Abstract: The preferred embodiment of the apparatus comprises the combination of a fixture and ventilation tube, with the fixture including a mandrel that is engagingly received through the bore or lumen of the ventilation tube to define a distal tip projecting from the front face of the ventilation tube. A helical thread extends rearwardly from the distal tip of the fixture to the seating region of the ventilation tube along a conical surface formed by portions of both the fixture and ventilation tube.

Abstract: A tympanic ventilation tube or pressure equalization device includes a pair of flanges disposed at opposite ends of a tubular member. At least one of the tubular member and the flanges is made of a polymeric material impregnated with an antibiotic.

Abstract: A tympanic ventilation tube or pressure equalization device includes a tapered tubular member and a distal flange in the form of two opposite projecting flexible tabs connected to one end of the tubular member. A proximal flange is connected to an opposite end of the tubular member, while a blade member is removably inserted in a groove in the proximal flange. The blade member facilitates the incising of the tympanic membrane during the insertion of the tubular member, wherein the first flange and the second flange seat against opposite sides of the membrane following the insertion. The blade member is provided with a cutting edge on one side and a tongue extension on an opposite side, the tongue extension facilitating a grasping of the blade member and concomitantly the entire device by a grasper instrument during an insertion procedure.

Abstract: A tympanic ventilation tube device for releasing fluid from the middle ear includes a tubular member, a first flange connected to a proximal end of the tubular member, a second flange connected to a distal end of the tubular member, and a cutting element connected to either the tubular member or the second flange. The cutting element projects in a generally distal direction and serves to facilitate the incising of the tympanic membrane during the insertion of the tubular member, wherein the first flange and the second flange seat against opposite sides of the membrane following the insertion. A spring-loaded protector is movably mounted to either the tubular member or the second flange for retracting in a proximal direction to expose the cutting element during an incising of a tympanic membrane by the cutting element in an insertion operation and for extending in a distal direction to cover the cutting element upon insertion of the cutting element and the distal flange through the tympanic membrane.

Abstract: A device for repairing a tympanic membrane comprises a patch provided on one side with an adhesive layer, and an elongate tubular applicator member having a proximal end and a distal end. The patch is removably attached via suction to the distal end of the tubular applicator member so that the adhesive layer faces away from the elongate applicator member. The proximal end of the tubular applicator member is temporarily closed or sealed to maintain the suction force, thereby holding the tympanic patch to the distal end of the applicator tube while the tube is being inserted through the auditory canal. Upon a pressing of the patch against the ear drum so that the patch covers the perforation, the proximal end of the tube is released to pressurize the tube channel with ambient air. This pressurization releases the patch and allows it to adhere to the tympanic membrane.

Abstract: A tympanic ventilation tube for ventilating and/or releasing fluid from the middle ear has, in accordance with the present invention, a tubular member and a first flange and a second flange connected to opposite ends of the tubular member. The first flange is provided with a cutting edge and with a tongue extension angularly spaced from the cutting edge. The cutting edge facilitates the incising of the tympanic membrane during the insertion of the tubular member, while the first flange and the second flange seat against opposite sides of the membrane following the insertion.

Abstract: A tympanic ventilation tube device for use in incising an ear drum and ensuring continued drainage of fluid from the middle ear comprises a tube, a first flange connected to one end of the tube, and a second flange connected to an opposite end of the tube, the first flange being provided with a cutting edge. The cutting edge includes a pair of straight edge segments oriented at an acute angle to one another to form a cutting wedge extending away from the second flange. A graspable extension is connected to the second flange and projects therefrom on a side thereof opposite the first flange. The ventilation tube is installed by using an elongate applicator rod or obturator releasably coupled to the tube. The rod is made of a material such as a metal or alloy having a limited malleability. Accordingly, the applicator rod may be reconfigured prior to the application of the ventilation tube, thereby facilitating the insertion of the tube at an appropriate position in the tympanic membrane.

Abstract: An instrument for holding a prosthesis in stapedectomy procedure comprises a handle, a shank attached to the handle, and a holder attached to a free end of the shank for holding the prosthesis. The holder includes a wedge-shaped opening for securing the prosthesis and a stop for limiting the rotation of the prosthesis in an axis transverse to the prosthesis in the wedge-shaped opening.

Abstract: A gastrostomy feeding tube including a main, flexible cylindrical body with a proximal end adapted for receiving conventional medical apparatus and a distal end having a locking mechanism. A locking ring is slidably and frictionally attached to the main body of the tube. The locking mechanism includes hinged legs and a membrane surrounding the mechanism, which is attached in a sealed fashion to the tube and to a distal end of the locking mechanism. Other embodiments of the locking mechanism include teeth or detents. Locking knobs are provided within the distal end. A long, rigid insertion tool having grooves for receiving the locking knobs is utilized, and is inserted through a bore through the tube until the locking knobs pass into the grooves. A needle is inserted in a conventional fashion into a patient's stomach, and a guide wire is passed therethrough, and the needle is then removed.

Abstract: An otological vent tube is supported on an apparatus that performs a myringotomy and substantially simultaneously positions the vent tube in the resulting myringotomy incision. The vent tube has proximal and distal ends and includes a central lumen that extends the full length of the tube. In all embodiments of the invention the distal end includes a distal flange in the form of a truncated cone. In some embodiments a proximal flange is provided at the proximal end, and in other embodiments the proximal flange is eliminated. The myringotomy and positioning apparatus includes an immovable outer hollow sleeve and an axially displaceable inner shaft. The distal end of the shaft is conical in form and supports the vent tube such that the distal conical end of the shaft member forms a substantial continuation of the truncated conical surface of the vent tube distal flange.

Abstract: An otological vent tube is supported on an apparatus that performs a myringotomy and substantially simultaneously positions the vent tube in the resulting myringotomy incision. The vent tube has proximal and distal ends and includes a central lumen that extends the full length of the tube. In all embodiments of the invention the distal end includes a distal flange in the form of a truncated cone. In some embodiments a proximal flange is provided at the proximal end, and in other embodiments the proximal flange is eliminated. The myringotomy and positioning apparatus includes an immovable outer hollow sleeve and an axially displaceable inner shaft. The distal end of the shaft is conical in form and supports the vent tube such that the distal conical end of the shaft member forms a substantial continuation of the truncated conical surface of the vent tube distal flange.

Abstract: Ventilation tube without protruding flanges, intended for ventilation and drainage of the middle ear by temporary implantation into the tympanic membrane, said tube having a micro-pitted titanium exterior surface with at least a number of micro-pits with a diameter of about 2-20 micrometer and a depth of 5-80 micrometer, as well as method and use of such ventilation tube.