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Three Steps To Micro Ear Surgery By Michelle Selch BSN & Dr. Geir Tryggvason.

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Presentation on theme: "Three Steps To Micro Ear Surgery By Michelle Selch BSN & Dr. Geir Tryggvason."— Presentation transcript:

1 Three Steps To Micro Ear Surgery By Michelle Selch BSN & Dr. Geir Tryggvason

2 Step Two Mastoidectomies, Endolymphatic Shunts, Cochlear Implants, Canal Reconstructions, Ptress Atticottomy Anspach Drill Anspach Drill Anspach FU Burr Basket Anspach FU Burr Basket Anspach SU Burr Basket Anspach SU Burr Basket Anspach Saggittal Saw Tray Anspach Saggittal Saw Tray Cochlear Implant 512 Tray Cochlear Implant 512 Tray American Nucleus Cochlear Instr. Tray American Nucleus Cochlear Instr. Tray Cochlear High Focus Resolution Instr. Tray Cochlear High Focus Resolution Instr. Tray Suction/Irrigation Setup Suction/Irrigation Setup

3 Anspach Drill Tray Bottom 1___Motor, Anspach E Max, w/ Attached Cable, BlackT P1 Black Cap MUST be attached for sterilization Top Tray 2___Attachment, Anspach, Angled, 8cm, 5-1/2" #QD8-ST13527FSV6B P2 1___Attachment, Anspach, Angled, 11cm, 6-1/2" #QD11-ST P3 1___Attachment, Anspach, Angled, 14cm, 8" #QD14-ST P4 1___Attachment, Anspach, Footed, 2-1/2" #CRANI-AT P5 1___Attachment, Anspach, Straight Long, 4-1/4" #LONGT P6 1___Attachment, Anspach, Straight Medium, 3" #MEDIUMT P7 2___Attachment, Anspach, Straight Short, 1-7/8" #SHORTT P8 Anspach E-Max Cas

4 Anspach Drill Tray Photos Use short straight attachments Use short angles attachments

5 Anspach (FU) Burr Bsk ___2___Attachment, Anspach, Angled, 8cm, 5-1/2" T #QD8-S ___2___Attachment, Anspach, Straight Short, 1-7/8" T #SHORT ___2___Bur, Anspach 1mm Fluted Ball, Extended S Length #S-1B ___2___Bur, Anspach 1.5mm Fluted Ball, Extended S Length #S-15B ___2___Bur, Anspach 2mm Fluted Ball, Extended S Length #S-2B ___2___Bur, Anspach 2.5mm Fluted Ball, Extended S Length #S-25B ___4___Bur, Anspach 4mm Fluted Ball, Std Length S ___2___Bur, Anspach 5mm Fluted Ball, Std Length S ___4___Bur, Anspach 6mm Fluted Ball, Std Length S ___1___Bur, Anspach 6mm Fluted Router 1 x 1.2mm J #S-6R ___2___Bur, Anspach 7mm Fluted Ball, Std Length S ___2___Bur, Anspach 3mm Fluted Ball, Ext Length #S-S SB

6 Anspach FU Burr Bsk. Cont. ___1___Bur, Anspach 0.5mm Diamond Ball, Ext S Length #S-05D ___2___Bur, Anspach 1mm Diamond Ball, Ext Length S #S-1D ___2___Bur, Anspach 1.5mm Diamond Ball, Ext S Length #S-15D ___2___Bur, Anspach 2mm Diamond Ball, Ext Length S #S-2D ___2___Bur, Anspach 2.5mm Diamond Ball, Ext S Length #S-25D ___4___Bur, Anspach 3mm Diamond Ball, Ext Length S #S-3D ___2___Bur, Anspach 3.5mm Diamond Ball, Ext S Length #S-35D ___4___Bur, Anspach 4mm Diamond Ball, Std Length S #S-4D ___2___Bur, Anspach 5mm Diamond Ball, Ext Length S #S-5D ___4___Bur, Anspach 6mm Diamond Ball, Ext Length S #S-6D ___2___Bur, Anspach 33mm Diamond Ball, Std S Length #S-3SD ___1___Bur, Anspach 6mm Fluted Pear, Inverted #S-S ___1___Bur, Anspach 7mm Fluted Pear, Inverted #S-S104725

7 Anspach FU Drill Basket Diamond and cutting/ fluted burrs Diamond Burr Cutting or Fluted Burr

8 Anspach (SU) Burr Basket ___2___Bur, Anspach 1mm Fluted Ball, Std Length S #S-1SB ___1___Bur, Anspach 1.5mm Fluted Ball, Std Length S #S-15SB ___2___Bur, Anspach 2mm Fluted Ball, Std Length S #S-2SB ___2___Bur, Anspach 2.5mm Fluted Ball, Std Length S #S-25SB ___2___Bur, Anspach 3mm Fluted Ball, Extended S Length #S-3B ___1___Bur, Anspach 3.5mm Fluted Ball, Std Length S #S-35SB ___2___Bur, Anspach 3.5mm Fluted Ball, Extended S Length #S-35B ___2___Bur, Anspach 1mm Diamond Ball, Std Length S #S-1SD ___2___Bur, Anspach 1.5mm Diamond Ball, Std S Length #S-15SD ___2___Bur, Anspach 2mm Diamond Ball, Std Length S #S-2SD ___2___Bur, Anspach 2.5mm Diamond Ball, Std S Length #S-25SD ___2___Bur, Anspach 1mm Coarse Diamond Ball, Std S Length #S-1SDC ___2___Bur, Anspach 2mm Coarse Diamond Ball, Std S Length #S-2SDC ___2___Bur, Anspach 2.5mm Coarse Diamond Ball, S Std Length #S-25SDC ___2___Bur, Anspach 3mm Coarse Diamond Ball, Std S Length #S-3SDC

9 Anspach (SU) Burr Bsk. Cont. ___2___Bur, Anspach 1mm Coarse Diamond Ball, Ext S Length #S-1DC ___1___Bur, Anspach 2mm Coarse Diamond Ball, Ext S Length #S-2DC ___2___Bur, Anspach 2.5mm Coarse Diamond Ball, S Ext Length #S-25DC ___2___Bur, Anspach 3mm Coarse Diamond Ball, Ext S Length #S-3DC ___2___Bur, Anspach 3.5mm Coarse Diamond Ball, S Ext Length #S-35DC ___2___Bur, Anspach 4mm Coarse Diamond Ball, Ext S Length #S-4DC ___2___Bur, Anspach 5mm Coarse Diamond Ball, Ext S Length #S-5DC ___2___Bur, Anspach 6mm Coarse Diamond Ball, Ext S Length #S-6DC ___2___Bur, Anspach 4mm Ex-Coarse Diamond Ball S #S-4DX ___2___Bur, Anspach 5mm Ex-Coarse Diamond Ball S #S-5DX ___2___Bur, Anspach 6mm Ex-Coarse Diamond Ball S #S-6DX ___1___Bur, Anspach Router Fluted 1.4MM, #P-CRNS ___1___Brush, Hall, Burr, 3"T

10 Anspach Saggittal Saw Tray and Blades Anspach Saggittal Blade Basket ___4___Blade Micro Reciprocating Saw #MR-0560J ___4___Blade Micro Reciprocating Saw 13 Teeth/cm J #MR-0580

11 Nucleus 512 Cochlear Implant Tray 1___Template, Cochlear Below The Ear, 2" #Z P1 1___Template, Cochlear CI Implant, 2-1/4" #Z P2 1___Gauge, Cochlear Recess, 6-1/2" #Z P3 1___Claw, Contour Electrode 6" #Z33021 or #Z30090T P4, protect w/ tygon tubing 1___Forcep, Cochlear Advanced Off-Style, 6" #Z P5 Perforated Instrument Tray 9" x 13" Method of Ster:Steam

12 Nucleus 512 Cochlear Implant Tray Photos Template, Cochlear CI Implant Template, Cochlear below the ear Gauge, Cochlear Recess 6 ½” Claw, Contour Electrode 6” Forceps, Cochlear Advanced Off-Style 6”

13 Cochlear High Focus/ Resolution 90K Tray 07-Jan-11S#:S7207Tray Cochlear High Focus/Resolution 90Ké1%?äøÑêPage 1 1___Insertion Tool, Advanced Bionics, 7-1/4" #0123 (3 T16205P1, do not Pieces)disassemble in Decontam. 1___Gauge, Advanced Bionics Recess, 5-1/2" #CI-4330T16204P2 1___Gauge, Advanced Bionics Plastic Tube, 8-1/4" No #T16206P3 1___Gauge, Advanced Bionics Cochleostomy Sizing, 8-1/2" T16207P4 #HiFocus III-X 1___Tool, Advanced Bionics Claw Foot Electrode, 5-1/2" T16208P5, protect the tip #CI ___Template, Advanced Bionics Recess Marking, 2-3/8" T16209P6 #CI ___Template, Advanced Bionics BTE Device, 2" #CI-4420T16210P7 1___Gauge, Advanced Bionics Device Coil, 2-1/8" #CI-4340T16211P8 Instrument Tray, Perforated, 13-1/2"x 9-3/4"x 5/8" Method of Ster:Steam270

14 Cochlear High Focus/ Resolution 90K Tray Template advanced Bionics Tool, Advanced Bionics Claw Foot Electrode Template Gauge, Advanced Bionics Recess Tools Insertion Tool, Advanced Bionics X 3 pieces Gauge, Advanced Bionics Cochleostomy SizingGauge, Advanced Bionics Device Coil

15 Cochlear Americas Nucleus Freedom Tray 07-Jan-11S#:S7208Tray Cochlear Americas Nucleus Freedomé1%5äø³êPage 1 1___Template, Bone Recess 5-3/4" #Z33016T P1 1___Gauge, Recess Checking 5-3/4" #Z33018T P2 1___Claw, Contour Electrode 6" #Z33021 or #Z30090T P3 1___Template, Array Exit Marking, 2" #Z33017T P4 1___Template, Implant 1-3/4" #Z33019T P5 9" x 9" Micro Pan Method of Ster:Steam270

16 Cochlear Americas Nucleus Freedom Tray Claw, Contour Electrode 6”Template, Array Exit Marking Gauge, Recess CheckingTemplate, Bone Recess

17 Tray Cochlear Implant Inst. Most of this tray in obsolete, except for the straight claw to advanced the cochlear electrode

18 Suction/Irrigation Setup Ringer Irrigation Neptune Suction Machine Suction Tubing IV Blood Tubing connected to Mastoid tubing with stopcock Suction Irrigator Latex Ear Tubing Latex Mastoid Tubing “T” Connector on Sterile Field One for Suction Tubing and Two for Latex Ear tubing. Mastoid tubing for Irrigation Ear tubing to suction Irrigator Ear tubing to suction adaptor And single suction tip For those with Latex Allergy, there is a disposable tubing set on the OTO Trial Self


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