Reference Guide for Ventilation Tubes

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1 ENT Myringotomy Reference Guide for Ventilation Tubes

2 2 MYRINGOTOMY Ventilation Tube Solutions For nearly 50 years ENT surgeons hace placed their trust in our Armstrong, DuraVent, and Modified T-Tubes, all featuring our PacifiC and UltraSil treatments. Tonsillectomy Solutions The Olympus TA2 PlasmaKnife tip precisely excises tonsis utilising low RF temperature plasma fields and has the smallest thermal margins* available which can mean less pain and faster healing. Tonsillotomy Solutions Olympus PK diego provides hemostasis and control using a chice of our patented PK electrosurgery powered dissection blades, or our traditional powered blades.

3 Ventilation Tube Materials Fluoroplastics Fluoroplastics are polymers composed of carbon and fluorine atoms. They come from a variety of different resins and are used in a wide range of industrial, medical, and home applications. Teflon is the brand name of one of the more popular varieties of fluoroplastic. Fluoroplastics are highly regarded by otologists for their inertness, smoothness oftexture, and biocompatibility. Fluoroplastic parts are molded, machined from rods, or formed from tubing and sheeting. PacifiC PacifiC is Olympus trademark for a patented phosphorylcholine (PC) coating applied to fluoroplastic ventilation tubes. PC is a chemical group that occurs in membranes of all human cells and is zwitterionic in nature, meaning that it has both positive and negative charges that are within relatively close proximity. Consequently, PC groups tend to attract and bind large numbers of water molecules tightly around themselves, which makes it energetically unfavorable for other materials to interact. PacifiC is a unique coating that mimics the zwitterionic structure of natural membranes. When applied to medical devices, properties such as enhanced resistance to bacterial adhesion are conferred through this biomimicry. Silicon Silicone is a material that is commonly used in medical implants due to its compliancy and elasticity. It s known for its inertness, smoothness, and lack of tissue reaction. Polyethylene Polyethylene, 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 two qualities that make polyethylene appropriate for otology implants. It is available in white and blue colors. Titanium Titanium (ASTM F 136) is used in many medical implants. It has excellent corrosion resistance and is well tolerated by tissue. The material is light weight and MRI compatible.

4 4 MYRINGOTOMY Ventilation Tube Materials Ultrasil Ultrasil is Olympus patented surface treatment applied to silicone ventilation tubes. The treatment involves bombarding the silicone with high-energy argon ions in order to improve its surface properties. As a result of the ionimplantation the surface of the silicone is smoothed and its critical surface tension is increased. These results, acting alone or in concert, may contribute to the minimally bioadhesive quality of the Ultrasil material. Stainless Steel Stainless steel (ASTM F 138, Grade 2) is a special quality implant-grade steel that has long been in use in medical implants. It has a balanced corrosion resistant chemistry and an extremely clean microstructure. Stainless steel parts are machined from rods. Wire made of this material is also used for many Olympus products. Micron Micron is Olympus patented finishing process for titanium implants. This proprietary chemical process not only smoothes the surface but also dulls it, which reduces glare. All ventilation tubes are packed one per package, six per box, unless otherwise specified. * Twinpack: two vent tubes per package, 30 pkgs./box, 60 vent tubes total. ** 30 Pack (Singles).

5 Tubes Armstrong Beveled Grommets Fluoroplastic EG mm Fluoroplastic EG145700* 1.14 mm Fluoroplastic EG ** 1.14 mm Blue Fluoroplastic EG mm Blue Fluoroplastic EG * 1.14 mm Blue Fluoro-PacifiC EG mm Fluoro-PacifiC EG ** 1.14 mm Fluoro-PacifiC EG * 1.14 mm Fluoro-PacifiC EG mm Arm. V Style, Blue Fluoro-PacifiC EG ** 1.14 mm Arm. V Style, Blue Fluoro-PacifiC EG * 1.14 mm Arm. V Style, Blue Silicone EG mm w/tab, Blue Ultrasil EG mm w/tab, Blue Ultrasil EG ** 1.14 mm w/tab, Blue Ultrasil EG * 1.14 mm w/tab, Blue Armstrong Beveled Plain End Ventilation Tubes Material Cat. No. Lenght Length Length Fluoroplastic EG mm 7.6 mm Fluoroplastic EG145706* 1.14 mm 7.6 mm Fluoro-PacifiC EG mm 7.6 mm Fluoro-PacifiC EG ** 1.14 mm 7.6 mm Fluoro-PacifiC EG mm 7.6 mm Fluoro-PacifiC EG mm Arm V, 4.5 mm Fluoro-PacifiC EG * 1.14 mm Arm V, 4.5 mm Fluoro-PacifiC EG ** 1.14 mm Arm V, 4.5 mm Fluoro-PacifiC EG mm Arm V, 7.5 mm Fluoro-PacifiC EG * 1.14 mm Arm V, 7.5 mm Fluoro-PacifiC EG ** 1.14 mm Arm V, 7.5 mm Silicone EG mm 7.6 mm Blue Ultrasil EG mm 7.6 mm Blue Berger V Bobbin Ventilation Tube Titanium EG mm

6 6 MYRINGOTOMY Tubes Baxter Beveled Bobbin Ventilation Tube Fluoro-PacifiC EG mm Blue Fluoro-PacifiC EG ** 0.97 mm Blue Fluoro-PacifiC EG * 0.97 mm Blue Fluoro-PacifiC EG mm Blue Fluoro-PacifiC EG ** 1.27 mm Blue Fluoro-PacifiC EG * 1.27 mm Blue Butterfly Ventilation Tube Material Cat. No. Lenght Width Width Length Silicone EG mm 5.3 mm 7.6 mm Silicone EG ** 1.27 mm 5.3 mm 7.6 mm Silicone, Ultrasil EG mm 5.3 mm 7.6 mm Canale Ventilation Tube 3.38mm Silicone EG mm Blue Collar Bobbin Vent Tubes Titanium EG mm Fluoroplastic EG mm Fluoroplastic EG mm Titanium EG mm Fluoroplastic EG mm

7 Collar Button Ventilation Tubes Fluoroplastic EG mm White Fluoroplastic EG145004** 1.27 mm White Fluoroplastic EG145705* 1.27 mm White Fluoroplastic EG * 1.27 mm Blue Fluoroplastic EG * 1.27 mm Blue Fluoroplastic EG mm White w/wire Fluoro-PacifiC EG mm White Fluoro-PacifiC EG ** 1.27 mm White Fluoro-PacifiC EG * 1.27 mm White Silicone EG240014* 1.27 mm Blue Silicone, Ultrasil EG mm Blue Silicone, Ultrasil EG ** 1.27 mm Blue Silicone, Ultrasil EG * 1.27 mm Blue Donaldson Ventilation Tubes Silicone EG mm Blue Soft Silicone EG mm Blue Silicone EG245702* 1.14 mm Blue Silicone EG mm w/tab, Blue Silicone EG ** 1.14 mm w/tab, Blue Silicone EG245707* 1.14 mm w/tab, Blue Fluoroplastic EG mm Ultrasil EG mm DuraVent Tubes Silicone EG mm 1.37 mm IF, Blue Silicone EG245775* 1.27 mm 1.37 mm IF, Blue Ultrasil EG mm 1.37 mm IF, Blue Ultrasil EG ** 1.27 mm 1.37 mm IF, Blue All ventilation tubes are packed one per package, six per box, unless otherwise specified. * Twinpack: two vent tubes per package, 30 pkgs./box, 60 vent tubes total. ** 30 Pack (Singles).

8 8 MYRINGOTOMY Tubes Dutcher Ventilation Tube Silicone, Ultrasil EG mm 4.32 mm Medial Flange Width, w/tab, Blue Feuerstein Split Tube Material Cat. No. Lenght Length Fluoroplastic EG mm 9 mm Jahn HydroxylVent Tubes Material Cat. No. Lenght Lenght Hydroxylapatite EG mm 9.5 mm Long Hydroxylapatite EG mm 9.5 mm Long Hydroxylapatite EG mm 9.5 mm Long w/flpl. Liner Lindeman-Silverstein Ventilation Tube Fluoroplastic EG mm - Mini-Revesible Ventilation Tube Silicone EG mm Reversible

9 Micron Titanium Bobbin Ventilation Tubes F Titanium/Fluoro EG mm w/flange Holes Titanium/Fluoro EG mm Titanium/Fluoro EG mm Titanium EG mm Infant Titanium EG mm w/flange Holes Titanium EG mm Unibobbin (FH on 1 side) Titanium EG mm Titanium EG mm Titanium EG mm w/spoon Flange Titanium EG mm + Hydromer Coat Titanium EG * 1.27 mm + Hydromer Coat Titanium EG145781* 1.27 mm Titanium EG mm Blue Titanium EG mm Blue Blue Titanium EG mm Blue, 12/box Modified T-Tubes Width 7.62 mm Silicone EG mm 4.80 mm Blue Silicone EG ** 1.32 mm 4.80 mm Blue Silicone EG245704* 1.32 mm 4.80 mm Blue Soft Silicone EG mm 4.80 mm Blue Ultrasil EG mm 4.80 mm Blue Lenght Moretz Type Ventilation Tubes Titanium EG mm Angled Tab Polyethylene EG mm Blue Polyethylene EG ** 1.27 mm Blue Polyethylene EG * 1.27 mm Blue Fluoro-PacifiC EG mm All ventilation tubes are packed one per package, six per box, unless otherwise specified. * Twinpack: two vent tubes per package, 30 pkgs./box, 60 vent tubes total. ** 30 Pack (Singles).

10 10 MYRINGOTOMY Tubes Per-Lee Ventilation Tube Angle Silicone EG mm 60, 15 mm Long, Blue Paparella-Type Ventilation Tubes Fluoroplastic EG mm w/tab Fluoroplastic EG mm w/tab Silicone EG mm w/otab, Blue Silicone EG mm w/tab, Blue Silicone EG ** 1.02 mm w/tab, Blue Silicone EG245701* 1.02 mm w/tab, Blue Silicone EG mm w/tab, Blue Silicone EG mm w/tab, Blue Silicone EG ** 1.27 mm w/tab, Blue Silicone EG * 1.27 mm w/tab, Blue Silicone EG mm w/tab, Blue Soft Silicone EG mm w/tab, Blue Soft Sil-Ultrasil EG mm w/tab, Blue Soft Sil-Ultrasil EG ** 1.14 mm w/tab, Blue Soft Sil-Ultrasil EG * 1.14 mm w/tab, Blue Silicone, Ultrasil EG mm w/tab, Blue Silicone, Ultrasil EG ** 1.02 mm w/tab, Blue Silicone, Ultrasil EG mm w/tab, Blue Silicone, Ultrasil EG ** 1.14 mm w/tab, Blue Silicone, Ultrasil EG * 1.14 mm w/tab, Blue Silicone, Ultrasil EG mm w/tab, Blue Pope Beveled Grommet Ventilation Tubes Polyethylene EG mm Blue Polyethylene EG ** 1.14 mm Blue Polyethylene EG mm Blue Fluoro-PacifiC EG mm Blue

11 Reuter Bobbin Ventilation Tubes IF Fluoroplastic EG mm 1 mm IF, w/o Holes Fluoroplastic EG145709* 1.00 mm 1 mm IF, w/o Holes Fluoroplastic EG mm 1 mm IF, w/o Holes Fluoroplastic EG145019** 1.14 mm 1 mm IF, w/o Holes Fluoroplastic EG mm 1 mm IF, w/wire Fluoroplastic EG mm 1 mm IF Fluoroplastic EG145710* 1.14 mm 1 mm IF Fluoroplastic EG mm 0.5 mm IF Fluoro-PacifiC EG mm 1 mm IF w/o Holes Fluoro-PacifiC EG ** 1.00 mm 1 mm IF w/o Holes Fluoro-PacifiC EG * 1.00 mm 1 mm IF Fluoro-PacifiC EG mm 1 mm IF Fluoro-PacifiC EG ** 1.14 mm 1 mm IF Fluoro-PacifiC EG * 1.14 mm 1 mm IF Stainless Steel EG mm 1 mm IF Stainless Steel EG145701* 1.00 mm 1 mm IF Stainless Steel EG mm 1 mm IF w/wire Stainless Steel EG mm Satin, 1 mm IF w/wire Stainless Steel EG mm Satin, 1 mm IF Stainless Steel EG mm 1 mm IF Stainless Steel EG mm 1 mm IF Titanium EG mm 1 mm IF Micron Finish Richards T-Tubes Width Length Silicone EG mm 12 mm 9.8 mm Silicone EG ** 1.14 mm 12 mm 9.8 mm Soft Silicone EG mm 12 mm 9.8 mm Silicone EG245706* 1.14 mm 12 mm 9.8 mm Ultrasil 7 EG mm 12 mm 9.8 mm All ventilation tubes are packed one per package, six per box, unless otherwise specified. * Twinpack: two vent tubes per package, 30 pkgs./box, 60 vent tubes total. ** 30 Pack (Singles).

12 12 MYRINGOTOMY Tubes Rock Pediatric Ventilation Tube Fluoroplastic EG mm 0.89 mm IF Rube Ventilation Tube Width Length Material Cat. No. Length Width Description Silicone EG mm 4.5 mm 6.6 mm w/tab Shah Ventilation Tubes Fluoroplastic EG mm w/o Wire Fluoroplastic EG145020** 0.76 mm w/o Wire Fluoroplastic EG mm w/o Wire Fluoroplastic EG145001** 1.14 mm w/o Wire Fluoroplastic EG mm w/wire Fluoroplastic EG mm w/wire Shea Parasol Ventilation Tubes Silicone EG mm w/tab, Small Flange Silicone EG mm w/tab Silicone EG mm w/tab Silicone EG mm w/tab Ultrasil EG mm w/tab

13 Sheehy-Type Collar Button Fluoroplastic EG mm Fluoroplastic EG ** 1.27 mm Fluoroplastic EG * 1.27 mm Fluoro-PacifiC EG mm White Fluoro-PacifiC EG ** 1.27 mm White Fluoro-PacifiC EG * 1.27 mm White Silicone EG mm Blue Silicone EG * 1.27 mm Blue Shepard Grommet Ventilation Tubes Fluoroplastic EG mm w/tab Fluoroplastic EG mm w/tab Fluoroplastic EG mm Fluoroplastic EG145003** 1.14 mm Fluoroplastic EG mm w/wire Fluoroplastic EG145009** 1.02 mm w/wire Fluoroplastic EG145702* 1.02 mm w/wire Fluoroplastic EG mm Fluoroplastic EG145002** 1.02 mm Fluoroplastic EG145711* 1.02 mm Fluoroplastic EG mm w/wire Fluoroplastic EG145010** 1.14 mm w/tab and Wire Fluoroplastic EG145704* 1.14 mm w/tab and Wire Fluoroplastic EG mm Fluoroplastic EG mm Fluoroplastic EG ** 1.02 mm Silicone EG mm w/tab, Blue Silicone EG ** 1.02 mm w/tab, Blue Polyethylene EG mm w/tab and Wire, Blue Polyethylene EG mm w/tab, Blue Polyethylene EG mm w/tab and Wire, Blue Polyethylene EG mm w/tab, Blue Ultrasil EG mm Blue All ventilation tubes are packed one per package, six per box, unless otherwise specified. * Twinpack: two vent tubes per package, 30 pkgs./box, 60 vent tubes total. ** 30 Pack (Singles).

14 14 MYRINGOTOMY Tubes Spoon Bobbin Ventilation Tubes Fluoroplastic EG mm w/o Wire, w/o Holes Stainless Steel EG mm w/o Wire Stainless Steel EG mm w/wire Stainless Steel EG ** 1.00 mm w/wire Titanium EG mm w/wire, w/o Holes Straight Ventilation Tubes Lenght Fluoroplastic EG mm 12 mm Long Fluoroplastic EG mm 12 mm Long Fluoroplastic EG145007** 1.14 mm 12 mm Long Fluoroplastic EG145703* 1.14 mm 12 mm Long Fluoroplastic EG mm 7 mm Long Fluoroplastic EG145707* 0.89 mm 7 mm Long Fluoro-Pacific EG mm 7 mm Long Fluoro-Pacific EG ** 0.89 mm 7 mm Long Fluoro-Pacific EG * 0.89 mm 7 mm Long Fluoroplastic EG mm 7 mm Long Fluoroplastic EG145011** 1.14 mm 7 mm Long Fluoroplastic EG145708* 1.14 mm 7 mm Long Fluoro-Pacific EG mm 7 mm Long Fluoro-Pacific EG ** 1.14 mm 7 mm Long Fluoro-Pacific EG * 1.14 mm 7 mm Long Polyethylene EG mm 7 mm Long, Clear Polyethylene EG145713* 0.86 mm 7 mm Long, Clear Polyethylene EG mm 12 mm Long, Blue Polyethylene EG mm 7 mm Long, Blue Sultan Ventilation Tubes Fluoroplastic EG mm w/tab Fluoroplastic EG mm w/tab

15 Tiny T-Tubes Material Cat. No. Length Width Description Width Length Silicone EG mm 4.0 mm 4.0 mm Blue Ultrasil EG mm 4.0 mm 4.0 mm Blue Venturi+Plus Ventilation Tube Titanium EG mm +Hydromer Coated All ventilation tubes are packed one per package, six per box, unless otherwise specified. * Twinpack: two vent tubes per package, 30 pkgs./box, 60 vent tubes total. ** 30 Pack (Singles).

16 16 MYRINGOTOMY Knives and Blades Flat Bladed Myringotomy Knives and Blades Cat. No. Description EG Angled Myringotomy Blade EG Myringotomy Arrow (Juvenile) Blade EG Myringotomy Lance (Juvenile) Blade EG Myringotomy Spear (Juvenile) Knife with Green Handle EG Myringotomy Lance (Juvenile) Knife with Green Handle

17 Flat Bladed Myringotomy Knives and Blades Cat. No. Description EG Tympanoplasty Angled Blade EG Tympanoplasty Straight Blade EG Stainless Steel Handle for Flat Blades Round Shaft Myringotomy Blades Cat. No. Description EG Spear Micro-Point Straight Blade EG Spear Micro-Point Angled Blade

18 18 MYRINGOTOMY Knives and Blades Round Blades with Additional Tapered Shafts Cat. No. Description EG Tapered Series Straight Edge Angled Up Cut EG Tapered Series Straight Edge Angled Down Cut EG Tapered Series Straight Edge Straight Blade EG Tapered Series Spear Tip Angled Blade EG Myringotomy Lance (Juvenile) Knife with Green Handle EG EG Stainless Steel Handle for Tapered Shaft Blades Stainless Steel Handle for Round Shaft Blades

19 Traditional Disposable Knives with Handles Cat. No. Description EG Sickle Blade Flat Handle EG Lancet Blade Flat Handle EG Sickle Blade Round Handle EG Lancet Blade Round Handle EG Arrow Blade Round Handle

20 20 MYRINGOTOMY Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer. E /10 e7 Postbox Hamburg, Germany

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