Single use suction suction tubes and devices, S-UM Kits, Single-Use Myringotomy Kits which combine the unique ‘Exmoor’ suction equipment with ‘Exmoor’ aural ventilation tubes—and a wide selection of other components. The ‘Grasper’ (U.S. Patent No. 6245077B1)
For inserting:
Shepards Drain
Armstrong Bevelled
Shah Vent Tube
Collar Button*
Reuter Bobbin*
Shah Mini Tube
Bel-Air Vent Tube
Donaldson (with tab)
Easy, convenient and quick: position vent tube in open jaws draw back the slide
button to grasp it firmly at just the right angle insinuate the vent tube into
the myringotomy incision ease forward the slide button to release the tube press
on the outer flange of the tube to complete the insertion procedure Note: can
be ‘loaded’ before being passed to the surgeon
The basic kits comprise:
aural specula (oval bevelled) - 3 sizes
wax curette
suction tube 7FR/14swg with cleaning rod
plain sucker end 3FR/18swg with stylet
gauze flannel
mop
myringotome (arrow pattern)
‘Grasper’ (vent tube inserter)
cotton wool
Benefits:
much improved visibility at the instant of tube insertion, compared with conventional
forceps—so a quicker and safer procedure
no cleaning, neither in the OR/Theatre nor in the central reprocessing department—so
no risk of infection to operatives
no reprocessing expenses incurred because it is a single use item
no more blunt/nicked myringotomes, being also single use
no delays in OR/Theatre, which can occur from hold-ups in the reprocessing area
no more expensive! as you will probably discover, if you check on your reprocessing
expenses with your Accounts Department
no more (partially) blocked suckers, being single use
easy, convenient and quick
Note: a micro-alligator forceps may be substituted for the ‘Grasper’
- but it would add significantly to the price of the kit. Similarly, you may
customise your kit to suit your particular requirements, by selecting from the
components available.
Procedure Packs
Compose your personal S-UM kit …
Note: basic kits are probably no more expensive than the cost of reprocessing
a reusable myringotomy tray—but you would be sure to benefit from:
improved visibility at the instant of inserting the tube
no more blunt myringotomes
no more delays in the OR/theatre
no more blocked suction tubes
VENT TUBE INSERTION PREPARATION
A Micro Alligator Forceps - Order Code MK7 SeriesSingle Use
B The ‘Grasper’Grasps the tube mechanically and presents it at the
natural angle for insertion. Slide release mechanism.
Needle Sucker End Ventilation Tubes
The patterns suited to insertion by the ‘Grasper’ are:
Shepards Drain
Armstrong Bevelled
Shah Vent Tubes
Shah Mini Tubes
Collar Button
Reuter Bobbins
Donaldsons (with tabs)
Burns Titanium Tubes
Bel-Air Vent Tubes
Addenbrooke’s / Owa Tubes
Gold Vent Tubes
Cream Ointment
Ear Syringe
Suction Tubing - p.v.c.
TOILET OF THE EAR - MYRINGOTOMY
Wax Curette Reddy Lancet Myringotome
Mop Reddy Lancet Myringotome
Gauze Flannel Shott Suction Myringotome
Suction Tube Reddy Aspirating Myringotome
Tube Cleaning Rods Reddy Arrow Myringotome
Plain Sucker End
Gallipot
Procedure Packs
SUCTION CLEARANCE KITS
Especially developed for the most commonly performed ENT surgical procedure: suction clearance of the external ear canal.
Supplied sterile in a peel pouch, ready for use, the components are wrapped
in a paper towel to assure aseptic handling and comprise:
wax curette
fine sucker end
18swg/3FR suction tube
14swg/7FR mop
Everything you need for suction clearance of the ear—in one handy, inexpensive pack.
Order Code: SC/1 British Pattern SC/2 US Pattern (with suction control)
Procedure Packs
TYMPANOCENTESIS KIT
Infection typing made easy!
Sterile, single-use, procedure pack for conventional bacterial and / or capsule
typing in a microbiological laboratory.
This kit comprises:
Sterile 'field'
Ear drape
Aural specula x 2
Surgical gloves
Curette
Mop
Suction tube
Aspirating myringotome
Vial assembly
Lab. specimen bag
Cotton wool
'Disposafe'
Disposal bag assembly
the physician knows - and shows! - that the treatment he prescribes is correct; Particularly important when an expensive antibiotic is indicated.
the patient gets immediate relief, receives the correct therapy - and recovers quickly. Being akin to myringotomy, the procedure will give immediate relief to the patient and may even be curative per se.
Everything you need for a tympanocentesis procedure!
We acknowledge with gratitude the generous help and encouragement we received
in the development of this device from John Stram M.D., Boston, MA
Procedure Packs
TONSILLECTOMY KITS
Developed for: vCJD Referral Centre, St. Mary’s Hospital, London, U.K
Following the variant Creutzfeldt Jakob Disease (vCJD) crisis and the risk of iatrogenic transmission via instruments of this invariably fatal disease, ‘Exmoor’ was requested to develop single use kits. These instruments may be purchased as stand-alone items, in standard kits or may be combined into customised kits.
refined instruments
wide choice
consistently high quality
good availability
supplied sterile
single use
All Exmoor single-use adenotonsillectomy instruments (excepting the Yankauer sucker) are manufactured in one factory, which enables the company to impose the highest quality assurance procedures, including in-process controls, over their characteristics, minimising the risks of mis-match and assuring:
refined instruments (according with BSEN 7153: 2001)
competitive prices
Diathermy Devices
BIPOLAR FORCEPS
Single use, inexpensive new designs.
BK/40 Straight
Rigid blades 200mm/8inch)
Fine tips
3m integral cables
Meet highest international electrical standard (IEC601-2-2)
Suited to most electro-surgical generators
Standard pack of 10 devices
Diathermy Devices
MONO POLAR SUCTION DEVICES
Single use, inexpensive new designs.
BK/3a Jain Laryngeal/Pharyngeal Pattern (230mm/9¾in-14swg/7FR)
Single use
Inexpensive
Meet highest international electrical standard (IEC601-2-2)
Suited to most electro-surgical generators
3m integral cable
Standard pack of 10 devices
Lateral fenestrations
Ear Prostheses
CAUSSE UNIVERSAL HA PROSTHESIS
Developed for: Dr. J-B. Causse, Béziers, France
“...I consider them, even if not perfect, to be the best partial prostheses
I have ever used in my life”........
Dr. J-B. Causse.
......and they’re just as effective when used as total ossicular replacement prostheses!
....which means that there is no longer the need to keep an assortment of
patterns and sizes.
This device comprises three components, namely:
a dense hydroxylapatite ‘mushroom’, which is intended to be located
on the malleus or directly on the tympanum. Note: clinical experience makes
it clear that this material is highly unlikely to extrude.
a clear ptfe tube, to fit securely over the stalk of the mushroom, the other
end swaged out into a bell shape to fit over the head of the stapes. Note: this
component is supplied extra long, so that, if shortened in error, sufficient
would remain to allow the surgeon to correct the length of the trimmed tube,
a white ptfe plug, which fits securely into the clear ptfe tube (the bell end
having been removed), and which is intended to be located on the footplate of
the stapes.
‘I was extremely pleased with the result because, in three out of the four cases, there was an over-closure in between 10-15 dB on the 250 Hz, 500Hz and 1KHz. In one case only, there was a slight gap of 5dB on the 1KHz and 10dB on the 2KHz. Obviously, this was my fault: probably the contact with the tympanic membrane was not good enough. There was not enough pressure of the tympanic membrane on the platform of the prosthesis.’
Extract from a letter from Dr. J-B. Causse
Result
“I confirm that those patients, whom I operated on, two years ago, are
doing well.” Dr. J-B Causse, Beziers, France
‘The prosthesis was used over the top of an intact stapes, using the
tubular component. A hydroxylapatite cap was placed under the tympanic membrane.
It can be seen quite easily through the drum on examination today. The patient
is delighted with his progress and it may well be that the hearing will do even
better than this but, even if it does not, he is now within the normal range.’
Extract from a letter from Mr. J. Robinson FRCS, following a clinical inspection
three months after an ossiculoplasty was performed.
Ear Prostheses
MILLS INCUS HA SLEEVES
For reconstruction of the long process of the incus, when the stapes arch is
intact. Stable in situ, these devices can be used to repair a gap of up to 3.0mm
Developed for: Mr. R. P. Mills FRCS, Dundee, Scotland.
TEFLON LOOPS
These popular stapes prostheses are fabricated in p.t.f.e.
The smaller pattern may be located in a 0.8mm. stapedotomy, covered with a vein
graft, into which the 0.4mm. diameter shaft nestles securely. This technique
makes for good high tones, while the risk of adhesion is minimised and the delay
before inflation is reduced.
The grade of material selected for this device has an excellent ‘memory’, which means that the loop tends to grasp the incus firmly.
Ear Prostheses
MILLS COLUMELLA
For use in the reconstruction of the ossicular chain, in conjunction with a
cortical bone graft, taken from the outer table of the skull, in which a notch
is ground to accommodate the malleus and into which a 0.5mm blind hole is drilled
to accept the columella.
The bone graft is placed adjacent to the ear drum, across the malleus and the
columella completes the connection to the footplate of the stapes.
Note: the smallness of the device makes it easy to see the footplate during its insertion and so minimizes the risk of fixation to the margins of the oval window niche.
CAMPBELL ENDOLYMPHATIC T-SHUNT
This device is intended to be placed in the sac, to relieve the symptoms of
Menière’s disease. Once in situ, it will act as a continuous drain,
allowing the endolymphatic sac fluid to be shunted into the mastoid. The long
member leaves the sac via a separate incision, the ‘T’ bar remaining
within the sac to prevent extrusion. Being flat, like the decompressed sac,
it is easier to insert than a tubular drain and does not require insertion into
the subarachnoid space.
CAMPBELL MIDDLE EAR AERATION SHEETING
This device is used to prevent or reduce adhesions in the middle ear following
tympanoplasty, especially those from the malleus to the promontory and from
the ear drum to the inner ear. After reconstruction of the tympanic membrane
and ossicular chain, this implant is inserted into the mouth of the eustachian
tube, to cover the promontory, and under the handle of the malleus, to cover
the middle ear, the shape allowing it to rest around the oval window.
CAMPBELL ATTIC TO ANTRUM IMPLANT
This implant is intended to aerate the attic and mastoid antrum, in order to
encourage the regrowth of the mucosa, following tympano-mastoid surgery. The
narrow end is placed under the head of the malleus, if present, and back into
the mastoid antrum.
Developed for: E. E.Campbell MD, FACS, Garden City, L.I., N.Y.
Order Code Description Pack Quantity Sterilised by Materials Colour Thickness
Ear - Bone Harvester
MOFFAT-ROBINSON BONE PATE COLLECTOR
Bone dust collected from the mastoid cortex or other, healthy bone areas has
a powerful osteogenic effect when placed into areas where an adequate blood
supply exists. Its uses vary from total mastoid obliteration to reconstruction
of defects in the canal wall and even repair of ossicular erosions. The collection
of small quantities of bone dust is relatively simple but, when large defects
are to be filled, a bone pâté collector, fitted into the suction
tubing, simplifies matters considerably.
The new Moffat-Robinson Bone Pâté Collector is easy to use. It
can collect any quantity of bone dust, up to a volume sufficient to obliterate
an open mastoid cavity. Where previous collection devices have employed metal
gauze filters, and have involved meticulous cleaning prior to re-autoclaving,
the Moffat-Robinson Bone Pâté Collector is fitted instead with
a single-use, labour saving, sintered plastic filter.
Developed for: Mr.D Moffat FRCS, Cambridge, UK.
Mr. J Robinson FRCS, Gloucester, UK.
Order Code Description Pack Quantity Material Sterilised by
E.401 Bone Pâté Collector 1 polycarbonate see below
E.402 Bone Pâté Filters 5 hdpe Gamma
Repeated Re-Sterilization (filter housing only)
Acceptable methods: ethylene oxide gas steam (at 121°C)
NOTE: it is not advisable to re-sterilize the filter housing at 134°C because the material becomes unstable below this temperature. Although trials have demonstrated that it may be usable after twenty cycles, it will survive typically only seven or eight cycles - and may manifest damage after the first cycle at this temperature.
Therapy Devices
PFLEIDERER’S INTRATYMPANIC CATHETER
This single-use device is supplied sterile and ready for use as a closed system
for the repeated, safe delivery of approved therapeutic agents into the middle
ear and, in particular, to the round window area, to facilitate the control
of disabling vertigo arising from active unilateral Meniere’s disease.
The soft, silicone rubber flange is introduced via a myringotomy incision and
the tubing is sutured to the pinna of the ear. The medication is then delivered
from a Luer syringe, via the external valve.
CREAM OINTMENT EAR SYRINGE
This simple, single-use device, which is supplied sterile and ready for use,
comprises a standard 2.5ml. syringe with an integral stainless steel delivery
tube. Specifically designed to deliver cream ointment to the external ear canal
without risk of trauma.
Single Use Suction Equipment
An instrument system, pioneered by Exmoor Plastics, for use in the ENT/ORL discipline,
in which the suction tube hand-pieces combine with a range of sucker end instruments,
to facilitate, and speed up, many different procedures, as described in the
following pages.
No more frustration:
no blunted or damaged myringotomes
no soiled or blocked suction tubes
no instrument change over delays
No more risk:
no contaminated myringotomes to re-process
no contaminated, drill - damaged suction tubes to re-process
No more worry:
no more doubts about `best practice`
no more concern about professional negligence
No more expensive:
absolutely no more reprocessing expenses
absolutely no more myringotome repair costs
Tube sizes from 24 swg to 8 swg (FR12).
Aspirating
Myringotome
Micro-bore Single
Use Suction Tube
Zoellner pattern
Single Use Suction Equipment
SUCTION TUBES
Supplied sterile - for use in:
otology
rhinology
operating theatre
out-patients dept.
available with, or without, suction control made to fit standard suction tubing,
able to accept a Luer syringe
single use
fully engineered for safety in use
supplied with a cleaning stylet
good for your peace of mind
going to save you money
Single Use Suction Equipment
SUCKER END INSTRUMENTS
These Sucker End Instruments are intended to be aspirated into the suction tubes.
Careful design and very close tolerances assure a perfect fit, for safety in
use.
Aural Ventilation Tubes
For more than a quarter of a century, `Exmoor` aural ventilation tubes have
been used around the world.
Today, they are routinely used in many famous teaching hospitals — and in some fifty countries — their wide popularity testifying to their:
high quality
low prices
reliable delivery
Every`Exmoor` micro-surgical device is individually inspected to ensure that
it is fit for your use.
Here Angela Harris is seen checking the lumen of a ventilation tube for swarf or asperities, which might trap effusions / exudates and cause it to become blocked.
The `Exmoor` range includes most popular patterns — and several unique
designs...........
Aural Ventilation Tubes - Short Term Ventilation (4 - 9 months)
SHEPARDS DRAINS
Available in a choice of materials and sizes, these popular patterns typically
afford ventilation for some five to eight months.
COLLAR BUTTONS
The symmetry of these devices is inspired by sound engineering principles, this
common feature being expressed in differing forms to address a variety of applications,
where short-term ventilation is indicated of, say, seven to nine months.
Aural Ventilation Tubes - Medium Term Ventilation (12 - 18 months)
REUTER BOBBINS
The shortness of these tubes means that they are highly unlikely to abrade the
mucous membrane of the middle ear, which might cause the lumen to become blocked
with a blood clot or serum. The unusually wide flanges extend the period of
patency, especially when fenestrated, so that tissues of the tympanic membrane
may penetrate them to act as stabilizing dowels. ( For medium-term ventilation,
say twelve to thirteen months.)
BURNS TITANIUM GROMMET
Thin, wide flanges and a short inter-flange distance, characterize this light-weight
product, as a Reuter Bobbin, which is particularly suited to Downs Syndrome
patients.
Developed for: Mr. H. Burns FRCS, Dublin, Eire.
EXMOOR GOLD VENT TUBES
Aural Ventilation Tubes - Medium Term Ventilation (12 - 18 months)
SHAH VENTILATION TUBES
This popular pattern affords medium term ventilation of the middle ear cleft.
Its design facilitates insertion through the myringotomy incision and aids retention
of the tube, especially if the inner flange points to the head of the malleus.
Its duration in situ is typically fifteen to eighteen months.
REDDY GROMMET
The unique Reddy Grommet has been used widely for several years. It offers the
advantage of a unique grasping feature, which enables the tube to be presented
to the incision in the correct orientation. This small tube reduces the risk
of tympanosclerosis, while its design assures medium term ventilation, in the
order of thirteen to fifteen months, especially if the inner flange is pointed
towards the head of the malleus.
Developed for: Mr. T. N. Reddy FRCS, Stafford, U.K.
ADDENBROOKE’S/OWA (USER FRIENDLY) GROMMET
This medium term tube is designed particularly to facilitate handling. It is
expected to remain in situ for some fifteen to eighteen months.
Developed for: Mr. A. Owa FRCS, Cambridge, U.K.
Aural Ventilation Tubes - Long Term Ventilation (24 months +)
BEL-AIR VENTILATION TUBE - U.S. Patent No. 5,389,088
This tube:
is narrow at one point only, so less likely to be blocked with exudate
affords good visibility of the middle ear cleft
is easy to insert
remains patent for approximately two years
Developed for: Prof. M. Hageman, Haarlem, The Netherlands.
SHAH PERMAVENT
The bevelled flange is intended to be cut to the shape best suited to the clinical
characteristics presented. The absence of an outer flange aids retention and
clinical studies show that this is a long term tube which, if deliberately removed,
is unlikely to leave a perforation in the tympanum. This tube will ventilate
the middle ear for approximately three years.
CYLINDRICAL VENTILATION TUBES
The ‘Exmoor’ Cylindrical Ventilation Tubes have been designed with
only one flange to prolong ventilation. They are sometimes chosen when permanent
ventilation is indicated.
Aural Ventilation Tubes - Long Term Ventilation (24 months +)
EXMOOR T-TUBES
The absence of an external flange makes premature extrusion less likely while,
being soft and flexible, these tubes are easily shortened to the required size
and removal can be readily accomplished, if necessary, by gentle traction. These
are long-term ventilation tubes and, in order to minimise the possibility of
a residual perforation, they should be deliberately removed.
DONALDSON GROMMET
This soft silicone product is available in both regular pattern and with a tab
to aid insertion. The compressibility of these tubes permits insertion with
minimal tympanic trauma. They resume their shapes when released in situ and
the design makes for good retention, typically twelve to thirteen months.
Aural Ventilation Tubes - Paediatric
SHAH MINI GROMMET
The Shah Mini Grommet is small enough to be positioned in the anterosuperior
quadrant, even via narrow external ear canals. Its size and shape facilitate
insertion with minimal trauma. It is appropriate to the treatment of severe
‘glue ear’ or to maintain equal pressure across a new tympanic graft.
Clinical studies suggest that, if the inner flange is orientated to point towards
the head of the malleus, this tube will remain patent typically for five months
and, if used as the tube of first choice in cases of otitis media with effusion,
a substantial majority would require no further surgical intervention and resultant
tympanosclerosis would be minimal.
(Clinical References: PUB/28,q.v.)
Its design maximises the lumen but provides sufficient outer flange for the
forceps to grasp.
TINY T-TUBE
The Tiny T-Tube will remain patent typically for twelve to fourteen months and
is intended to extend the period of ventilation to young ears, with minimal
scarring of the tympanum.
Instruments
VENTILATION TUBE INSERTERS
Reusable Instruments
T-Tube Inserters (Made in Britain)
T-Tube Inserters (Made in Britain)
With the finger bows open, the tube is fully drawn, by means of a blunt point,
introduced via the notch, into the barrel of the inserter, until the ‘wings’
of the tube are enclosed. The distal end is then presented to the tympanic incision
and the tube is ejected into place by the closing of the finger bows.
Alternative Pattern (Made in Germany)
This instrument operates on the same principle but relies on thumb pressure
on the proximal end of the handle, in lieu of finger bows. It incorporates its
own ‘blunt point’ in the proximal end of handle and has a slotted
distal end to improve visibility of the T-tube during insertion.
Grommet Inserters
The projection of the distal end of the inserter fits exactly into the matching
lumen of the grommet. With the finger bows closed, the grommet will remain firmly
on the end of the instrument, to be released into the incision by fully opening
the finger bows.
'Exmoor' reusable surgical instruments for use in the ear, nose and throat discipline
are also available:
patterns accord with industry standards
accredited to BSEN 7153 (Pt 2 2000)
wide range
low prices
available to the U.K.'s NHS hospitals within the Framework Agreement
Blakesley ethmoid punch
Laryngeal forceps
Sickle knife
Freer elevator
Killian nasal speculum
Bellucci micro-scissors
Thidichum nasal speculum
Plester Jansen retractor
Weil Blakesley forceps
Silicone Rubber Sheeting
A comprehensive range of materials for short-term or permanent implantation
in the ear, nose or throat, supplied sterile and ready for use.
IMPORTANT: only those products, which are declared as ‘implantable’, may be placed in the body for periods exceeding twenty-nine (29) days.
Nasal Devices
NASAL SPLINTS - SILICONE RUBBER
Note: since silicone rubber will not bond to contiguous tissue, these splints
are easily removed
Designed to improve the role of splinting the septum in the mid-line, especially
when using free grafts.
The dolphin-shape of these splints affords generous septal cover and is designed
to prevent prolapse anteriorly. Posterior prolapse is prevented by transfixing
with a suture.
Developed for: Mr. P. Grimaldi FRCS, Isle of Wight, U.K.
These devices are designed to afford:
support for the septum in the mid-line
an airway to facilitate breathing
a barrier to adhesions
Developed for: Mr. Navnit Shah FRCS, London, U.K.
Nasal Devices
NASAL SPLINTS - FLUOROCARBON FILM
Note: since silicone rubber will not bond to contiguous tissue, these splints
are easily removed
For use:
with nasal packing
without additional intra-nasal packing, when connected by transeptal suture
Developed for: Mr J. Atkins FRCS, Shrewsbury, U.K.
NASAL SPLINTS - RIGID/PVC
Designed for use as a support to the septum
Developed for: Mr R. Cawood FRCS, (N.16 and N.17) Coventry, U.K..
Developed for: Dr T. Logan FACS (N.19 and N.20) Evansville, IN, U.S.A.
NASAL TUBES - SILICONE RUBBER
Prevents haematoma
Flanges protect columella from necrosis
Provides airway to maintain blood oxygen level
Suture through bell to stop tubes being blown out
Developed for: Mr. P. Samuel FRCS, Sunderland, U.K.
Ear - Packing Devices
SHAH SILICONE DISCS
This fenestrated, membrane-thin device is designed to splint the tympanum, following
tympanoplasty or myringoplasty, and offers the following advantages:
it will readily assume the desired conical shape
it will exert pressure evenly around the annulus
it will not readily distort when packed firmly
it will not adhere to, nor displace, the graft, during removal of the packing
it may remain in situ after packing has been removed, even when antibiotic drops
in the canal are prescribed
transparent - but blue-tinted
SHAH PACKING STRIPS
Packing Strips are membrane-thin and are designed for use in the packing of
the ear canal, following surgery. They are transparent. Silicone rubber has
been preferred for these packing strips so that contiguous tissue will not grow
onto them and, thus, trauma during removal will be minimized.
In order to assure goodness of fit between the components which make up the
Causse Universal HA Prosthesis (one of which expands while another shrinks!),
close tolerances are required. Here Mary Lang is seen producing the HA component
on her lathe, to tolerances of 1/100mm
Dental Protection Devices
BITE BUFFER (TRURO PATTERN)
This device is to protect the upper incisors from the laryngoscope or oesophagoscope.
It is:
applicable to any patient - will conform to a very wide range of jaws
stable in use because it accommodates to teeth, gums and palate
safe in use, featuring a ribbon to secure to patient’s clothing
convenient in use, since its design minimizes obstruction to instruments and
presents smooth, free-running surfaces to those which come into contact with
it
re-usable and will withstand repeated autoclaving
durable enough to endure many operations, this robust material is especially
concentrated into a thicker section across the destructive incisors.
We acknowledge with gratitude the generous help we received in the development
of this device from Mr. J. Conrad FRCS, Truro, U.K.
BOYLE DAVIS GAG COVERS
These devices are to protect the upper incisors from the Boyle Davis Gag. They
are:
simple to fit and remove
safe and secure in use
durable enough to endure many operations
autoclavable for repeated re-usage
fully conforming to the shape of the gag
ribbed to minimize lateral forces on the teeth
Laryngological Devices
DAS GUPTA LARYNGEAL KEEL
The keel consists of a tubular section and a flat keel to maintain separation
of the raw surfaces of the vocal cords. It may be used to prevent re-adhesion
after division of limited anterior laryngeal webs of congenital or traumatic
origin.
Its principal advantages are:
a laryngofissure does not need to be carried out and the operation can be done
endoscopically
tracheostomy may not be necessary
the patient can continue to talk with the keel in position.
Developed for: Mr. A. Das Gupta FRCS, Birmingham, U.K.
Laryngeal web....divided by laser Keel in situ internally....with external fixation
Laryngological Devices
THE SINGH SPEECH SYSTEM Patent No. 2,164,424
The Singh Speech System is for both total and partial laryngectomees
Screw adjustment to desired sensitivity of flap intended to be set to close
automatically from increased pressure of exhaled air as the patient starts to
speak.
Bivalve - normally closed but opens when naturally increased pressure occurs
during exhalation, as the patient begins to speak.
A video recording, featuring a long-standing patient, demonstrates the system
in use. (Available on request)
lung-powered
hands-free
needs no glue
in clinical use since 1984
self-retaining; very stable in situ, being held in two axes - so much less likely
to be coughed out
leak-free; (no need of glue)
safe; large external flange prevents accidental inhalation
supplied in 5 sizes
comfortable and unobtrusive
durable and inexpensive
easy for the patient to insert and remove
easy to clean
supplied sterile (fistula valve)
radio opaque (except for the tracheostoma valve)
Developed for: Dr. W. Singh FRCS, Edinburgh, Scotland
The Singh Tracheostoma Button is made in a soft, compliant, silicone rubber
and has a groove inside the large external flange, into which the Singh Tracheostoma
Valve will snap-fit, to give hands-free speech to partial laryngectomees.
For total laryngectomees:
Singh Tracheostoma Valve
with Fistula Valve
The Singh Fistula Valve is similar to the Singh Tracheostoma Button (q.v.),
through which the patient can breathe, but has a projecting valve that terminates
in the oesophagus, through which air can be exhaled when the stoma is occluded,
so that total laryngectomees can be restored to lung-powered speech
For partial laryngectomees:
Singh Tracheostoma Valve
with Tracheostoma Button
The Singh Tracheostoma Valve is a flap-valve which can be sensitively adjusted
for pressure. It comes in one size and snap-fits into the matching groove within
the external flanges of the other components, to replace manual occlusion of
the stoma and restore hands-free speech.
Laser Suction Devices
These simple, single-use devices are intended for use in surgical procedures
within the nasal cavity, the oral cavity or the oropharynx.
They are supplied sterile and ready for use. Their designs combine two stainless
steel cannulae: the longer to deliver a laser fibre and the shorter to aspirate
the plume of smoke produced by the procedure.
Dilkes Laser Suction Device (Order Code S.201).
This device is suitable for use with laser fibres of up to 600 µ diameter
or with gas cooled fibres up to that diameter.
Laser Suction Devices (Order Codes S.202(l) and S.202(r))
This device has been developed for use with lasers. It is suitable for use
with laser fibres of up to 300 µ diameter.
Clinical References
We have available a number of information films (reference numbers starting
V. shown below) which are available free of charge in either video or CD formats.
We also have a number of leaflets covering each product group.
Please call or e-mail to request your copies - don't forget to state whether
you would prefer a video or a CD.
Single Use Suction Equipment
PUB/14
V.17
V.13 Single-Use Suction Equipment
Shott Suction Myringotome, Dr. S. Shott, FACS
O’Reilly Notched Sucker End, Dr. B. O’Reilly, FRCS
Aural Ventilation Tubes
V.7
Reddy Grommet, Dr. S. Shott, FACS
Myringotomy Kits
PUB/184
PUB/109
V.29
S-UM Kits
Single-Use Myringotomy Kits
'Myringotomy with a Difference', Mr. Michael Kuo, F.R.C.S.
Middle Ear Prostheses
V.20
V.27
V.28 Causse Universal HA Prosthesis - Insertion Techniques, Dr. J-B Causse
Mills Incus HA Sleeve - Insertion Technique, Mr R. P. Mills FRCS.
Teflon Loop - Insertion Technique, Dr. J-B. Causse
Bone Pâté Collector
V.2 ‘Surgical Management to the Mastoid Cavity’, R. Mills, FRCS
Voice Rehabilitation Prostheses
V.11 Singh Speech System, Fr. A. Gardner
Tonsillectomy Instruments
PUB/128 Adenotonsillectomy Instuments and Procedure Packs
Catalogue
CAT/3/C Exmoor Plastics Catalogue
Price List
SAL/4/A/19 Exmoor Plastice Price List - current issue dated April 2003
Exmoor Plastics Ltd
Lisieux Way
Taunton
Somerset, TA1 2LB
United Kingdom
EP Inc.
304 Gasoline Alley
Indianapolis
IN46222
USA
Mexico
Ostotec Insurgentes sur 317-401,
Col. Hipodromo Condesa,
PO 06170 Mexico
Contact: Ms Monica Osornio
Tel: 00 155 5574 2458
Fax: 00 155 5264 7099
email: ostotec@yahoo.com
Websinger Gessellschaft M.B.H., A-2120 Wolkersdorf, Johann Galler Strasse 15
Contact: Herr Andreas Leitner
Tel: 0043 2245 82488
Fax: 0043 2245 82493
email: office@websinger.at
Denmark
Braun Scandinavia A/S Lejrvej 25, DK-3500, Vaerloese, Denmark
Contact: Martin Nielsen
Tel: 0045 44 47 47 48
Fax: 0045 44 47 47 42
email: mn@braun-scandinavia.dk
Finland
Intracor Oy Taka-Niipperin tie 17, 02970 Espoo, Finland
Contact: Mrs Mervi Jansson
Tel: 00358 40 515 9544
Fax: 00358 9 584 2116
email: aalto.jansson@kolumbus.fi
France CCA Alesia CCA Paris, 8, Rue Oberkampf, 75011, Paris, France
Contact: Ms. Gerard Challier/Alain Even
Tel: 0033 1 45 408354
Fax: 0033 145 396216
Germany
Covoc Medizen-Technische Vertriebs GMBH, Allee der, Kosmonauton 28, D-12681, Berlin-Marzahn, Germany
Contact: Frau Diana Scholz
Tel: 0049 30 547 96 519
Fax: 0049 30 54 79 65 32
Germany Mandel and Rupp Gruitener Straße 11, 40699 Erkrath
Contact: Ms Gisela Endemann
Tel: 00 49 2104 94680
Fax: 00 49 2104 946868
email: mandel-rupp@t-online.de
Gibraltar Alfred Swantex Sales Ltd 4/15 Horse Barrack Court, PO Box 223, Gibraltar
Contact: Mr Paul Baw
Tel: 00350 73700
Fax: 00350 74631
email: paul@alfrendswantex.com
Greece Thessalomedicine Ltd T. Oikonomaki 29, 38221 Volos, Greece
Contact: Mr George Koutroubas/Ms Elena Vgontza
Tel: 0030 24210 24241
Fax: 0030 24210 27829
email: elevg3@hotmail.com or
thes-med@otenet.gr
Ireland Tekno Surgical Ltd a4 Centrepoint Business Park, Oak Road, Dublin 12
Contact: Mr. John Osborne/Mr. Michael Connole
Tel: 00353 1 4600835
Fax: 00353 1 4601250
email: niall@tekno-surgical.com
Italy Diemme Dispositivi Medici srl Via Luxemburg, 27/29, Locate Triulzi (MI), Italy
Contact: Sr. Guido Santus/Sr. Sergio Romagnoli
Tel: 0039 02 9077553
Fax: 0039 02 9077405
email: info@diemmesrl.it
Norway Unomedical (previously Maersk) Ensjoveien 5, Oslo 6, Norway
Contact: Mr Tom Martinsen
Tel: 0047 268 6095
Fax: 0047 219 1977
email: info-oslo@unomedical.com
Portugal
Euro-Casmedica SA Rua Do Cumba, 45, 4200 Porto, Portugal
Contact: Sr. Castro/Sra. Ana Claudia Soares
Tel: 00351 225073020
Fax: 00351 225505334
email: eurocasmedica@iol.pt
Spain
Suministros Hospitalarios SA Calle Tortosa 201, 08918 Badalona, (Barcelona), Spain
Contact: Mr Stephen Whitehouse
Tel: 0034 9 346 07920
Fax: 0034 9 346 07921
email: s.whitehouse@ashmed.net
Switzerland
Novimed Helmstrasse 46, 8953 Dietikon, Switzerland
Contact: Mrs. Marianne Wust
Tel: 0041 1 743 4060
Fax: 0041 1 743 4065
email: info@novimed.ch
Turkey
Omega Medikal Tuna Cad No. 26/15, Shhiye, Ankara, Turkey
Contact: Mr Cetin Dogan
Tel: 0090 312 433 1565
Fax: 0090 312 433 4303
United Kingdom
Exmoor Plastics Ltd, Lisieux Way, Taunton
Somerset, TA1 2LB, United Kingdom
Contact: Mr Simon East
Tel +44(0)1823 276837
Fax +44(0)1823 334154
e-mail: enquiries@exmoorplastics.com
Medical Choice Av Irarrazaval 2821, B Of. 208, Santiago, Chile
Contact: Ms Gema Risso
Tel: 0056 2 2045809
Fax: 0056 2 2698220
email: mchoice@vtr.net
Colombia
Quirumed Ltda Carrera 80, No. 36 – 37,
Medellin, Colombia
Contact: Sra. Marta Elena Uribe Vélez
Tel: 0057 42509102
Fax: 0057 4416 0297
email: quirumed@uolpremium.net.co
Peru
Multimedical Supplies SAC Alameda del Rocio 433, Urb. Alborada - Surco,
Lima 33, Peru
Contact: Mr Marco Augusto
Tel: 0051 1 448 7379
Fax: 0051 1 448 6961
email: multimedical@terra.com.pe
Horizon for Medical Appliances 5 Abdel Aziz Fahmy St., Heliopolis, Cairo
Contact: Mr. Ahmad El Naggary and Eng. Saher Ali Hafez
Tel: 002 02 637 7131
Fax: 002 02 633 7443
email: anaggary@horizon-elfath.com
Israel
MTC Ltd 59 Joseph Str., Haifa 11346, Israel
Contact: Mr. Yuval Paz
Tel: 00972 4 8677744
Fax: 00972 4 8677483
email: mtc@netvision.net.il
Lebanon Yamout Hearing Centre PO Box 113-6095, Postal Code 1103-2100, Beirut,
Lebanon
Contact: Afif Yamout (General Manager)
Tel: 00961 1662 360
Fax: 00961 1662 359
email: yamouthearingcenter@yahoo.com
Oman AMICO PO Box 312, Muscat-131, Oman
Contact: Mr Gajesh Dhariwal
Tel: 00968 566195
Fax: 00968 566210
Saudi Arabia
AMICO P.O. Box 3871, Jeddah 21481, Saudi Arabia
Contact: Dr. Imad Tambe
Tel: 0096 2 660 1149
Fax: 0096 2 660 1146
email: amicojed@amicoksa.com
Syria Albadaui Medical Supplies PO Box 459, Mazraa, Shahbinder Street, Lane
5
Damascus, Syria
Contact: Mr Ahmad Badawi
Tel: 00963 11 444 7692
Fax: 00963 11 444 1722
email: a-badaui@mail.sy
Syria Instrumed PO Box 5541, Mazraa-Boraan Lane 2904
Damascus, Syria
Contact: Mohammad Badawi
Tel: 00963 11 446 5460 / 442 8160
Fax: 00963 11 442 4640
email: htinawi@scs-net.org
U.A.E. AMICO PO Box 27882, Abu Dhabi, UAE
Contact: Mr Sukhdeep Sachdev
Tel: 00971 2 632 4624
Fax: 00971 2 632 3110
email: sachdev@amicogroup.com
U.A.E. AMICO PO Box 55320, Dubai, UAE
Contact: Mr Joseph Nakhle
Tel: 00971 4 295 8995/295 8994
Fax: 00971 4 284 5271
email: jnakhle@amicogroup.com
Yemen Modern Mothana Centre PO Box 5583, Taiz, Yemen
Contact: Dr H Udayni
Tel: 00967 4 226335
Fax: 00967 4 220100
email: mthasan@y.net.ye
LS Kai Care No. 6, Block a, Bangunan Hj, Abdul Rahman,
Simpang 88, Kg, Kiulap, Brunei Darussalam, BE 1518
Contact: Dr Joseph Lim
Tel: 00673 2 233 327
Fax: 00673 2 233 328
email lskai@brunet.bn
Hong Kong
Wellink Ltd Unit 1211, 12/F West Wing, Peninsula Square,
18 Sung On Street, Hung Hom, Kowloon, Hong Kong
Contact: Mr K T Chau
Tel: 00852 2954 1881
Fax: 0082 2954 1008
email: wellinkl@netvigator.com
Japan
Entry Japan KK Scala Jingumae 1F, Jingumae 5-39-8, Shibuya-Ku,
Tokyo, 150-0001, Japan
Contact: Mr Dan Stakoe
Tel: 0081 3 3406 6838
Fax: 0081 3 5469 1885
email: danstakoe@entry-japan.com
Korea
K M Medics 134-030 2F Shins Bldg. 559-2 Seongnae-Dong,
Kangdong-Gu, Seoul
Contact: Ms J Y Hwang
Tel: 00 82 2 556 0873
Fax: 00 82 2 477 4259
email: sky77blue@hanafos.com
Malaysia
Medi Aids PO Box 6598, Kg. Tunku, 47308 Petaling Jaya,
Selangor, Malaysia
Contact: Mr Wilfred de Silva
Tel: 0060 3 7875 3341
Fax: 0060 3 7875 4210
email: wilfred@mediaids.com.my
mediaids@mediaids.com.my
Pakistan
Healthways International Muhammadia Plaza, Gordon College Road,
Rawalpindi, Pakistan
Contact: Mr K H Choudhry
Tel: 0092 51 555749 or 531902
Fax: 0092 51 532119
email: health_ways_pk@yahoo.com
Sri Lanka
HealthCare International 50 1/3 Colombo Plaza, Galle Road, Colombo 06,
(Pvt) Limited Sri Lanka
Contact: Mr M R Thajudeen or Rushdi
Tel: 0094 074 514444
Fax: 0094 074 516600
email: info@onlinehci.com
Endocorp Pty Ltd PO Box 6343,
Baulkham Hills Business Centre,
NSW 2153,
Australia
Contact: Mr John F Waters
Tel: 0061 2 8850 5000
Fax: 0061 2 8850 5011
email: office@endocorp.com.au
New Zealand
Medipak Surgical PO Box 56-516,
Dominion Road,
Auckland 7, NZ
Contact: Peter Wright / Ron de Kieviet
Tel: 0064 9 846 6044
Fax: 0064 9 846 6808
email: pwright@medipak.co.nz or ron@medipak.co.nz
Horizon for Medical Appliances 5 Abdel Aziz Fahmy St., Heliopolis, Cairo
Contact: Mr. Ahmad El Naggary and Eng. Saher Ali Hafez
Tel: 002 02 637 7131
Fax: 002 02 633 7443
email: anaggary@horizon-elfath.com
Morocco
Rifmed Sarl 23 Boulevard Rahal, el Maskini, 20 000 Casablanca,
Morocco
Contact: Dr Saadi
Tel: 00212 022 542130
Fax: 00212 022 443154
email: rifmed@iam.net.ma
South Africa
B & LCC Medical Supplies PO Box 44, Umhlanga Rocks 4320, 40 Marshall Drive,
Mt. Edgecombe, Natal, South Africa
Contact: Mr. Alex Lanham-Love
Tel: 0027 31 502 2363
Fax: 0027 31 502 3376
email: blmedical@icon.co.za
Zimbabwe Keiss Enterprises 31 Kenmark Crescent, Bluffhill Industrial Park,
Harare, Zimbabwe
Contact: Mr A Choudhary
Tel: 00263 4 305908
Fax: 00263 4 305603
email: keiss@mweb.co.zw
To view this site correctly please visit http://www.exmoorplastics.com
Exmoor Plastics designs, develops, manufactures and markets sterile surgical and microsurgical devices, electrical, electronic and diagnostic equipment.
It is accredited to the highest international quality systems and also meets the requirements of the FDA CFR 21.820 and (for CE marking) MDD/93/42/EEC
Exmoor is registered as a supplier to the Food and Drugs Administration (Mfr. Reg. No. 9611184) and other Authorities.
Many famous teaching hospitals around the world are numbered amongst the company`s regular customers in some fifty countries.
Exmoor manufactures a comprehensive range of devices for the ENT/ORL discipline. Many of these products are unique and testify to the policy of close co-operation with innovative surgeons, to whose ideas Exmoor always tries, if possible, to give expression.
Through specialisation, Exmoor has developed considerable expertise in its field of interest. Highly innovative products, low prices and prompt deliveries characterise Exmoor as a reliable, forward - looking supplier and have made friends of many customers around the world. With their continuing support, and with the determination and enthusiasm of its highly trained staff, Exmoor faces the future with confidence.
Brian East - Managing Director
exmoor plastics exmoor plastics
Product Quick Links
PROCEDURE PACKS
S-UM Kits
Compose your personal
S-UM kit
Suction Clearance Kits
Tympanocentesis Kit
Tonsillectomy Kits
DIATHERMY DEVICES
Bipolar Forceps
Monopolar Suction Devices
EAR PROSTHESES
Causse Universal HA
Mills Incus HA Sleeves
Teflon Loops
Mills Columella
Campbell Endolymphatic T-Shunt
Campbell Middle Ear Aeration Sheeting
Campbell Attic to Antrum Implant
EAR - BONE HARVESTER
Bone Pate Collector
THERAPY DEVICES
Pfleiderers Intratympanic Catheter
Cream Ointment Ear Syringe
SUCTION EQUIPMENT - SINGLE USE
Suction Tubes
Sucker End Instruments
AURAL VENTILATION TUBES
Short Term (4 - 9 months)
Shepards Drains
Collar Buttons
Medium Term (12 - 18 months)
Reuter Bobbin
Burns Titanium Grommet
Exmoor Gold Vent Tubes
Shah Vent. Tube
Reddy Grommet
Addenbrooke/Owa Grommet
Long Term (24 Months +)
Bel-Air Vent. Tube
Shah Permavent
Cylindrical Vent. Tube
T-Tube
Donaldson Grommet
Paediatric
Shah Mini Grommet
Tiny T-Tube
INSTRUMENTS
Aural Specula
Middle Ear Instruments
Ventilation Tube Inserters
SILICONE RUBBER SHEETING
Various (Implantable)
Various (29 days)
NASAL DEVICES
Nasal Splints - Silicone Rubber
Nasal Splints - Fluorocarbon Film
Nasal Splints - Rigid / PVC
Nasal Tubes - Silicone Rubber
EAR - PACKING DEVICES
Shah Silicone Discs
Shah Packing Strips
DENTAL PROTECTION DEVICES
Bite Buffer (Truro Pattern)
Gag Cover (Boyle Davis)
LARYNGOLOGICAL DEVICES
Das Gupta Laryngeal Keel
Singh Speech System
LASER SUCTION DEVICES
Dilkes Laser Suction Device