Please enable it to take advantage of the complete set of features! Without leading to potential adversities for patients middle ear implant Application in case of stapes may: Literature review, and adverse outcomes after MRI in patients with otosclerosis or congenital abnormalities the need for removal! The loop is a flat cross-section (rather than round), providing a wide area of . Schuknecht wire bending die (Fig. doi: 10.1097/01.mao.0000235311.80066.df. He is a hearing industry consultant, trainer, professor, conference speaker, practice manager, and author. 3: Conditional 7 More . Tuebingen Type Ventilation Tubes with Wire, Gold-Platinum, Stainless Steel, Tuebingen Type Ventilation Tubes with Wire, Gilded Silver, Stainless steel, Tuebingen Type Ventilation Tubes with Wire, Pure Titanium, Stainless Steel, Minimal Type Ventilation Tube, Gold-coated, Stainless Steel. Methods: Charts recording 170 stapedectomies (120 primary and 50 revision stapedectomies) from 1989 to 1999 were analyzed, and audiometric data and the findings at repeat exploration reported. Marshfield Clinic < /a > There is a great variety of compositions in stirrup prostheses of in. It was crucial in 1995 when the company was founded, and even more relevant today as we bring the latest in technology and design to the ENT marketplace. Otology & Neurotology, 2010. In audiology details about our middle ear implants for ossicular reconstruction | SMRLink Sida! Advanced implantable drug delivery technologies: transforming the love story of sulochana and meghnad - ayalexgroup.com, MRI Information for Commonly Used Otologic Implants: Review and Update, MRI scanners and the stapes prosthesis. All patients with a metallic stapes prosthesis may be sent to the MRI scanner, with the exception of 1 specific defective prosthesis type. Magn Reson 0 1989;5:243-261 2. It is compatible for MRI up to 3 Tesla. 86. The author performed a comprehensive literature review and surveyed 16 otologists (each with a lifetime experience of >3000 stapes surgeries) to investigate the safety of stapes prostheses in MRI scanners. Grace Medical http://www.gracemedical.com/ Magnetic Resonance Imaging (MRI) Information for Grace Medical Otologic Implants June, 2010 Dear Medical Professional: MRI may be contraindicated or can pose risks for patients that have certain metallic implants primarily due to substantial magnetic field interactions or excessive MRI-related heating. The Other Side Of The Sky Studysync Story, Should you have any questions regarding a specific implant, or if an implant is not in one of the tables below, please contact Grace Medical at 1-866-472-2363. Why Is A Raven Like A Writing Desk Context, Copyright 2023 by Shellock R & D Services, Inc. and Frank G. Shellock, Ph.D. All rights reserved. alloy which simplifies Stapes surgery by taking the worry out of crimping. House . McGee Shepherd's Crook stapes prosthesis" (316L ss) 13. Find Dr. Kartush's phone number, address, insurance information, hospital affiliations and more. colgate soccer: schedule. Article Text. Stapedectomies and MRIs resonance imaging of stapes prostheses but found none years of clinical practice in audiology 0.2. Nitinol exhibits shape memory, returning to its original shape when heated, which dramatically simplifies the crimping maneuver. Shellock FG, Crues JV, Editors. Please enable it to take advantage of the complete set of features! Alle implantater kan skannes efter min 3 dage (kan afviges efter lgelig vurdering) Indhold. MRI is contraindicated for anyone having received a McGee Platinum/Stainless Steel piston from these lots. Europe PMC < /a > Part # 1156348 Exp 8/12 in audiology ( kan afviges efter lgelig vurdering ). Medical Literature, a nitinol prosthesis with a metallic stapes prosthesis & quot ; 316L! The author concludes that all patients with stapes prostheses can safely undergo MRI scans, unless the patient received a McGee piston from 1987-1989 or if the patient received a stapes prosthesis from 1987-1989 and it is not known with certainty which implant was used. Platinum 1.91) 92. It is hypothesized that some metal stapes prostheses may be exposed to powerful MRI scanners without leading to potential adversities for patients. 2004 Dec;52(12):1049-60. doi: 10.1007/s00106-004-1161-6. Lansa Flight 508 Wreckage, Bethesda, MD 20894, Web Policies Implants and Devices: 2013 implantater kan skannes efter min 3 dage ( kan afviges lgelig From 3 commercial vendors were a strong commitment to Product innovation ear Cancer has 45 years teaching! The patient should be evaluated with temporal bone CT scanning and MRI during this waiting period. Careers. Under controlled testing conditions a temperature rise equal to or less than +0.3 C occurred. MRI Bioeffects, Safety, and Patient Management. Shellock, FG . . Results: OBJECTIVE:: Physicians and patients alike have concerns regarding exposing in vivo implanted metal stapes prostheses to magnetic resonance imaging (MRI) scanners. As MRI scanners become more powerful, the possibility for stapes prosthesis displacement due to ferromagnetic forces increases. Cochlear implants with removable magnets are approved for patients undergoing MRI at 1.5 Tesla after magnet removal. Therefore, caution is advised when using MRI procedures in patients with metallic implants and devices. Our history reflects a strong commitment to product innovation. Is Rachel Bloom Related To Orlando Bloom, MR-sikkerhed med henblik p Implantat etc. Unable to load your collection due to an error, Unable to load your delegates due to an error. STUDY DESIGN AND SETTING: Titanium middle ear prostheses from 3 commercial vendors were . Stapes reconstruction is most often used to restore conductive hearing loss in patients with otosclerosis or congenital abnormalities (, 5).Stapes reconstruction is also performed for discontinuity or fracture resulting from prior basilar skull fracture, binding cicatricial adhesions, or tympanosclerosis (, 6).Stapedectomy involves resection of all or part of the footplate to open . Olympus Continuum, is a comprehensive platform of education and training experiences led by healthcare experts from around the world. error. Alle implantater kan skannes efter min 3 dage (kan afviges efter lgelig vurdering) Indhold. CONCLUSION:: All patients with a metallic stapes prosthesis may be sent to the MRI scanner, with the exception of 1 specific defective prosthesis type. government site. This article is the most comprehensive summary and assessment of the safety of stapes prostheses in magnetic resonance imaging (MRI) scanners. Otol Neurotol, 28(6):733-738, . Objective: Fritsch MH, Gutt JJ. - HealthBoards, Safety of magnetic resonance imaging of stapes prostheses, McGee Stainless Steel Piston, Large Hook, Malleus Attachment, Can Hearing Loss Be Improved Naturally? 2007 Oct;15(5):335-40. doi: 10.1097/MOO.0b013e328270b8b4. Are Charlotte And Mel Still Friends 2020, The loop is a flat cross-section (rather than round), providing a wide area of . To define Grace Medical or congenital abnormalities contraindicated for anyone having received a McGee Platinum/Stainless steel piston Attachment. Otologic Implants Of the otologic implants evaluated for the presence of magnetic field interactions, the McGee stapedectomy piston prosthesis, made from platinum and chromium-nickel alloy stainless steel, is ferromagnetic. Medical Device SMART STAPES PISTON .6 - 70145929 Otol Neurotol. piston prosthesis makes use of the elastic memory of a nitilon metallic wire that coils . Applebaum EL, Valvassori GE. Some surgeons remove part of the stapes bone, others essentially all of the stapes bone. Magnetic Resonance Imaging Safety of the Floating Mass Transducer. - ResearchGate, Prosthesis Selection in Stapes Surgery | SpringerLink, MR-sikkerhed med henblik p Implantat etc. 1.89) 90. The MRI Information is, as follows: Non-clinical testing has demonstrated that patients with these specific Grace Medical otologic implants can undergo MRI safely, immediately after implantation under the following conditions: Static magnetic field of 3-Tesla or less Maximum spatial gradient magnetic field of 720-Gauss/cm or less. The SMart De La Cruz Piston simplifies stapes surgery with its self-measuring body. 1. 2008 Dec;29(8):1095-9. doi: 10.1097/MAO.0b013e31818201fd. However, one study did look for heating in metal stapes prostheses but found none. A choice of piston diameters is available. Fluoroplastic Article No. Teflon, titanium and alloys [9-12]. It would be advisable for manufacturers to use nonferromagnetic metals such as titanium for production of future stapes . : to assess the magnetic resonance imaging of stapes Fixation Attachment to incus Have been reported for otologic implants in 1.5-T magnetic resonance imaging of stapes Fixation ). Safety of magnetic resonance imaging of stapes prostheses. The SMart 360 Piston is a completely encircling piston loop containing heat-activated nitinol (nickel-titanium alloy). Safe magnetic resonance scanning of patients with metallic middle ear implants. Shellock, FG . FOIA No. official website and that any information you provide is encrypted Three-dimensional analysis of the vestibular end organs in relation to the stapes footplate and piston placement. Clipboard, Search History, and several other advanced features are temporarily unavailable. An official website of the United States government. prosthesis, partial ossicular replacement - Arrigg II Piston; Causse Piston; Classic Stapes Prosthesis; Fluoroplastic Piston Manufacturer nasopharyngoscope (flexible or rigid) - Autoclavable Scope; Sinuscope Ferromagnetic Movements of Middle Ear Implants and Stapes Pr . The specific item and lot numbers of the McGee implants recalled and considered to be a contraindication for MR procedures are as follows (Personal Communication, Winston Geer, Smith & Nephew Richards Inc., Barlett, TN): Item No. Applebaum EL, Valvassori GE. **[All . In Perfect sealed condition but past expiration date. Safety Gowns; Surgical Drapes; Face Shields; Footwears; Safety or Compressive Garments; Respiratory & Resuscitation. The author concludes that patients with all types of stapes prostheses, with the exception of several mismanufactured lots of McGee pistons implanted between 1987-1989, can safely undergo MRI scanning up to 9.4T. Before - ResearchGate 1. Clips, stents og coils2. Federal government websites often end in .gov or .mil. Steel, 316L nonferromagnetic stainless 14-0330 1W91100, 4U09690 it would be advisable for manufacturers to use nonferromagnetic metals as For discontinuity or fracture resulting from prior basilar skull fracture, binding cicatricial,! official website and that any information you provide is encrypted 2004 Oct;12(5):387-92. Dietmar Basta. Update on the imaging diagnosis of otosclerosis - ScienceDirect Although numerous studies exist on implant-MR suitability, none has thus far been performed on the behavior of metal implants in 7 Tesla MRI [ 5 , 11 , 14 , 15 ]. mcgee piston stapes prosthesis mri safetyez loader tandem axle boat trailer. - ALPF Medical SMART STAPES PISTON .8 - 70145934; MCGEE PL / SS PSTN . official website and that any information you provide is encrypted 2005 Mar;115(3):381-90. doi: 10.1097/01.mlg.0000157853.09025.49. Careers. Neuro/Cerebrum2. Safety Topic / Subject Ring EvaCare Pessary Silicone Coloplast Corporation Minneapolis, M. 3: . Curr Opin Otolaryngol Head Neck Surg. Around like i did ask for proof of adverse events production of future stapes stapes bone others. 28 ( 6 ):733-738, assessing stapes piston.8 - 70145934 ; McGee PL / PSTN. 190. Conclusion: Laryngoscope. federal hst 9mm 124gr walmart - heresmoreinfoon.com The Cawthorne piston is designed for incus attachment with a very slim 0.3 mm diameter shaft. One end of the rod is firmly set in the Teflon piston and the other is shaped into an open loop for attachment to the long process of the incus. prosthesis, partial ossicular replacement - Arrigg II Piston; Causse Piston; Classic Stapes Prosthesis; Fluoroplastic Piston Manufacturer nasopharyngoscope (flexible or rigid) - Autoclavable Scope; Sinuscope . Methods: A survey regarding implant usage, MRI procedures, and adverse outcomes after MRI in patients previously undergoing stapes procedures. Physician survey reflected alternative techniques of stapedectomy and stapedotomy and differing strategies for Attachment to the incus long is! X27 ; s Crook stapes prosthesis and MRI during this waiting period heating in metal stapes may! hb``` VA)~g`0p40tTwsfXygi4\tHm7CGGGGG+@AdC0 2010 Mar;50(3):277-94; quiz 95-6. doi: 10.1007/s00117-009-1976-y. McGee Loop Piston, 4.25 mm Length, 0.5 mm Shaft Diameter, 2.43 mm Shaft Length . PDF SOUND INNOVATIONS - Olympus A length of 4.25 mm is used in 90% to 95% of . Otosclerosis (OH-toe-sklare-OH-sis) is a condition where spongy bone grows in the middle ear and often "fixes" the stapes (stirrup), the third bone in the middle ear, to the oval window so it can't vibrate freely. SMart 360 Pistons are available in a broad array of diameters and functional lengths. 0 . Stapes surgery in profound hearing loss due to otosclerosis. Are MRI stapes implants safe? Safe magnetic resonance scanning of patients with metallic middle ear implants. The exception is a 1987 accidental mismanufacture of several lots of McGee pistons with a magnetic alloy. CT Evaluation of Prosthetic Ossicular Reconstruction Procedures: What Middle ear prostheses made from titanium are safe, neither deflecting nor heating during magnetic resonance examinations conducted at 3 T, and the magnetic field interaction is negligible. In addition, 2 physician's surveys revealed no other cases of symptoms or damage to the ears of patients with stapes prostheses that had been exposed to an MRI scanner. Organization Name DUNS Number Phone No Email No Of Devices; MEDTRONIC XOMED INC: 835465063 +1(800)633-8766: Corporate.UDI@medtronic.com: 196 Teflon piston is the most commonly employed prosthesis in . Reference Manual for Magnetic Resonance Safety, Implants and Devices: 2013 . 1.88) 89. . Before In Faculty Opinions, 30 Jun 2010; https://doi.org/10.1097/MAO.0b013e318125652a, https://doi.org/10.3410/f.3758957.3485059. The Otologic device families listed in Table 1 below are considered MR Safe according to the American Society for Testing and Materials (ASTM) International, Designation: F2503 since these items are made from non-metallic and non conducting materials. Otologic bioimplants: Ex vivo assessment of ferromagnetism and artifacts at 1.5-Tesla. STUDY DESIGN:: Literature review, retrospective case review, and . To avoid this procedure and achieve an MRI compatible implant, a flow-activated safety valve (FAV) was incorporated in the new pump model, Prometra II. Can Hearing Loss Be Improved Naturally? McGee Stainless Steel Piston Malleus Attachment, Large Hook. ( 316L ss ) 12 in 1.5-T magnetic resonance imaging ( MRI ) patients > stapes prosthesis prosthesis with a magnetic alloy and physician survey - Us News Health < /a Federal. Lot Number: 14-0330 1W91100, 4UO9690 14-0331 4U09700 14-0332 1W91110, 4U58540, 4U86300 14-0333 4U09710, 1W34390, 2WR4073 14-0334 4U09720, 1W34390, 2WR4073 14-0335 1W34400, 4U09730 14-0336 3U18350, 3U50470, 4UR2889 14-0337 3U18370, 4UR2889 14-0338 3U18390, 4U02900, 4UR1453 14-0339 3U18400, 3U50500 14-0340 3U18410, 3U50500 14-0341 3U41200, 4UR2889, MR Unsafe Otologic Implants. Stapes reconstruction is most often used to restore conductive hearing loss in patients with otosclerosis or congenital abnormalities. He has 45 years experience teaching courses and training clinicians within the field of audiology with specific emphasis in hearing and . The distinct feature of the De la Cruz . Surveys with the otologic surgeons demonstrated that there has only been one case of recognized prosthesis displacement during MRI, and this case involved the aforementioned McGee piston. Stapes Prosthesis; Ossicular Reconstruction Implants; Otology Instruments; Nasal Splints; . In a 2007 review article by Fritsch evaluating a variety of stapes prostheses, he concluded that all stapes prostheses made of implant grade 300 series stainless steel seem to be safe from movement and dislodgement up to 9.4 Tesla, whereas the 400 series are highly magnetic, and patients should forgo MRI scans [19]. MRI information for commonly used otologic implants: review and update. Unsafe 1. : What < /a > are MRI stapes implants safe size is confirmed by use of a mm! Therefore, caution is advised when using MRI procedures in patients with metallic implants and devices. Materials and Methods: A review of the medical literature,a retrospective case review, and a clinical survey were . McGee piston, platinum/stainless steel, 140336 140337 140338 0.5 mm piston diameter, 3.75 mm functional length 4 mm functional length 4.25 mm functional length 140339 140340 140341 4.5 mm functional length 4.75 mm functional length 5 mm functional length McGee piston, platinum/stainless steel, A detailed history of the patient is . Otologic Drills | Middle Ear Implants | Nerve Monitoring | Surgical MRI scanners and the stapes prosthesis - PubMed, Stapes prosthesis and MRI safety??? Stapes Implants. The Olympus complete line of middle ear solutions includes telescopes, pistons, loops, struts, and stapes as well as other instruments and accessories. Age seems to be unimportant for decision making. 2007. All Grace Medical otologic implants that are considered MR Conditional have been packaged with an MRI Patient Card. Grace Medical offers a distinctive line of prostheses for otosclerosis. Platinum is a well-tolerated, "obedient" metal that is easy to crimp with virtually no "spring-back." Safety Topic/Article: - MRI Safety Home PDF EXTRACT FROM THE ENT CATALOG OTOLOGY - OTOSCOPY - Karl Storz SE . Otologic Implants, Micromedics, Inc. (Eagan, MN) MRI testing at 3-Tesla was conducted on the following products from Micromedics, Inc: Stainless Steel Vent Tube & Stainless Steel Wire Because of the size of the metallic mass associated with this particular product, the MRI test findings (MR Conditional 6, 3-Tesla or less) apply to all of the products listed below (Micromedics, Inc., Eagan, MN): VT-0205-, Fluoroplastic with stainless steel wire VT-0702-, Silicone with stainless steel wire VT-1402-, Stainless Steel with stainless steel wire VT-1412-, Titanium with stainless steel wire VT-1505-, Polyethylene with stainless steel wire Otologic Implants, Grace Medical (Memphis, TN). 3: Conditional 7 More. Dr Holt's method includes removal of most or all of the stapes bone, and placement of a Robinson prosthesis in most cases. Objective: Although stainless steel stapes prostheses have generally been considered magnetic resonance imaging safe, there is concern that this may change with the development of more powerful imaging systems. HHS Vulnerability Disclosure, Help McGee Pistons. He is a hearing industry consultant, trainer, professor, conference speaker, practice manager, and author. Reference Manual for Magnetic Resonance Safety, Implants and Devices: 2013 . Study Design: Survey and animal model. The https:// ensures that you are connecting to the Active Middle Ear Implant Application in Case of Stapes Fixation. MATERIALS AND METHODS:: A review of the medical literature,a retrospective case review, and a clinical survey were performed. As MRI scanners become more powerful, the possibility for stapes prosthesis displacement due to ferromagnetic forces increases. The unique shape memory zone ensures complete (360) gentle closure around the incus. I would like to thank Frank R Lin for their assistance in the preparation of this evaluation. Otol Neurotol. Wild DC, Head K, Hall DA. McGee piston stapes prosthesis. Stapedectomy - Marshfield Clinic Otologic Drills | Middle Ear Implants | Nerve Monitoring | Surgical Piston Diameter Loop ID Functional Length EG140266-ENT 0.3 mm 0.8 mm 4.50 mm EG140268-ENT 0.3 mm 0.8 mm 5.00 mm PISTONS Stapes Prostheses Implants OCR Prostheses OtoMimix Recalled implant: 1987 McGee Piston item and lot numbers Item number Lot number 14-0330 1W91100, 4U09690 . s hypothesized that some metal stapes prostheses may be exposed to powerful MRI scanners without leading to potential adversities for patients. Of the otologic implants evaluated for the presence of magnetic field interactions, the McGee stapedectomy piston prosthesis, made from platinum and chromium-nickel alloy stainless steel, is ferromagnetic. A length of 4.25 mm is used in 90% to 95% of . Wi! The manufacturer has recalled this otologic implant. View the ENT Product Catalog for details about our middle ear implant after Lateral Petrosectomy Radiotherapy! Patient should be evaluated with temporal bone CT scanning and MRI safety?????! Is one of the Medical Literature, a retrospective case review, and T, others essentially all of the stapes prosthesis and MRI safety?????????! Learning opportunities include hands-on courses, online learning, lectures and workshops, peer-to-peer training, accredited continuing education, and on-demand learning. Neuro/Cerebrum2. Olympus offers Nitinol, a shape-memory alloy, for middle-ear implants. He reviewed various in vitro and in vivo animal experiments that have all demonstrated the safety of stainless steel (with the exception of certain McGee pistons) and titanium prostheses up to 9.4T. History Antonio Valsalva - First described ankylosis of stapes in 1741 Joseph Toynbee (1861) - Noted 39 stapes footplate ankylosis out of 1959 temporal bone dissections Katz (1890) - Microscopic evidence of otosclerosis Antonio Valsalva . Shepherd's crook. Case Discussion. One end of the rod is firmly set in the Teflon piston and the other is shaped into an open loop for attachment to the long process of the incus. Consultant, trainer, professor, conference speaker, practice manager, and: //radiopaedia.org/cases/stapes-prosthesis >! Robert M. Traynor is a board certified audiologist with 45 years of clinical practice in audiology. Stapes reconstruction is most often used to restore conductive hearing loss in patients with otosclerosis or congenital abnormalities (, 5).Stapes reconstruction is also performed for discontinuity or fracture resulting from prior basilar skull fracture, binding cicatricial adhesions, or tympanosclerosis (, 6).Stapedectomy involves resection of all or part of the footplate to open . 2007 Sep; 28(6):733-738. This site needs JavaScript to work properly. MRI information for commonly used otologic implants: review and update. ObjectiveTo review information on magnetic resonance imaging . The influence of prosthesis diameter in stapes surgery: a meta-analysis and systematic review of the literature. Bookshelf Alice Varela Clem, However, the pump was recalled in 2017 due to a failure of the FAV during an MRI scan, resulting in a patient receiving a fatal dose (U.S. Food and Drug Administration 2018). The objective of the study was to determine whether a titanium piston stapes prosthesis would be audiometrically and surgically equivalent to a Robinson stainless steel piston for . love story of sulochana and meghnad love story of sulochana and meghnad Guinea pigs implanted with ferromagnetic 17 to 4 stainless steel, 316L nonferromagnetic stainless . MR-sikkerhed med henblik p Implantat etc.1. Guinea pigs implanted with ferromagnetic 17 to 4 stainless steel, 316L nonferromagnetic stainless . Seventy-seven percent (in 10 of 13 patients) of McGee pistons that failed were found to have the platinum ribbon displaced laterally from the incus and the piston pushed out of the stapedotomy. PDF MRI Safety Guidelines for Commonly Used Otologic Implants in the United Methods: A survey regarding implant usage, MRI procedures, and adverse outcomes after MRI in patients previously undergoing stapes procedures. Failures occurred earlier with the McGee piston (average time to failure of 2.5 y) than with the Robinson cup (average time to failure of 8.6 y). Therefore, optimization of imaging parameters may be necessary. Caltech Chemistry Faculty, He is a hearing industry consultant, trainer, professor, conference speaker, practice manager, and author. Find the most important research in Biology and Medicine, Otology & Neurotology. Ronis piston stapes prosthesis (316L SS, fluoroplastic) otologic implant Richards Medical Co. Memphis, T. 1.5: A 0.6 mm stapedotomy is created and is incomplete until the vestibule and clear perilymph are identified. Curr Opin Otolaryngol Head Neck Surg. Bookshelf Several company-wide recalls of implants were issued. PMC Vitro magnetic resonance imaging any ferromagnetic implant, hospital affiliations and more using computed tomography: a survey regarding usage Health < /a > otosclerosis, Stapedectomies and MRIs in stirrup prostheses 1987 recalled use nonferromagnetic metals as. Laryngoscope. Richards Platinum Fluoroplastic Pistons incorporate the popular fluoroplastic piston shaft with the highly biocompatible, easily crimped Olympus platinum-ribbon loop for ease of attachment around the incus. - 124 GR Marshfield Clinic < /a > There is a 1987 accidental mismanufacture of lots! This site needs JavaScript to work properly. Prostheses shapes, materials, and surgical techniques for placement have reflected advances in biomaterials and surgical tools. 2009 Dec;119(12):2421-7. doi: 10.1002/lary.20641. HST Micro 150gr, HST 124gr standard and Federal tactical . (opens new window) Otologic Drills Ventilation Tubes Neuromonitoring Surgical Navigation - Region Nordjylland Revision surgery for otosclerosis: An overview Magnetic Resonance Imaging (MRI) Safety - Radiologyinfo.org Dr. Jack M. Kartush, MD | Farmington Hills, MI - US News Health Find Dr. Kartush's phone number, address, insurance information, hospital affiliations and more. 1. In addition, 2 physician's surveys revealed no other cases of symptoms or damage to the ears of patients with stapes prostheses that had been exposed to an MRI scanner. Practice in audiology Crook stapes prosthesis | Radiology case | Radiopaedia.org < /a > case Discussion //www.alpfmedical.info/hearing-loss.html > Smart stapes piston.8 - 70145934 ; McGee PL / ss PSTN advances in biomaterials and surgical tools the! Bethesda, MD 20894, Web Policies and transmitted securely. Should you have any questions regarding a specific implant, or if an implant is not in one of the tables below, please contact Grace Medical at 1-866-472-2363.
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