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

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

Anspach Drill Tray Bottom 1 ___ Motor, Anspach E Max, w/ Attached Cable, Black T13526 920430 P1 Black Cap MUST be attached for sterilization Top Tray 2 ___ Attachment, Anspach, Angled, 8cm, 5-1/2" #QD8-S T13527 FSV6B 920428 P2 1 ___ Attachment, Anspach, Angled, 11cm, 6-1/2" #QD11-S T13625 934052 P3 1 ___ Attachment, Anspach, Angled, 14cm, 8" #QD14-S T13626 920414 P4 1 ___ Attachment, Anspach, Footed, 2-1/2" #CRANI-A T13528 920431 P5 1 ___ Attachment, Anspach, Straight Long, 4-1/4" #LONG T13529 920409 P6 1 ___ Attachment, Anspach, Straight Medium, 3" #MEDIUM T13530 920410 P7 2 ___ Attachment, Anspach, Straight Short, 1-7/8" #SHORT T13531 920411 P8 Anspach E-Max Cas

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

Anspach (FU) Burr Bsk ___ 2 ___ Attachment, Anspach, Angled, 8cm, 5-1/2" T13527 51372 #QD8-S ___ 2 ___ Attachment, Anspach, Straight Short, 1-7/8" T13531 51376 #SHORT ___ 2 ___ Bur, Anspach 1mm Fluted Ball, Extended S10411 51626 Length #S-1B ___ 2 ___ Bur, Anspach 1.5mm Fluted Ball, Extended S10412 51627 Length #S-15B ___ 2 ___ Bur, Anspach 2mm Fluted Ball, Extended S10413 51628 Length #S-2B ___ 2 ___ Bur, Anspach 2.5mm Fluted Ball, Extended S10414 51629 Length #S-25B ___ 4 ___ Bur, Anspach 4mm Fluted Ball, Std Length S10417 51630 ___ 2 ___ Bur, Anspach 5mm Fluted Ball, Std Length S10418 51631 ___ 4 ___ Bur, Anspach 6mm Fluted Ball, Std Length S10419 51632 ___ 1 ___ Bur, Anspach 6mm Fluted Router 1 x 1.2mm J40273 60668 #S-6R ___ 2 ___ Bur, Anspach 7mm Fluted Ball, Std Length S10420 51633 ___ 2 ___ Bur, Anspach 3mm Fluted Ball, Ext Length #S- S10389 51624 3SB

Anspach FU Burr Bsk. Cont. ___ 1 ___ Bur, Anspach 0.5mm Diamond Ball, Ext S10421 51634 Length #S-05D ___ 2 ___ Bur, Anspach 1mm Diamond Ball, Ext Length S10422 51635 #S-1D ___ 2 ___ Bur, Anspach 1.5mm Diamond Ball, Ext S10423 51636 Length #S-15D ___ 2 ___ Bur, Anspach 2mm Diamond Ball, Ext Length S10424 51637 #S-2D ___ 2 ___ Bur, Anspach 2.5mm Diamond Ball, Ext S10425 51638 Length #S-25D ___ 4 ___ Bur, Anspach 3mm Diamond Ball, Ext Length S10426 51639 #S-3D ___ 2 ___ Bur, Anspach 3.5mm Diamond Ball, Ext S10427 51640 Length #S-35D ___ 4 ___ Bur, Anspach 4mm Diamond Ball, Std Length S10428 51641 #S-4D ___ 2 ___ Bur, Anspach 5mm Diamond Ball, Ext Length S10429 51642 #S-5D ___ 4 ___ Bur, Anspach 6mm Diamond Ball, Ext Length S10430 51643 #S-6D ___ 2 ___ Bur, Anspach 33mm Diamond Ball, Std S10395 51625 Length #S-3SD ___ 1 ___ Bur, Anspach 6mm Fluted Pear, Inverted #S- S10471 52540 ___ 1 ___ Bur, Anspach 7mm Fluted Pear, Inverted #S- S10472 5

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

Anspach (SU) Burr Basket ___ 2 ___ Bur, Anspach 1mm Fluted Ball, Std Length S10385 51599 #S-1SB ___ 1 ___ Bur, Anspach 1.5mm Fluted Ball, Std Length S10386 51600 #S-15SB ___ 2 ___ Bur, Anspach 2mm Fluted Ball, Std Length S10387 51601 #S-2SB ___ 2 ___ Bur, Anspach 2.5mm Fluted Ball, Std Length S10388 51602 #S-25SB ___ 2 ___ Bur, Anspach 3mm Fluted Ball, Extended S10415 51622 Length #S-3B ___ 1 ___ Bur, Anspach 3.5mm Fluted Ball, Std Length S10390 51598 #S-35SB ___ 2 ___ Bur, Anspach 3.5mm Fluted Ball, Extended S10416 51623 Length #S-35B ___ 2 ___ Bur, Anspach 1mm Diamond Ball, Std Length S10391 51603 #S-1SD ___ 2 ___ Bur, Anspach 1.5mm Diamond Ball, Std S10392 51604 Length #S-15SD ___ 2 ___ Bur, Anspach 2mm Diamond Ball, Std Length S10393 51605 #S-2SD ___ 2 ___ Bur, Anspach 2.5mm Diamond Ball, Std S10394 51606 Length #S-25SD ___ 2 ___ Bur, Anspach 1mm Coarse Diamond Ball, Std S10396 51607 Length #S-1SDC ___ 2 ___ Bur, Anspach 2mm Coarse Diamond Ball, Std S10397 51608 Length #S-2SDC ___ 2 ___ Bur, Anspach 2.5mm Coarse Diamond Ball, S10398 51609 Std Length #S-25SDC ___ 2 ___ Bur, Anspach 3mm Coarse Diamond Ball, Std S10399 51610 Length #S-3SDC

Anspach (SU) Burr Bsk. Cont. ___ 2 ___ Bur, Anspach 1mm Coarse Diamond Ball, Ext S10400 51611 Length #S-1DC ___ 1 ___ Bur, Anspach 2mm Coarse Diamond Ball, Ext S10401 51612 Length #S-2DC ___ 2 ___ Bur, Anspach 2.5mm Coarse Diamond Ball, S10402 51613 Ext Length #S-25DC ___ 2 ___ Bur, Anspach 3mm Coarse Diamond Ball, Ext S10403 51614 Length #S-3DC ___ 2 ___ Bur, Anspach 3.5mm Coarse Diamond Ball, S10404 51615 Ext Length #S-35DC ___ 2 ___ Bur, Anspach 4mm Coarse Diamond Ball, Ext S10405 51616 Length #S-4DC ___ 2 ___ Bur, Anspach 5mm Coarse Diamond Ball, Ext S10406 51617 Length #S-5DC ___ 2 ___ Bur, Anspach 6mm Coarse Diamond Ball, Ext S10407 51618 Length #S-6DC ___ 2 ___ Bur, Anspach 4mm Ex-Coarse Diamond Ball S10408 51619 #S-4DX ___ 2 ___ Bur, Anspach 5mm Ex-Coarse Diamond Ball S10409 51620 #S-5DX ___ 2 ___ Bur, Anspach 6mm Ex-Coarse Diamond Ball S10410 51621 #S-6DX ___ 1 ___ Bur, Anspach Router Fluted 1.4MM, #P-CRN S10473 52542 ___ 1 ___ Brush, Hall, Burr, 3" T1489 13230

Anspach Saggittal Saw Tray and Blades Anspach Saggittal Blade Basket ___ 4 ___ Blade Micro Reciprocating Saw #MR-0560 J904442 57843 ___ 4 ___ Blade Micro Reciprocating Saw 13 Teeth/cm J29572 57844 #MR-0580

Nucleus 512 Cochlear Implant Tray 1 ___ Template, Cochlear Below The Ear, 2" #Z33011 042359 P1 1 ___ Template, Cochlear CI Implant, 2-1/4" #Z139273 042360 P2 1 ___ Gauge, Cochlear Recess, 6-1/2" #Z139274 042361 P3 1 ___ Claw, Contour Electrode 6" #Z33021 or #Z30090 T16131 949501 P4, protect w/ tygon tubing 1 ___ Forcep, Cochlear Advanced Off-Style, 6" #Z60770 042362 P5 Perforated Instrument Tray 9" x 13" Method of Ster: Steam

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

Cochlear High Focus/ Resolution 90K Tray 07-Jan-11 S#: S7207 Tray Cochlear High Focus/Resolution 90K é1%?äøÑê Page 1 1 ___ Insertion Tool, Advanced Bionics, 7-1/4" #0123 (3 T16205 P1, do not Pieces) disassemble in Decontam. 1 ___ Gauge, Advanced Bionics Recess, 5-1/2" #CI-4330 T16204 P2 1 ___ Gauge, Advanced Bionics Plastic Tube, 8-1/4" No # T16206 P3 1 ___ Gauge, Advanced Bionics Cochleostomy Sizing, 8-1/2" T16207 P4 #HiFocus III-X 1 ___ Tool, Advanced Bionics Claw Foot Electrode, 5-1/2" T16208 P5, protect the tip #CI-4252 1 ___ Template, Advanced Bionics Recess Marking, 2-3/8" T16209 P6 #CI-4430 1 ___ Template, Advanced Bionics BTE Device, 2" #CI-4420 T16210 P7 1 ___ Gauge, Advanced Bionics Device Coil, 2-1/8" #CI-4340 T16211 P8 Instrument Tray, Perforated, 13-1/2"x 9-3/4"x 5/8" Method of Ster: Steam270

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

Cochlear Americas Nucleus Freedom Tray 07-Jan-11 S#: S7208 Tray Cochlear Americas Nucleus Freedom é1%5äø³ê Page 1 1 ___ Template, Bone Recess 5-3/4" #Z33016 T16132 949502 P1 1 ___ Gauge, Recess Checking 5-3/4" #Z33018 T16133 949503 P2 1 ___ Claw, Contour Electrode 6" #Z33021 or #Z30090 T16131 949501 P3 1 ___ Template, Array Exit Marking, 2" #Z33017 T16129 949499 P4 1 ___ Template, Implant 1-3/4" #Z33019 T16130 949500 P5 9" x 9" Micro Pan Method of Ster: Steam270

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

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

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