Reference Guide for Ventilation Tubes

ENT Myringotomy Reference Guide for Ventilation Tubes

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.

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 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).

Tubes Armstrong Beveled Grommets Fluoroplastic EG140242 1.14 mm Fluoroplastic EG145700* 1.14 mm Fluoroplastic EG70143061** 1.14 mm Blue Fluoroplastic EG70145061 1.14 mm Blue Fluoroplastic EG70145761* 1.14 mm Blue Fluoro-PacifiC EG70140267 1.14 mm Fluoro-PacifiC EG70143067** 1.14 mm Fluoro-PacifiC EG70146067* 1.14 mm Fluoro-PacifiC EG70140395 1.14 mm Arm. V Style, Blue Fluoro-PacifiC EG70140396** 1.14 mm Arm. V Style, Blue Fluoro-PacifiC EG70140397* 1.14 mm Arm. V Style, Blue Silicone EG240050 1.14 mm w/tab, Blue Ultrasil EG70241050 1.14 mm w/tab, Blue Ultrasil EG70241350** 1.14 mm w/tab, Blue Ultrasil EG70245755* 1.14 mm w/tab, Blue Armstrong Beveled Plain End Ventilation Tubes Material Cat. No. Lenght Length Length Fluoroplastic EG140244 1.14 mm 7.6 mm Fluoroplastic EG145706* 1.14 mm 7.6 mm Fluoro-PacifiC EG70140345 1.14 mm 7.6 mm Fluoro-PacifiC EG70140346** 1.14 mm 7.6 mm Fluoro-PacifiC EG70140347 1.14 mm 7.6 mm Fluoro-PacifiC EG70140398 1.14 mm Arm V, 4.5 mm Fluoro-PacifiC EG70140399* 1.14 mm Arm V, 4.5 mm Fluoro-PacifiC EG70140400** 1.14 mm Arm V, 4.5 mm Fluoro-PacifiC EG70140401 1.14 mm Arm V, 7.5 mm Fluoro-PacifiC EG70140402* 1.14 mm Arm V, 7.5 mm Fluoro-PacifiC EG70140403** 1.14 mm Arm V, 7.5 mm Silicone EG240052 1.14 mm 7.6 mm Blue Ultrasil EG70241052 1.14 mm 7.6 mm Blue Berger V Bobbin Ventilation Tube Titanium EG145282 1.27 mm

6 MYRINGOTOMY Tubes Baxter Beveled Bobbin Ventilation Tube Fluoro-PacifiC EG70140271 0.97 mm Blue Fluoro-PacifiC EG70140273** 0.97 mm Blue Fluoro-PacifiC EG70140275* 0.97 mm Blue Fluoro-PacifiC EG70140270 1.27 mm Blue Fluoro-PacifiC EG70140272** 1.27 mm Blue Fluoro-PacifiC EG70140274* 1.27 mm Blue Butterfly Ventilation Tube Material Cat. No. Lenght Width Width Length Silicone EG240073 1.27 mm 5.3 mm 7.6 mm Silicone EG70245018** 1.27 mm 5.3 mm 7.6 mm Silicone, Ultrasil EG70241073 1.27 mm 5.3 mm 7.6 mm Canale Ventilation Tube 3.38mm Silicone EG240080 1.14 mm Blue Collar Bobbin Vent Tubes Titanium EG145287 1.14 mm Fluoroplastic EG145288 0.75 mm Fluoroplastic EG145289 1.14 mm Titanium EG145297 1.27 mm Fluoroplastic EG145298 1.27 mm

Collar Button Ventilation Tubes Fluoroplastic EG145214 1.27 mm White Fluoroplastic EG145004** 1.27 mm White Fluoroplastic EG145705* 1.27 mm White Fluoroplastic EG70145062* 1.27 mm Blue Fluoroplastic EG70145060* 1.27 mm Blue Fluoroplastic EG145217 1.27 mm White w/wire Fluoro-PacifiC EG70145314 1.27 mm White Fluoro-PacifiC EG70145316** 1.27 mm White Fluoro-PacifiC EG70145317* 1.27 mm White Silicone EG240014* 1.27 mm Blue Silicone, Ultrasil EG70241014 1.27 mm Blue Silicone, Ultrasil EG70241314** 1.27 mm Blue Silicone, Ultrasil EG70241060* 1.27 mm Blue Donaldson Ventilation Tubes Silicone EG240015 1.14 mm Blue Soft Silicone EG240060 1.14 mm Blue Silicone EG245702* 1.14 mm Blue Silicone EG240016 1.14 mm w/tab, Blue Silicone EG70245012** 1.14 mm w/tab, Blue Silicone EG245707* 1.14 mm w/tab, Blue Fluoroplastic EG146043 1.14 mm Ultrasil EG70241015 1.14 mm DuraVent Tubes Silicone EG240075 1.27 mm 1.37 mm IF, Blue Silicone EG245775* 1.27 mm 1.37 mm IF, Blue Ultrasil EG70241075 1.27 mm 1.37 mm IF, Blue Ultrasil EG70241375** 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 MYRINGOTOMY Tubes Dutcher Ventilation Tube Silicone, Ultrasil EG70240054 1.27 mm 4.32 mm Medial Flange Width, w/tab, Blue Feuerstein Split Tube Material Cat. No. Lenght Length Fluoroplastic EG140248 1.02 mm 9 mm Jahn HydroxylVent Tubes Material Cat. No. Lenght Lenght Hydroxylapatite EG140906 1.00 mm 9.5 mm Long Hydroxylapatite EG140926 1.27 mm 9.5 mm Long Hydroxylapatite EG140927 1.00 mm 9.5 mm Long w/flpl. Liner Lindeman-Silverstein Ventilation Tube Fluoroplastic EG140240 1.14 mm - Mini-Revesible Ventilation Tube Silicone EG240242.89 mm Reversible

Micron Titanium Bobbin Ventilation Tubes F Titanium/Fluoro EG145220 1.00 mm w/flange Holes Titanium/Fluoro EG145271 1.27 mm Titanium/Fluoro EG145272 1.52 mm Titanium EG145221 0.76 mm Infant Titanium EG145215 1.00 mm w/flange Holes Titanium EG145219 1.00 mm Unibobbin (FH on 1 side) Titanium EG145280 1.00 mm Titanium EG145279 1.14 mm Titanium EG145273 1.27 mm w/spoon Flange Titanium EG145276 1.27 mm + Hydromer Coat Titanium EG70145776* 1.27 mm + Hydromer Coat Titanium EG145781* 1.27 mm Titanium EG145281 1.27 mm Blue Titanium EG70145381 1.27 mm Blue Blue Titanium EG70145881 1.27 mm Blue, 12/box Modified T-Tubes Width 7.62 mm Silicone EG240072 1.32 mm 4.80 mm Blue Silicone EG70245017** 1.32 mm 4.80 mm Blue Silicone EG245704* 1.32 mm 4.80 mm Blue Soft Silicone EG240074 1.32 mm 4.80 mm Blue Ultrasil EG70241072 1.32 mm 4.80 mm Blue Lenght Moretz Type Ventilation Tubes Titanium EG145265 1.27 mm Angled Tab Polyethylene EG70145498 1.27 mm Blue Polyethylene EG70143498** 1.27 mm Blue Polyethylene EG70145798* 1.27 mm Blue Fluoro-PacifiC EG70142043 1.27 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 MYRINGOTOMY Tubes Per-Lee Ventilation Tube Angle Silicone EG70240026 1.57 mm 60, 15 mm Long, Blue Paparella-Type Ventilation Tubes Fluoroplastic EG140252 1.02 mm w/tab Fluoroplastic EG140254 1.27 mm w/tab Silicone EG240043 1.02 mm w/otab, Blue Silicone EG240044 1.02 mm w/tab, Blue Silicone EG70245016** 1.02 mm w/tab, Blue Silicone EG245701* 1.02 mm w/tab, Blue Silicone EG70140280 1.14 mm w/tab, Blue Silicone EG240046 1.27 mm w/tab, Blue Silicone EG70243046** 1.27 mm w/tab, Blue Silicone EG70245746* 1.27 mm w/tab, Blue Silicone EG240048 2.03 mm w/tab, Blue Soft Silicone EG240058 1.02 mm w/tab, Blue Soft Sil-Ultrasil EG70140281 1.14 mm w/tab, Blue Soft Sil-Ultrasil EG70241380** 1.14 mm w/tab, Blue Soft Sil-Ultrasil EG70245780* 1.14 mm w/tab, Blue Silicone, Ultrasil EG70241044 1.02 mm w/tab, Blue Silicone, Ultrasil EG70241344** 1.02 mm w/tab, Blue Silicone, Ultrasil EG70240280 1.14 mm w/tab, Blue Silicone, Ultrasil EG70240281** 1.14 mm w/tab, Blue Silicone, Ultrasil EG70240282* 1.14 mm w/tab, Blue Silicone, Ultrasil EG70241046 1.27 mm w/tab, Blue Pope Beveled Grommet Ventilation Tubes Polyethylene EG145250 1.14 mm Blue Polyethylene EG70143250** 1.14 mm Blue Polyethylene EG70145750 1.14 mm Blue Fluoro-PacifiC EG70142047 1.14 mm Blue

Reuter Bobbin Ventilation Tubes IF Fluoroplastic EG145212 1.00 mm 1 mm IF, w/o Holes Fluoroplastic EG145709* 1.00 mm 1 mm IF, w/o Holes Fluoroplastic EG145213 1.14 mm 1 mm IF, w/o Holes Fluoroplastic EG145019** 1.14 mm 1 mm IF, w/o Holes Fluoroplastic EG145224 1.14 mm 1 mm IF, w/wire Fluoroplastic EG145225 1.14 mm 1 mm IF Fluoroplastic EG145710* 1.14 mm 1 mm IF Fluoroplastic EG145227 1.27 mm 0.5 mm IF Fluoro-PacifiC EG70145319 1.00 mm 1 mm IF w/o Holes Fluoro-PacifiC EG70145320** 1.00 mm 1 mm IF w/o Holes Fluoro-PacifiC EG70145321* 1.00 mm 1 mm IF Fluoro-PacifiC EG70145326 1.14 mm 1 mm IF Fluoro-PacifiC EG70145327** 1.14 mm 1 mm IF Fluoro-PacifiC EG70145328* 1.14 mm 1 mm IF Stainless Steel EG145210 1.00 mm 1 mm IF Stainless Steel EG145701* 1.00 mm 1 mm IF Stainless Steel EG145211 1.00 mm 1 mm IF w/wire Stainless Steel EG145216 1.00 mm Satin, 1 mm IF w/wire Stainless Steel EG145218 1.00 mm Satin, 1 mm IF Stainless Steel EG145208 1.14 mm 1 mm IF Stainless Steel EG145209 1.27 mm 1 mm IF Titanium EG145215 1.00 mm 1 mm IF Micron Finish Richards T-Tubes Width Length Silicone EG240071 1.14 mm 12 mm 9.8 mm Silicone EG70245014** 1.14 mm 12 mm 9.8 mm Soft Silicone EG240059 1.14 mm 12 mm 9.8 mm Silicone EG245706* 1.14 mm 12 mm 9.8 mm Ultrasil 7 EG0241071 1.14 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 MYRINGOTOMY Tubes Rock Pediatric Ventilation Tube Fluoroplastic EG140086 1.02 mm 0.89 mm IF Rube Ventilation Tube Width Length Material Cat. No. Length Width Description Silicone EG70140260 1.14 mm 4.5 mm 6.6 mm w/tab Shah Ventilation Tubes Fluoroplastic EG142230 0.76 mm w/o Wire Fluoroplastic EG145020** 0.76 mm w/o Wire Fluoroplastic EG146044 1.14 mm w/o Wire Fluoroplastic EG145001** 1.14 mm w/o Wire Fluoroplastic EG140005 1.14 mm w/wire Fluoroplastic EG145015 1.14 mm w/wire Shea Parasol Ventilation Tubes Silicone EG240035 1.02 mm w/tab, Small Flange Silicone EG240036 1.02 mm w/tab Silicone EG245703 1.02 mm w/tab Silicone EG240038 1.52 mm w/tab Ultrasil EG70241036 1.02 mm w/tab

Sheehy-Type Collar Button Fluoroplastic EG70145971 1.27 mm Fluoroplastic EG70143071** 1.27 mm Fluoroplastic EG70145771* 1.27 mm Fluoro-PacifiC EG70141080 1.27 mm White Fluoro-PacifiC EG70143075** 1.27 mm White Fluoro-PacifiC EG70145780* 1.27 mm White Silicone EG70145781 1.27 mm Blue Silicone EG70145782* 1.27 mm Blue Shepard Grommet Ventilation Tubes Fluoroplastic EG140007 1.02 mm w/tab Fluoroplastic EG140008 1.14 mm w/tab Fluoroplastic EG140027 1.14 mm Fluoroplastic EG145003** 1.14 mm Fluoroplastic EG140028 1.02 mm w/wire Fluoroplastic EG145009** 1.02 mm w/wire Fluoroplastic EG145702* 1.02 mm w/wire Fluoroplastic EG140029 1.02 mm Fluoroplastic EG145002** 1.02 mm Fluoroplastic EG145711* 1.02 mm Fluoroplastic EG140030 1.14 mm w/wire Fluoroplastic EG145010** 1.14 mm w/tab and Wire Fluoroplastic EG145704* 1.14 mm w/tab and Wire Fluoroplastic EG70141030 1.02 mm Fluoroplastic EG70141031 1.02 mm Fluoroplastic EG70141032** 1.02 mm Silicone EG240020 1.02 mm w/tab, Blue Silicone EG70245008** 1.02 mm w/tab, Blue Polyethylene EG146028 1.02 mm w/tab and Wire, Blue Polyethylene EG146029 1.02 mm w/tab, Blue Polyethylene EG146030 1.14 mm w/tab and Wire, Blue Polyethylene EG146031 1.14 mm w/tab, Blue Ultrasil EG70241020 1.02 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 MYRINGOTOMY Tubes Spoon Bobbin Ventilation Tubes Fluoroplastic EG70145224 1.00 mm w/o Wire, w/o Holes Stainless Steel EG145240 1.00 mm w/o Wire Stainless Steel EG145241 1.00 mm w/wire Stainless Steel EG70145225** 1.00 mm w/wire Titanium EG145273 1.27 mm w/wire, w/o Holes Straight Ventilation Tubes Lenght Fluoroplastic EG140032 0.89 mm 12 mm Long Fluoroplastic EG140033 1.14 mm 12 mm Long Fluoroplastic EG145007** 1.14 mm 12 mm Long Fluoroplastic EG145703* 1.14 mm 12 mm Long Fluoroplastic EG140034 0.89 mm 7 mm Long Fluoroplastic EG145707* 0.89 mm 7 mm Long Fluoro-Pacific EG70141035 0.89 mm 7 mm Long Fluoro-Pacific EG70141036** 0.89 mm 7 mm Long Fluoro-Pacific EG70141037* 0.89 mm 7 mm Long Fluoroplastic EG140035 1.14 mm 7 mm Long Fluoroplastic EG145011** 1.14 mm 7 mm Long Fluoroplastic EG145708* 1.14 mm 7 mm Long Fluoro-Pacific EG70141039 1.14 mm 7 mm Long Fluoro-Pacific EG70141040** 1.14 mm 7 mm Long Fluoro-Pacific EG70141041* 1.14 mm 7 mm Long Polyethylene EG140016 0.86 mm 7 mm Long, Clear Polyethylene EG145713* 0.86 mm 7 mm Long, Clear Polyethylene EG146033 1.14 mm 12 mm Long, Blue Polyethylene EG146035 1.14 mm 7 mm Long, Blue Sultan Ventilation Tubes Fluoroplastic EG145230 1.27 mm w/tab Fluoroplastic EG145005 1.27 mm w/tab

Tiny T-Tubes Material Cat. No. Length Width Description Width Length Silicone EG70140076 1.32 mm 4.0 mm 4.0 mm Blue Ultrasil EG70141076 1.32 mm 4.0 mm 4.0 mm Blue Venturi+Plus Ventilation Tube Titanium EG70145278 1.27 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 MYRINGOTOMY Knives and Blades Flat Bladed Myringotomy Knives and Blades Cat. No. Description EG70130780 Angled Myringotomy Blade EG70130781 Myringotomy Arrow (Juvenile) Blade EG70130933 Myringotomy Lance (Juvenile) Blade EG70130791 Myringotomy Spear (Juvenile) Knife with Green Handle EG70130790 Myringotomy Lance (Juvenile) Knife with Green Handle

Flat Bladed Myringotomy Knives and Blades Cat. No. Description EG70130925 Tympanoplasty Angled Blade EG70130926 Tympanoplasty Straight Blade EG130884 Stainless Steel Handle for Flat Blades Round Shaft Myringotomy Blades Cat. No. Description EG70130793 Spear Micro-Point Straight Blade EG70130794 Spear Micro-Point Angled Blade

18 MYRINGOTOMY Knives and Blades Round Blades with Additional Tapered Shafts Cat. No. Description EG70130927 Tapered Series Straight Edge Angled Up Cut EG70130928 Tapered Series Straight Edge Angled Down Cut EG70130929 Tapered Series Straight Edge Straight Blade EG70130930 Tapered Series Spear Tip Angled Blade EG70130790 Myringotomy Lance (Juvenile) Knife with Green Handle EG70130932 EG70130934 Stainless Steel Handle for Tapered Shaft Blades Stainless Steel Handle for Round Shaft Blades

Traditional Disposable Knives with Handles Cat. No. Description EG130715 Sickle Blade Flat Handle EG130716 Lancet Blade Flat Handle EG130915 Sickle Blade Round Handle EG130916 Lancet Blade Round Handle EG70130717 Arrow Blade Round Handle

20 MYRINGOTOMY Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer. E0499032 3.000 03/10 e7 Postbox 10 49 08 20034 Hamburg, Germany www.olympus-europa.com