Page 27 - ENT IMPLANTS CATALOGUE IMPLANTS ORL

CLIP PARTIAL FLEXIBAL PROSTHESIS
®

UNDERSTANDING THE CIRCUMSTANCES
During the healing process, the tympanic membrane migrates to its
ultimate position. After reconstruction of the auditory ossicular chain
the implant can be susceptible to the environmental changes in-
cluding dislocation which results in the loss of the incoming acous-
tical signal across all frequencies.

INTEGRATED MICRO BALL JOINT
A Micro Ball Joint is integrated into the head plate of the FlexiBAL.
Consequently, the prosthesis can follow the movements of the
tympanic membrane and continually align itself managing some
of the dislocation effects. In addition, the movable head plate
counteracts tension, especially at the annual ligament of the
stapes footplate.

STABLE AND CUSTOMIZED
The innovative head plate design allows the surgeon to align the
head plate with the tympanic membrane whereas the unique
CliP Design provides the prosthesis with stability and standardizes
coupling to the stapes head. Both of these benefits ensure an
adequate fit of the FlexiBAL.
Developed in close cooperation with the ENT clinics of the univer-
sity hospitals in Cologne and Dresden, Germany.
Literature:
Voss, S. E., Nakajima, H. H., Huber, A. M., & Shera, A. C. (2013). Function and Acous-
tics of the Normal and Diseased Middle Ear. In Puria, S., Fay, R. R., & Popper, A.
(Eds). The Middle Ear. Science, Otosurgery, and Technology. Chapter 4. New York,
Heidelberg, Dordrecht, London: Springer.
Neudert M., Bornitz M., Lasurashvili N., Schmidt U., Beleites T., Zahnert T.: Impact of
Prosthesis Length on Tympanic Membrane's and Annular Ligament's Stiffness and the
Resulting Middle Ear Sound Transmission. Otology & Neurotology: HYPERLINK "http://
journals.lww.com/otology-neurotology/toc/2016/10000" October 2016, Volume 37, Issue
9 p e369–e376. Doi: 10.1097/MAO.0000000000001064

Self-retaining on Stapes

Capitulum with evaluated CliP Design

LENGTH FL (mm) REF
3.6 mm
3. L (mm)
2.6 mm 1.75 0.75 1002 350
2.00 1.00 1002 351
2.25 1.25 1002 352
2.50 1.50 1002 353
2.75 1.75 1002 354
3.00 2.00 1002 355
CliP Partial FlexiBAL 3.25 2.25 1002 356
Material: 3.50 2.50 1002 357
Pure Titanium (ASTM F67
Medical Grade) FL: Functional Length
Shaft Diameter: 0.2 mm
Special sizes upon request.

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