centered TORP 2 - 10 mm

EG70141045 Off Centered TORP 2 - 10 mm

EG70141046 Centered PORP 2 - 5 mm

EG70141047 Off Centered PORP 2 - 5 mm

titanium

Cat. No. Head Range

3.0 mm


micron all titanium monolithic Off-Centered PORP

titanium, tiltable Head

Cradle Head Functional FunctionalCat. No. Diameter Diameter Length

EG70142007 3.0 mm 1.0 mm 2.0 mm

EG70142030 3.0 mm 1.0 mm 2.5 mm

EG70142008 3.0 mm 1.0 mm 3.0 mm

EG70142031 3.0 mm 1.0 mm 3.5 mm

EG70142009 3.0 mm 1.0 mm 4.0 mm

Length3.0 mm

micron all titanium monolithic Centered PORP

EG70142004 3.0 mm 1.0 mm 2.0 mm

EG70142028 3.0 mm 1.0 mm 2.5 mm

EG70142005 3.0 mm 1.0 mm 3.0 mm

EG70142029 3.0 mm 1.0 mm 3.5 mm

EG70142006 3.0 mm 1.0 mm 4.0 mm

EG70142036 3.0 mm 1.0 mm 1.5 mm



3.0 mmLength

micron all titanium monolithic Centered tORP


Head Round Footplate OverallCat. No. Diameter Shoe Diameter Length

3.0 mm

LengthEG70142010 3.0 mm 0.9 mm 4.0 mm

EG70142011 3.0 mm 0.9 mm 4.5 mm

EG70142012 3.0 mm 0.9 mm 5.0 mm

EG70142013 3.0 mm 0.9 mm 5.5 mm

EG70142014 3.0 mm 0.9 mm 6.0 mm

EG70142015 3.0 mm 0.9 mm 6.5 mm

EG70142016 3.0 mm 0.9 mm 7.0 mm

EG70142017 3.0 mm 0.9 mm 7.5 mm

EG70142018 3.0 mm 0.9 mm 8.0 mm

EG70142032 3.0 mm 0.9 mm 2.0 mm

EG70142033 3.0 mm 0.9 mm 2.5 mm

EG70142034 3.0 mm 0.9 mm 3.0 mm

EG70142035 3.0 mm 0.9 mm 3.5 mm



HaBeRman

micron all titanium monolithic Off-Centered tORP

EG70142019 3.0 mm 0.9 mm 4.0 mm

EG70142020 3.0 mm 0.9 mm 4.5 mm

EG70142021 3.0 mm 0.9 mm 5.0 mm

EG70142022 3.0 mm 0.9 mm 5.5 mm

EG70142023 3.0 mm 0.9 mm 6.0 mm

EG70142024 3.0 mm 0.9 mm 6.5 mm

EG70142025 3.0 mm 0.9 mm 7.0 mm

EG70142026 3.0 mm 0.9 mm 7.5 mm

EG70142027 3.0 mm 0.9 mm 8.0 mm



Length3.0 mm

micron titanium Centered PORP with Cradle

EG70142002 3.0 mm 4.5 mm 2.24mm 5.8 mm

titanium and trimmable HaPeX shaft

Tiltable Head Cradle OverallCat. No. Diameter Length Length Length

4.5 mm

1.3 mm2.24 mm

3.0 mm

micron titanium Centered tORP with sHOe

EG70142000 3.0 mm 0.9 mm 1.65mm 10.0 mm



9.0 mm

1.0 mm

1.65 mm

2.4 mm

3.0 mm


micron titanium Off-Centered PORP with Cradle



3.0 mm

EG70142003 3.0 mm 4.5 mm 2.24mm 5.8 mm

4.5 mm

1.3 mm2.24 mm

micron titanium Off-Centered tORP with sHOe



3.0 mm

EG70142001 3.0 mm 0.9 mm 1.65mm 10.0 mm

9.0 mm

1.0 mm2.4 mm

1.65 mm

kaRtusH

kartush incus strut Prosthesis


Overall FullyCat. No. Description Length Cannulated

EG140853 Short 2.75 mm 1.17 mm

EG140854 Medium 3.9 mm 1.17 mm

EG140855 Long 4.9 mm 1.17 mm

Length



kartush PORP Prosthesis



EG70145840 3.0 mm 4.5mm 1.17 mm

3.0 mm4.5 mm

kartush incus-stapes strut Prosthesis



EG70145841 3.0 mm 0.8 mm 8.0 mm8.0 mm

kaRtusH

kartush incus-stapes strut Prosthesis



EG140850 Short 0.76 mm 5.13 mm

EG140851 Medium 0.76 mm 7.10 mm

EG140852 Long 0.76 mm 9.96 mm

Length

2.29 mm

.76 mm

OCR aCCessORies

Ossicular Replacement Prosthesis measuring PORP trials

EG70131321 2 mm

EG70131322 3 mm

EG70131323 4 mm

stainless steel, not for implantation, used for Customized sizing

FunctionalCat. No. Length

Length3.0 mm


Ossicular Replacement Prosthesis measuring trial accessories


Cat. No. Description

EG70132120 Complete PORP/TORP Trial Set including Sterilization Case

EG70135060 Sterilization Case

EG70135801 Universal Cutting Block designed for use with Hapex shafts

EG70135802 Micron Titanium Adjustable Sizing Block

EG550108 Ryder Needle Holder

Ossicular Replacement Prosthesis measuring tORP trials

EG70131350 4 mm

EG70131352 5 mm

EG70131354 6 mm

EG70131356 7 mm


FunctionalCat. No. Length

Length

3.0 mm

Richards Centered malleable PORP Prosthesis

EG70145889 3.5 mm 5.8mm 1.17 mm


Head PartiallyCat. No. Diameter Length Cannulated

5.8 mm

3.5 mm

RiCHaRDs

Richards Centered malleable tORP Prosthesis

EG70145888 3.5 mm 0.8 mm 8.1 mm



8.1 mm

3.5 mm



Richards Centered PORP Prosthesis

EG70145891 3.5 mm 5.9 mm 1.17 mm



5.9 mm

3.5 mm

RiCHaRDs

Richards Off-Centered malleable PORP Prosthesis

EG70145892 3.5 mm 5.8 mm 1.17 mm



5.8 mm

3.5 mm

Richards Off-Centered malleable tORP Prosthesis

EG70145890 3.5 mm 0.8 mm 8.1 mm


Head ShaftCat. No. Diameter Diameter Length

5.8 mm

3.5 mm

Richards Off-Centered PORP Prosthesis

EG70145893 3.5 mm 5.9 mm 1.17 mm


Head FullyCat. No. Diameter Length Cannulated

5.8 mm

3.5 mm


sheehy tORP (improved) Prosthesis

EG70140933 3 mm 0.8 mm 7.0 mm

Plasti-Pore material

Head Shaft OverallCat. No. Diameter Diameter Length

7.0 mm3.0 mm

sHeeRy

sheehy PORP Prosthesis

EG70140934 2.87 mm 5.0 mm 1.12 mm

Plasti-Pore material


7.1 mm

2.87 mm

stRasniCk

strasnick tORP Prosthesis

EG70141577 Malleable Head 2.5 mm 0.8 mm 8.0 mm


Head Shaft OverallCat. No. Description Diameter Diameter Length

8.0 mm2.5 mm

strasnick PORP Prosthesis

EG70141576 2.5 mm 5.9 mm 1.17 mm



5.9 mm2.5 mm



WeHRs

Wehrs ii incus stapes system single notch

EG70140982 .9mm shaft, short 5.3mm 4.1mm 2.5mm

EG70140983 .9mm shaft, average 6.3mm 5.2mm 2.5mm

EG70140984 .9mm shaft, medium 7.3mm 6.1mm 2.5mm

EG70140985 . 9mm shaft, long 10.2mm 9.0mm 2.5mm

Hydroxylapatite incus-stapes interpositional Prostheses

DimensionCat. No. Description A B C

C

BA

Wehrs ii incus stapes system Double notch

EG70140986 .9mm shaft, short “A” 5.3mm “B” 4.1mm “C” 1.6mm “D” 3.5mm

EG70140987 .9mm shaft, average “A” 6.3mm “B” 5.2mm “C” 1.6mm “D” 3.5mm

EG70140988 .9mm shaft, medium “A” 7.3mm “B” 6.1mm “C” 1.6mm “D” 3.5mm

EG70140989 .9mm shaft, long “A” 10.2mm “B” 9.0mm “C” 1.6mm “D” 3.5mm

Hydroxylapatite incus-stapes interpositional Prostheses

Cat. No. Description Dimension

DC

BA

isJ sOlutiOns

applebaum incudostapedial Joint Prosthesis

EG140956 Small

“A” 2.0 mm 1.0 mm

“B” 2.0 mm 1.0 mm

“C” 1.2 mm 1.0 mm

EG140957 Large

“A” 2.5 mm 1.0 mm

“B” 2.0 mm 1.0 mm

“C” 1.2 mm 1.0 mm


Fully Cat. No. Description Dimensions Cannulated

CB

Top View End View A


OtOmimiX

Otomimix

EG70143266 Otomimix - 2 Gram 1

EG130725 Rosen needle - sharp 6

EG130726 Rosen needle - dull 6

Cat. No. Description Unit P/Box

OtoMimix, HA bone cement provides stability with an interface connecting the prosthesis head to the malleus.

applebaum incus Replacement system

EG140970 2.00 mm

EG140971 2.25 mm

EG140972 2.50 mm

EG140973 3.00 mm

EG140974 3.50 mm

Hydroxylapatite material, Partially Cannulated

Cat. No. Length

1.52 mm

2.48 mmLenght



Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer.

Postbox 10 49 0820034 Hamburg, Germanywww.olympus-europa.com

E04

9903

3 · 3

.000

· 03

/10

· e7


Documents

Ossicular Reconstruction Reference Guide - …mepmedica.com/wp-content/uploads/protesis-reconstruccion-cadena... · Ossicular Reconstruction Reference Guide ... EG140912 HA Head,