7870 Vega Clinicians flyer A4 XTRAHME 201006A ... - Stratmed.co.za

the easy way to voicingHighlights from clinical studies*Best voice qualityundecidedBSVegaThe first Provox voice prosthesis was introduced in 1990. The secondgeneration followed in 1997 and today, Provox is spread all over theworld. Now we proudly present the third generation—Provox Vegavoice prosthesis with SmartInserter. The standard has been raised.Airflow pioneersThe development of the third generation Provox addresses issuesof airflow optimization and improved maintenance. Its airflowcapability makes speaking with Provox Vega even easier. Voice qualityis improved by finetunings in the construction, suchas its angled valve.Insertions made easierThe Provox Vega voice prosthesis comes pre-loaded inside theSmartInserter. No preparations such as sterilization or assemblingare needed—insertions can be performed immediately after youopen the box. The design of the SmartInserter significantly reducesaccidental overshooting.The Provox legacyProvox voice prostheses are renowned for their durability, goodairflow capacities, and robust construction. They are the result of along ongoing process of careful research, testing and documentationwhich is the secret behind the leading position Provox productsenjoy. The third generation is ready to take over.The Provox System issupported by strongclinical evidence.Provox® VegaVoice ProsthesisStudies* have shown:Voice quality improvements- Both clinicians and Provox Vega usersperceived significant improvements invoice quality.Effortless speaking- Speaking with a Provox Vega voiceprosthesis was less effortful.Easy and effective cleaning- The Provox Vega users found it easyto keep the voice prosthesis clean andperceived cleaning to be effective.Provox® SmartInserterSmooth tip- The SmartInserter has a smooth, soft andwebbed tip.Preferred insertion- Clinical studies show that theSmartInserter was the clinicians’ preferredinsertion method for the majority ofinsertions.Clinical hygiene- The SmartInserter is delivered sterileand has no loose parts, assuring hygienicinsertion.No assembly or folding- The Provox Vega is pre-loaded inside theSmartInserter and is ready to use straightfrom the box.14%14%72%Preferred Voice Prosthesis24%10%66%which voice VP was quality easiest - patient tocleanpreferencepatient future VP choiceeffort to speakeffort to speak* Results are based on following studies:• Hancock K, Ward EC, Lawson N, van As-Brooks CJ. A RCT of two indwelling voice prostheses: Patient preferences.2009 Nov 20; New Orleans, LA, USA: ASHA; 2009.• Ward EC, Hancock K, Lawson N, van As-Brooks CJ. Perceptual characteristics of speech production using the newindwelling Provox Vega voice prosthesis: A randomized controlled cross-over trial. Head & Neck. In press 2010.• Hilgers FJ, Ackerstaff AH, van Rossum M, Jacobi I, Balm AJ, Bing Tan I, van den Brekel MW. Clinical phase I/feasibilitystudy of the next generation indwelling Provox voice prosthesis (Provox Vega).Acta Otolaryngol. 2009 Nov 7. [Epubahead of print]• Hilgers FJ, Ackerstaff AH, Jacobi I, Balm AJ, Tan B, Van den Brekel MW. Prospective clinical phase II study of twonew indwelling voice prostheses (Provox Vega 22.5 and 20 Fr) and a novel anterograde insertion device (ProvoxSmartInserter). Laryngoscope. In press 2010.Leading the way in ENTundecidedAtos Medical BS products and expertise areEasiest to cleandeveloped in close cooperation with leadinginstitutions, doctors, researchers, speechVega14%language pathologists and patients from allpatient future VP choice over the world. All our claims and arguments14%voice which quality VP was - patienteasiestrest toon the results of clinical studies. Atos72% preferencecleanMedical started the research and developmenton the first Provox voice prosthesis in 1987.Throughout the years, we have worked hardundecidedto develop Provox as the leading voice andpulmonary rehabilitation system on theLowest speaking effortBSmarket. We continue to allocate substantialresources Vega for product development and20%training programs for Ear, Nose and Throateffort to speak specialties. Our goal is clear: Atos Medical willwhich VP was easiest to51%patient future VP choice continue to lead the way in ENT.29%cleanProvox VegaOther BrandUndecidedVoice prosthesis with SmartInserter

Sales offices:Provox® XtraHMEThe next generation of HME CassettesThe first Provox HME Cassettes were introduced in 1995. The Provox HME has setthe standard, and is the most extensively clinically tested HME for laryngectomeesin the world. Now we are proud to present the next generation of HMECassettes; the Provox XtraHME. Now with even better humidificationfrom which many patients breathing through a tracheostoma will benefit.Improved featuresThe Provox XtraHME is available in two versions:XtraMoist HME has capacities close to normal nasal function.The humidification is improved and the XtraMoist is stillkeeping the good airflow for easy breathing. XtraMoist isrecommended for patients who have recently undergonea total laryngectomy, and for accustomed users.XtraFlow HME is focusing on having superior airflow.XtraFlow is great to use when exercising and whenadapting to the breathing resistance after havingbeen without an HME for a longer time.Many users experience the followingbenefits of using an HME:• Reduced mucus production• Reduced coughing• Improved pulmonary function• Improved speech• Hygienic stoma occlusion• Improved quality of lifeXtraMoistNormalXtraFlowHiFlowXtraMoistNormalXtraFlowHiFlowXtraMoistNormalXtraFlowHiFlowXtraMoist10 20 30 40 50 60 70 80Pressure Drop (Pa) at 30l/min(Lower value = easier to breathe)17 18 19 20 21 22 23 24Moisture Output (mg/l)(Higher value = better humidifaction)10 20 30 40 50 60 70 80Pressure Drop (Pa) at 30l/min(Lower value = easier to breathe)Low profiledesignSide openings forsecure breathingEasy, and silent, occlusionof the stoma for voicingAntimicrobialDiscreet colorXtraFlowCan - and should - beused both day and nightXtraMoistProtective rimreduces risk foraccidential closureIncreased volumeof highly efficientHME mediaDesigned foreasy removalof mucusReference list• Hilgers FJ, Schouwenburg PF. A new low-resistance, self-retaining prosthesis(Provox) for voice rehabilitation after total laryngectomy. Laryngoscope 1990November;100(11):1202-7.• Hilgers FJ, Ackerstaff AH, Balm AJ, Tan IB, Aaronson NK, Persson JO.Development and clinical evaluation of a second-generation voice prosthesis(Provox 2), designed for anterograde and retrograde insertion. ActaOtolaryngol 1997 November;117(6):889-96.• Hilgers FJ, Ackerstaff AH, Balm AJ, Van den Brekel MW, Bing T, I, Persson JO.A new problem-solving indwelling voice prosthesis, eliminating the needfor frequent Candida- and “underpressure”-related replacements: ProvoxActiValve. Acta Otolaryngol 2003 October;123(8):972-9.• Op de Coul BM, Hilgers FJ, Balm AJ, Tan IB, van den Hoogen FJ, van TinterenH. A decade of postlaryngectomy vocal rehabilitation in 318 patients: a singleInstitution’s experience with consistent application of provox indwelling voiceprostheses. Arch Otolaryngol Head Neck Surg 2000 November;126(11):1320-8.• Makitie AA, Niemensivu R, Juvas A, Aaltonen LM, Back L, LehtonenH. Postlaryngectomy voice restoration using a voice prosthesis: asingle institution’s ten-year experience. Ann Otol Rhinol Laryngol 2003December;112(12):1007-10.• Trussart C, Lawson G, Remacle M. Voice prostheses: long-term follow-upretrospective study (three- to sixteen-year follow-up of 22 patients). RevLaryngol Otol Rhinol (Bord ) 2003;124(5):299-304.• Hancock K, Ward EC, Lawson N, van As-Brooks CJ. A RCT of two indwellingvoice prostheses: Patient preferences. 2009 Nov 20; New Orleans, LA, USA:ASHA; 2009.• Ward EC, Hancock K, Lawson N, van As-Brooks CJ. Perceptual characteristicsof speech production using the new indwelling Provox Vega voice prosthesis:A randomized controlled cross-over trial. Head & Neck. In press 2010.• Hilgers FJ, Ackerstaff AH, van Rossum M, Jacobi I, Balm AJ, Bing Tan I, van denBrekel MW. Clinical phase I/feasibility study of the next generation indwellingProvox voice prosthesis (Provox Vega).Acta Otolaryngol. 2009 Nov 7. [Epubahead of print]• Hilgers FJ, Ackerstaff AH, Jacobi I, Balm AJ, Tan B, Van den Brekel MW.Prospective clinical phase II study of two new indwelling voice prostheses(Provox Vega 22.5 and 20 Fr) and a novel anterograde insertion device (ProvoxSmartInserter). Laryngoscope. In press 2010.Provox® XtraHME• Hilgers FJM, Ackerstaff AH, Balm AJM, Gregor RT. A new heat and moistureexchanger with speech valve (Provox® [HME] Stomafilter). Clin Otolaryngol1996; 21: 414-418.• Hilgers FJ, Ackerstaff AH, Van As CJ, Balm AJ, Van den Brekel MW, Tan IB:Development and clinical assessment of a heat and moisture exchanger witha multi-magnet automatic tracheostoma valve (Provox FreeHands HME) forvocal and pulmonary rehabilitation after total laryngectomy. Acta Otolaryngol2003 Jan;123(1): 91-9.• Zuur JK, Muller SH, de Jongh FH, van Zandwijk N, Hilgers FJ. The physiologicalrationale of heat and moisture exchangers in post-laryngectomy pulmonaryrehabilitation: a review. Eur Arch Otorhinolaryngol. 2006 Jan;263(1):1-8. Epub2005 Jul 7. Review.• Zuur JK, Muller SH, Sinaasappel M, Hart GA, Van Zandwijk N, Hilgers FJ.Influence of heat and moisture exchanger respiratory load on transcutaneousoxygenation in laryngectomized individuals: a randomized cross-over study.Head Neck 2007 Dec; 29(12): 1102-1110.• Zuur JK, Muller SH, Vincent A, Sinaasappel M, de Jongh FH, Hilgers FJ.Assessment of tracheal temperature and humidity in laryngectomizedindividuals and the influence of a heat and moisture exchanger on trachealclimate. Head neck 2008 Aug; 30(8): 1072-1082.• Zuur JK, Muller SH, Vincent A, Sinaasappel M, de Jongh FH, Hilgers FJ. Theinfluence of a heat and moisture exchanger on tracheal climate in a coldenvironment. Med Eng Phys. 2009 Sep;31(7):852-7. Epub 2009 May 28.• Bien S, Okla S, van As-Brooks CJ, Ackerstaff AH. The effect of a Heat andMoisture Exchanger (Provox HME) on pulmonary protection after totallaryngectomy: a randomized controlled study. Eur Arch Otorhinolaryngol.[Epub ahead of print] 27 June 2009.• Scheenstra RJ, Muller SH, Vincent A, Sinaasappel M, Zuur JK, Hilgers FJ.Endotracheal temperature and humidity measurements in laryngectomizedpatients: intra- and inter-patient variability. Med Biol Eng Comput. 2009Jul;47(7):773-82. Epub 2009 May 26.• Scheenstra RJ, Muller SH, Vincent A, Sinaasappel M, Hilgers FJ. Influence ofbreathing resistance of heat and moisture exchangers on tracheal climate andbreathing pattern in laryngectomized individuals. Head Neck. 2009 Dec 1.[Epub ahead of print]• Scheenstra RJ, Muller SH, Vincent A, Ackerstaff AH, Jacobi I, Hilgers FJM. Shortterm endotracheal climate changes and clinical effects of a heat and moistureexchanger with an integrated electrostatic virus and bacterial filter developedfor laryngectomized individuals. Acta Otolaryngologica 2009, [Epub ahead ofprint] December 10.• van den Boer C, Muller SH, Vincent A, Ackerstaff AH, Jacobi I, Scheenstra RJ,van den Brekel MWM, Hilgers FJM. Postlaryngectomy tracheal climate effectsand clinical feasibility of a new generation Heat and Moisture Exchangers(Provox XtraMoist and XtraFlow). Manuscript in preparation.The above references represent a selection.For more information contact Atos Medical AB or your localrepresentative.The complete catalog of the Provox System can be downloadedfrom www.atosmedical.comOther sources of information:More about the Provox System, including trouble shooting: www.provoxweb.infoMore about rehabilitation of olfaction after total laryngectomy:www.hoofdhals.nki.nl/olfaction/Start.aspxOrdering InformationProvox Vega Prosthesis REF Rx**Provox Vega 17Fr 4mm 8110* RxProvox Vega 17Fr 6mm 8111* RxProvox Vega 17Fr 8mm 8112* RxProvox Vega 17Fr 10mm 8113* RxProvox Vega 17Fr 12.5mm 8114* RxProvox Vega 17Fr 15mm 8115* RxProvox Vega 20Fr 4mm 8120* RxProvox Vega 20Fr 6mm 8121* RxProvox Vega 20Fr 8mm 8122* RxProvox Vega 20Fr 10mm 8123* RxProvox Vega 20Fr 12.5mm 8124* RxProvox Vega 20Fr 15mm 8125* RxProvox Vega 22.5Fr 4mm 8130 RxProvox Vega 22.5Fr 6mm 8131 RxProvox Vega 22.5Fr 8mm 8132 RxProvox Vega 22.5Fr 10mm 8133 RxProvox Vega 22.5Fr 12.5mm 8134 RxProvox Vega 22.5Fr 15mm 8135 RxProvox Vega accessoriesProvox Vega Plug 17Fr 8119*Provox Vega Plug 20Fr 8129*Provox Vega Plug 22.5Fr 8139Provox Flush 8109Provox Brush 7204Provox Brush XL 7225Provox Dilator 7211Provox Dilator 17 7122*Provox Dilator 20 7123*Combination of threeFinding an individual combination ofvoice prosthesis, HME and attachmentis important for good speech andpulmonary rehabilitation.The Provox System has a wide rangeof products, assuring that an optimalcombination of the three can beobtained for every person.Choosing voice prosthesis• Provox Vega• Provox ActiValveProvox LaryClipQuantity REF Rx**Provox XtraMoist HME 5 pcs 7297Provox XtraFlow HME 5 pcs 7298Provox XtraMoist HME 30 pcs 7290Provox XtraFlow HME 30 pcs 7291Provox Micron HME 5 pcs 7247 RxProvox Micron HME 30 pcs 7248 RxProvox HME Cassette Adaptor* 7246QuantityQuantity1 set:8 pcsLaryClip,40 pcsLaryClipBaseREFProvox XtraBase 20 pcs 7265FlexiDerm Oval 20 pcs 7254FlexiDerm Round 20 pcs 7253OptiDerm Oval 20 pcs 7256OptiDerm Round 20 pcs 7255* not available on all markets**In applicable countriesChoosing HME• XtraMoist• XtraFlow• MicronAttaching the HME• Adhesive• LaryButton• LaryTubeREF7669Asia - Pacific:Atos Medical ABRoom 1003, 10th FloorWorld-Wide House19 Des Voeux RoadCentral, Hong KongTel: +852 3656 7780Fax: +852 3656 7782info.hk@atosmedical.comBelgium:Atos Medical BVBA / SPRLKoningsstraat 266 Rue RoyaleBE - 1210 Brussel / BruxellesTel: 02 / 218 55 50Fax: 02 / 218 55 51info.be@atosmedical.comGermany:Atos Medical GmbHMülheimer Strasse 3-7DE-53840 TroisdorfTel: +49 02 24 1 1493-0Fax: +49 02 24 1 1493-72info.de@atosmedical.comwww.atosmedical.comThe Netherlands:Atos Medical B.V.Postbus 574NL - 2700 AN ZoetermeerTel: (0)79 593 5000Fax: (0)79 593 5009info.nl@atosmedical.comSpain:Atos Medical Spain S.L.Aragón 208-210, 3 o 3 aES-08011 Barcelona, EspañaTel: 93 323 9196Fax: 93 451 3695info.es@atosmedical.comSwitzerland:Atos Medical, SwitzerlandMainaustrasse 15CH-8008 Zürich, SchweizTel: +41 (0) 44 380 60 90Fax: +41 (0) 44 380 60 91info.ch@atosmedical.comU.K.:Platon Medical LtdP.O. Box 2568, EastbourneEast Sussex BN21 3HZ,Tel: 01323 431 930Fax: 01323 732 606platonmedical@mistral.co.ukU.S.:Atos Medical Inc.11390 West Theodore Trecker WayWest Allis, WI 53214-1135, USACustomer Service: 1-800 217 0025Fax: 1-414 227 9033info.us@atosmedical.comHead office:Atos Medical ABP.O. Box 183, SE-242 22 Hörby,SwedenTel: +46 (0)415 198 00Fax: +46 (0)415 198 98info@atosmedical.comwww.atosmedical.comProvox® is a registered trademark owned by Atos MedicalAB, Sweden. Provox® Vega is protected by US 5.314.470,US 5.976.151, JP 9-523 567 and other patents and patentspending. Provox® HME is covered by US 5 738 095, US5.042.468, JP 3.553.955, CA 2.179.661 and other patents.© Atos Medical AB, Sweden. 201003A, REF 7870Voice prosthesis with SmartInserterNormalXtraFlow