Transcript Step 2 of 3 Micro Ear Surgerya

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
Max, w/ Attached Cable, Black
___
Motor, Anspach E
T13526 920430
P1
Black Cap MUST be attached for sterilization
Top Tray
2
Anspach, Angled, 8cm, 5-1/2" #QD8-S
___
Attachment,
T13527 FSV6B 920428
P2
1
Anspach, Angled, 11cm, 6-1/2" #QD11-S
___
Attachment,
T13625 934052
P3
1
Anspach, Angled, 14cm, 8" #QD14-S
___
Attachment,
T13626 920414
P4
1
___
Footed, 2-1/2" #CRANI-A
Attachment, Anspach,
T13528 920431
P5
1
Anspach, Straight Long, 4-1/4" #LONG
___
Attachment,
T13529 920409
P6
1
Anspach, Straight Medium, 3" #MEDIUM
___
Attachment,
T13530 920410
P7
2
Anspach, Straight Short, 1-7/8" #SHORT
___
Attachment,
T13531 920411
P8
Anspach E-Max Cas
Anspach Drill Tray Photos
Use short straight attachments
Use short angles attachments
Anspach (FU) Burr Bsk
___
2
___
___
2
___
___
2
___
___
2
___
___
2
___
___
2
___
___
___
___
___
4
2
4
1
___
___
___
___
___
___
2
2
___
___
Attachment, Anspach, Angled, 8cm, 5-1/2"
#QD8-S
Attachment, Anspach, Straight Short, 1-7/8"
#SHORT
Bur, Anspach 1mm Fluted Ball, Extended
Length #S-1B
Bur, Anspach 1.5mm Fluted Ball, Extended
Length #S-15B
Bur, Anspach 2mm Fluted Ball, Extended
Length #S-2B
Bur, Anspach 2.5mm Fluted Ball, Extended
Length #S-25B
Bur, Anspach 4mm Fluted Ball, Std Length
Bur, Anspach 5mm Fluted Ball, Std Length
Bur, Anspach 6mm Fluted Ball, Std Length
Bur, Anspach 6mm Fluted Router 1 x 1.2mm
#S-6R
Bur, Anspach 7mm Fluted Ball, Std Length
Bur, Anspach 3mm Fluted Ball, Ext Length #S3SB
T13527
51372
T13531
51376
S10411
51626
S10412
51627
S10413
51628
S10414
51629
S10417
S10418
S10419
J40273
51630
51631
51632
60668
S10420
S10389
51633
51624
Anspach FU Burr Bsk. Cont.
___
1
___
2
___
2
___
2
___
2
___
4
___
2
___
4
___
2
___
4
___
2
___ 1
___ 1
___ Bur, Anspach 0.5mm Diamond Ball, Ext
Length #S-05D
___ Bur, Anspach 1mm Diamond Ball, Ext Length
#S-1D
___ Bur, Anspach 1.5mm Diamond Ball, Ext
Length #S-15D
___ Bur, Anspach 2mm Diamond Ball, Ext Length
#S-2D
___ Bur, Anspach 2.5mm Diamond Ball, Ext
Length #S-25D
___ Bur, Anspach 3mm Diamond Ball, Ext Length
#S-3D
___ Bur, Anspach 3.5mm Diamond Ball, Ext
Length #S-35D
___ Bur, Anspach 4mm Diamond Ball, Std Length
#S-4D
___ Bur, Anspach 5mm Diamond Ball, Ext Length
#S-5D
___ Bur, Anspach 6mm Diamond Ball, Ext Length
#S-6D
___ Bur, Anspach 33mm Diamond Ball, Std
Length #S-3SD
___ Bur, Anspach 6mm Fluted Pear, Inverted #S___ Bur, Anspach 7mm Fluted Pear, Inverted #S-
S10421
51634
S10422
51635
S10423
51636
S10424
51637
S10425
51638
S10426
51639
S10427
51640
S10428
51641
S10429
51642
S10430
51643
S10395
51625
S10471
S10472
52540
5
Anspach FU Drill Basket
Diamond and cutting/ fluted burrs
Diamond Burr
Cutting or Fluted Burr
Anspach (SU) Burr Basket
___
2
___
___
1
___
___
2
___
___
2
___
___
2
___
___
1
___
___
2
___
___
2
___
___
2
___
___
2
___
___
2
___
___
2
___
___
2
___
___
2
___
___
2
___
Bur, Anspach 1mm Fluted Ball, Std Length
#S-1SB
Bur, Anspach 1.5mm Fluted Ball, Std Length
#S-15SB
Bur, Anspach 2mm Fluted Ball, Std Length
#S-2SB
Bur, Anspach 2.5mm Fluted Ball, Std Length
#S-25SB
Bur, Anspach 3mm Fluted Ball, Extended
Length #S-3B
Bur, Anspach 3.5mm Fluted Ball, Std Length
#S-35SB
Bur, Anspach 3.5mm Fluted Ball, Extended
Length #S-35B
Bur, Anspach 1mm Diamond Ball, Std Length
#S-1SD
Bur, Anspach 1.5mm Diamond Ball, Std
Length #S-15SD
Bur, Anspach 2mm Diamond Ball, Std Length
#S-2SD
Bur, Anspach 2.5mm Diamond Ball, Std
Length #S-25SD
Bur, Anspach 1mm Coarse Diamond Ball, Std
Length #S-1SDC
Bur, Anspach 2mm Coarse Diamond Ball, Std
Length #S-2SDC
Bur, Anspach 2.5mm Coarse Diamond Ball,
Std Length #S-25SDC
Bur, Anspach 3mm Coarse Diamond Ball, Std
Length #S-3SDC
S10385
51599
S10386
51600
S10387
51601
S10388
51602
S10415
51622
S10390
51598
S10416
51623
S10391
51603
S10392
51604
S10393
51605
S10394
51606
S10396
51607
S10397
51608
S10398
51609
S10399
51610
Anspach (SU) Burr Bsk. Cont.
___
2
___
1
___
2
___
2
___
2
___
2
___
2
___
2
___
2
___
2
___
2
___
___
1
1
___ Bur, Anspach 1mm Coarse Diamond Ball, Ext
Length #S-1DC
___ Bur, Anspach 2mm Coarse Diamond Ball, Ext
Length #S-2DC
___ Bur, Anspach 2.5mm Coarse Diamond Ball,
Ext Length #S-25DC
___ Bur, Anspach 3mm Coarse Diamond Ball, Ext
Length #S-3DC
___ Bur, Anspach 3.5mm Coarse Diamond Ball,
Ext Length #S-35DC
___ Bur, Anspach 4mm Coarse Diamond Ball, Ext
Length #S-4DC
___ Bur, Anspach 5mm Coarse Diamond Ball, Ext
Length #S-5DC
___ Bur, Anspach 6mm Coarse Diamond Ball, Ext
Length #S-6DC
___ Bur, Anspach 4mm Ex-Coarse Diamond Ball
#S-4DX
___ Bur, Anspach 5mm Ex-Coarse Diamond Ball
#S-5DX
___ Bur, Anspach 6mm Ex-Coarse Diamond Ball
#S-6DX
___ Bur, Anspach Router Fluted 1.4MM, #P-CRN
___ Brush, Hall, Burr, 3"
S10400
51611
S10401
51612
S10402
51613
S10403
51614
S10404
51615
S10405
51616
S10406
51617
S10407
51618
S10408
51619
S10409
51620
S10410
51621
S10473
T1489
52542
13230
Anspach Saggittal Saw Tray and Blades
Anspach Saggittal Blade Basket
___
___
4
4
___
___
Blade Micro Reciprocating Saw #MR-0560
Blade Micro Reciprocating Saw 13 Teeth/cm
#MR-0580
J904442
J29572
57843
57844
Nucleus 512 Cochlear Implant Tray
1
1
1
1
___
___
___
___
1
___
Template, Cochlear Below The Ear, 2" #Z33011
Template, Cochlear CI Implant, 2-1/4" #Z139273
Gauge, Cochlear Recess, 6-1/2" #Z139274
Claw, Contour Electrode 6" #Z33021 or #Z30090
protect w/ tygon tubing
Forcep, Cochlear Advanced Off-Style, 6" #Z60770
Perforated Instrument Tray 9" x 13"
Method of Ster:
Steam
042359
042360
042361
T16131
P1
P2
P3
949501 P4,
042362
P5
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#:
1
___
1
1
1
___
___
___
1
___
1
___
1
1
___
___
S7207
Tray Cochlear High Focus/Resolution 90K
é1%?äøÑê
Page 1
Insertion Tool, Advanced Bionics, 7-1/4" #0123 (3
T16205
P1, do not
Pieces)
disassemble in
Decontam.
Gauge, Advanced Bionics Recess, 5-1/2" #CI-4330
T16204
P2
Gauge, Advanced Bionics Plastic Tube, 8-1/4" No #
T16206
P3
Gauge, Advanced Bionics Cochleostomy Sizing, 8-1/2"
T16207
P4
#HiFocus III-X
Tool, Advanced Bionics Claw Foot Electrode, 5-1/2"
T16208
P5, protect the tip
#CI-4252
Template, Advanced Bionics Recess Marking, 2-3/8"
#CI-4430
Template, Advanced Bionics BTE Device, 2" #CI-4420
Gauge, Advanced Bionics Device Coil, 2-1/8" #CI-4340
Instrument Tray, Perforated, 13-1/2"x 9-3/4"x 5/8"
Method of Ster: Steam270
T16209
P6
T16210
T16211
P7
P8
Cochlear High Focus/ Resolution 90K Tray
Template advanced Bionics
Gauge, Advanced Bionics Recess
Tools
Gauge, Advanced Bionics Cochleostomy Sizing
Insertion Tool, Advanced Bionics
X 3 pieces
Template
Tool, Advanced Bionics Claw Foot
Electrode
Gauge, Advanced Bionics Device Coil
Cochlear Americas Nucleus Freedom Tray
07-Jan-11
1
1
1
1
1
S#:
___
___
___
___
___
S7208
Tray Cochlear Americas Nucleus Freedom
é1%5äø³ê
Template, Bone Recess 5-3/4" #Z33016
T16132
949502
Gauge, Recess Checking 5-3/4" #Z33018
T16133
949503
Claw, Contour Electrode 6" #Z33021 or #Z30090T16131
949501
Template, Array Exit Marking, 2" #Z33017
T16129
949499
Template, Implant 1-3/4" #Z33019
T16130
949500
9" x 9" Micro Pan
Method of Ster: Steam270
Page 1
P1
P2
P3
P4
P5
Cochlear Americas Nucleus Freedom Tray
Gauge, Recess Checking
Template, Array Exit Marking
Template, Bone Recess
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
Neptune Suction Machine
IV Blood Tubing connected to
Mastoid tubing with stopcock
Suction Irrigator
Latex Mastoid Tubing
Suction Tubing
Mastoid tubing for Irrigation
Ear tubing to suction Irrigator
“T” Connector on Sterile Field
One for Suction Tubing and Two
for Latex Ear tubing.
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