Ossicular Reconstruction Reference Guide
OCR ProsthesesENT
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2 SURGERY SOLUTIONS
Only OlymPus OffeRs COmPlete OCR suRgeRy sOlutiOns Olympus works in conjunction with premier global otologic surgeons, to provide the most unique and innovative solutions for middle ear stability.
This complete line of solutions include: Micron Titanium Implants, OtoMimix HA Bone Cement, Explorent’s durable German Crafted Instruments, the Dornhoffer Implant System and the Kartush Strut System.
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imPlant mateRials
....................................................................................................................fluoroplastics....................................................................................................................
Fluoroplastics are polymers that are composed of carbon and fluorine atoms. They come from a variety of different resins and are usedin a wide range of industrial, medical, and home applications. Teflon is the brand name of one of the morepopular varieties of fluoroplastic. Fluoroplastics are highly regarded by otologists for their inertness, smoothness of texture, andbiocompatibility. Fluoroplastic parts are molded, machined from rods, or formed from tubing and sheeting. White and blue are thecolors used by Olympus. ....................................................................................................................Hapex....................................................................................................................
HAPEX is a homogeneous composite of high-density polyethylene (PE) reinforced by particulate hydroxylapatite (HA) and mixedin a 60/40 ratio by volume. HAPEX features the bioactivity of solid HA with the toughness of polyethylene. The latter quality enables HAPEX to be trimmed and shaped with a #11 scalpel and cutting block within the O.R.....................................................................................................................Hydroxylapatite....................................................................................................................
Hydroxylapatite is one of the most biocompatible materials available for implant use. Because its chemical composition resembles that of real bone, it is well tolerated by the human body. Additional stabilization of the reconstructed middle ear chain is provided by “ongrowth” (not bony ingrowth) onto the solid, dense surface of the material. Porous forms of this material (pore size of 150-350 microns) allow for bone ingrowth and/or soft tissue ongrowth.....................................................................................................................micron....................................................................................................................
Micron is Olympus patented finishing process for titanium implants. This proprietary chemical process not only smoothes thesurface but also “dulls” it, which reduces glare.....................................................................................................................titanium....................................................................................................................
Titanium (ASTM F 136) is used in many medical implants. It has excellent corrosion resistance and is well tolerated by tissue. Thematerial is lightweight and MRI compatible.....................................................................................................................Polyethylene....................................................................................................................
Polyethylene, which is composed of only carbon and hydrogen atoms, is a popular implant material used in a variety of microsurgery applications. Bioinertness and the ability to have smooth surfaces are but a few of the qualities that make polyethylene appropriate for otology implants. It is available in white and blue colors.....................................................................................................................Porouspolyethylene....................................................................................................................
Porous polyethylene (Plasti-Pore) is formed by sintering many individual polyethylene resin particles. It permits tissue ingrowth into the interconnecting pores of the implant material. The base resin, polyethylene, is known to be a very inert material. The natural whitecolor is the only one used by Olympus.
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4 SURGERY SOLUTIONS
isJ sOlutiOns
applebaum incudostapedial Joint Prosthesis
EG140956 Small
“A” 2.0 mm 1.0 mm
“B” 2.0 mm 1.0 mm
“C” 1.2 mm 1.0 mm
EG140957 Large
“A” 2.5 mm 1.0 mm
“B” 2.0 mm 1.0 mm
“C” 1.2 mm 1.0 mm
Hydroxylapatite material
Fully Cat. No. Description Dimensions Cannulated
CB
Top View End View A
applebaum incus Replacement system
EG140970 2.00 mm
EG140971 2.25 mm
EG140972 2.50 mm
EG140973 3.00 mm
EG140974 3.50 mm
Hydroxylapatite material, Partially Cannulated
Cat. No. Length
1.52 mm
2.48 mmLenght
Otomimix
EG70143266 2 gram
Cat. No. Amount
OCR sOlutiOns
Black Oval-top PORP Prosthesis
EG140859 4 x 3 mm Head 6.6 mm 1.15 mm
Hydroxylapatite Head and Plasti-Pore shaft
EG140857 4 x 3 mm Head 6.6 mm 1.15 mm
Hydroxylapatite Head and fluoroplastic shaft
PartiallyCat. No. Description Length Cannulated
a
B
6.6 mm 3.0 mm
4.0 mm
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Black Oval-top tORP Prosthesis
EG140858 4 x 3 mm Head 0.8 mm 10.0 mm
Hydroxylapatite Head and Plasti-Pore shaft
EG140856 4 x 3 mm Head 0.8 mm 10.0 mm
Hydroxylapatite Head and fluoroplastic shaft
ShaftCat. No. Description Diameter Length
a
B
10 mm
3.0 mm
4.0 mm
Black Oval-top universal Prosthesis
EG140861 4 x 3 mm Head 0.8 mm (wire) 1.15 mm
Hydroxylapatite Head and Plasti-Pore shaft
EG140860 4 x 3 mm Head 9.5 mm 6.0 mm
TORP Type PORP Type Cat. No. Description Shaft Diameter Shaft Length
a
B
1.15 mm
6.0 mm9.5 mm
3.0 mm
4.0 mm
Black spanner strut
EG140923 1.15 mm 0.8 mm 10.9 mm
Hydroxylapatite Head and fluoroplastic shaft incus or incus-stapes Replacement
Shaft OverallCat. No. Cup I.D. Diameter Length
10.9 mm
Spanner Head
Angled
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6 SURGERY SOLUTIONS
DORnHOffeR
Dornhoffer malleable PORP Prosthesis
EG70145842 4 x 3.2 mm Head 5.0 mm 1.0 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Cat. No. Description Length Cannulated
5.0 mm 3.2 mm
4.0 mm
Dornhoffer interpositional PORP Prosthesis
EG70141014 3.2 mm 3.0mm 2.0 mm
Hydroxylapatite Head, titanium Head Cradle
Head Overall Overall Length Cat. No. Diameter Length With Cradle
3.2 mm3.0 mm
Dornhoffer malleable tORP Prosthesis
EG70145843 4 x 3.2 mm Head 0.8 mm 8.25 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Shaft Cat. No. Description Diameter Length
8.25 mm 3.2 mm
4.0 mm
Dornhoffer micron titanium footplate shoes
EG70143253 0.9 mm 1.98 mm 0.25 mm
EG70143254 0.8 mm 1.98 mm 0.25 mm
Hydroxylapatite Head, titanium Head Cradle
Shoe Overall Adds toCat. No. Inner Diameter Length Implant Length
BOJRaB
Bojrab universal Prosthesis
EG70145844 3.0 mm 6.9 mm .8 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head Shaft Cat. No. Diameter Length Diameter
3.0 mm
2.7 mm
6.9 mm
0.8 mm
0.9 mm 0.8 mm
1.98 mm
1.98 mm
1.98 mm
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goldenberg incus-stapes Prosthesis
EG140913 HA Head, Plasti-Pore Shaft 0.8 mm 7.9 mm
with Wire Reinforcement
Hydroxylapatite Head and Plasti-Pore shaft
Shaft Cat. No. Description Diameter Length
7.9 mm2.3 mm
4.0 mm
goldenberg PORP Prosthesis
EG140916 HA Head, Plasti-Pore Shaft 5.5 mm 1.14 mm
Hydroxylapatite Head and Plasti-Pore shaft
Fully Cat. No. Description Length Cannulated
3.0 mm
4.0 mm
5.0 mm
goldenberg malleable PORP Prosthesis
Hydroxylapatite Head and Plasti-Pore shaft
Partially Cat. No. Description Length Cannulated
3.0 mm
4.0 mm
5.0 mm
gOlDenBeRg
goldenberg incus Prosthesis
EG140912 HA Head, Plasti-Pore Shaft 4.2 mm 1.14 mm
Hydroxylapatite Head and Plasti-Pore shaft
Fully Cat. No. Description Length Cannulated
4.2 mm2.3 mm
4.0 mm
EG140964 HA Head, Malleable 5.1 mm 1.14 mm
Plasti-Pore Shaft
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8 SURGERY SOLUTIONS
goldenberg CaP Prosthesis
EG140963 HA Material 1.5 mm 1.14 mm
Hydroxylapatite material
FullyCat. No. Description Length Cannulated
1.5 mm3.0 mm
4.0 mm
goldenberg incus Prosthesis
EG70145912 2.3 x 4.25 mm Head 3.9 mm 1.17 mm
Hydroxylapatite Head and trimmable HaPeX shaft
FullyCat. No. Description Length Cannulated
2.3 mm3.9 mm
4.25 mm
gOlDenBeRg
goldenberg sHOe Prosthesis
EG140914 1.3 mm 0.8 mm 0.5 mm
Dense Hydroxylapatite material
Outer Partially Adds to Cat. No. Diameter Cannulated Implant Length
2.0 mm0.5 mm
1.3 mm
goldenberg tORP Prosthesis
Hydroxylapatite Head and Plasti-Pore shaft
ShaftCat. No. Description Diameter Length
EG140917 HA Head, Plasti-Pore Shaft with Wire Reinforcement 0.8 mm 7.9 mm 3.0 mm
4.0 mm
7.9 mm
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goldenberg PORP Prosthesis
EG70145916 3 x 4.0 mm Head 6.0 mm 1.17 mm
Hydroxylapatite Head and trimmable HaPeX shaft
FullyCat. No. Description Length Cannulated
6.0 mm
3.0 mm
4.0 mm
goldenberg malleable incus-stapes Prosthesis
EG70145913 2.3 x 4.25 mm Head 0.8 mm 8.0 mm
Hydroxylapatite Head and trimmable HaPeX shaft
ShaftCat. No. Description Diameter Length
2.3 mm8.0 mm
4.25 mm
6.0 mm
goldenberg malleable PORP Prosthesis
EG70145964 3 x 4.0 mm Head 6.0 mm 1.17 mm
Hydroxylapatite Head and trimmable HaPeX shaft
FullyCat. No. Description Length Cannulated
3.0 mm
4.0 mm
7.9 mm
goldenberg malleable tORP Prosthesis
EG70145917 3 x 4.0 mm Head 0.8 mm 7.9mm
Hydroxylapatite Head and trimmable HaPeX shaft
ShaftCat. No. Description Diameter Length
3.0 mm
4.0 mm
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10 SURGERY SOLUTIONS
HaBeRman
micron adjustable titanium accessories
EG70135802 Micron Adjustable Sizing block
EG550108 Ryder Needle Holder
EG70135805 Micron Sizing block and Ryder Needle Holder
EG70132120 Complete PORP and TORP Trial set including sterilization case
titanium
Cat. No. Description
3.0 mm
Haberman tORP Prosthesis
EG70145870 3.5 mm 0.9 mm 7.4 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head ShaftCat. No. Diameter Diameter Length
3.5 mm 7.4 mm
Haberman PORP Prosthesis
EG70145871 3 mm x 2 mm Head 4.0 mm 1 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Overall PartiallyCat. No. Description Length Cannulated
2.0 mm
3.0 mm
4.0 mm
micron adjustable titanium tORP and PORP
EG70141044 Centered TORP 2 - 10 mm
EG70141045 Off Centered TORP 2 - 10 mm
EG70141046 Centered PORP 2 - 5 mm
EG70141047 Off Centered PORP 2 - 5 mm
titanium
Cat. No. Head Range
3.0 mm
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micron all titanium monolithic Off-Centered PORP
titanium, tiltable Head
Cradle Head Functional FunctionalCat. No. Diameter Diameter Length
EG70142007 3.0 mm 1.0 mm 2.0 mm
EG70142030 3.0 mm 1.0 mm 2.5 mm
EG70142008 3.0 mm 1.0 mm 3.0 mm
EG70142031 3.0 mm 1.0 mm 3.5 mm
EG70142009 3.0 mm 1.0 mm 4.0 mm
Length3.0 mm
micron all titanium monolithic Centered PORP
EG70142004 3.0 mm 1.0 mm 2.0 mm
EG70142028 3.0 mm 1.0 mm 2.5 mm
EG70142005 3.0 mm 1.0 mm 3.0 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
titanium, tiltable Head
Cradle Head Functional FunctionalCat. No. Diameter Diameter Length
3.0 mmLength
micron all titanium monolithic Centered tORP
titanium, tiltable Head
Head Round Footplate OverallCat. No. Diameter Shoe Diameter Length
3.0 mm
LengthEG70142010 3.0 mm 0.9 mm 4.0 mm
EG70142011 3.0 mm 0.9 mm 4.5 mm
EG70142012 3.0 mm 0.9 mm 5.0 mm
EG70142013 3.0 mm 0.9 mm 5.5 mm
EG70142014 3.0 mm 0.9 mm 6.0 mm
EG70142015 3.0 mm 0.9 mm 6.5 mm
EG70142016 3.0 mm 0.9 mm 7.0 mm
EG70142017 3.0 mm 0.9 mm 7.5 mm
EG70142018 3.0 mm 0.9 mm 8.0 mm
EG70142032 3.0 mm 0.9 mm 2.0 mm
EG70142033 3.0 mm 0.9 mm 2.5 mm
EG70142034 3.0 mm 0.9 mm 3.0 mm
EG70142035 3.0 mm 0.9 mm 3.5 mm
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12 SURGERY SOLUTIONS
HaBeRman
micron all titanium monolithic Off-Centered tORP
EG70142019 3.0 mm 0.9 mm 4.0 mm
EG70142020 3.0 mm 0.9 mm 4.5 mm
EG70142021 3.0 mm 0.9 mm 5.0 mm
EG70142022 3.0 mm 0.9 mm 5.5 mm
EG70142023 3.0 mm 0.9 mm 6.0 mm
EG70142024 3.0 mm 0.9 mm 6.5 mm
EG70142025 3.0 mm 0.9 mm 7.0 mm
EG70142026 3.0 mm 0.9 mm 7.5 mm
EG70142027 3.0 mm 0.9 mm 8.0 mm
titanium, tiltable Head
Cradle Head Functional FunctionalCat. No. Diameter Diameter Length
Length3.0 mm
micron titanium Centered PORP with Cradle
EG70142002 3.0 mm 4.5 mm 2.24mm 5.8 mm
titanium and trimmable HaPeX shaft
Tiltable Head Cradle OverallCat. No. Diameter Length Length Length
4.5 mm
1.3 mm2.24 mm
3.0 mm
micron titanium Centered tORP with sHOe
EG70142000 3.0 mm 0.9 mm 1.65mm 10.0 mm
titanium and trimmable HaPeX shaft
Tiltable Head Cradle OverallCat. No. Diameter Length Length Length
9.0 mm
1.0 mm
1.65 mm
2.4 mm
3.0 mm
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micron titanium Off-Centered PORP with Cradle
titanium and trimmable HaPeX shaft
Tiltable Head Cradle OverallCat. No. Diameter Length Length Length
3.0 mm
EG70142003 3.0 mm 4.5 mm 2.24mm 5.8 mm
4.5 mm
1.3 mm2.24 mm
micron titanium Off-Centered tORP with sHOe
titanium and trimmable HaPeX shaft
Tiltable Head Cradle OverallCat. No. Diameter Length Length Length
3.0 mm
EG70142001 3.0 mm 0.9 mm 1.65mm 10.0 mm
9.0 mm
1.0 mm2.4 mm
1.65 mm
kaRtusH
kartush incus strut Prosthesis
Hydroxylapatite material
Overall FullyCat. No. Description Length Cannulated
EG140853 Short 2.75 mm 1.17 mm
EG140854 Medium 3.9 mm 1.17 mm
EG140855 Long 4.9 mm 1.17 mm
Length
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14 SURGERY SOLUTIONS
kartush PORP Prosthesis
Hydroxylapatite Head and trimmable HaPeX shaft
Overall FullyCat. No. Description Length Cannulated
EG70145840 3.0 mm 4.5mm 1.17 mm
3.0 mm4.5 mm
kartush incus-stapes strut Prosthesis
Hydroxylapatite Head and trimmable HaPeX shaft
Overall FullyCat. No. Description Length Cannulated
EG70145841 3.0 mm 0.8 mm 8.0 mm8.0 mm
kaRtusH
kartush incus-stapes strut Prosthesis
Hydroxylapatite material
Overall FullyCat. No. Description Length Cannulated
EG140850 Short 0.76 mm 5.13 mm
EG140851 Medium 0.76 mm 7.10 mm
EG140852 Long 0.76 mm 9.96 mm
Length
2.29 mm
.76 mm
OCR aCCessORies
Ossicular Replacement Prosthesis measuring PORP trials
EG70131321 2 mm
EG70131322 3 mm
EG70131323 4 mm
stainless steel, not for implantation, used for Customized sizing
FunctionalCat. No. Length
Length3.0 mm
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Ossicular Replacement Prosthesis measuring trial accessories
stainless steel, not for implantation, used for Customized sizing
Cat. No. Description
EG70132120 Complete PORP/TORP Trial Set including Sterilization Case
EG70135060 Sterilization Case
EG70135801 Universal Cutting Block designed for use with Hapex shafts
EG70135802 Micron Titanium Adjustable Sizing Block
EG550108 Ryder Needle Holder
Ossicular Replacement Prosthesis measuring tORP trials
EG70131350 4 mm
EG70131352 5 mm
EG70131354 6 mm
EG70131356 7 mm
stainless steel, not for implantation, used for Customized sizing
FunctionalCat. No. Length
Length
3.0 mm
Richards Centered malleable PORP Prosthesis
EG70145889 3.5 mm 5.8mm 1.17 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head PartiallyCat. No. Diameter Length Cannulated
5.8 mm
3.5 mm
RiCHaRDs
Richards Centered malleable tORP Prosthesis
EG70145888 3.5 mm 0.8 mm 8.1 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head PartiallyCat. No. Diameter Length Cannulated
8.1 mm
3.5 mm
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16 SURGERY SOLUTIONS
Richards Centered PORP Prosthesis
EG70145891 3.5 mm 5.9 mm 1.17 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head PartiallyCat. No. Diameter Length Cannulated
5.9 mm
3.5 mm
RiCHaRDs
Richards Off-Centered malleable PORP Prosthesis
EG70145892 3.5 mm 5.8 mm 1.17 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head PartiallyCat. No. Diameter Length Cannulated
5.8 mm
3.5 mm
Richards Off-Centered malleable tORP Prosthesis
EG70145890 3.5 mm 0.8 mm 8.1 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head ShaftCat. No. Diameter Diameter Length
5.8 mm
3.5 mm
Richards Off-Centered PORP Prosthesis
EG70145893 3.5 mm 5.9 mm 1.17 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head FullyCat. No. Diameter Length Cannulated
5.8 mm
3.5 mm
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sheehy tORP (improved) Prosthesis
EG70140933 3 mm 0.8 mm 7.0 mm
Plasti-Pore material
Head Shaft OverallCat. No. Diameter Diameter Length
7.0 mm3.0 mm
sHeeRy
sheehy PORP Prosthesis
EG70140934 2.87 mm 5.0 mm 1.12 mm
Plasti-Pore material
Head Shaft OverallCat. No. Diameter Diameter Length
7.1 mm
2.87 mm
stRasniCk
strasnick tORP Prosthesis
EG70141577 Malleable Head 2.5 mm 0.8 mm 8.0 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head Shaft OverallCat. No. Description Diameter Diameter Length
8.0 mm2.5 mm
strasnick PORP Prosthesis
EG70141576 2.5 mm 5.9 mm 1.17 mm
Hydroxylapatite Head, trimmable HaPeX shaft
Head Shaft OverallCat. No. Diameter Diameter Length
5.9 mm2.5 mm
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18 SURGERY SOLUTIONS
WeHRs
Wehrs ii incus stapes system single notch
EG70140982 .9mm shaft, short 5.3mm 4.1mm 2.5mm
EG70140983 .9mm shaft, average 6.3mm 5.2mm 2.5mm
EG70140984 .9mm shaft, medium 7.3mm 6.1mm 2.5mm
EG70140985 . 9mm shaft, long 10.2mm 9.0mm 2.5mm
Hydroxylapatite incus-stapes interpositional Prostheses
DimensionCat. No. Description A B C
C
BA
Wehrs ii incus stapes system Double notch
EG70140986 .9mm shaft, short “A” 5.3mm “B” 4.1mm “C” 1.6mm “D” 3.5mm
EG70140987 .9mm shaft, average “A” 6.3mm “B” 5.2mm “C” 1.6mm “D” 3.5mm
EG70140988 .9mm shaft, medium “A” 7.3mm “B” 6.1mm “C” 1.6mm “D” 3.5mm
EG70140989 .9mm shaft, long “A” 10.2mm “B” 9.0mm “C” 1.6mm “D” 3.5mm
Hydroxylapatite incus-stapes interpositional Prostheses
Cat. No. Description Dimension
DC
BA
isJ sOlutiOns
applebaum incudostapedial Joint Prosthesis
EG140956 Small
“A” 2.0 mm 1.0 mm
“B” 2.0 mm 1.0 mm
“C” 1.2 mm 1.0 mm
EG140957 Large
“A” 2.5 mm 1.0 mm
“B” 2.0 mm 1.0 mm
“C” 1.2 mm 1.0 mm
Hydroxylapatite material
Fully Cat. No. Description Dimensions Cannulated
CB
Top View End View A
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OtOmimiX
Otomimix
EG70143266 Otomimix - 2 Gram 1
EG130725 Rosen needle - sharp 6
EG130726 Rosen needle - dull 6
Cat. No. Description Unit P/Box
OtoMimix, HA bone cement provides stability with an interface connecting the prosthesis head to the malleus.
applebaum incus Replacement system
EG140970 2.00 mm
EG140971 2.25 mm
EG140972 2.50 mm
EG140973 3.00 mm
EG140974 3.50 mm
Hydroxylapatite material, Partially Cannulated
Cat. No. Length
1.52 mm
2.48 mmLenght
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20 SURGERY SOLUTIONS
Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer.
Postbox 10 49 0820034 Hamburg, Germanywww.olympus-europa.com
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