Grace Medical Ossicular Prostheses


Ossicular Prostheses

Ossicular prostheses are commonly placed in patients with ossicular destruction or disruption due to cholesteatoma, chronic otitis media, or congenital ossicular malformation. Autografts were initially used for ossicular chain reconstruction due to their biocompatibility and good sound conduction.op

  

Wildcat Pro ALTO Total

 

The Wildcat Pro ALTO Total is an adjustable version of the popular fixed length Wildcat Pro. The adjustable design now allows the surgeon to size the prosthesis in exact quarter millimeter increments from 3mm to 7mm. The Wildcat Pro ALTO Total features a large stable base which mimics the stapes superstructure, crura cutouts to accommodate crura remnants and an HA head with large windows for visualization. 
wildcat alto pro total
  • Re-size if required and lengthen 0.50mm as no crimping involved
  • Pre-loaded into patented adjustable housing

ALTO Centered and Offset Titanium

 

The ALTO Centered and Offset middle ear implants are made of pure titanium, a proven biocompatible material with excellent sound transmission properties. These light-weight prostheses are packaged with disposable sizers and preloaded in the patented ALTO adjuster which simplifies the need to properly size the implant.
Alto cen and off tit
  • Adjuster body allows for easy sizing
  • Offset shaft allows flexibility in eardrum placement

ALTO Concise Partial

 

The Centered and Offset Concise ALTO Partial provides the surgeon with a functional length range from 0.75mm to 5.75mm, in precise quarter millimeter increments. The newly designed head allows for multidirectional movement for optimal contact with the TM. The Concise Partial comes prepackaged in the patented Adjuster Body, which greatly simplifies sizing the prosthesis. 
ALTO P

Frisbee Prosthesis

 

The Frisbee prosthesis designs are available in varying lengths and intended to be used for myringopexy cases where the distance between the eardrum and stapes head are minimal. A choice of HA or titanium material is offered.

  

Precise Centered Byte Partial

 

The Precise Centered Byte Partial offers the surgeon a variety of lengths ranging from 0.75mm to 2.50mm in .25mm increments. The Precise Byte features a centered head design with large windows for increased visibility. The “byte” allows for a secure fit onto the capitulum, giving the surgeon a reliable two point fixation between the tympanic membrane and stapes.

  

Kraus K-Helix Crown

 

The Kraus K-Helix Prosthesis is a novel, titanium middle ear prostheses that has been designed specifically for reconstruction of the ossicular chain.  When used with middle ear cements, such as glass ionomer cement, endoskeletal ossicular reconstruction is possible. The prosthesis serves as  “rebar” for the cement.   The unique design permits the prostheses to be adjusted by expanding the coils to increase length or by removing extra coils to make it shorter.

  

Gluth ALTO

 

The Gluth ALTO line includes an adjustable total and partial. The implants feature lightweight titanium heads and an offset shaft design. The large windows provide increased visualization and the malleus groove adds improved stability to the prosthesis. The Gluth ALTO line is designed to lock between the malleus and stapes capitulum/footplate. The Gluth ALTO Total works great in conjunction with a Dornhoffer footplate shoe.
gluth alto

Dornhoffer Footplate Shoe

 

The Dornhoffer Footplate Shoe is a light-weight titanium platform with a cylindrical opening to accommodate the distal end of all Grace Medical Total prostheses. During surgery, the footplate shoe is placed onto the stapes footplate and ideally locked in position between the remnants of the anterior and posterior crura, creating a wider base of contact with the footplate than the TORP alone. The shoe is designed to promote centering of the prosthesis on the stapes footplate. The Dornhoffer Footplate Shoe creates a more secure connection of the Total prosthesis to the footplate and helps to prevent prosthesis slippage.

  

 

Product Codes

 

Product CodesDescriptions
109 HA Total, 4mm Notch 0.8mm DIA X 4mm L
110 HA Total, 4mm Notch 0.8mm DIA X 6mm L
192 HA Footplate Shoe 1mm ID
280 Vincent Total Prosthesis - HA/fluoroplastic
600 ALTO Prosthesis - Total Offset
600A ALTO Duo with stapes adapter, Offset
601 Silverstein Adjustable with footplate tack
602 Owens Assure ALTO - Total with shoe
602R Owens Assure ALTO
603 ALTO Nano - Total Offset
604 ALTO Prosthesis - Total Centred with footplate shoe
605 ALTO Prosthesis - Total Centred
605A ALTO Duo with stapes adapter, Centred
607 ALTO Nano - Total Offset, with shoe
611 ALTO Nano - Total Centred
613 Wildcat Pro ALTO Total
614 Vincent ALTO Band Total Prosthesis
617 Vincent ALTO Band Total Prosthesis - Centred Style
618 Vincent ALTO Band Total Prosthesis - HA Lite Style
619 Vincent ALTO Band Total Prosthesis - Bojrab Style
620 ALTO Prosthesis with HA Head -Total
624 Sataloff Adjustable with HA Head - Total
625 Bojrab Adjustable with HA Head - Total
625B Bojrab Adjustable with HA Head - Total, with shoe
626 Dornhoffer ALTO Total with shoe and windows
630 ALTO Prosthesis with HA Lite Head - Total, fenestrated
630B ALTO Prosthesis with HA Lite Head - Total, fenestrated with shoe
635 Dornhoffer Adjustable with HA Head - Total
637 Dornhoffer Adjustable with HA Head - Total, fenestrated
648 ALTO Gluth Adjustable Total
650 ALTO Prosthesis - Partial Offset
651 ALTO Nano - Partial Centred
652 Owens Assure ALTO - Partial
653 ALTO Nano - Partial Offset
654 ALTO Nano Byte Offset Partial
655 ALTO Prosthesis - Partial Centred
655B ALTO Byte Partial Prosthesis
656 Wedge Adjustable Incus Strut, 2.25-3.50mm
657 Wedge Adjustable Incus Strut, 1.75-2.25mm
670 ALTO Prosthesis with HA Head - Partial
671 Bojrab ALTO Concise
674 Sataloff Adjustable with HA Head - Total
675 Bojrab Adjustable with HA Head - Partial
678 ALTO Gluth Adjustable Partial
685 ALTO Prosthesis with HA Lite Head - Partial, fenestrated
687 Dornhoffer Adjustable with HA Head -Partial, fenestrated
690 Dornhoffer Non-Adjustable with HA Head - Partial
691 Dornhoffer Non-Adjustable with HA Head - Partial, fenestrated
695 Dornhoffer Adjustable with HA Head - Partial
636-060 K-Helix Footplate Shoe - 0.6mm i.d.
636-080 Dornhoffer Footplate Shoe - 0.8mm i.d.
636-090 Dornhoffer Footplate Shoe - 0.9mm i.d.
650-075 ALTO Concise Partial Offset
655-075 ALTO Concise Partial Centred
706-300 Wildcat Four 2 Three Hollow, 3.00mm
706-350 Wildcat Four 2 Three Hollow, 3.50mm
706-400 Wildcat Four 2 Three Hollow, 4.00mm
706-450 Wildcat Four 2 Three Hollow, 4.50mm
706-500 Wildcat Four 2 Three Hollow, 5.00mm
706-550 Wildcat Four 2 Three Hollow, 5.50mm
707-300 Wildcat Four 2 Three Solid, 3.00mm
707-350 Wildcat Four 2 Three Solid, 3.50mm
707-400 Wildcat Four 2 Three Solid, 4.00mm
707-450 Wildcat Four 2 Three Solid, 4.50mm
707-500 Wildcat Four 2 Three Solid, 5.00mm
707-550 Wildcat Four 2 Three Solid, 5.50mm
749-050 Frisbee Prosthesis 3.0mm diameter x 0.5mm shaft, HA
749-100 Frisbee Prosthesis 3.0mm diameter x 1.0mm shaft, HA
749-150 Frisbee Prosthesis 3.0mm diameter x 1.5mm shaft, HA
750-050 Frisbee Prosthesis 3.0mm diameter x 0.5mm shaft, Titanium
750-100 Frisbee Prosthesis 3.0mm diameter x 1.0mm shaft, Titanium
750-150 Frisbee Prosthesis 3.0mm diameter x 1.5mm shaft, Titanium
752-075 Precise Centred Byte Partial, 0.75mm
752-100 Precise Centred Byte Partial, 1.0mm
752-125 Precise Centred Byte Partial, 1.25mm
752-150 Precise Centred Byte Partial, 1.50mm
752-175 Precise Centred Byte Partial, 1.75mm
752-200 Precise Centred Byte Partial, 2.00mm
752-225 Precise Centred Byte Partial, 2.25mm
752-250 Precise Centred Byte Partial, 2.50mm
751-200 Frisbee Prosthesis 3.0mm diameter x 2.0mm shaft, Titanium
756-300 K-Helix Crown Prosthesis
757-300 K-Helix Piston Prosthesis
758-400 Megerian Nitinol SRP  0.6mm shaft x 4.00mm
758-425 Megerian Nitinol SRP  0.6mm shaft x 4.25mm
758-450 Megerian Nitinol SRP  0.6mm shaft x 4.50mm
758-475 Megerian Nitinol SRP  0.6mm shaft x 4.75mm
758-500 Megerian Nitinol SRP  0.6mm shaft x 5.00mm

 

Product CodesDescriptions
Instruments  
901 Malleus Measuring Rod
905 ALTO Sliding Measuring Device
910 ALTO Cutter
915 ALTO Malleable Titanium Measuring Rod
966 Molded Otologic Sizers
930-008 Tympanoplasty Blade, Straight 2.5mm Wide
930-022 Lance - Adult flat blade angled, no handle
990-001 Cartilage Microtome
990-002 Cartilage Microtome Blades

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