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Three Steps To Micro Ear Surgery

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Presentation on theme: "Three Steps To Micro Ear Surgery"— 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 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

3 Anspach Drill Tray Bottom
1 ___ Motor, Anspach E Max, w/ Attached Cable, Black T P1 Black Cap MUST be attached for sterilization Top Tray 2 ___ Attachment, Anspach, Angled, 8cm, 5-1/2" #QD8-S T13527 FSV6B P2 1 ___ Attachment, Anspach, Angled, 11cm, 6-1/2" #QD11-S T P3 1 ___ Attachment, Anspach, Angled, 14cm, 8" #QD14-S T P4 1 ___ Attachment, Anspach, Footed, 2-1/2" #CRANI-A T P5 1 ___ Attachment, Anspach, Straight Long, 4-1/4" #LONG T P6 1 ___ Attachment, Anspach, Straight Medium, 3" #MEDIUM T P7 2 ___ Attachment, Anspach, Straight Short, 1-7/8" #SHORT T 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 3SB

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- S

7 Anspach FU Drill Basket
Diamond and cutting/ fluted burrs Cutting or Fluted Burr Diamond 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-CRN S ___ 1 ___ Brush, Hall, Burr, 3" T

10 Anspach Saggittal Saw Tray and Blades
Anspach Saggittal Blade Basket ___ 4 ___ Blade Micro Reciprocating Saw #MR-0560 J ___ 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 #Z30090 T 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 Gauge, Cochlear Recess 6 ½” Claw, Contour Electrode 6” Forceps, Cochlear Advanced Off-Style 6” Template, Cochlear below the ear

13 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

14 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

15 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 T P1 1 ___ Gauge, Recess Checking 5-3/4" #Z33018 T P2 1 ___ Claw, Contour Electrode 6" #Z33021 or #Z30090 T P3 1 ___ Template, Array Exit Marking, 2" #Z33017 T P4 1 ___ Template, Implant 1-3/4" #Z33019 T P5 9" x 9" Micro Pan Method of Ster: Steam270

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

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 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


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