Kapitex…Adding Quality of Life to Airway Management
Specialist Laryngology - Kapitex Healthcare
Specialist Laryngology - Kapitex Healthcare
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K a p i t e x h e a l t h c a r e - S p e c i a l i S t K n o w l e d g e , S u p p o r t a n d c a r e<br />
SpecialiSt airwaY<br />
<strong>Kapitex…Adding</strong> <strong>Quality</strong> <strong>of</strong> <strong>Life</strong><br />
<strong>to</strong> <strong>Airway</strong> <strong>Management</strong>
Kapitex have a comprehensive care package <strong>of</strong> products which have been<br />
specifically designed and produced <strong>to</strong> help manage all aspects <strong>of</strong> Specialist<br />
<strong>Airway</strong> <strong>Management</strong>.<br />
Our range <strong>of</strong> specialist airway products covered in this brochure include:<br />
Montgomery®<br />
Laryngeal Stent 3<br />
Montgomery®<br />
Laryngeal Keel 4<br />
Montgomery®<br />
Salivary Bypass Tube 5<br />
Montgomery®<br />
Har-El Pharyngeal Tube 6<br />
Montgomery®<br />
Esophageal Tube 7<br />
Montgomery® Thyroplasty<br />
Implant System 8<br />
2
3<br />
MontgomeryLaryngeal Stent<br />
Montgomery®<br />
Laryngeal Stent<br />
Description<br />
TheMontgomery®LaryngealStentisamouldedsilicone<br />
prosthesisdesigned<strong>to</strong>conform<strong>to</strong>thenormalendolaryngeal<br />
surface.Thestentisconstructed<strong>of</strong>radio-opaqueimplant<br />
gradesiliconethatisfirmenough<strong>to</strong>supporttheendolarynx<br />
pos<strong>to</strong>peratively,yetiss<strong>of</strong>tandflexibleenough<strong>to</strong>ensurea<br />
conformingfitwhileminimisinginjury<strong>to</strong>s<strong>of</strong>ttissues.<br />
Thestentmaybeutilisedasadirectsupportforintralaryngeal<br />
mucosalordermalgraphs<strong>to</strong>denudedareas<strong>of</strong>the<br />
endolarynx.EachMontgomery®LaryngealStentincludestwo<br />
siliconesuturebut<strong>to</strong>ns<strong>to</strong>supportthestentexternally.<br />
Indications for use<br />
Forthepreventionandtreatment<strong>of</strong>laryngealstenosiswhen<br />
theglotticstenosisinvolvesthemidglottis,posteriorglottis,<br />
supraglottis,andsubglottis,singularlyorincombination.<br />
Supplied<br />
• Sterile<br />
• 1stent,2suturebut<strong>to</strong>ns<br />
Dimensions, Product Codes & Accessories<br />
Order Description Dimensions<br />
Number<br />
(mm)<br />
A B C<br />
OSLST0001 Child 33 10 9<br />
OSLST0003 SmallAdult 37 10 11<br />
OSLST0004 MediumAdult 40 12 10<br />
OSLST0005 LargeAdult 47 15 16<br />
OSLST0002 StentBut<strong>to</strong>ns(pair)<br />
FEATURES<br />
• Implantgradesilicone<br />
• Non-adherentsmoothsurface<br />
• Integralremovalloop<br />
• Radio-opaquematerial<br />
For further details, please contact Kapitex Cus<strong>to</strong>mer Services on 01937 580211
MontgomeryLaryngeal Keel<br />
Montgomery®<br />
Laryngeal Keel<br />
Description<br />
TheMontgomery®LaryngealStentisamouldedsilicone<br />
prosthesisdesigned<strong>to</strong>conform<strong>to</strong>thenormalendolaryngeal<br />
surface.Thestentisconstructed<strong>of</strong>radio-opaqueimplant<br />
gradesiliconethatisfirmenough<strong>to</strong>supporttheendolarynx<br />
pos<strong>to</strong>peratively,yetiss<strong>of</strong>tandflexibleenough<strong>to</strong>ensurea<br />
conformingfitwhileminimisinginjury<strong>to</strong>s<strong>of</strong>ttissues.<br />
Thestentmaybeutilisedasadirectsupportforintralaryngeal<br />
mucosalordermalgrafts<strong>to</strong>denudedareas<strong>of</strong>theendolarynx.<br />
EachMontgomery®LaryngealStentincludestwosilicone<br />
suturebut<strong>to</strong>ns<strong>to</strong>supportthestentexternally.<br />
Indications for use<br />
Forthepreventionandtreatment<strong>of</strong>laryngealstenosiswhen<br />
theglotticstenosisinvolvesthemidglottis,posteriorglottis,<br />
supraglottis,andsubglottis,singularlyorincombination.<br />
Supplied<br />
• Sterile<br />
• 1stent,2suturebut<strong>to</strong>ns<br />
FEATURES<br />
• Implantgradesilicone<br />
• Non-adherentsmoothsurface<br />
• Availableinclearorradio-opaquematerial<br />
Dimensions, Product Codes & Accessories<br />
SIZE REF Dimensions<br />
(mm)<br />
clear radio-opaque A<br />
12 OSLST0006 OSLST0009 12<br />
14 OSLST0007 OSLST0010 14<br />
16 OSLST0008 OSLST0011 16<br />
For further details, please contact Kapitex Cus<strong>to</strong>mer Services on 01937 580211<br />
4
5<br />
MontgomerySalivary Bypass Tube<br />
Montgomery®<br />
Salivary Bypass Tube<br />
Description<br />
TheMontgomery®SalivaryBypassTubemaybeused<strong>to</strong>stent<br />
repair<strong>of</strong>cervicalesophagealandhypopharyngealstrictures<br />
ort<strong>of</strong>acilitatethemanagement<strong>of</strong>fistulaeresultingfroma<br />
variety<strong>of</strong>causesincludingadvancedmalignancy,surgery,<br />
radiation,trauma,andcausticingestion.Theconstantbathing<br />
bysaliva<strong>to</strong>thetissuesalteredbysurgery,infection,or<br />
radiationtherapyisaprimefac<strong>to</strong>rinretardingtheprogress<strong>of</strong><br />
healingandfistulaclosure.<br />
TheMontgomery®SalivaryBypassTubedirectsthesalivain<strong>to</strong><br />
thedistalesophagusandallowsforspontaneousclosure<strong>of</strong><br />
thefistula,oratleastpermitsthetissue<strong>to</strong>recoversufficiently<br />
<strong>to</strong>beanimprovedrecipientformoreformidablemeasures<br />
suchasrepairusingpedicledskinflaptissue.Afeedingtube<br />
maybeinsertedthroughthesalivarybypasstube.Impending<br />
fistulaeandstricturesmaybepreventedbytubeplacement<br />
aloneorfollowingbougienagedilation.<br />
Indications for use<br />
Repair<strong>of</strong>cervicalesophagealandhypopharyngealstrictures.<br />
<strong>Management</strong><strong>of</strong>esophagealandhypopharyngealfistulae.<br />
Supplied<br />
• Sterile<br />
• 1tube<br />
Dimensions, Product Codes & Accessories<br />
Order Size Dimensions<br />
Number<br />
(mm)<br />
A B C<br />
OSMST0002 08 34 191 8<br />
OSMST0003 10 36 191 10<br />
OSMST0004 12 38 191 12<br />
OSMST0005 14 40 191 14<br />
OSMST0006 16 42 191 16<br />
SpecialOrder 18 44 191 18<br />
SpecialOrder 20 46 191 20<br />
Alsoavailableinradio-opaque-pleasecontactKapitexfor<br />
moreinformation.<br />
FEATURES<br />
• Implantgradesilicone<br />
• Non-adherentsmoothsurface<br />
• Availableinclearorradio-opaquematerial
MontgomeryHar-El Pharyngeal Tube<br />
Montgomery®<br />
Har-El Pharyngeal Tube<br />
Description<br />
TheHar-ElPharyngealSalivaryBypassTubeallowsthe<br />
surgeon<strong>to</strong>handleawidervariety<strong>of</strong>indicationsfortreatment<br />
<strong>of</strong>esophagealfistulae.Thetubefeaturesauniquesuperior<br />
funnelshapedesignedforanchoringatthelevel<strong>of</strong>the<br />
<strong>to</strong>nguebase.<br />
Thetubehasapplicationsfor:1)thetreatment<strong>of</strong><br />
orocutaneousandpharyngocutaneousfistulaefollowing<br />
headandneckoncologicresection,2)placementinpatients<br />
withanexistingfistulaprior<strong>to</strong>reconstructiveprocedures,and<br />
3)prophylacticplacementinpatientswhoareathighriskfor<br />
development<strong>of</strong>afistula.<br />
Indications for use<br />
Treatment<strong>of</strong>esophagealfistulae.<br />
Supplied<br />
• Sterile<br />
• 1tube<br />
FEATURES<br />
• Implantgradesilicone<br />
• Non-adherentsmoothsurface<br />
• Availableinclearorradio-opaquematerial<br />
Dimensions, Product Codes & Accessories<br />
OrderNumbers<br />
SIZE clear radio-opaque<br />
12 OSMPT0001 OSMPT0002<br />
For further details, please contact Kapitex Cus<strong>to</strong>mer Services on 01937 580211<br />
6
Montgomery®<br />
Esophageal Tube<br />
Description<br />
TheMontgomery®EsophagealTubeisused<strong>to</strong>bridgethegap<br />
betweenthepharyngos<strong>to</strong>meandesophagos<strong>to</strong>mefollowing<br />
laryngoesophagec<strong>to</strong>myandfirststagereconstruction<strong>of</strong>the<br />
cervicalesophagus.Thetubefeaturesafunnel-shaped<br />
superiorend<strong>to</strong>conform<strong>to</strong>thehypopharynx,andtw<strong>of</strong>irm<br />
ovalbandsdesigned<strong>to</strong>ensureproperpositioningand<strong>to</strong><br />
preventleakage<strong>of</strong>salivaafterlaryngoesophagec<strong>to</strong>my.<br />
MontgomeryEsophageal Tube<br />
TheMontgomery®EsophagealTubehasthreefunctions:<br />
1)ittends<strong>to</strong>eliminatetheproblem<strong>of</strong>pr<strong>of</strong>usesalivaryleakage<br />
byway<strong>of</strong>thepharyngos<strong>to</strong>me,2)itmaintainsawidelypatent<br />
pharyngos<strong>to</strong>meandesophagos<strong>to</strong>me,and3)itcreatesa<br />
troughbetweenthepharyngos<strong>to</strong>meandesophagos<strong>to</strong>me<br />
facilitatingthesecondstageprocedure.<br />
Indications for use<br />
Fortwo-stagereconstruction<strong>of</strong>thecervicalesophagus.<br />
FEATURES<br />
• Implantgradesilicone<br />
• Non-adherentsmoothsurface<br />
• Availableinclearorradio-opaquematerial<br />
Supplied<br />
• Sterile<br />
• 1tube<br />
Dimensions, Product Codes & Accessories<br />
REF<br />
clear<br />
OSMET0001<br />
radio-opaque<br />
OSMET0002<br />
For further details, please contact Kapitex Cus<strong>to</strong>mer Services on 01937 580211<br />
57
MontgomeryThyroplasty Implant System<br />
Montgomery®<br />
Thyroplasty Implant System<br />
The Montgomery® Thyroplasty Implant System is the<br />
result <strong>of</strong> over a decade <strong>of</strong> research and development.<br />
Description<br />
Designed<strong>to</strong>treatunilateralvocalcordparalysis,this<br />
revolutionarynewsystemisstandardised,eliminatingthe<br />
time-consumingprocess<strong>of</strong>cus<strong>to</strong>misingimplantsatthetime<br />
<strong>of</strong>surgery.Standardisationtranslates<strong>to</strong>consistentresults.<br />
Solidclinicalexperienceinvolvingthousands<strong>of</strong>patientshas<br />
producedoutstandingvoiceimprovementwhilereducing<br />
longproceduresandcomplicationsassociatedwithhandcarvedimplantsandinjectiontechniques.<br />
Indications for use<br />
Formedialisationthyroplastyinpatientswithunilateralvocal<br />
cordparalysis<strong>to</strong>improvevoicequality.<br />
FEATURES<br />
• Completestandardisedsystem<br />
• Eliminatesneed<strong>to</strong>hand-fashionimplants<br />
• Self-retainingimplantdesign<br />
• Nosuturingisnecessary<br />
• Reducedtraumaandsurgerytime<br />
• Reversible<br />
• Provenclinicalsuccess<br />
For further details, please contact Kapitex Cus<strong>to</strong>mer Services on 01937 580211<br />
8
9<br />
MontgomeryThyroplasty Implant System<br />
The Design<br />
Thesystemconsists<strong>of</strong>speciallydesignedsurgical<br />
instruments,devicesformeasuringmedialisationdistance<br />
prior<strong>to</strong>implantinsertion,andarange<strong>of</strong>fiveimplantsizesfor<br />
femalepatientsandfivesizesformales.Theimplantsare<br />
constructedusingimplantgradesiliconewhichhas<br />
undergoneextensivebiocompatibilitytesting.<br />
Thesurgicalprocedurehasbeenfine-tunedandinvolvesa<br />
step-by-stepprocessforlocatingthethyroplastywindow,<br />
creatingthewindow,determiningimplantsize,andinserting<br />
theimplant.Theprocedurereducessurgerytimeandis<br />
completelyreversible.A procedural CD demonstrating the<br />
surgical procedure is available.<br />
Theuniquedesign<strong>of</strong>theMontgomery®ThyroplastyImplant<br />
consists<strong>of</strong>twomajorcomponents:therectangularbaseand<br />
thetriangular<strong>to</strong>p.Thebaseisconstructed<strong>of</strong>firmsiliconeand<br />
featuresthreetiers.Thelateral,oroutertier,remainsonthe<br />
outersurface<strong>of</strong>thethyroidlaminaandpreventsmedial<br />
displacement<strong>of</strong>theimplant.Themiddletierstabilisesthe<br />
implantandpreventsrotation.Theinnertierrestsagainstthe<br />
innersurface<strong>of</strong>thethyroidlaminaandpreventsoutward<br />
displacement.Thereisacommonbaseforfemalesanda<br />
commonbaseformales.<br />
Thetriangularportionismadeusings<strong>of</strong>tsiliconeandserves<br />
<strong>to</strong>medialisethevocalcordandthevocalprocess<strong>of</strong>the<br />
arytenoid.Thehypotenuse<strong>of</strong>thetrianglecorresponds<strong>to</strong>the<br />
longaxis<strong>of</strong>thevocalcord.Theheight<strong>of</strong>thetriangleis<br />
measuredinmillimetersandisavailablein6,7,8,9and10mm<br />
forfemalesand8,9,10,11and12mmformales.<br />
Specialmeasuringdeviceshavebeendesigned<strong>to</strong>accurately<br />
simulatevocalcordmedialisationeliminatingtheneed<strong>to</strong><br />
insertandreplacemultipleimplants.Thisresultsinlesstrauma<br />
<strong>to</strong>thepatientandreducedsurgerytime.Thedisposableset<br />
includesallfivesizes<strong>to</strong>correspond<strong>to</strong>theimplantsandis<br />
availableinbothfemaleandmalekits.<br />
Cus<strong>to</strong>msurgicalinstrumentst<strong>of</strong>acilitatelocating,designing,<br />
andcreatingthewindowandinsertingtheimplantare<br />
availableindividually,orasacomplete13-piecesetwith<br />
sterilisationtray.<br />
ASingleProcedureKitisnowavailableandincludes<br />
everythingyouneed<strong>to</strong>performonethyroplastyprocedure.<br />
Wewillsendyouacompleteinstrumentset,measuringkit,<br />
andfiveimplants.Afterperformingthecase,simplysendback<br />
theinstrumentsandunusedimplantsintheconvenient<br />
suppliedcontainer.Bos<strong>to</strong>nMedicalProductsnowmakesit<br />
eveneasier<strong>to</strong>usetheMontgomeryThyroplastyImplant<br />
System!<br />
For further details, please contact Kapitex Cus<strong>to</strong>mer Services on 01937 580211
MontgomeryThyroplasty Implant System<br />
The Procedure<br />
TheMontgomery®ThyroplastyImplant<br />
Systemprocedurehasbeenstandardised<br />
andrefinedthroughyears<strong>of</strong>researchand<br />
development.Thefollowingillustrations<br />
summarisethebasicstepsinperforming<br />
theprocedure.Fordetailedinstructions,<br />
refer<strong>to</strong>theMontgomery®Thyroplasty<br />
ImplantSystemSurgeon’sImplantGuide.<br />
a. Prep and Drape b. Expose Thyroid Cartilage<br />
c. Locate key point after having defined a<br />
connecting line<br />
d. Apply Outline Instrument on the key point e. Window Outline<br />
f. Create Window g. Remove Cartilage h. Confirm Window Size<br />
10<br />
i. Apply Measuring Devices j. Insert Implant with implant inserter k. Implant in Place
System Options<br />
Option 1 - Individual System Components<br />
Montgomery®ThyroplastyImplants,suppliedsterile,oneimplantper<br />
car<strong>to</strong>n.<br />
OrderNo.<br />
OSMTF0001<br />
OSMTF0002<br />
OSMTF0003<br />
OSMTF0004<br />
OSMTF0005<br />
OSMTF0006<br />
Montgomery®ThyroplastyMeasuringDeviceKits<br />
Suppliedsterile,disposable.Kitsincludeone<strong>of</strong>eachsizemeasuring<br />
device(5sizesperkit).<br />
OrderNo.<br />
OSMTK0001<br />
OSMTK0002<br />
FemaleSize6<br />
FemaleSize7<br />
FemaleSize8<br />
FemaleSize9<br />
FemaleSize10<br />
FemaleSize11<br />
OrderNo.<br />
OSMTM0001<br />
OSMTM0002<br />
OSMTM0003<br />
OSMTM0004<br />
OSMTM0005<br />
OSMTM0006<br />
FemaleMeasuringDeviceKit<br />
MaleMeasuringDeviceKit<br />
MaleSize8<br />
MaleSize9<br />
MaleSize10<br />
MaleSize11<br />
MaleSize12<br />
MaleSize13<br />
16-ImplantDispenserSets,contains16implants.<br />
Significantsavingsoverpurchasingindividualimplants.<br />
REF<br />
MTC-01<br />
MTF-01<br />
MTM-01<br />
OrderNo.<br />
OSMTT0001<br />
MaleandFemaleCombination<br />
ImplantSet,contains16implants:<br />
1ea.femalesizes6,7/2ea.femalesizes8,9,10<br />
1ea.malesizes8,9/2ea.malesizes10,11,12<br />
FemaleImplantSet,contains16implants:<br />
2ea.femalesizes6,7/4ea.femalesizes8,9,10<br />
MaleImplantSet,contains16implants:<br />
2ea.malesizes8,9/4ea.malesizes10,11,12<br />
13-pieceSurgicalInstrumentsSetwith<br />
Cus<strong>to</strong>mSterilisationTray<br />
MontgomeryThyroplasty Implant System<br />
Montgomery®ThyroplastySurgicalInstruments,suppliednonsterile.<br />
OrderNo.<br />
OSMTT0201 A 7mmFemaleWindowCaliper<br />
OSMTT0202 B 9mmMaleWindowCaliper<br />
OSMTT0203 C FemaleWindowOutlineInstrument<br />
OSMTT0204 D MaleWindowOutlineInstrument<br />
OSMTT0205 E SmallCurvedHook<br />
OSMTT0206 F LargeCurvedHook<br />
OSMTT0207 G SmallSharpHook<br />
OSMTT0208 H LargeSharpHook<br />
OSMTT0209 I 3mmDuckbillEleva<strong>to</strong>r<br />
OSMTT0210 J 5mmDuckbillEleva<strong>to</strong>r<br />
OSMTT0211 K ChiselEleva<strong>to</strong>r<br />
OSMTT0212 L FemaleImplantInserter<br />
OSMTT0213 M MaleImplantInserter<br />
A<br />
B<br />
C D E F G H I J K L M<br />
Option 2 - Single Procedure Thyroplasty Kit<br />
Acost-effectiveandconvenien<strong>to</strong>ptiondesignedforsurgeonswhoperformalimitednumber<strong>of</strong>thyroplastyprocedures.Chooseeitherafemale<br />
ormalekit.Bos<strong>to</strong>nMedicalProductswillsendyouthecomplete13-pieceinstrumentsetinsterilisationtray,onedisposablemeasuringdevicekit,<br />
andfivethyroplastyimplants.Followingthesurgery,simplyreturntheinstrumentsetandfourunusedimplants.<br />
Montgomery®ThyroplastySurgicalInstruments,suppliednonsterile.<br />
OrderNo.<br />
OrderNo.<br />
OSMTS0001<br />
FemaleSingleProcedureKit<br />
OSMTS0002<br />
MaleSingleProcedureKit<br />
11
K A P I T E X H E A L T H C A R E - S P E C I A L I S T K N O W L E D G E , S U P P O R T A N D C A R E<br />
K A P I T E X H E A L T H C A R E - S P E C I A L I S T K N O W L E D G E , S U P P O R T A N D C A R E<br />
K a p i t e x h e a l t h c a r e - S p e c i a l i S t K n o w l e d g e , S u p p o r t a n d c a r e<br />
www.kapitex.com<br />
Visit our comprehensive website for the latest product information,<br />
news and resources.<br />
Also available from Kapitex…<br />
Specialist <strong>Airway</strong><br />
STENTING SOLUTIONS<br />
Tracheos<strong>to</strong>my<br />
CARE & MANAGEMENT SOLUTIONS<br />
<strong>Kapitex…Adding</strong> <strong>Quality</strong> <strong>of</strong> <strong>Life</strong><br />
<strong>to</strong> <strong>Airway</strong> <strong>Management</strong><br />
Effective Tracheos<strong>to</strong>my Care and<br />
<strong>Management</strong> Solutions<br />
Kapitex - Adding <strong>Quality</strong> <strong>of</strong> <strong>Life</strong> <strong>to</strong> <strong>Airway</strong> <strong>Management</strong><br />
Kapitex Healthcare provide a wide range <strong>of</strong> products dedicated <strong>to</strong> laryngec<strong>to</strong>my and tracheos<strong>to</strong>my care. You can depend on our<br />
experience, our product quality – and our quality <strong>of</strong> aftersales service. To order any <strong>of</strong> the products in this brochure or for details <strong>of</strong><br />
other Kapitex products contact Kapitex on 01937 580211, or by fax on 01937 580796 or write <strong>to</strong> us at the address below.<br />
Kapitex Healthcare Ltd.<br />
Kapitex House, 1 Sandbeck Way, Wetherby,<br />
West Yorkshire LS22 7GH, England.<br />
Tel: 01937 580211<br />
Fax: 01937 580796<br />
Email: sales@kapitex.com<br />
If dialling from outside the UK –<br />
Tel: +44 (0)1937 580 211 • Fax: +44 (0)1937 580796<br />
Due <strong>to</strong> continuous product<br />
developments it may be necessary <strong>to</strong><br />
alter without notice products within<br />
our range. We endeavour <strong>to</strong> keep all<br />
cus<strong>to</strong>mers informed <strong>of</strong> product<br />
improvements.<br />
Cert No 257<br />
© Kapitex Healthcare Ltd. 2012 PBOS0060 03/12
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