ENT MIDDLE EAR IMPLANTS

Reference Guide
6446
CONTENTS IMPLANT MATERIALS

Stapes Prostheses Implants ......................................................................................... 4

Pistons ............................................................................................................................ 5
Cup Pistons ................................................................................................................... 10
SMart Nitinol Technologies Pistons.................................................................................. 12

9940
9941
9937

9936

9935
9938

9936
Fluoroplastics Platinum
Fluoroplastics are polymers composed of carbon and Platinum is a highly corrosive resistant material and a very
OCR Prostheses........................................................................................................... 14
fluorine atoms. They come from a variety of different resins ductile metal that is well tolerated by the body. Devices
ISJ Solutions .................................................................................................................. 15 and are used in a wide range of industrial, medical, and made from platinum wire or ribbon can easily be adjusted
home applications. Teflon is the brand name of one of the or crimped by a physician, and will retain their formed
OCR Solutions ............................................................................................................... 15
more popular varieties of fluoroplastic. Fluoroplastics are shape without “spring-back.”
Dornhoffer ...................................................................................................................... 17 highly regarded by otologists for their inertness, smooth-
ness of texture, and biocompatibility. Fluoroplastic parts Polyethylene
Goldenberg .................................................................................................................... 17
are molded, machined from rods, or formed from tubing Polyethylene, which is composed of only carbon and
Micron Titanium.............................................................................................................. 19 and sheeting. White and blue are the colors used by hydrogen atoms, is a popular implant material used in a
Olympus. variety of microsurgery applications. Bioinertness and the
Kartush .......................................................................................................................... 21
ability to have smooth surfaces are but a few of the
Sheehy........................................................................................................................... 21 Hydroxylapatite qualities that make polyethylene appropriate for otology
Hydroxylapatite is one of the most biocompatible implants. It is available in white and blue colors.
Wehrs ............................................................................................................................ 22
materials available for implant use. Because its chemical
OCR Accessories ........................................................................................................... 22 composition resembles that of real bone, it is well Porous Polyethylene
tolerated by the human body. Additional stabilization of the Porous polyethylene (Plasti-Pore) is formed by sintering many
reconstructed middle ear chain is provided by “ongrowth” individual polyethylene resin particles. It permits tissue ingrowth
OtoMimix ...................................................................................................................... 24 (not bony ingrowth) onto the solid, dense surface of the into the interconnecting pores of the implant material. The base
material. Porous forms of this material (pore size of resin, polyethylene, is known to be a very inert material. The
150–350 microns) allow for bone ingrowth and/or soft natural white color is the only one used by Olympus.
tissue ongrowth.
Stainless Steel
Nitinol Stainless steel (ASTM F 138, Grade 2) is a special-quality
Nitinol (nickel–titanium alloy) is a shape-memory metal implant-grade steel that has long been in use in medical
alloy that has been used in medical applications for years. implants. It has a balanced corrosion-resistant chemistry
Since nitinol “self-fashions” with heat, the crimping and an extremely clean microstructure. Stainless steel
maneuver is dramatically simplified. parts are machined from rods. Wire made of this material
is also used for many other Olympus ENT products.
Micron
Micron is an Olympus-patented finishing process for Titanium
titanium implants. This proprietary chemical process Titanium (ASTM F 136) is used in many medical implants. It
not only smoothes the surface but also “dulls” it, which has excellent corrosion resistance and is well tolerated by
reduces glare. tissue. The material is lightweight and MRI-compatible.

2
STAPES PROSTHESES IMPLANTS PISTONS

Armstrong-Style Pistons
This piston features an Armstrong-style platinum “ribbon” which resists “spring-back,” permitting proper
forceps closure on the incus. The flat cross section of the loop provides a wide area of contact to discourage
point necrosis. The Plasti-Pore material shaft invites ingrowth for stabilizing the prosthesis in the oval window
niche or on a tissue graft.
Stapes Prostheses
Formerly Gyrus - now Olympus’ commitment to stapes prostheses began in 1956 with the introduction of the first Platinum / Plasti-Pore Material Functional
length
commercially available stapes implant. We have maintained our commitment to research and development in Article No. Piston Functional Article No. Piston Functional
Diameter Length Diameter Length
response to surgeons’ interest in continually improving clinical outcomes and products. Working in conjunction with
EG140760 0.6 mm 3.50 mm EG140770 0.8 mm 3.50 mm
leading global otologic surgeons, we fashion our implants from a broad range of materials: Nitinol, titanium,
EG140761 0.6 mm 3.75 mm EG140771 0.8 mm 3.75 mm
platinum, stainless steel, Plasti-Pore, and fluoroplastic.
EG140762 0.6 mm 4.00 mm EG140772 0.8 mm 4.00 mm
EG140763 0.6 mm 4.25 mm EG140773 0.8 mm 4.25 mm
EG140764 0.6 mm 4.50 mm EG140774 0.8 mm 4.50 mm
EG140765 0.6 mm 4.75 mm EG140776 0.8 mm 5.00 mm
EG140766 0.6 mm 5.00 mm

De La Cruz Pistons
Shortened fluoroplastic shaft offers improved visibility during placement. The flat cross section of the loop
provides a wide area of contact to discourage point necrosis.

Platinum / Fluoroplastic A Functional
Article No. Piston Functional Article No. Piston Functional length
Diameter Length Diameter Length
EG70140730 0.6 mm 3.50 mm EG70140734 0.6 mm 4.50 mm
EG70140731 0.6 mm 3.75 mm EG70140735 0.6 mm 4.75 mm
EG70140732 0.6 mm 4.00 mm EG70140736 0.6 mm 5.00 mm
EG70140733 0.6 mm 4.25 mm

Stainless Steel / Fluoroplastic B
Article No. Piston Functional Article No. Piston Functional
Diameter Length Diameter Length
EG70140727 0.6 mm 4.00 mm EG70140729 0.6 mm 4.50 mm
EG70140728 0.6 mm 4.25 mm

Cawthorne Pistons
The Cawthorne piston is designed for incus attachment with a very slim 0.3 mm diameter shaft. Loop ID

Fluoroplastic
Article No. Piston Loop ID Functional Article No. Piston Loop ID Functional
Diameter Length Diameter Length
EG140266-ENT 0.3 mm 0.8 mm 4.50 mm EG140268-ENT 0.3 mm 0.8 mm 5.00 mm Functional
length

4 Stapes Prostheses Implants OCR Prostheses OtoMimix 5

PISTONS
Richards Platinum Fluoroplastic Pistons McGee Shepherd’s Crook Pistons
This design incorporates the popular fluoroplastic piston shaft with a platinum ribbon loop. Platinum is a well- This unique hook shape is easier to install over the incus by offering clearer visualization of closure.
tolerated, “obedient” metal that is easy to crimp with virtually no “spring-back.” The loop is a flat cross section
(rather than round), providing a wide area of contact to discourage point necrosis and to provide superior grip. Stainless Steel
Article No. Piston Functional
Platinum / Fluoroplastic
Diameter Length
Article No. Piston Functional Article No. Piston Functional Functional Functional
length EG140475 0.6 mm 4.00 mm length
Diameter Length Diameter Length
EG141812 0.4 mm 3.50 mm EG140782 0.6 mm 3.75 mm
EG141813 0.4 mm 3.75 mm EG140783 0.6 mm 4.00 mm
EG141814 0.4 mm 4.00 mm EG140784 0.6 mm 4.25 mm
EG141815 0.4 mm 4.25 mm EG140785 0.6 mm 4.50 mm
EG141816-ENT 0.4 mm 4.50 mm EG140786 0.6 mm 4.75 mm
EG141817-ENT 0.4 mm 4.75 mm EG140787 0.6 mm 5.00 mm
EG141818 0.4 mm 5.00 mm EG140790 0.8 mm 3.50 mm
McGee Pistons
EG140813 0.5 mm 3.75 mm EG140791 0.8 mm 3.75 mm
EG140814 0.5 mm 4.00 mm EG140792 0.8 mm 4.00 mm This improved version of the popular McGee piston features a platinum ribbon loop attached to a stainless-steel
piston. Platinum offers good tissue tolerance and is easier to bend into shape. In its flattened form it permits a
EG140815 0.5 mm 4.25 mm EG140793 0.8 mm 4.25 mm greater area of surface contact with the incus, lessening the opportunity for pressure necrosis. Each piston also
EG140816 0.5 mm 4.50 mm EG140794 0.8 mm 4.50 mm includes a 0.5 mm depth groove to assist in visualization of footplate penetration. This groove is clearly visible at
EG140817 0.5 mm 4.75 mm EG140795 0.8 mm 4.75 mm virtually any angle. Functional
EG140781 0.6 mm 3.50 mm EG140796 0.8 mm 5.00 mm length
Platinum / Stainless Steel 0.5 mm Hash Mark A
Piston Functional Piston Functional
Fisch-Type Pistons Article No. Article No.
Diameter Length Diameter Length
This adaptation of the piston prosthesis is designed for small fenestra techniques. The piston is available in a EG140336 0.5 mm 3.75 mm EG140330 0.6 mm 3.75 mm
6 mm length which can be conveniently trimmed to 3.5 mm using a sharp knife. EG140337 0.5 mm 4.00 mm EG140331 0.6 mm 4.00 mm
EG140338 0.5 mm 4.25 mm EG140332 0.6 mm 4.25 mm
Platinum / Fluoroplastic A Stainless Steel / Fluoroplastic B
EG140339 0.5 mm 4.50 mm EG140333 0.6 mm 4.50 mm
Article No. Piston Functional Article No. Piston Functional Functional
Diameter Length Diameter Length EG140340 0.5 mm 4.75 mm EG140334 0.6 mm 4.75 mm
length
EG140443 0.4 mm 6.00 mm EG140444 0.4 mm 6.00 mm EG140341 0.5 mm 5.00 mm EG140335 0.6 mm 5.00 mm

Used for obliterative otosclerosis and in cases where the prognosis is poor if the classical fat-wire technique is
used. One-piece construction.

Mass Eye and Ear Pistons

Stainless Steel B
The round platinum shaft may be easily angulated. The flat ribbon crook maximizes surface contact with the
Piston Functional Piston Functional
incus while minimizing the risk of pressure necrosis of the long process. Article No. Article No.
Diameter Length Diameter Length Functional
length
Fluoroplastic / Platinum EG140161 0.6 mm 3.25 mm EG140143-ENT 0.8 mm 3.75 mm

Article No. Piston Functional Article No. Piston Functional EG140162 0.6 mm 3.50 mm EG140144-ENT 0.8 mm 4.00 mm
Diameter Length Diameter Length Functional EG140163 0.6 mm 3.75 mm EG140145-ENT 0.8 mm 4.25 mm
length
EG70140799 0.6 mm 4.00 mm EG70140798 0.6 mm 4.50 mm EG140164 0.6 mm 4.00 mm EG140146-ENT 0.8 mm 4.50 mm
EG70140801 0.6 mm 4.25 mm EG140165 0.6 mm 4.25 mm EG140147-ENT 0.8 mm 4.75 mm
EG140166 0.6 mm 4.50 mm EG140148-ENT 0.8 mm 5.00 mm
EG140167 0.6 mm 4.75 mm EG140149 0.8 mm 5.25 mm
EG140168 0.6 mm 5.00 mm EG140150-ENT 0.8 mm 5.50 mm

6 Stapes Prostheses Implants OCR Prostheses OtoMimix 7

PISTONS
Scheer Pistons Causse Pistons
Loop ID
A standard stainless-steel FLPL piston featuring a short, slim diameter. Loop is expanded with a pick to slip over the incus with smooth jaw alligator forceps. “Plastic memory”
provides secure closure.
Stainless Steel / Fluoroplastic
Fluoroplastic
Article No. Piston Functional Article No. Piston Functional
Diameter Length Diameter Length Article No. Piston Diameter Loop ID Functional Length
Functional
EG140226 0.6 mm 3.33 mm EG140229-ENT 0.6 mm 4.08 mm Functional EG140457 0.4 mm 0.6 mm 6.00 mm length
length
EG140227 0.6 mm 3.58 mm EG140230-ENT 0.6 mm 4.33 mm
EG140228-ENT 0.6 mm 3.83 mm EG140231 0.6 mm 4.58 mm

Mangham Pistons

Fluoroplastic Pistons The unique crimp in the wire loop coupled with the shepherd crook assists the surgeon in positioning and
Loop ID crimping the prosthesis onto the incus. 0.50 mm hash mark assists in proper seating into stapedotomy.
Loop is expanded with a pick to slip over the incus with smooth jaw alligator forceps. “Plastic memory”
provides secure closure.
Fluoroplastic / Platinum

Fluoroplastic Article No. Piston Functional Article No. Piston Functional

Diameter Length Diameter Length Functional
Article No. Piston Loop ID Functional Article No. Piston Loop ID Functional length
Functional EG70145950 0.6 mm 4.00 mm EG70145952 0.6 mm 4.50 mm
Diameter Length Diameter Length
length
EG140074 0.6 mm 0.6 mm 3.50 mm EG140066 0.8 mm 0.6 mm 4.00 mm EG70145951 0.6 mm 4.25 mm EG70145953 0.6 mm 5.00 mm

EG140076 0.6 mm 0.6 mm 4.00 mm EG140068 0.8 mm 0.6 mm 4.50 mm

EG140078 0.6 mm 0.6 mm 4.50 mm EG140070 0.8 mm 0.6 mm 5.00 mm
EG140080 0.6 mm 0.6 mm 5.00 mm EG140072 0.8 mm 0.6 mm 6.00 mm
EG140082 0.6 mm 0.6 mm 6.00 mm EG140456 0.6 mm 0.8 mm 6.00 mm
Velegrakis Pistons
The flattened tab on the loop enables easier grasping and positioning. The FLPL shaft has two different
diameters to enhance visualization and reduce the risk of the implant protruding into the vestibule.
Schuknecht Pistons
Designed for incus attachment. Wire loop locks on long process of the incus. A graft may be placed around Fluoroplastic / Platinum
piston to seal the oval window. Article No. Corpis Dual Diameters Functional Article No. Corpis Diameters Functional Functional
Upper Lower Length Dual Upper Lower Length length
Stainless Steel / Fluoroplastic
EG70140392 0.8 mm 0.6 mm 4.25 mm EG70140393 0.8 mm 0.6 mm 4.50 mm
Article No. Piston Functional Article No. Piston Functional
Functional
Diameter Length Diameter Length
length
EG140120 0.6 mm 3.00 mm EG140131-ENT 0.6 mm 5.75 mm
EG140121 0.6 mm 3.25 mm EG140102 0.8 mm 3.50 mm
EG140122 0.6 mm 3.50 mm EG140103 0.8 mm 3.75 mm
EG140123-ENT 0.6 mm 3.75 mm EG140104 0.8 mm 4.00 mm Sanna Pistons

EG140124-ENT 0.6 mm 4.00 mm EG140105 0.8 mm 4.25 mm Fluoroplastic Platinum Trimmable to Length
EG140125-ENT 0.6 mm 4.25 mm EG140106 0.8 mm 4.50 mm Article No. Piston Diameter Functional Length
EG140126-ENT 0.6 mm 4.50 mm EG140107-ENT 0.8 mm 4.75 mm EG70140797 0.5 mm 6.00 mm
EG140127 0.6 mm 4.75 mm EG140108 0.8 mm 5.00 mm Functional
length
EG140128 0.6 mm 5.00 mm EG140110-ENT 0.8 mm 5.50 mm
EG140129-ENT 0.6 mm 5.25 mm
EG140130-ENT 0.6 mm 5.50 mm

8 Stapes Prostheses Implants OCR Prostheses OtoMimix 9

CUP PISTONS

Lippy Modified Stapes Prostheses Well diameter Classic Stapes Prostheses Well diameter

Designed to be used when the lenticular process of the incus is missing. This modified prosthesis has a portion A clinically proven piston design in a well-tolerated material — titanium. The opening in the “bucket” of the
of the well removed, allowing the eroded long process to enter from the side. prosthesis is modified to allow the incus to assume its correct anatomical position, minimizing the danger of
pressure necrosis. The bucket handle fits easily over the lenticular process, eliminating any need for crimping
Titanium and the postoperative chances of pressure necrosis. The bucket handle prosthesis fits either the left or right
ear. A hole in the posterior bucket allows for pick insertion to aid in positioning. Two transaxial holes in the
Article No. Piston Diameter Functional Length Overall Length Well Diameter
distal end of the prosthesis stem allow for tissue ingrowth to aid in the stabilization of the implant.
EG70142154 0.4 mm 3.65 mm 4.50 mm 1.0 mm Functional
Functional Overall
EG70142155 0.4 mm 4.15 mm 5.00 mm 1.0 mm length length Titanium length
EG70142156 0.4 mm 4.65 mm 5.50 mm 1.0 mm Article No. Piston Functional Well Article No. Piston Functional Well
Diameter Length Diameter Diameter Length Diameter
EG70142157 0.4 mm 5.15 mm 6.00 mm 1.0 mm
EG70142141 0.4 mm 4.00 mm 1.0 mm EG70142148 0.6 mm 4.25 mm 0.9 mm
EG70142142 0.4 mm 4.00 mm 0.9 mm EG70142149 0.6 mm 4.50 mm 0.9 mm
EG70142143 0.6 mm 4.00 mm 1.0 mm EG70142150 0.4 mm 5.00 mm 1.0 mm
EG70142144 0.6 mm 4.00 mm 0.9 mm EG70142151 0.4 mm 5.00 mm 0.9 mm
EG70142145 0.4 mm 4.50 mm 1.0 mm EG70142152 0.6 mm 5.00 mm 1.0 mm
Richards Bucket Handle Prostheses Well diameter EG70142146 0.4 mm 4.50 mm 0.9 mm EG70142153 0.6 mm 5.00 mm 0.9 mm

A clinically proven piston design in a well-tolerated material — titanium. The radiused opening of the “bucket” EG70142147 0.6 mm 4.50 mm 1.0 mm
of the prosthesis is modified to allow the incus to assume its correct anatomical position, minimizing the danger
Piston Diameter: Well Diameter:
of pressure necrosis. The bucket handle fits easily over the lenticular process, eliminating any need for crimping
Narrow: 0.4 mm Standard: 0.6 mm Standard: 0.9 mm Large: 1.0 mm
and the postoperative chances of pressure necrosis. The bucket handle prosthesis fits either the left or right
ear. A hole in the posterior bucket allows for pick insertion to aid in positioning.

Titanium A Functional
length
Article No. Piston Functional Well Article No. Piston Functional Well
Diameter Length Diameter Diameter Length Diameter
EG70142158 0.4 mm 3.50 mm 1.0 mm EG70142163 0.6 mm 3.50 mm 1.0 mm
EG70142159 0.4 mm 4.00 mm 1.0 mm EG70142164 0.6 mm 4.00 mm 1.0 mm
EG70142160 0.4 mm 4.25 mm 1.0 mm EG70142165 0.6 mm 4.25 mm 1.0 mm
EG70142161 0.4 mm 4.50 mm 1.0 mm EG70142166 0.6 mm 4.50 mm 1.0 mm
EG70142162 0.4 mm 5.00 mm 1.0 mm EG70142167 0.6 mm 5.00 mm 1.0 mm

A clinically proven piston design in a well-tolerated material — FLPL. The radiused opening of the “bucket” of Well diameter
the prosthesis is modified to allow the incus to assume its correct anatomical position, minimizing the danger of
pressure necrosis. The bucket handle fits easily over the lenticular process, eliminating any need for crimping and
the postoperative chances of pressure necrosis. The bucket handle prosthesis fits either the left or right ear. A hole
in the posterior bucket allows for pick insertion to aid in positioning.

Fluoroplastic B
Article No. Piston Functional Well Article No. Piston Functional Well Functional
Diameter Length Diameter Diameter Length Diameter length
EG142148 0.4 mm 3.50 mm 1.0 mm EG142132 0.6 mm 3.50 mm 1.0 mm
EG142150 0.4 mm 4.00 mm 1.0 mm EG142134 0.6 mm 4.00 mm 1.0 mm
EG142152 0.4 mm 4.50 mm 1.0 mm EG142136 0.6 mm 4.50 mm 1.0 mm
EG142154 0.4 mm 5.00 mm 1.0 mm EG142138 0.6 mm 5.00 mm 1.0 mm

10 Stapes Prostheses Implants OCR Prostheses OtoMimix 11

SMART NITINOL TECHNOLOGIES PISTONS
SMart Pistons SMart Malleus to Footplate Pistons
These pistons, with the shaft in FLPL and the hook in nitinol, are designed for incus attachment. The Piston Specially designed for stapes revision, the piston wire securely
wire safely and securely fashions itself around the long process of the incus when heat is applied, facilitating fashions itself around the malleus when heat is applied, facilitating
the wire crimp by minimizing the potential for under-crimping and over-crimping. the wire crimp by minimizing the potential for under-crimping
and over-crimping.
Functional
Nitinol / Fluoroplastic Nitinol / Fluoroplastic length
Functional
Article No. Piston Functional Article No. Piston Functional Article No. Piston Diameter Functional Length
length
Diameter Length Diameter Length
EG70142168 0.4 mm 3.5–5.25 mm* EG70145927 0.6 mm 4.25 mm EG70142037 0.6 mm 5.50 mm
EG70145920 0.5 mm 3.75 mm EG70145928 0.6 mm 4.50 mm EG70142038 0.6 mm 6.00 mm
EG70145921 0.5 mm 4.00 mm EG70145929 0.6 mm 4.75 mm EG70142039 0.6 mm 6.50 mm
EG70145922 0.5 mm 4.25 mm EG70145930 0.8 mm 3.75 mm
EG70145923 0.5 mm 4.50 mm EG70145931 0.8 mm 4.00 mm
EG70145924 0.5 mm 4.75 mm EG70145932 0.8 mm 4.25 mm
EG70145925
EG70145926
0.6 mm
0.6 mm
3.75 mm
4.00 mm
EG70145933
EG70145934
0.8 mm
0.8 mm
4.50 mm
4.75 mm
! SMart piston technology uses nitinol – a heat-activated
shape-memory metal alloy

*trimmable

SMart 360° Pistons

As with the standard SMart piston, the nitinol hook self-crimps over the long process of the incus when heat is
STAPES IMPLANTS
applied. In this case the hook reaches 360 degrees around the long process with improved attachment of the
prosthesis.
SMart Piston Heating Device
Nitinol / Fluoroplastic Functional
length For Use with SMart Pistons
Article No. Piston Functional Article No. Piston Functional
Diameter Length Diameter Length This heating device features a reusable battery-powered handle and disposable thermal
tips. It provides just the right amount of heat to close the nitinol hook, minimizing the risk
EG70143645 0.4 mm 3.5–5.25 mm* EG70143662 0.6 mm 4.25 mm
of damage caused by overheating.
EG70143652 0.5 mm 4.25 mm EG70143665 0.6 mm 4.50 mm
EG70143655 0.5 mm 4.50 mm EG70143667 0.6 mm 4.75 mm Nitinol / Fluoroplastic

EG70143657 0.5 mm 4.75 mm Article No. Description Units per Box

*trimmable EG70131012 SMart thermal handle with AA battery 1

EG70131013 SMart thermal tip and drape 6 of each

SMart de la Cruz Pistons

A shorted FLPL shaft offers improved visibility during placement. As with the standard SMart piston, the nitinol
wire securely fashions itself around the incus when heat is applied, facilitating the wire crimp by minimizing the
potential for under-crimping and over-crimping.
Functional
Nitinol / Fluoroplastic length
Article No. Piston Functional Article No. Piston Functional
Diameter Length Diameter Length
EG70142056 0.6 mm 4.00 mm EG70142058 0.6 mm 4.50 mm
EG70142057 0.6 mm 4.25 mm EG70142059 0.6 mm 4.75 mm

12 Stapes Prostheses Implants OCR Prostheses OtoMimix 13

OCR PROSTHESES ISJ SOLUTIONS

Applebaum Incudostapedial Joint Prosthesis

The hydroxylapatite oval head is designed to minimize extrusion by eliminating any sharp edges. Easily
trimmable Plasti-Pore or fluoroplastic shafts reduce OR inventory needs and are cannulated to accommodate Top view
the stapes capitulum. End view
A
Only Olympus Offers Complete OCR Surgery Solutions Hydroxylapatite Material
Olympus works in conjunction with leading global otologic surgeons to provide the most unique and innovative C
Article No. Description Dimensions Fully Article No. Description Dimensions Fully B
solutions for middle ear stability. Cannulated Cannulated
EG140956 Small “A” 2.0 mm 1.0 mm EG140957 Large “A” 2.5 mm 1.0 mm
“B” 2.0 mm 1.0 mm “B” 2.0 mm 1.0 mm
This complete line of solutions includes: Micron titanium implants, OtoMimix HA bone cement, durable,
“C” 1.2 mm 1.0 mm “C” 1.2 mm 1.0 mm
German-crafted EXPLORENT instruments, the Dornhoffer Implant System, and the Kartush Strut System.

Applebaum Incus Replacement System

Length
Designed to resemble a carved homograft/autograft incus interposition implant. The shaft is partially cannulated
to fit on the stapes capitulum, and the carved “notch” is designed to engage the malleus handle.

Hydroxylapatite Material, Partially Cannulated

1.52 mm
Article No. Length Article No. Length
EG140970 2.00 mm EG140973 3.00 mm
2.48 mm
EG140971 2.25 mm EG140974 3.50 mm
EG140972 2.50 mm

OCR SOLUTIONS

Black Oval-Top PORP Prosthesis

The hydroxylapatite oval head is designed to minimize extrusion by eliminating any sharp edges. Easily
trimmable Plasti-Pore or fluoroplastic shafts reduce OR inventory needs and are cannulated to accommodate 6.6 mm
the stapes capitulum.
Hydroxylapatite Head and Plasti-Pore Shaft A
Article No. Description Length Partially Cannulated 4.0 mm
EG140859 4  3 mm head 6.6 mm 1.15 mm
3.0 mm
Hydroxylapatite Head and Fluoroplastic Shaft B
Article No. Description Length Partially Cannulated
EG140857 4  3 mm head 6.6 mm 1.15 mm

14 Stapes Prostheses Implants OCR Prostheses OtoMimix 15

OCR SOLUTIONS DORNHOFFER

Black Oval-Top TORP Prosthesis Dornhoffer Interpositional PORP Prosthesis

3.0 mm
The hydroxylapatite oval head is designed to minimize extrusion by eliminating any sharp edges. Easily The titanium cradle provides added stability as it ”locks“ onto the stapes superstructure. The hydroxylapatite
trimmable Plasti-Pore or fluoroplastic shafts reduce OR inventory needs. notch head accommodates the malleus.

10 mm
Hydroxylapatite Head and Plasti-Pore Shaft A Hydroxylapatite Head, Titanium Head Cradle 3.2 mm
Article No. Description Shaft Diameter Shaft Length Article No. Head Diameter Overall Length Overall Length with Cradle
EG140858 4  3 mm head 0.8 mm 10.0 mm 4.0 mm EG70141014 3.2 mm 3.0 mm 2.0 mm

Hydroxylapatite Head and Fluoroplastic Shaft B 3.0 mm

Article No. Description Shaft Diameter Shaft Length

EG140856 4  3 mm head 0.8 mm 10.0 mm
Dornhoffer Micron Titanium Footplate Shoes

Hydroxylapatite Head, Titanium Head Cradle 1.98 mm

Article No. Shoe Inner Diameter Overall Length Adds to Implant Length
EG70143253 0.9 mm 1.98 mm 0.25 mm
0.9 mm 0.8 mm
Black Oval-Top Universal Prosthesis 1.15 mm EG70143254 0.8 mm 1.98 mm 0.25 mm

Modular design minimizes OR inventory by including both a PORP and TORP shaft which can be assembled in 9.5 mm
1.98 mm
the prosthesis head. Shafts may be trimmed to length as necessary.

Hydroxylapatite Head and Plasti-Pore Shaft A 6.0 mm

Article No. Description Shaft Diameter Shaft Length

EG140861 Head 4  3 mm hydroxylapatite TORP, not cannulated, 0.8 mm TORP, 9.5 mm, Plasti-Pore
GOLDENBERG
PORP, cannulated, 1.15 mm PORP, 6.0 mm, Plasti-Pore TORP PORP
shaft cannulated
shaft Goldenberg Incus Prosthesis 2.3 mm
Hydroxylapatite Head and Fluoroplastic Shaft B Goldenberg incus prosthesis is made with a hydroxylapatite head designed with a “hook” to be rotated
4.0 mm inferiorly or superiorly along the length of the malleus handle. 4.0 mm
Article No. Description Shaft Diameter Shaft Length
EG140860 Head 4  3 mm hydroxylapatite TORP, not cannulated, 0.8 mm, FLPL TORP, 9.5 mm 3.0 mm It includes a centering hole to have a view to the stapes capitulum during positioning and the Plasti-Pore shaft
PORP, cannulated, 1.15 mm, FLPL PORP, 6.0 mm may be trimmed to exact length and notched for the stapedius tendon. 4.2 mm

Hydroxylapatite Head and Plasti-Pore Shaft

Article No. Description Length Fully Cannulated
EG140912 HA head, Plasti-Pore shaft 4.2 mm 1.14 mm
10.9 mm
Black Spanner Strut
The Spanner Strut represents a modular approach to incus and incus-stapes replacement. The hydroxylapatite
head is designed to cradle the malleus handle and is partially cannulated to fit the shaft. The trimmable
4.0 mm
fluoroplastic shaft is designed with a cupped end to be positioned over the stapes capitulum when an incus Goldenberg PORP Prosthesis
replacement is necessary. For incus-stapes replacement the cupped end is trimmed off, the shaft is positioned 3.0 mm
The Goldenberg PORP prosthesis has a wedge-shaped hydroxylapatite head that conforms to the tympanic
on the stapes footplate and the hydroxylapatite cap engages the malleus. The fluoroplastic shaft can also be Spanner
membrane. It is fully cannulated to visualize the stapes capitulum during insertion and the Plasti-Pore shaft is
angled with forceps. head
angled trimmable and can be notched for the stapedius tendon.
5.0 mm
Hydroxylapatite Head and Fluoroplastic Shaft Incus or Incus-Stapes Replacement
Hydroxylapatite Head and Plasti-Pore Shaft
Article No. Cup I.D. Shaft Diameter Overall Length
Article No. Description Length Fully Cannulated
EG140923 1.15 mm 0.8 mm 10.9 mm EG140916 HA head, Plasti-Pore shaft 5.5 mm 1.14 mm

16 Stapes Prostheses Implants OCR Prostheses OtoMimix 17

GOLDENBERG GOLDENBERG

Goldenberg Incus-Stapes Prosthesis Goldenberg CAP Prosthesis 4.0 mm

2.3 mm
The hydroxylapatite head designed with “hook” may be rotated inferiorly or superiorly along the length of the Dense hydroxylapatite cap sold separately, to be used in shallow middle ear spaces. 3.0 mm
malleus handle. The wire-reinforced Plasti-Pore shaft is easily trimmed to length and provides stability and 4.0 mm
memory for bending to proper angulation. Hydroxylapatite Material
Article No. Description Shaft diameter Length
Hydroxylapatite Head and Plasti-Pore Shaft
EG140963 HA Material 0.8 mm 7.9 mm 1.5 mm
Article No. Description Shaft Diameter Length 7.9 mm
EG140913 HA head, Plasti-Pore shaft 0.8 mm 7.9 mm
with wire reinforcement

MICRON TITANIUM
4.0 mm
Goldenberg Malleable PORP Prosthesis
3.0 mm
The wedge-shaped, hydroxylapatite head is versatile and may be used if malleus is present but rotated 3.0 mm Micron Adjustable Titanium TORP and PORP
anteriorly. Malleable shaft allows proper angulation against the drum and can be easily trimmed to length. The Micron adjustable titanium TORP features an open-head design for optimal visualization. Its adjustable
nature allows for minimal stocking levels.
Hydroxylapatite Head and Plasti-Pore Shaft
Article No. Description Length Fully Cannulated Titanium
5.0 mm
EG140964 HA head, malleable 5.1 mm 1.14 mm Article No. Head Range Article No. Head Range
Plasti-Pore shaft EG70141044 Centered TORP 2–10 mm EG70141046 Centered PORP 2–5 mm
EG70141045 Off-centered TORP 2–10 mm EG70141047 Off-centered PORP 2–5 mm

Goldenberg SHOE Prosthesis 3.0 mm

Micron Adjustable Titanium Accessories
This dense hydroxylapatite shoe prosthesis is designed to replace the stape footplate. The cannulated part can
Titanium
host prostheses with diameters up to 0.8 mm (like 140913 and 140917).
5.0 mm Article No. Description Article No. Description
Dense Hydroxylapatite Material EG70135802 Micron adjustable sizing block WT212930 Needle holder, acc. to Ryder, micro,
1.3 mm with tungsten carbide, size 130
Article No. Outer Diameter Partially Cannulated Adds to Implant Length
EG140914 1.3 mm 0.8 mm 0.5 mm

3.0 mm
Micron all-Titanium Monolithic Centered PORP
The monolithic PORPs come pre-sized so that the surgeon does not need to trim the prosthesis. The open-
Goldenberg TORP Prosthesis 4.0 mm
head design allows for good visualization.
The wedge-shaped head may be used when the malleus is not present or is extremely anteriorly rotated. 3.0 mm
The Plasti-Pore shaft is easily trimmed and is wire-reinforced for increased stability. Titanium, Tiltable Head
Article No. Head Diameter Cradle Functional Diameter Functional Length
Dense Hydroxylapatite Material Length
EG70142004 3.0 mm 1.0 mm 2.0 mm
Article No. Description Shaft Diameter Length EG70142028 3.0 mm 1.0 mm 2.5 mm
EG140917 HA head, Plasti-Pore shaft with wire reinforcement 0.8 mm 7.9 mm EG70142005 3.0 mm 1.0 mm 3.0 mm
7.9 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

18 Stapes Prostheses Implants OCR Prostheses OtoMimix 19

MICRON TITANIUM KARTUSH

Micron All-Titanium Monolithic Centered TORP 3.0 mm

Kartush Incus Strut Prostheses
The monolithic PORPs come pre-sized so that the surgeon does not need to trim the prosthesis. The open- This dense hydroxylapatite strut was designed to bridge the gap between the malleus handle and the
head design allows for good visualization. capitulum of the stapes. The shaft is fully cannulated for improved visualization and for engaging the capitulum.
Length
Titanium, Tiltable Head Hydroxylapatite Material
Article No. Head Round Foot- Overall Article No. Head Round Foot- Overall Article No. Description Overall Length Fully Cannulated
Diameter plate Shoe Length Diameter plate Shoe Length
EG140853 Short 2.75 mm 1.17 mm
Diameter Diameter
EG140854 Medium 3.9 mm 1.17 mm
EG70142010 3.0 mm 0.9 mm 4.0 mm EG70142017 3.0 mm 0.9 mm 7.5 mm
EG140855 Long 4.9 mm 1.17 mm
EG70142011 3.0 mm 0.9 mm 4.5 mm EG70142018 3.0 mm 0.9 mm 8.0 mm
Length
EG70142012 3.0 mm 0.9 mm 5.0 mm EG70142032 3.0 mm 0.9 mm 2.0 mm
EG70142013 3.0 mm 0.9 mm 5.5 mm EG70142033 3.0 mm 0.9 mm 2.5 mm 2.29 mm
Kartush Incus-Stapes Strut Prostheses
EG70142014 3.0 mm 0.9 mm 6.0 mm EG70142034 3.0 mm 0.9 mm 3.0 mm
This dense hydroxylapatite strut was designed to bridge the gap between the malleus handle and stapes
EG70142015 3.0 mm 0.9 mm 6.5 mm EG70142035 3.0 mm 0.9 mm 3.5 mm footplate. May be trimmed in length.
EG70142016 3.0 mm 0.9 mm 7.0 mm
Hydroxylapatite Material Length
Article No. Description Overall Length Fully Cannulated
EG140850 Short 0.76 mm 5.13 mm
3.0 mm 0.76 mm
Micron All-Titanium Monolithic Centered PORP EG140851 Medium 0.76 mm 7.10 mm

The monolithic PORPs come pre-sized so that the surgeon does not need to trim the prosthesis. The open- EG140852 Long 0.76 mm 9.96 mm
head design allows for good visualization.

Titanium, Tiltable Head

Article No. Head Cradle Functional Article No. Head Cradle Functional
Length
Diameter Functional Length
Diameter
Diameter Functional Length
Diameter SHEEHY
EG70142007 3.0 mm 0.9 mm 2.0 mm EG70142031 3.0 mm 0.9 mm 3.5 mm
EG70142030 3.0 mm 0.9 mm 2.5 mm EG70142009 3.0 mm 0.9 mm 4.0 mm Sheehy PORP Prosthesis
EG70142008 3.0 mm 0.9 mm 3.0 mm 7.1 mm
The Sheehy modified PORP prosthesis features a smaller diameter flange than the standard PORP prosthesis,
which allows easier introduction and better visual contact with the stapes. The cannulated shaft of the 2.87 mm
prosthesis is designed to be firmly seated on the capitulum of the stapes to aid in visualization of the stapes,
and can be trimmed to the desired length.

Plasti-Pore Material
Micron All-Titanium Monolithic Off-Centered TORP 3.0 mm
Article No. Head Diameter Shaft Diameter Overall Length
The Monolithic PORPs come pre-sized so that the surgeon does not need to trim the prosthesis. The open-
head design allows for good visualization and the tiltable head helps to find the right angle between the EG70140934 2.87 mm 5.0 mm 1.17 mm
tympanic membrane and stape footplate.
Titanium, Tiltable Head
Article No. Head Cradle Functional Article No. Head Cradle Functional Sheehy TORP (Improved) Prosthesis
Diameter Functional Length Diameter Functional Length Length
7.1 mm
Diameter Diameter Designed to replace the entire ossicular chain, the Sheehy TORP prosthesis features a smaller diameter flange
than the standard TORP prosthesis. The entire TORP prosthesis is made of Plasti-PoreR material. The shaft 3.0 mm
EG70142019 3.0 mm 0.9 mm 4.0 mm EG70142024 3.0 mm 0.9 mm 6.5 mm
can be trimmed to the desired length.
EG70142020 3.0 mm 0.9 mm 4.5 mm EG70142025 3.0 mm 0.9 mm 7.0 mm
EG70142021 3.0 mm 0.9 mm 5.0 mm EG70142026 3.0 mm 0.9 mm 7.5 mm Plasti-Pore Material
EG70142022 3.0 mm 0.9 mm 5.5 mm EG70142027 3.0 mm 0.9 mm 8.0 mm Article No. Head Diameter Shaft Diameter Overall Length
EG70142023 3.0 mm 0.9 mm 6.0 mm EG70140933 3 mm 0.8 mm 7.0 mm

20 Stapes Prostheses Implants OCR Prostheses OtoMimix 21

WEHRS OCR ACCESSORIES

C
Wehrs II Incus-Stapes System – Single Notch Ossicular Replacement Prosthesis Measuring PORP Trials
Length
Wehrs II features a cutout in the head of the prosthesis, which adds increased strength and handling This intraoperative measuring device assists the surgeon in determining the appropriate implant length.
characteristics.
Stainless Steel, Not for Implantation, Used for Customized Sizing
Hydroxylapatite Incus-Stapes Interpositional Prostheses
Article No. Functional Length Article No. Functional Length 3.0 mm
Article No. Description Dimensions EG70131321 2 mm EG70131323 4 mm
B
A B C EG70131322 3 mm
A
EG70140982 0.9 mm shaft, short 5.3 mm 4.1 mm 2.5 mm
EG70140983 0.9 mm shaft, average 6.3 mm 5.2 mm 2.5 mm
EG70140984 0.9 mm shaft, medium 7.3 mm 6.1 mm 2.5 mm
EG70140985 0.9 mm shaft, long 10.2 mm 9.0 mm 2.5 mm
Ossicular Replacement Prosthesis Measuring TORP Trials
This intraoperative measuring devices assist the surgeon in determining the appropriate implant length. Length

D Stainless Steel, Not for Implantation, Used for Customized Sizing

Wehrs II Incus-Stapes System – Double Notch C Article No. Functional Length Article No. Functional Length
Wehrs II features a cutout in the head of the prosthesis, which adds increased strength and handling 3.0 mm
EG70131350 4 mm EG70131354 6 mm
characteristics.
EG70131352 5 mm EG70131356 7 mm
Hydroxylapatite Incus-Stapes Interpositional Prostheses
Article No. Description Dimensions
B
A B C D
A
EG70140986 0.9 mm shaft, short 5.3 mm 4.1 mm 1.6 mm 3.5 mm
EG70140987 0.9 mm shaft, average 6.3 mm 5.2 mm 1.6 mm 3.5 mm
EG70140988 0.9 mm shaft, medium 7.3 mm 6.1 mm 1.6 mm 3.5 mm
EG70140989 0.9 mm shaft, long 10.2 mm 9.0 mm 1.6 mm 3.5 mm

OCR ACCESSORIES

Ossicular Replacement Prosthesis Measuring Trial Accessories

Stainless Steel, Not for Implantation, Used for Customised Sizing

Article No. Description
EG70135060 Sterilization case for PORP/TORP stainless-steel trials
EG70135802 Micron titanium adjustable sizing block
EG70135801 Universal cutting block designed for use with HAPEX shafts
WT212930 Needle holder, acc. to Ryder, micro, with tungsten carbide, size 130

22 Stapes Prostheses Implants OCR Prostheses OtoMimix 23

OTOMIMIX
Incudostapedial Joint
Discontinuity
Reconstruct the conductive
component by placing a small
Easy, Rapid, Stable, and Safe Management of Ossiculoplasty
aliquot of OtoMimix HA cement
· Gap the bridge – the solution for IS joint discontinuity
on the discontinuity.
·M
 inimize revisions with better stability – additional safety with OtoMimix, e.g. stabilizing loop of the piston,
ensuring stability of the prosthesis to the malleus
·S
 afety / biocompatibility – the only hydroxylapatite cement especially made for middle ear procedures, providing
unconditional biocompatibility
· Saves time – easy preparation and rapid hardening means faster procedure time

Stabilising the Crimped Loop

onto the Incus
If concerned about the piston loop
lifting off the incus, lock it down with
a small aliquot of OtoMimix.

Revision Stapes Replacement

Due to Incus Erosion
Keep the prosthesis properly
positioned around the vestibule by
extending and connecting the
piston loop and the distal incus
remnant.

No More Prop and Pray

Maximize columella prosthesis
stability with an OtoMimix interface,
connecting the prosthesis head to
the malleus (TORP or PORP).

24 Stapes Prostheses Implants OCR Prostheses OtoMimix 25

OTOMIMIX NOTES
Instruments

Article No. Description

EG130003 Richards Posigator straight serrated positive locking jaws 4.0 mm, 70.0 mm ebony

EG130004 Richards Posigator straight smooth positive locking jaws 4.0 mm, 70.0 mm ebony

EG130725 Richards Rosen sharp needle disposable box

EG130726 Richards Rosen blunt needle disposable box

WT250005 Rosen round knife 45°, knife diameter = 1.5 mm

WT254200 Wullstein needle, slightly curved, 16.5 cm

WT253500 Wullstein knife, straight

WT251500 Plester flab knife for incision, 2.5 mm

WT255006 Micro pick 90°, 0.6 mm, 16.5 cm

WT272601 House curette, 17 cm, oval cups, 1.1  1.5 / 1.3  1.8 mm

WT276614 Joseph scissors, 14.0 cm, sharp, curved

WT272200 Helms forceps, pointed, atraumatic 15.0 cm

WT200011 Wullstein retractor, 11.0 cm, 3  3 prongs, sharp

WT127002 Hartmann ear forceps, cup 2.0 mm diameter

WT279500 Micro cup-shaped forceps oval, straight

WT280500 Micro ear forceps, serrated 0.8  4.0 mm, straight

WT278000 Bellucci micro scissors delicate, blades 4.0 mm

WT283003 Dieter malleus nipper, upbiting punch, 8.0 cm

WT285000 McGee wire crimper 0.8  3.5 mm

WT269900 Stapes microsurgical gauge

Middle Ear Cement Mastoid Cavity Filling

Article No. Description Article No. Description
EG70143266 OtoMimix (2 grams) EG911101 HA granules 0.5–1.0 mm

Packing Solution

Article No. Description

EG70890860 Blu ear packing with drawstring 12.0  15.0 mm in hydrated state

EG140320 Rosette packing, width 4.0 mm, thickness 0.13 mm, length 35.0 mm

26 Stapes Prostheses Implants OCR Prostheses OtoMimix 27

ENT MIDDLE EAR IMPLANTS – REFERENCE GUIDE

E0492509EN ∙ 800 ∙ 11/17 ∙ PR ∙ HB

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

Postbox 10 49 08, 20034 Hamburg, Germany

Wendenstrasse 14–18, 20097 Hamburg, Germany
Phone: +49 40 23773-0, Fax: +49 40 233765
www.olympus-europa.com